1. Uptake of intra-muscular vitamin K administration after birth: A national cohort study.
- Author
-
Brunton, Susanne, Fenton, Lynda, Hardelid, Pia, and Williams, Thomas C.
- Subjects
- *
VITAMIN K , *COHORT analysis , *ORAL drug administration , *MATERNAL age , *SOCIOECONOMIC status - Abstract
Aim: A long-acting monoclonal antibody against RSV (nirsevimab), given as an injection shortly after birth, is currently being rolled out globally. Carer acceptance of intra- muscular (IM) vitamin K, another injection given shortly after birth, could serve to indicate the acceptability of nirsevimab. Methods: We analysed a national dataset of postnatal health visitor visits in Scotland; individual-level data on gestation were not available. The primary outcome measure was the modality of administration of vitamin K; potential explanatory variables were maternal age, infant ethnicity, English as a first language, and measures of socioeconomic deprivation. We examined associations between IM vitamin K administration or oral/no vitamin K and each explanatory variable. Results: From 2019 to 2021, questionnaires were available for 142 857 infants; data was missing for 2.7%. IM Vitamin K uptake was high: 95.5% of carers consented, with 1.1% requesting oral vitamin K and 0.9% refusing vitamin K altogether. Infant ethnicity, use of English as a first language, socio-economic status and maternal age were not associated with reduced uptake of IM vitamin K. Conclusion: If IM Vitamin K administration is a valid proxy measure for nirsevimab acceptance, we did not identify groups that might require increased engagement prior to nirsevimab roll- out. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF