Use of Japanese encephalitis vaccine in US travel medicine practices in Global TravEpiNet

Bhushan R. Deshpande, Sowmya R. Rao, Emily S. Jentes, Susan L. Hills, Marc Fischer, Mark D. Gershman, Gary W. Brunette, Edward T. Ryan, Regina C. LaRocque, George M. Abraham, Salvador Alvarez, Vernon Ansdell, Johnnie A. Yates, Elisha H. Atkins, John Cahill, Holly K. Birich, Dagmar Vitek, Bradley A. Connor, Roberta Dismukes, Jessica FairleyPhyllis Kozarsky, Ronke Dosunmu, Jeffrey A. Goad, Edith Mirzaian, Brian Kendall, DeVon Hale, Noreen A. Hynes, Frederique Jacquerioz, Susan McLellan, Mark Knouse, Jennifer Lee, Alawode Oladele, Hanna Demeke, Roger Pasinski, Amy E. Wheeler, Jessica Rosen, Noreen N. Cabellon, Brian S. Schwartz, William Stauffer, Patricia Walker, Joseph Vinetz

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Few data regarding the use of Japanese encephalitis (JE) vaccine in clinical practice are available. We identified 711 travelers at higher risk and 7,578 travelers at lower risk for JE who were seen at US Global TravEpiNet sites from September of 2009 to August of 2012. Higher-risk travelers were younger than lower-risk travelers (median age = 29 years versus 40 years, P < 0.001). Over 70% of higher-risk travelers neither received JE vaccine during the clinic visit nor had been previously vaccinated. In the majority of these instances, clinicians determined that the JE vaccine was not indicated for the higher-risk traveler, which contradicts current recommendations of the Advisory Committee on Immunization Practices. Better understanding is needed of the clinical decision-making regarding JE vaccine in US travel medicine practices.

Original languageEnglish (US)
Pages (from-to)694-698
Number of pages5
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume91
Issue number4
DOIs
StatePublished - Oct 1 2014

Bibliographical note

Publisher Copyright:
Copyright © 2014 by The American Society of Tropical Medicine and Hygiene.

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