Vaccination against hepatitis B virus in Spain: a cost-effectiveness analysis

A cost-effectiveness analysis was made to determine the effectiveness of the following strategies of mass immunization with the new recombinant vaccine against the hepatitis B virus in Spain: vaccination of-adolescents, newborns, both populations, and vaccination plus passive immunization of newborn...

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Detalles Bibliográficos
Autores: Garuz, R., Torrea, J.L. [0000-0002-3119-6865], Arnal, J.M., Forcen, T., Trinxet, C., Anton, F., Antoñanzas, F. [0000-0001-6122-9130]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1997
País:España
Institución:Universidad de La Rioja (UR)
Repositorio:RIUR. Repositorio Institucional de la Universidad de La Rioja
OAI Identifier:oai:portal.dialnet.es:doc/5bbc681cb750603269e802ba
Acceso en línea:https://investigacion.unirioja.es/documentos/5bbc681cb750603269e802ba
Access Level:acceso abierto
Palabra clave:Cost-effectiveness
Hepatitis B
Vaccine
Descripción
Sumario:A cost-effectiveness analysis was made to determine the effectiveness of the following strategies of mass immunization with the new recombinant vaccine against the hepatitis B virus in Spain: vaccination of-adolescents, newborns, both populations, and vaccination plus passive immunization of newborns of HBsAg positive mothers. Decision trees supported on Markov models with Monte Carlo simulation have been used for the calculation of costs of the disease, and a mathematical model of differential equations was used for the simulation of the potential effectiveness of vaccination. The costs considered were those associated with the vaccination and travel of subjects, diagnosis, and treatment of the disease. The results are presented as additional cost or saving per case of infection prevented In all assumptions, results showed that the most effective strategy for mass vaccination was the combination of vaccinating all adolescents together with active and passive immunization of children born to HBsAg positive mothers.