P-1514. ID vs ED: Rabies Vaccine Cost, Time, and Completion Comparison
Timothy Counce, Ryan Manthey, Hassan El-Chebib, Ashley Howard

TL;DR
This study compares the cost, time, and completion rates of rabies vaccines given in emergency departments versus outpatient clinics, finding outpatient care is cheaper and more efficient.
Contribution
The study provides empirical evidence that outpatient clinics are more cost-effective and efficient for rabies vaccine administration compared to emergency departments.
Findings
Outpatient clinic visits for rabies vaccines cost significantly less than emergency department visits.
Post-pandemic rabies vaccine completion rates increased compared to pre-pandemic rates.
There was no significant cost difference in medical care between children and adults receiving rabies vaccines.
Abstract
Rabies is a 100% fatal virus transmitted mainly by animal saliva through breaks in the skin or mucus membranes. Children are especially at risk given the inherent higher level of injuries necessitating additional medical/surgical care. Post exposure prophylaxis is recommended with a 4-dose vaccine series and immunoglobulin. Most vaccines are administered in the Emergency Department (ED), with variable costs and adherence to schedule. The CDC Yellow book estimates per-vaccine costs of around $400. This project aimed to examine vaccine administration costs, encounter time, and completion rates between patients seen at Connecticut (CT) Children’s outpatient Infectious Disease (ID) clinic vs (ED).Figure 1Figure 2 Figure 1 Figure 2 Retrospective study of any person regardless of age who presented to CT Children’s ED between 11/01/2017 to 12/31/2022. Patients were captured using ICD10…
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Taxonomy
TopicsRabies epidemiology and control · Viral Infections and Outbreaks Research · Virology and Viral Diseases
