Buckley D, Fahey T, Bevan G
Department of Social Medicine, University of Bristol.
Br J Gen Pract. 1996 Sep;46(410):541-2.
Two hundred and twenty patients in one general practice travelling to destinations where immunization against hepatitis A virus (HAV) is recommended were tested for their HAV immune status before immunization. Age-specific prevalence of prior immunity to HAV was estimated. The relative costs of pre-immunization testing and immediate immunization were compared. The most cost-effective testing method for this practice was found to be total population testing prior to immunization with HAV vaccine. Individual general practices can estimate the optimal age at which to commence testing for HAV in their own practice population.
在一家普通诊所中,220名前往建议接种甲型肝炎病毒(HAV)疫苗地区旅行的患者在接种疫苗前接受了HAV免疫状态检测。估算了不同年龄组对HAV的既往免疫流行率。比较了接种前检测和直接接种的相对成本。结果发现,对该诊所而言,最具成本效益的检测方法是在接种HAV疫苗前对全体人群进行检测。各个普通诊所可以估算出在其自身诊所人群中开始进行HAV检测的最佳年龄。