Cooper University Hospital, Department of Emergency Medicine, Camden, New Jersey.
Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.
West J Emerg Med. 2020 Jul 10;21(4):906-908. doi: 10.5811/westjem.2020.4.45847.
The Philadelphia Department of Public Health (PDPH) declared a public health emergency due to hepatitis A in August 2019. Our emergency department (ED) serves a population with many of the identified risk factors for hepatitis A transmission. This study examines the impact of an ED-based hepatitis A vaccination program, developed in partnership with the PDPH, on incidence of hepatitis A infection and hospital admission.
We conducted a retrospective review of all ED visits in the 12-week period centered around the implementation of the ED-based hepatitis A vaccination program. All adult patients presenting to the ED were offered vaccination, with vaccines supplied free of charge by the PDPH. We compared the incidence of diagnosis and of hospital admission for treatment of hepatitis A before and after implementation of the program.
There were 10,033 total ED visits during the study period, with 5009 of them prior to the implementation of the vaccination program and 5024 after implementation. During the study period, 669 vaccines were administered. Before the vaccination program began, 73 patients were diagnosed with hepatitis A, of whom 67 were admitted. After implementation of the program, 38 patients were diagnosed with hepatitis A, of whom 31 were admitted.
A partnership between an ED and the local public health department resulted in the vaccination of 669 patients in six weeks in the midst of an outbreak of a vaccine-preventable illness, with a corresponding drop in ED visits and hospital admission for acute hepatitis A.
2019 年 8 月，费城公共卫生部（PDPH）因甲型肝炎宣布公共卫生紧急事件。我们的急诊部（ED）服务的人群存在许多甲型肝炎传播的已知危险因素。本研究旨在评估与 PDPH 合作开发的基于 ED 的甲型肝炎疫苗接种计划对甲型肝炎感染和住院的影响。
我们对实施 ED 基于甲型肝炎疫苗接种计划前后 12 周内所有 ED 就诊进行了回顾性研究。所有到 ED 就诊的成年患者都被提供了疫苗接种，疫苗由 PDPH 免费提供。我们比较了实施该计划前后甲型肝炎的诊断和治疗住院的发病率。
在研究期间，共有 10033 次 ED 就诊，其中 5009 次发生在疫苗接种计划实施之前，5024 次发生在之后。在研究期间，共接种了 669 剂疫苗。在疫苗接种计划开始之前，有 73 名患者被诊断为甲型肝炎，其中 67 人住院。在实施该计划后，有 38 名患者被诊断为甲型肝炎，其中 31 人住院。
ED 与当地公共卫生部门之间的合作在疫苗可预防疾病爆发期间的六周内为 669 名患者接种了疫苗，同时 ED 就诊和急性甲型肝炎住院的人数相应减少。
