Estimating the national cost burden of in-hospital needlestick injuries among healthcare workers in Japan
Autoři:
Hiroyuki Kunishima aff001; Emiko Yoshida aff002; Joe Caputo aff003; Hiroshige Mikamo aff004
Působiště autorů:
Department of Infectious Diseases, St. Marianna University, Kanagawa, Japan
aff001; Healthcare to All Co. Ltd., Tokyo, Japan
aff002; Vista Health Pte. Ltd., Singapore, Singapore
aff003; Department of Clinical Infectious Diseases, Aichi Medical University, Aichi, Japan
aff004
Vyšlo v časopise:
PLoS ONE 14(11)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0224142
Souhrn
Background
Needlestick injury (NSI) is one of the most burdensome professional hazards in any medical setting; it can lead to transmission of fatal infectious diseases, such as hepatitis B, hepatitis C and human immunodeficiency virus. In the United States, the annual cost burden was estimated as somewhere between $118 million to $591 million; in the United Kingdom it is approximated to be £500,000 (US$919,117.65) per the National Health Service.
Method
This is the first published paper on the national cost burden of NSIs in Japan. A systematic literature review was conducted to review previous study design in global studies and to extract parameter values from Japanese studies. We conducted abstract searches through PubMed and the Japan Medical Abstracts Society (Ichushi), together with grey literature and snowball searches. A simple economic model was developed to calculate cost burden of NSIs from a societal perspective over a one-year time horizon. We assumed all NSIs are reported and perfect adherence in post NSI management that presented in the labour compensation scheme. Local guidelines were also referenced to extract resource utilization. Lastly, a deterministic sensitivity analysis was conducted and a scenario analysis which considered a payer perspective was also included.
Result and conclusion
The national cost burden of in-hospital NSIs is estimated as ¥33.4 billion (US$302 million) annually, based on an average cost per NSI of ¥63,711 (US$577) and number of NSIs at 525,000/year. 70% of the cost is due to initial laboratory tests, followed by productivity loss, estimated at 20% of the total cost. Cost of contaminated NSIs remains at 5% of the total cost. Change in number of NSIs significantly influences outcomes. Variation in post-exposure management practices suggests a need for NSI specific National guidelines and holistic labour compensation scheme development in Japan.
Klíčová slova:
Hepatitis C virus – Social systems – Prophylaxis – Japan – Treatment guidelines – Laboratory tests – Post-exposure prophylaxis
Zdroje
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