Vaccination against hepatitis A and B in patients with chronic liver disease and type 2 diabetes: has anything

Aaron Koenig1, Maria Stepanova1, Sean Felix1,2

  • 1Center for Liver Diseases, Department of Medicine, Inova Fairfax Hospital, Falls Church, VA, USA.

Insights

Hepatitis A (HAV) and B (HBV) vaccination rates increased in the general US population but remain low in patients with chronic liver disease (CLD) and type 2 diabetes (DM). Improved vaccination strategies are needed for these high-risk groups.

Area of Science:

  • Hepatology
  • Immunology
  • Public Health

Background:

  • Patients with chronic liver disease (CLD) and type 2 diabetes (DM) face severe risks from acute hepatitis.
  • Vaccination against Hepatitis A (HAV) and Hepatitis B (HBV) is recommended for these high-risk populations.

Purpose of the Study:

  • To assess recent trends in HAV and HBV vaccination rates.
  • To analyze vaccination coverage in US patients with CLD and DM using population data.

Main Methods:

  • Utilized National Health and Nutrition Examination Surveys (NHANES) data from 1999-2014.
  • Compared vaccination rates across different population subgroups and time periods.

Main Results:

  • HBV vaccination rates increased from 24.4% to 41.3% and HAV vaccination rates from 12.0% to 33.4% in the general US population (1999-2014).
  • Significant increases in HBV vaccination were observed in CLD patients (22.7% to 51.1%).
  • Vaccination rates in DM patients showed similar increases to the general population, despite recommendations.

Conclusions:

  • HAV and HBV vaccination coverage remains suboptimal in patients with CLD and DM.
  • There is a critical need for enhanced vaccination strategies targeting these vulnerable populations.
Abstract

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