Abstract
INTRODUCTION:
Visceral leishmaniasis (VL) is fatal if not diagnosed and treated. This study aimed to estimate the
cost-
effectiveness of diagnostic-
therapeutic alternatives for VL in
Brazil.
METHODS:
A
decision model estimated the
life expectancy and
costs of six diagnostic-
therapeutic strategies.
RESULTS:
IT LEISH + liposomal
amphotericin B emerged the best option, presenting lower
costs and higher
effectiveness. DAT-LPC + liposomal
amphotericin B showed an incremental
cost-
effectiveness ratio of US$ 326.31 per
life year.
CONCLUSIONS:
These findings indicate the feasibility of incorporating DAT and designating liposomal
amphotericin B as the first-line
drug for VL in
Brazil.