Pneumococcal vaccination and pneumonia: Even a low level of clinical effectiveness is highly cost-effective

被引：28
作者：
Ament, A
Fedson, DS
Christie, P
机构：
[1] Maastricht Univ, Dept Hlth Org Policy & Econ, NL-62000 MD Maastricht, Netherlands
[2] Aventis Pasteur MSD, Lyon, France
[3] Scottish Ctr Infect & Environm Hlth, Glasgow, Lanark, Scotland
来源：
CLINICAL INFECTIOUS DISEASES | 2001年 / 33卷 / 12期
关键词：
D O I：
10.1086/324356
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
Most studies of the cost-effectiveness of pneumococcal vaccination show very favorable cost-effectiveness ratios for preventing pneumococcal pneumonia, but they make the controversial assumption that vaccination is equally effective in preventing bacteremic (BPP) and nonbacteremic (NBPP) pneumonia. However, the results of our study showed that, compared with preventing BPP alone, the cost-effectiveness of pneumococcal vaccination increased substantially even when only a small proportion of additional cases of NBPP were prevented.
引用
收藏
页码：2078 / 2079
页数：2
相关论文
共 5 条
[1]   Cost-effectiveness of pneumococcal vaccination of older people:: A study in 5 western European countries [J].
Ament, A ;
Baltussen, R ;
Duru, G ;
Rigaud-Bully, C ;
de Graeve, D ;
Örtqvist, Å ;
Jönsson, B ;
Verhaegen, J ;
Gaillat, J ;
Christie, P ;
Cifre, AS ;
Vivas, D ;
Loiseau, C ;
Fedson, DS .
CLINICAL INFECTIOUS DISEASES, 2000, 31 (02) :444-450
[2]   The clinical effectiveness of pneumococcal vaccination: a brief review [J].
Fedson, DS .
VACCINE, 1999, 17 :S85-S90
[3]   Pneumococcal vaccination in the United States and 20 other developed countries, 1981-1996 [J].
Fedson, DS .
CLINICAL INFECTIOUS DISEASES, 1998, 26 (05) :1117-1123
[4]   The health and economic benefits associated with pneumococcal vaccination of elderly persons with chronic lung disease [J].
Nichol, KL ;
Baken, L ;
Wuorenma, J ;
Nelson, A .
ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (20) :2437-2442
[5]   Cost-effectiveness of vaccination against pneumococcal bacteremia among elderly people [J].
Sisk, JE ;
Moskowitz, AJ ;
Whang, W ;
Lin, JD ;
Fedson, DS ;
McBean, AM ;
Plouffe, JF ;
Cetron, MS ;
Butler, JC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 278 (16) :1333-1339
1