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Background: Lack of robust data on economic burden due to enteric fever in India has made decision making on typhoid vaccination a challenge. Surveillance for Enteric Fever network was established to address gaps in typhoid disease and economic burden.

Methods: Patients hospitalized with blood culture-confirmed enteric fever and nontraumatic ileal perforation were identified at 14 hospitals. These sites represent urban referral hospitals (tier 3) and smaller hospitals in urban slums, remote rural, and tribal settings (tier 2). Cost of illness and productivity loss data from onset to 28 days after discharge from hospital were collected using a structured questionnaire. The direct and indirect costs of an illness episode were analyzed by type of setting.

Results: In total, 274 patients from tier 2 surveillance, 891 patients from tier 3 surveillance, and 110 ileal perforation patients provided the cost of illness data. The mean direct cost of severe enteric fever was US$119.1 (95% confidence interval [CI], US$85.8-152.4) in tier 2 and US$405.7 (95% CI, 366.9-444.4) in tier 3; 16.9% of patients in tier 3 experienced catastrophic expenditure.

Conclusions: The cost of treating enteric fever is considerable and likely to increase with emerging antimicrobial resistance. Equitable preventive strategies are urgently needed.

Titel:	Cost of Illness Due to Severe Enteric Fever in India.
Autor/in / Beteiligte Person:	Kumar, D ; Sharma, A ; Rana, SK ; Prinja, S ; Ramanujam, K ; Karthikeyan, AS ; Raju, R ; Njarekkattuvalappil, SK ; Premkumar, PS ; Chauhan, AS ; Mohan, VR ; Ebenezer, SE ; Thomas, MS ; Gupta, M ; Singh, A ; Jinka, DR ; Thankaraj, S ; Koshy, RM ; Dhas Sankhro, C ; Kapil, A ; Shastri, J ; Saigal, K ; Perumal, SPB ; Nagaraj, S ; Anandan, S ; Thomas, M ; Ray, P ; John, J ; Kang, G
Link:	Zum Volltext
Zeitschrift:	The Journal of infectious diseases, Jg. 224 (2021-11-23), Heft Supple 5, S. S540-S547
Veröffentlichung:	Jan. 2011- : Oxford : Oxford University Press ; <i>Original Publication</i>: 1904-2010 : Chicago, IL : University of Chicago Press, 2021
Medientyp:	academicJournal
ISSN:	1537-6613 (electronic)
DOI:	10.1093/infdis/jiab282
Schlagwort:	Cost of Illness Hospitals Humans India epidemiology Poverty Areas Typhoid Fever epidemiology Typhoid Fever prevention & control
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [J Infect Dis] 2021 Nov 23; Vol. 224 (Supple 5), pp. S540-S547. MeSH Terms: Typhoid Fever* / epidemiology ; Typhoid Fever* / prevention & control ; Cost of Illness ; Hospitals ; Humans ; India / epidemiology ; Poverty Areas References: Clin Infect Dis. 2020 Dec 1;71(Suppl 3):S319-S335. (PMID: 33258941) ; Trop Med Int Health. 2011 Mar;16(3):314-23. (PMID: 21223462) ; Clin Infect Dis. 2019 Mar 7;68(Suppl 2):S83-S95. (PMID: 30845334) ; Indian Pediatr. 2019 Jun 15;56(6):453-458. (PMID: 31278221) ; PLoS One. 2019 Nov 7;14(11):e0224721. (PMID: 31697781) ; J Health Popul Nutr. 2009 Dec;27(6):725-32. (PMID: 20099755) ; Health Aff (Millwood). 2009 Jul-Aug;28(4):1056-66. (PMID: 19597204) ; Soc Sci Med. 2017 May;181:83-92. (PMID: 28376358) ; Clin Infect Dis. 2020 Jul 29;71(Suppl 2):S102-S110. (PMID: 32725221) ; Am J Trop Med Hyg. 2018 Sep;99(3_Suppl):34-40. (PMID: 30047367) ; Am J Trop Med Hyg. 2014 Dec;91(6):1235-1242. (PMID: 25294616) ; PLoS One. 2019 Feb 5;14(2):e0211793. (PMID: 30721253) ; WHO South East Asia J Public Health. 2019 Apr;8(1):18-20. (PMID: 30950425) ; PLoS One. 2018 May 10;13(5):e0196106. (PMID: 29746481) ; BMC Med. 2020 Jan 3;18(1):1. (PMID: 31898501) ; Lancet Infect Dis. 2019 Apr;19(4):369-381. (PMID: 30792131) ; BMC Public Health. 2018 May 3;18(1):594. (PMID: 29724223) ; Vaccine. 2019 Jan 7;37(2):214-216. (PMID: 29661581) ; Clin Infect Dis. 2020 Dec 1;71(Suppl 3):S293-S305. (PMID: 33258940) ; Health Policy Plan. 2015 Jul;30(6):728-41. (PMID: 24966294) ; World J Emerg Surg. 2006 Mar 24;1:7. (PMID: 16759405) ; Hum Vaccin Immunother. 2017 Sep 2;13(9):2017-2024. (PMID: 28604164) ; J Health Popul Nutr. 2004 Sep;22(3):304-10. (PMID: 15609783) ; Clin Infect Dis. 2020 Dec 1;71(Suppl 3):S306-S318. (PMID: 33258938) ; Health Aff (Millwood). 2007 Jul-Aug;26(4):972-83. (PMID: 17630440) ; Lancet. 2003 Jul 12;362(9378):111-7. (PMID: 12867110) Contributed Indexing: Keywords: India; cost of illness; economic burden; enteric fever; health expenditure; ileal perforation; out of pocket expenditure; typhoid Entry Date(s): Date Created: 20220303 Date Completed: 20220509 Latest Revision: 20220509 Update Code: 20231215 PubMed Central ID: PMC8892542

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Cost of Illness Due to Severe Enteric Fever in India.