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Measles-Mumps-Rubella Immunization of Susceptible Hospital Employees During a Community Measles Outbreak Cost-Effectiveness and Protective Efficacy

Published online by Cambridge University Press:  02 January 2015

Beth H. Stover ,
Garrett Adams ,
Carol A. Kuebler ,
Karen M. Cost  and
Gerard P. Rabalais
Beth H. Stover*
Affiliation:
Kosair Children's Hospital, Louisville, Kentucky
Garrett Adams
Affiliation:
University of Louisville School of Medicine, Department of Pediatrics, Louisville, Kentucky
Carol A. Kuebler
Affiliation:
Kosair Children's Hospital, Louisville, Kentucky
Karen M. Cost
Affiliation:
Kosair Children's Hospital, Louisville, Kentucky
Gerard P. Rabalais
Affiliation:
University of Louisville School of Medicine, Department of Pediatrics, Louisville, Kentucky
*
Infection Control, Kosair Children's Hospital, PO. Box 35070, 200 E. Chestnut St., Louisville, KY40232
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Abstract

Objective:

To determine cost-effectiveness and protective efficacy of a program to identify and immunize susceptible hospital employees during a measles outbreak.

Design:

A cost analysis was made of blind measles-mumps-rubella (MMR) immunization versus directed MMR immunization based on 2,000 employees born after December 31, 1956. A directed MMR immunization program for susceptible employees was instituted. Actual costs of the program were calculated at the conclusion of the program.

Setting:

A medical center complex with more than 4,000 employees, two acute care community hospitals, and a tertiary care children's hospital.

Results:

A directed MMR immunization program was projected to he less expensive than blind immunization ($23,106 versus $70,720). MMR vaccine was administered to 169 of 188 susceptible employees. Actual cost of the directed MMR immunization program was $25,384.

Conclusions:

The directed MMR immunization program was cost-effective and prevented secondary cases among hospital employees during a community measles outbreak.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 15 , Issue 1 , January 1994 , pp. 18 - 21
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1994 

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