Abstract:
BACKGROUND:To assess the economic aspects of HBV (hepatitis B virus) transmission prevention for premarriage individuals in a country with cultural backgrounds like Iran and intermediate endemicity of HBV infection. METHODS:A cost-effectiveness analysis model was used from the health care system and society perspectives. The effectiveness was defined as the number of chronic HBV infections averted owing to one of the following strategies:1) HBsAg screening to find those would-be couples one of whom is HBsAg positive and putting seronegative subjects on a protection protocol comprising HBV vaccination, single dose HBIG and condom protection.2) HBsAg screening as above, in addition to performing HBcAb screening in the HBsAg negative spouses of the HBsAg positive persons and giving the protocol only to HBcAb negative ones.Sensitivity and threshold analyses were conducted. RESULTS:The cost of each chronic infection averted was 202$ and 197$ for the strategies 1 and 2, respectively. Sensitivity analysis showed that strategy 2 was always slightly cheaper than strategy 1. The discounted threshold value for the lifetime costs of chronic liver disease, above which the model was cost saving was 2818$ in strategy 1 and 2747$ in strategy 2. CONCLUSIONS:Though premarriage prevention of HBV transmission in the countries with cultural backgrounds similar to Iran seems cost saving, further studies determining precise costs of HBV infection in Iran can lead to a better analysis.
journal_name
BMC Infect Disjournal_title
BMC infectious diseasesauthors
Adibi P,Rezailashkajani M,Roshandel D,Behrouz N,Ansari S,Somi MH,Shahraz S,Zali MRdoi
10.1186/1471-2334-4-31keywords:
subject
Has Abstractpub_date
2004-09-04 00:00:00pages
31issn
1471-2334pii
1471-2334-4-31journal_volume
4pub_type
杂志文章abstract:BACKGROUND:Armed conflicts are a major contributor to injury and death globally. Conflict-related injuries are associated with a high risk of wound infection, but it is unknown to what extent infection directly relates to sustainment of life and restoration of function. The aim of this study was to investigate the outc...
journal_title:BMC infectious diseases
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abstract::Following publication. ...
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pub_type: 杂志文章,已发布勘误
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journal_title:BMC infectious diseases
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journal_title:BMC infectious diseases
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journal_title:BMC infectious diseases
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更新日期:2019-09-04 00:00:00
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journal_title:BMC infectious diseases
pub_type: 杂志文章
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journal_title:BMC infectious diseases
pub_type: 杂志文章
doi:10.1186/s12879-020-05409-5
更新日期:2020-09-16 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2007-10-23 00:00:00
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journal_title:BMC infectious diseases
pub_type: 杂志文章
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更新日期:2018-07-16 00:00:00