Cost of Illness Due to Severe Enteric Fever in India.
In: Journal of Infectious Diseases, Jg. 224 (2021-11-16), S. S540- (8S.)
Online
academicJournal
Zugriff:
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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Infectious Diseases is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Titel: |
Cost of Illness Due to Severe Enteric Fever in India.
|
---|---|
Autor/in / Beteiligte Person: | Kumar, Dilesh ; Sharma, Atul ; Rana, Saroj Kumar ; Prinja, Shankar ; Ramanujam, Karthikeyan ; Karthikeyan, Arun S ; Raju, Reshma ; Njarekkattuvalappil, Swathi Krishna ; Premkumar, Prasanna S ; Chauhan, Akashdeep Singh ; Mohan, Venkata Raghava ; Ebenezer, Sheena Evelyn ; Thomas, Mathew Santosh ; Gupta, Madhu ; Singh, Ashita ; Jinka, Dasaratha Ramaiah ; Thankaraj, Shajin ; Koshy, Roshine Mary ; Sankhro, Christina Dhas ; Kapil, Arti |
Link: | |
Zeitschrift: | Journal of Infectious Diseases, Jg. 224 (2021-11-16), S. S540- (8S.) |
Veröffentlichung: | 2021 |
Medientyp: | academicJournal |
ISSN: | 0022-1899 (print) |
DOI: | 10.1093/infdis/jiab282 |
Schlagwort: |
|
Sonstiges: |
|