Outbreaks of hepatitis ? in elderly persons with diabetes in long-term care facilities have been linked to diabetes care procedures (including blood glucose monitoring), with likely vehicles for transmission including spring-loaded finger-stick devices used on multiple patients and blood glucose testing meters that were not cleaned between uses on different patients. The 2011 ACIP recommendation for hepatitis B vaccination for adults with diabetes, an increasing incidence of diabetes, and the high prevalence of diabetes among certain groups recommended for hepatitis B vaccination (e.g., persons with end-stage renal disease) suggests that a review of vaccine efficacy among persons with diabetes may be timely.
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