Varicella and zoster in hospitals

Morgan‐Capner, P.; Wilson, Mary H.; Wright, Jean Ann; Hutchinson, D. N.; Sutherland, Sheena; Honeywell, Kate; Lee, Susan; Hodgson, Julian; Bracken, Paul; Uttley, AnneH.C.; Philpott‐Howard, John; Carruthers, Janet

doi:10.1016/0140-6736(90)91486-t

Cited by 8 publications

(2 citation statements)

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“…The incident rate used in the baseline analysis, of 1n9 staff index case incidents per hospital per year, is equivalent to one incident per 812 staff employed. This is a lower rate than that reported by Morgan-Capner and colleagues [18], who identified 9 staff index case incidents over 22 months in 3 major hospitals in Preston Health Authority with a total of 2815 staff in contact with patients, or 1 incident per year per 570 staff. At that incident rate, the net saving compared with current policies of introducing Option 4 would rise from the baseline figure of just over £700 to around £6400 per hospital.…”

Section: Discussioncontrasting

confidence: 54%

An economic analysis of varicella vaccination for health care workers

Gray

Fenn

Weinberg³

et al. 1997

Epidemiol. Infect.

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A simulation model was constructed to assess the relative costs and cost-effectiveness of different screening and vaccination strategies for dealing with hospital incidents of varicella exposure, compared with current policies, using data from published sources and a hospital survey. The mean number of incidents per hospital year was 3.9, and the mean annual cost of managing these incidents was pounds 5170. Vaccination of all staff would reduce annual incidents to 2.2 at a net cost of pounds 48,900 per incident averted. Screening all staff for previous varicella, testing those who are uncertain or report no previous varicella, and vaccinating those who test negative for VZV antibodies, reduces annual incidents to 2.3 and gives net savings of pounds 440 per incident averted. Sensitivity analyses do not greatly alter the ranking of the options. Some form of VZV vaccination strategy for health care workers may well prove a cost-effective use of health care resources.

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Section: Discussioncontrasting

confidence: 54%

An economic analysis of varicella vaccination for health care workers

Gray

Fenn

Weinberg³

et al. 1997

Epidemiol. Infect.

View full text Add to dashboard Cite

show abstract

“…Στο προσωπικό με ανεμευλογιά ή έρπητα ζωστήρα χορηγείται αντιική θεραπεία.Οι εργαζόμενοι στη φροντίδα υγείας μπορεί να εκτίθενται στον ιό με σταγονίδια, και αερογενώς από πρωτογενή ανεμευλογιά ή έρπητα ζωστήρα[220]. Οι νοσοκομειακές επιδημίες συνεχίζουν να αναφέρονται[221][222][223][224], ενώ οι πηγές της επιδημίας περιλαμβάνουν και εκείνους που δεν είχαν ενδείξεις κλινικής νόσου τη στιγμή της μετάδοσης[225]. Ακόμη κι αν οι ασθενείς με ανεμευλογιά μπορούν να τοποθετηθούν σε δωμάτια με αρνητική πίεση, όπως προτείνει το CDC[226].…”

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