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Title: | Rapid diagnostic tests for dengue would reduce hospitalizations, healthcare costs and antibiotic prescriptions in Spain: A cost-effectiveness analysis |
Author: | Camprubí Ferrer, Daniel Ramponi, Francesco Balerdi Sarasola, Leire Godoy, Ana Sicuri, Elisa Muñoz Gutiérrez, José |
Keywords: | Viatges Antibiòtics Administració de medicaments Malalties infeccioses Travels Antibiotics Administration of drugs Communicable diseases |
Issue Date: | 2-Jan-2024 |
Publisher: | Elsevier |
Abstract: | Background: Current gold standard diagnostic techniques for dengue are expensive and time-consuming. Rapid diagnostic tests (RDTs) have been proposed as alternatives, although data about their potential impact in non-endemic areas is scarce. Methods: We performed a cost-effectiveness analysis comparing the costs of dengue RDTs to the current standard of care for the management of febrile returning travelers in Spain. Effectiveness was measured in terms of potential averted hospital admissions and reduction of empirical antibiotics, based on 2015-2020 dengue admissions at Hospital Clinic Barcelona (Spain). Results: Dengue RDTs were associated with 53.6% (95% CI: 33.9-72.5) reduction of hospital admissions and were estimated to save 289.08-389.31€ per traveler tested. Moreover, RDTs would have avoided the use of antibiotics in 46.4% (95% CI: 27.5-66.1) of dengue patients. Discussion: Implementation of dengue RDTs for the management of febrile travelers is a cost-saving strategy that would lead to a reduction of half of dengue admissions and a reduction of inappropriate antibiotics in Spain. |
Note: | Reproducció del document publicat a: https://doi.org/10.1016/j.eimc.2022.12.009 |
It is part of: | Enfermedades Infecciosas y Microbiologia Clinica, 2024, vol. 42, num.1, p. 30-33 |
URI: | http://hdl.handle.net/2445/210988 |
Related resource: | https://doi.org/10.1016/j.eimc.2022.12.009 |
ISSN: | 0213-005X |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (ISGlobal) |
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