Literature DB >> 20566395

Single versus multi-dose vaccine vials: an economic computational model.

Bruce Y Lee1, Bryan A Norman, Tina-Marie Assi, Sheng-I Chen, Rachel R Bailey, Jayant Rajgopal, Shawn T Brown, Ann E Wiringa, Donald S Burke.   

Abstract

Single-dose vaccine formats can prevent clinic-level vaccine wastage but may incur higher production, medical waste disposal, and storage costs than multi-dose formats. To help guide vaccine developers, manufacturers, distributors, and purchasers, we developed a computational model to predict the potential economic impact of various single-dose versus multi-dose measles (MEA), hemophilus influenzae type B (Hib), Bacille Calmette-Guérin (BCG), yellow fever (YF), and pentavalent (DTP-HepB-Hib) vaccine formats. Lower patient demand favors fewer dose formats. The mean daily patient arrival thresholds for each vaccine format are as follows: for the MEA vaccine, 2 patients/day (below which the single-dose vial and above which the 10-dose vial are least costly); BCG vaccine, 6 patients/day (below, 10-dose vial; above, 20-dose vial); Hib vaccine, 5 patients/day (below, single-dose vial; above, 10-dose vial); YF vaccine, 33 patients/day (below, 5-dose vials; above 50-dose vial); and DTP-HepB-Hib vaccine, 5 patients/day (below, single-dose vial; above, 10-dose vial). (c) 2010 Elsevier Ltd. All rights reserved.

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Year:  2010        PMID: 20566395      PMCID: PMC2919154          DOI: 10.1016/j.vaccine.2010.05.048

Source DB:  PubMed          Journal:  Vaccine        ISSN: 0264-410X            Impact factor:   3.641


  12 in total

1.  Safety of immunization injections in Africa: not simply a problem of logistics.

Authors:  M Dicko; A Q Oni; S Ganivet; S Kone; L Pierre; B Jacquet
Journal:  Bull World Health Organ       Date:  2000       Impact factor: 9.408

Review 2.  Bacterial contamination of multiple-dose vials: a prevalence study.

Authors:  Frauke Mattner; Petra Gastmeier
Journal:  Am J Infect Control       Date:  2004-02       Impact factor: 2.918

3.  Single-dose versus multi-dose vaccine vials for immunization programmes in developing countries.

Authors:  Paul K Drain; Carib M Nelson; John S Lloyd
Journal:  Bull World Health Organ       Date:  2003-11-25       Impact factor: 9.408

Review 4.  Unsafe injections in the developing world and transmission of bloodborne pathogens: a review.

Authors:  L Simonsen; A Kane; J Lloyd; M Zaffran; M Kane
Journal:  Bull World Health Organ       Date:  1999       Impact factor: 9.408

5.  The risks associated with the use of multidose vials.

Authors:  Susan Paparella
Journal:  J Emerg Nurs       Date:  2006-08-28       Impact factor: 1.836

6.  Impact of wastage on single and multi-dose vaccine vials: Implications for introducing pneumococcal vaccines in developing countries.

Authors:  Divya Parmar; Elaine M Baruwa; Patrick Zuber; Souleymane Kone
Journal:  Hum Vaccin       Date:  2010-03-21

7.  Multidose vials versus single-dose vials: a study in sterility and cost-effectiveness.

Authors:  N K Sheth; G T Post; T R Wisniewski; B V Uttech
Journal:  J Clin Microbiol       Date:  1983-02       Impact factor: 5.948

8.  Use of multidose vials.

Authors:  S M Howard
Journal:  Infect Control       Date:  1983 Sep-Oct

9.  Multidose medication vial sterility: an in-use study and a review of the literature.

Authors:  R Longfield; J Longfield; L P Smith; K C Hyams; M E Strohmer
Journal:  Infect Control       Date:  1984-04

10.  The cost and safety of multidose use of palivizumab vials.

Authors:  Julie Gooding; Aaron Millage; Anna-Kathryn Rye; Robin Lacroix
Journal:  Clin Pediatr (Phila)       Date:  2007-09-27       Impact factor: 1.168

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  28 in total

1.  The economic value of a visceral leishmaniasis vaccine in Bihar state, India.

Authors:  Bruce Y Lee; Kristina M Bacon; Mirat Shah; Sara Beth Kitchen; Diana L Connor; Rachel B Slayton
Journal:  Am J Trop Med Hyg       Date:  2012-03       Impact factor: 2.345

2.  Assessment of sterility in fluid bags maintained for chronic use.

Authors:  Kristin A Matthews; Douglas K Taylor
Journal:  J Am Assoc Lab Anim Sci       Date:  2011-09       Impact factor: 1.232

3.  Impact of introducing the pneumococcal and rotavirus vaccines into the routine immunization program in Niger.

Authors:  Bruce Y Lee; Tina-Marie Assi; Jayant Rajgopal; Bryan A Norman; Sheng-I Chen; Shawn T Brown; Rachel B Slayton; Souleymane Kone; Hailu Kenea; Joel S Welling; Diana L Connor; Angela R Wateska; Anirban Jana; Ann E Wiringa; Willem G Van Panhuis; Donald S Burke
Journal:  Am J Public Health       Date:  2011-11-28       Impact factor: 9.308

Review 4.  Contributions of humoral and cellular immunity to vaccine-induced protection in humans.

Authors:  Ian J Amanna; Mark K Slifka
Journal:  Virology       Date:  2011-01-08       Impact factor: 3.616

5.  Intradermal delivery of vaccines: potential benefits and current challenges.

Authors:  J K Hickling; K R Jones; M Friede; D Zehrung; D Chen; D Kristensen
Journal:  Bull World Health Organ       Date:  2011-01-05       Impact factor: 9.408

6.  Modular vaccine packaging increases packing efficiency.

Authors:  Bryan A Norman; Jayant Rajgopal; Jung Lim; Katrin Gorham; Leila Haidari; Shawn T Brown; Bruce Y Lee
Journal:  Vaccine       Date:  2015-05-06       Impact factor: 3.641

7.  A systems approach to vaccine decision making.

Authors:  Bruce Y Lee; Leslie E Mueller; Carla G Tilchin
Journal:  Vaccine       Date:  2016-12-22       Impact factor: 3.641

8.  Vaccine Wastage Assessment After Introduction of Open Vial Policy in Surat Municipal Corporation Area of India.

Authors:  Prakash B Patel; Jayesh J Rana; Sunil G Jangid; Neha R Bavarva; Manan J Patel; Raj Kumar Bansal
Journal:  Int J Health Policy Manag       Date:  2015-12-08

9.  The optimal number of routine vaccines to order at health clinics in low or middle income countries.

Authors:  Jayant Rajgopal; Diana L Connor; Tina-Marie Assi; Bryan A Norman; Sheng-I Chen; Rachel R Bailey; Adrienne R Long; Angela R Wateska; Kristina M Bacon; Shawn T Brown; Donald S Burke; Bruce Y Lee
Journal:  Vaccine       Date:  2011-05-30       Impact factor: 3.641

10.  Measles vaccination using a microneedle patch.

Authors:  Chris Edens; Marcus L Collins; Jessica Ayers; Paul A Rota; Mark R Prausnitz
Journal:  Vaccine       Date:  2012-10-05       Impact factor: 3.641

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