Intramuscular hepatitis B immunoglobulins for reinfection control after liver transplantation: a cost-saving alternative

被引:2
|
作者
Hulstaert, Eva [1 ]
Verhelst, Xavier [1 ]
Geerts, Anja [1 ]
Van Vlierberghe, Hans [1 ]
机构
[1] Univ Hosp Ghent, Dept Hepatol, B-9000 Ghent, Belgium
关键词
comparative effectiveness; hepatitis B immunoglobulins; hepatitis B; liver transplantation; IMMUNE GLOBULIN; SURFACE-ANTIGEN; VIRUS INFECTION; PROPHYLAXIS; RECURRENCE; LAMIVUDINE; PREVENTION; MANAGEMENT; IMPACT; SAFE;
D O I
10.2217/cer.15.4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Aim: We explore the effectiveness and cost-effectiveness of intramuscular versus intravenous hepatitis B immunoglobulins (HBIG-IV vs HBIG-IM) to prevent reinfection with the hepatitis B virus after orthotopic liver transplantation. Patients & methods: Overall, 14 patients had orthotopic liver transplantation in 2003-2013 at Ghent University Hospital for HBV-related liver disease. On average 32 months after transplantation patients switched from high-dose HBIG-IV to low-dose HBIG-IM, always in combination with a nucleos(t)ide analog. Results: Seven patients were switched so far. No significant differences between HBIG-IV and HBIG-IM were found in HBsAg and hepatitis B virus-DNA. Conclusion: Switching patients from HBIG-IV to HBIG-IM can be done safely if well monitored. Net yearly savings for the healthcare payer were Euro5000 for each patient switched to HBIG-IM.
引用
收藏
页码:259 / 265
页数:7
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