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Decline in Emergency Department Visits for Acute Gastroenteritis among Children in 10 US States Following Implementation of Rotavirus Vaccination, 2003–2013
  • Published Date:
    Jul 2016
  • Source:
    Pediatr Infect Dis J. 35(7):782-786.


Public Access Version Available on: July 01, 2017 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    27088585
  • Pubmed Central ID:
    PMC5113824
  • Funding:
    CC999999/Intramural CDC HHS/United States
  • Document Type:
  • Collection(s):
  • Description:
    Background

    Rotavirus vaccination of all infants began in the United States in 2006. While the effect of vaccination on childhood hospitalizations for rotavirus have been well described, the effects of rotavirus vaccine on ED visits are less well documented.

    Methods

    Using the State Emergency Department Databases (SEDD) for 10 US states, we compared rates of gastroenteritis- and rotavirus-coded ED visits among children < 5 years of age in pre-vaccine (2003–2006) with post-vaccine (2008–2013) years; 2007 was excluded as a transition year. We analyzed ED visit rates by age group, sex, race, and rotavirus season.

    Results

    The pre-vaccine annual gastroenteritis-coded ED visit rate among children < 5 years of age of 426 per 10,000 (annual range, 396–477 per 10,000) declined to 382 per 10,000 in post-vaccine years, a 10.3% (±0.3%, p<.0001) rate reduction overall. Compared to pre-vaccine years, annual ED visit rates for gastroenteritis decreased by 6.5% (±0.6%) in 2008, 12.3% (±0.6%) in 2010, 14.8% (±0.5%) in 2011, 20.4% (±0.5%) in 2012 and 10.1% (±0.6%) in 2013; a small increase of 1.8% (±0.6%) was seen in 2009 (p<.0001 for all individual comparisons). Declines were similar by sex and race and were greater in children <2 years of age (range 14.1–20.6%, p<.0001) than older children (increase of 3.3% ± 0.6%, p<.0001). A decline of 21.2% (±0.4%, p<.0001) in ED visits was seen during the rotavirus season months from January through June versus an increase of 9.5% (±0.6%, p<.0001) during July to December. ED visits specifically coded for rotavirus showed more prominent declines than for all gastroenteritis.

    Conclusions

    ED visits for gastroenteritis in US children have declined since introduction of rotavirus vaccine.

  • Supporting Files:
    No Additional Files