A cost evalauation analysis of treatment strategy in re-exposure animal bite cases
Journal Title: International Journal of Advanced Community Medicine - Year 2018, Vol 1, Issue 1
Abstract
Background: The occurrence of repeat exposures to animal bite is quite common. Economic evaluations of such interventions are important tools for informing health policy. Objective: A cost analysis was carried out to compare the re-exposure booster vaccination with serological test strategies with full Essen PEP treatment in re-exposure cases. Methods: This retrospective study had been based on the data of last 10 years of an antirabies clinic. Statistical Analysis: Frequency distribution with percentage proportion Results: Overall, 2684(8.19%) out of 32735 cases had evidence of Re exposure of dog bite and in 962 (35.84%) cases, dog survived more than 10 days. Additional Re-exposure cases taking complete anti rabies vaccines were 626(27.4%). Cost benefit 495 per case if all Re exposure cases are treating as first exposure Conclusion: Using the example of cost benefit analysis (CBA) of re-exposure animal bite case treatment by booster doses after RFFIT testing or as a PEP treatment (first exposure) we demonstrate that the PEP treatment in all animal bite cases have certainly cost evaluation with perspectives of covering total risk. Implication: "Better and safer to over treat than under treat" in view of risk benefit analysis of rabies death in endemic India.
Authors and Affiliations
Agarwal Anil K, Gupta Rajesh, Sharma Vikas
Keywords
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