Journal: | Annals of hepatology |
Database: | PERIÓDICA |
System number: | 000417059 |
ISSN: | 1665-2681 |
Authors: | Guturu, Praveen1 Cicalese, Luca2 Duchini, Andrea1 |
Institutions: | 1University of Texas Medical Branch, Department of Medicine, Galveston, Texas. Estados Unidos de América 2University of Texas Medical Branch, Department of Surgery, Galveston, Texas. Estados Unidos de América |
Year: | 2012 |
Season: | May-Jun |
Volumen: | 11 |
Number: | 3 |
Pages: | 326-329 |
Country: | México |
Language: | Inglés |
Document type: | Artículo |
Approach: | Analítico, descriptivo |
English abstract | Despite effective vaccine available, hepatitis A remains a significant cause of morbidity and mortality worldwide including acute liver failure, transplantation and death. Vaccination rates for hepatitis A in the general population are low. Rates of hepatitis A vaccination in healthcare personnel (HCP) are unknown. We studied vaccination rate to hepatitis A in a cohort of HCP at a large US academic center. Material and methods. An anonymous survey was circulated between 499 HCP at-risk of hepatitis A exposure at our Institution. Results were corrected for non-response rate and compared with the general US population using the 2007 CDC-National Immunization Survey. Rate of hepatitis A vaccination was compared with Institutional rate of vaccination for the Influenza 2009-2010 season. Results. Rate of vaccination for hepatitis A in HCP was 28.8% (response rate 41.4%; 207/499), with 58.9% having completed the full series and 24.7% being tested for post-vaccination immunity. Acceptance rate among non-vaccinated subjects was 70.7%. HCP hepatitis A vaccination rate was statistically greater than the national general population (28.8 vs. 12.1%, p ≤ 0.031). A statistically significant greater vaccination rate was found among USborn responders vs. foreign-born HCP (34.3 vs. 19.3%, p = 0.0324). Vaccination for hepatitis A was statistically inferior to that of Influenza (28.8 vs. 90%; P = 0.01). Conclusions. HCP have statistically higher vaccination rate for hepatitis A than the general population, but overall protection remains suboptimal with vaccination rate below those for mandatory vaccines. Further studies to determine whether hepatitis A vaccine is cost-effective in HCP are recommended |
Disciplines: | Medicina |
Keyword: | Gastroenterología, Inmunología, Prevención de infecciones, Vacunación, Personal de salud, Hepatitis A |
Keyword: | Gastroenterology, Immunology, Infections prevention, Vaccination, Health personnel, Hepatitis A |
Full text: | Texto completo (Ver PDF) |