The impact of varicella vaccination: A 2005–2019 interrupted time series analysis

Varicella is an acute, highly contagious disease in susceptible individuals and is preventable through vaccination. This study aimed to determine the impact of varicella vaccination on hospitalizations and complications at a pediatric reference hospital in Panama before and after the vaccine introdu...

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Main Authors: Katherina U. Miranda, Rodrigo DeAntonio, Ximena Norero, Dora Estripeaut
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2023.2278927
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author Katherina U. Miranda
Rodrigo DeAntonio
Ximena Norero
Dora Estripeaut
author_facet Katherina U. Miranda
Rodrigo DeAntonio
Ximena Norero
Dora Estripeaut
author_sort Katherina U. Miranda
collection DOAJ
description Varicella is an acute, highly contagious disease in susceptible individuals and is preventable through vaccination. This study aimed to determine the impact of varicella vaccination on hospitalizations and complications at a pediatric reference hospital in Panama before and after the vaccine introduction. This descriptive ecological study analyzed clinical records of patients diagnosed with varicella through a retrospective and interrupted time series analysis. An autoregressive integrated moving average model was built to compare the incidence rates observed after vaccination with those expected rates derived from the model. A statistical model was fitted to the observed interrupted time series data by regression and used to predict future trends. The mean difference in varicella hospital discharges before and after the introduction of the varicella vaccine was 47%. The rate of hospitalizations for varicella decreased to 52.3%. A declining trend in varicella hospitalizations was observed from 2015 after vaccine introduction in 2014. Complications in vaccinated patients were secondary skin and soft tissue infection, possibly due to bacterial superinfection. The impact of varicella vaccination on reducing varicella hospital discharges reported at a pediatric reference hospital in Panama was confirmed.
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series Human Vaccines & Immunotherapeutics
spelling doaj-art-b2a25c6326ea42928a40cddbca5dff3f2025-08-20T03:24:35ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-12-0119310.1080/21645515.2023.2278927The impact of varicella vaccination: A 2005–2019 interrupted time series analysisKatherina U. Miranda0Rodrigo DeAntonio1Ximena Norero2Dora Estripeaut3Pediatric Infectious Diseases, Hospital José Domingo de Obaldía, Panama City, PanamaEpidemiology and Public Health, Centro de Investigación Cevaxin The Panama Clinic, Panama City, PanamaPediatric Infectious Diseases, Hospital del Niño José Renán Esquivel, Panama City, PanamaPediatric Infectious Diseases, Hospital del Niño José Renán Esquivel, Panama City, PanamaVaricella is an acute, highly contagious disease in susceptible individuals and is preventable through vaccination. This study aimed to determine the impact of varicella vaccination on hospitalizations and complications at a pediatric reference hospital in Panama before and after the vaccine introduction. This descriptive ecological study analyzed clinical records of patients diagnosed with varicella through a retrospective and interrupted time series analysis. An autoregressive integrated moving average model was built to compare the incidence rates observed after vaccination with those expected rates derived from the model. A statistical model was fitted to the observed interrupted time series data by regression and used to predict future trends. The mean difference in varicella hospital discharges before and after the introduction of the varicella vaccine was 47%. The rate of hospitalizations for varicella decreased to 52.3%. A declining trend in varicella hospitalizations was observed from 2015 after vaccine introduction in 2014. Complications in vaccinated patients were secondary skin and soft tissue infection, possibly due to bacterial superinfection. The impact of varicella vaccination on reducing varicella hospital discharges reported at a pediatric reference hospital in Panama was confirmed.https://www.tandfonline.com/doi/10.1080/21645515.2023.2278927Varicellavaccinationpediatricsinterrupted time seriesretrospectiveimpact
spellingShingle Katherina U. Miranda
Rodrigo DeAntonio
Ximena Norero
Dora Estripeaut
The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
Human Vaccines & Immunotherapeutics
Varicella
vaccination
pediatrics
interrupted time series
retrospective
impact
title The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
title_full The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
title_fullStr The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
title_full_unstemmed The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
title_short The impact of varicella vaccination: A 2005–2019 interrupted time series analysis
title_sort impact of varicella vaccination a 2005 2019 interrupted time series analysis
topic Varicella
vaccination
pediatrics
interrupted time series
retrospective
impact
url https://www.tandfonline.com/doi/10.1080/21645515.2023.2278927
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