Post-vaccination anti-HBs testing among healthcare workers: More economical than post-exposure management for Hepatitis B

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.

Bibliographic Details

Main Authors:	Souza,Camila Lucas de, Salgado,Thaís de Arvelos, Sardeiro,Tatiana Luciano, Galdino Junior,Hélio, Itria,Alexander, Tipple,Anaclara Ferreira Veiga
Format:	Digital revista
Language:	English
Published:	Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2020
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692020000100348
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