Hepatitis A and B screening and vaccination rates among patients with chronic liver disease
| Autor: | Sasha C Strain, Dawn Sears, Mario de los Santos, Syed T Ahmed, Kimberly Ackerman, Jonathan Ramirez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Hepatitis B virus Immunology Hbv vaccination medicine.disease_cause Chronic liver disease Hepatitis A Antibodies 03 medical and health sciences 0302 clinical medicine Immunity Internal medicine medicine Immunology and Allergy Humans Mass Screening Hepatitis B Vaccines 030212 general & internal medicine Hepatitis B Antibodies Pharmacology Hepatitis A Vaccines biology business.industry Liver Diseases Hepatitis A virus diseases biochemical phenomena metabolism and nutrition medicine.disease Research Papers Hepatitis a virus digestive system diseases Vaccination Chronic Disease biology.protein 030211 gastroenterology & hepatology Immunization Hepatitis A virus Antibody business |
| Zdroj: | Human vaccinesimmunotherapeutics. 12(1) |
| ISSN: | 2164-554X |
| Popis: | Vaccinations against hepatitis A virus (HAV) and hepatitis B virus (HBV) are recommended for patients with chronic liver disease (CLD), yet implementation of these recommendations is lacking. This study reviewed HAV and HBV antibody testing and vaccination status of patients with CLD. In 2008, we began using pre-printed liver order sets, which included vaccination options. We compared Scott & White liver clinic CLD patient records from 2005 (238) with patient records from 2008 (792). Screening rates for immunity and vaccination rates of those lacking immunity were calculated. In 2005, 66% of CLD patients were screened for HAV immunity. In 2008, 56% of CLD patients were screened. The HAV vaccination completion rate was 37% in 2005, while in 2008, the rate was 46%. In 2005, 66% of CLD patients were screened for HBV immunity; in 2008, 56 % CLD patients were screened. The HBV vaccination completion rate was 26% in 2005 compared with 36% in 2008. Although there was a lower percentage of screening in 2008, the overall number of patients tripled between 2005 and 2008. There was a significant increase in the total number of patients screened and vaccinated in 2008. Some physicians may have vaccinated their patients without checking for immunity. In January 2008, we implemented pre-printed order sets with checkboxes to help remind providers to order labs to screen for immunity against HAV and HBV and to order vaccinations for those who lacked immunity. The use of these sets may have aided in the increase of vaccination completion rates. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|