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Related Experiment Videos

Cost analysis of a needle stick protocol

J B Reuler, J A Campbell

    Medical Decision Making : an International Journal of the Society for Medical Decision Making
    |January 1, 1982
    PubMed
    Summary

    Cost-effectiveness analysis of hepatitis B prophylaxis revealed that routine serologic screening after needle-stick exposures is not cost-effective. Given the low prevalence of hepatitis B, resources can be reallocated.

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    Area of Science:

    • Occupational Health
    • Infectious Disease Prevention
    • Health Economics

    Background:

    • Hepatitis B virus (HBV) poses a risk in healthcare settings.
    • Prophylaxis protocols aim to prevent HBV transmission.
    • Cost-effectiveness of screening and prophylaxis requires evaluation.

    Purpose of the Study:

    • To analyze the cost-effectiveness of a hepatitis B prophylaxis protocol.
    • To determine the necessity of serologic screening for routine needle-stick exposures.

    Main Methods:

    • Retrospective analysis of a three-year period.
    • Inclusion of data on needle-stick incidents, employees, and patients.
    • Assessment of hepatitis B surface antigen (HBsAg) and antibody (anti-HBs) status.

    Main Results:

    • 302 needle-stick incidents reported involving 282 employees and 234 patients.
    • No new hepatitis B surface antigen (HBsAg)-positive cases identified in employees or patients.
    • 6% of employees showed positive anti-HBs, indicating prior immunity.

    Conclusions:

    • The low prevalence of hepatitis B infection in the studied population suggests routine serologic screening is not cost-effective.
    • Curtailment of serologic screening for routine needle-stick exposures is supported by cost analysis.
    • Resource allocation can be optimized by revising the current prophylaxis protocol.

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