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Cost-Effectiveness of Universal Prophylaxis in Pregnancy with Prior Group B Streptococci Colonization
Joint Authors
Turrentine, Mark A.
Mastrobattista, Joan M.
Ramirez, Mildred M.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-12-13
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Objective.
To estimate the costs and outcomes of rescreening for group B streptococci (GBS) compared to universal treatment of term women with history of GBS colonization in a previous pregnancy.
Study Design.
A decision analysis model was used to compare costs and outcomes.
Total cost included the costs of screening, intrapartum antibiotic prophylaxis (IAP), treatment for maternal anaphylaxis and death, evaluation of well infants whose mothers received IAP, and total costs for treatment of term neonatal early onset GBS sepsis.
Results.
When compared to screening and treating, universal treatment results in more women treated per GBS case prevented (155 versus 67) and prevents more cases of early onset GBS (1732 versus 1700) and neonatal deaths (52 versus 51) at a lower cost per case prevented ($8 805 versus $12 710).
Conclusion.
Universal treatment of term pregnancies with a history of previous GBS colonization is more cost-effective than the strategy of screening and treating based on positive culture results.
American Psychological Association (APA)
Turrentine, Mark A.& Ramirez, Mildred M.& Mastrobattista, Joan M.. 2009. Cost-Effectiveness of Universal Prophylaxis in Pregnancy with Prior Group B Streptococci Colonization. Infectious Diseases in Obstetrics and Gynecology،Vol. 2009, no. 2009, pp.1-11.
https://search.emarefa.net/detail/BIM-509403
Modern Language Association (MLA)
Turrentine, Mark A.…[et al.]. Cost-Effectiveness of Universal Prophylaxis in Pregnancy with Prior Group B Streptococci Colonization. Infectious Diseases in Obstetrics and Gynecology No. 2009 (2009), pp.1-11.
https://search.emarefa.net/detail/BIM-509403
American Medical Association (AMA)
Turrentine, Mark A.& Ramirez, Mildred M.& Mastrobattista, Joan M.. Cost-Effectiveness of Universal Prophylaxis in Pregnancy with Prior Group B Streptococci Colonization. Infectious Diseases in Obstetrics and Gynecology. 2009. Vol. 2009, no. 2009, pp.1-11.
https://search.emarefa.net/detail/BIM-509403
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509403