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Hepatitis B immunisation in renal units in the United Kingdom: questionnaire study

Despite guidance from the Department of Health and the Renal Association that dialysis patients should be offered prophylaxis against hepatitis B by immunisation, surveys have shown that 95% of renal units in 1994 and 49% in 1995 were not routinely offering immunisation to any patient groups with chronic renal failure.1–4 We aimed to determine whether provision of hepatitis B immunisation had improved after publication of the 1996 Department of Health guidelines and to identify barriers to implementation of existing guidelines.1

We sent a postal questionnaire, piloted in five renal units, to the clinical directors of all 87 main UK renal units and satellites. The questionnaire (available on bmj.com) covered hepatitis B immunisation in patients with chronic renal failure, including those receiving renal replacement therapy; the number of cases of acute hepatitis B infection between 1997 and 1999; and reasons why patients …