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Accelerated Hepatitis A and B Immunization in a Substance Abuse Treatment Program
Jaime L Winn1, Elie M Francis1, Suzanne E Shealy1
1is a clinical psychologist, is an attending psychiatrist, is a clinical psychologist, is a retired licensed practical nurse, is a retired registered nurse, is a retired registered nurse, and is an attending psychiatrist, all at the James A. Haley Veterans' Hospital in Tampa, Florida. is an advanced registered nurse practitioner at American Lake Division of the VA Puget Sound Healthcare System in Lakewood, Washington. Dr. Winn is an assistant professor, Dr. Francis is an associate professor, Dr. Shealy is an assistant professor, and Dr. Gonzales-Nolas is an assistant professor, all at the University of South Florida in Tampa.
An accelerated hepatitis A and B vaccination program was successful for veterans in addiction treatment. However, many veterans with hepatitis C did not finish their immunizations.
Area of Science:
- Infectious Diseases
- Vaccinology
- Public Health
Background:
- Hepatitis A and B pose risks to vulnerable populations, including those with addictive disorders.
- Vaccination is crucial for preventing hepatitis A and B transmission.
- Adherence to vaccination schedules can be challenging in certain patient groups.
Purpose of the Study:
- To evaluate the implementation of an accelerated dosing program for hepatitis A and B vaccines.
- To assess vaccination completion rates among veterans with addictive disorders.
- To identify barriers to completing hepatitis C immunization series in this population.
Main Methods:
- Implementation of an accelerated hepatitis A and B vaccination schedule.
- Retrospective review of vaccination records for veterans in addiction treatment.
- Analysis of completion rates for hepatitis A, B, and C immunizations.
Main Results:
- The accelerated dosing program for hepatitis A and B vaccination was successfully implemented.
- A significant number of veterans with hepatitis C did not complete the recommended immunization series.
- Vaccination completion varied between hepatitis A, B, and C.
Conclusions:
- Accelerated hepatitis A and B vaccination is feasible in veterans undergoing addiction treatment.
- Strategies are needed to improve completion rates for hepatitis C vaccination in this cohort.
- Further research should explore reasons for incomplete hepatitis C immunization.
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