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两种无症状菌尿筛查方法的成本效益

Cost-effectiveness of two methods of screening for asymptomatic bacteriuria.

作者信息

Rich G, Glass N J, Selkon J B

出版信息

Br J Prev Soc Med. 1976 Mar;30(1):54-9. doi: 10.1136/jech.30.1.54.

Abstract

A comparison of two methods of screening schoolgirls for asymptomatic specimens of urine from 96.3, but that the home self-administered use of dipslides was successful in only 70.2%. The failure to obtain the return of satisfactory dipslides was most frequent in children under seven and over 11 years of age, and in children from the lower social classes; satisfactory dipslides were returned by 84% of children from social classes I, II, and III non-manual workers, but by only 58% of children from social class V and the unemployed. The cost per child screened was pounds 0.77 with the supervised method and pounds 0.26 with the dipslide method. An alternative supervised method which would have successfully screened 85% would have cost pound 0.55 per child screened. Using the home dipslide method, the cost per case of asymptomatic bacteriuria detected would vary from pounds 10.40 to pounds 20.00, depending on the age group screened.

摘要

对96.3%的女学生进行无症状尿液标本筛查的两种方法的比较,但家庭自行使用浸试纸法的成功率仅为70.2%。未能获得满意浸试纸结果的情况在7岁以下和11岁以上的儿童以及社会阶层较低的儿童中最为常见;来自社会阶层I、II和III非体力劳动者家庭的儿童中有84%返回了满意的浸试纸结果,但来自社会阶层V和失业家庭的儿童中只有58%返回了满意结果。采用监督法筛查每个儿童的成本为0.77英镑,浸试纸法为0.26英镑。另一种能成功筛查85%儿童的监督法,每个被筛查儿童的成本为0.55英镑。使用家庭浸试纸法,根据筛查的年龄组不同,每例无症状菌尿症的检测成本在10.40英镑至20.00英镑之间。

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