Post-vaccination anti-HBs testing among healthcare workers: More economical than post-exposure management for Hepatitis B.
Rev Lat Am Enfermagem
; 28: e3278, 2020.
Article
em En, Pt, Es
| MEDLINE
| ID: mdl-32578749
ABSTRACT
OBJECTIVE:
to compare the direct cost, from the perspective of the Unified Health System, of assessing the post-vaccination serological status with post-exposure management for hepatitis B among health care workers exposed to biological material.METHOD:
cross-sectional study and cost-related, based on accident data recorded in the System of Information on Disease Notification between 2006 and 2016, where three post-exposure and one pre-exposure management scenarios were evaluated A) accidents among vaccinated workers with positive and negative serological status tests for hepatitis B, exposed to known and unknown source-person; B) handling unvaccinated workers exposed to a known and unknown source-person; C) managing vaccinated workers and unknown serological status for hepatitis B and D) cost of the pre-exposure post-vaccination test. Accidents were assessed and the direct cost was calculated using the decision tree model.RESULTS:
scenarios where workers did not have protective titles after vaccination or were unaware of the serological status and were exposed to a positive or unknown source-person for hepatitis B.CONCLUSION:
the direct cost of hepatitis B prophylaxis, including confirmation of serological status after vaccination would be more economical for the health system.
Texto completo:
1
Coleções:
01-internacional
Temas:
Aperfeicoar_gestao_SUS
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
/
4_TD
Base de dados:
MEDLINE
Assunto principal:
Vírus da Hepatite B
/
Exposição Ocupacional
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Pessoal de Saúde
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Vacinas contra Hepatite B
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Hepatite B
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Antígenos de Superfície da Hepatite B
/
Anticorpos Antivirais
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
/
Male
Idioma:
En
/
Es
/
Pt
Revista:
Rev Lat Am Enfermagem
Ano de publicação:
2020
Tipo de documento:
Article