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International Journal of STD & AIDS

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Int J STD AIDS 2009;20:575-576
doi:10.1258/ijsa.2008.008447
© 2009 Royal Society of Medicine Press

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Audit reports

Audit of hepatitis B vaccination of men who have sex with men attending Scottish genitourinary medicine clinics

S Ramasami MBChB MRCP * , K Abu-Rajab MBChB MRCP {dagger}, P Sarkar MBChB MRCP {dagger} and S Baguley MRCP BSc {ddagger}

* Department of Genitourinary Medicine, Royal Infirmary Edinburgh; {dagger} The Sandyford, 2–6 Sandyford Place, Sauchiehall Street, Glasgow G3 7NB, NHS Greater Glasgow and Clyde; {ddagger} Department of Genitourinary Medicine, Aberdeen Royal Infirmary, UK

Correspondence to: Dr S Ramasami, Department of Genitourinary Medicine, Lauriston Building, Lauriston Place, Edinburgh EH3 9HA, UK Email: sharmini.ramasami{at}luht.scot.nhs.uk

Practice related to hepatitis B vaccination of men who have sex with men (MSM) in Scottish genitourinary medicine clinics was audited against targets based on the offer and completion of vaccination set by the British Association of Sexual Health and HIV. Of 521cases audited from 11 clinics, 215 (41%) were eligible for vaccination and 175 (81%) of eligible MSM were offered vaccination. Of those, 144 (82%) accepted vaccination. The super-accelerated schedule was most commonly prescribed but only 29% of those starting this schedule completed it, compared with 57% of those receiving the standard course. The overall vaccination completion rate was 31% and 82% of those completing vaccination had antisurface antibodies measured. A more robust recall system and uniformity in vaccination policies addressing the balance of patient compliance and immunogenicity of vaccine schedule are needed to improve completion rates.

Key Words: hepatitis B vaccination • MSM • compliance • audit


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History of the London Clinic