Evidence of increasing frequency of herpes zoster management in Australian general practice since the introduction of a varicella vaccine.

摘要: Objectives: To assess whether the management rate of herpes zoster (HZ) in Australian general practice has changed since varicella vaccines became available; and to ascertain mean age patients attending for HZ management, assist with planning vaccination prevent older Australians. Design, setting participants: Retrospective analysis data period April 1998 March 2009 on 1 078 671 (weighted) encounters consecutive 10 885 practitioners who participated BEACH (Bettering Evaluation Care Health) national cross-sectional survey. Main outcome measures: Number (shingles) and of (chickenpox); presenting management. Results: Regression indicated a significant rise over study period, an average annual increase 0.05 per 1000 (P<0.01). The decreased significantly from 2.01 1998–1999 0.58 2008–2009. Mean calculated each year varied between 10.2 15.3 years varicella, 57.5 64.1 HZ. Conclusions: There been a decrease 1998–2009. Introduction prevention at 60 should be considered, although addition this existing schedule 65 is also likely beneficial may more pragmatic.