Decline in Emergency Department Visits for Acute Gastroenteritis among Children in 10 US States Following Implementation of Rotavirus Vaccination, 2003-2013

Minesh P. Shah, Jacqueline E. Tate, Claudia Angelica Steiner, Umesh D. Parashar

Research output: Contribution to journalArticle

Abstract

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

Original languageEnglish (US)
JournalPediatric Infectious Disease Journal
DOIs
StateAccepted/In press - Apr 15 2016

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases
  • Microbiology (medical)

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