Table 1.
The mean healthcare system costs per episode of respiratory syncytial virus (RSV)-associated mild and severe illness in children aged < 5 years, South Africa, 2014
| Age group in months | 0–2 | 3–5 | 6–8 | 9–11 | 12–59 | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Item | Unit cost ($) | Proportion of children tested or requiring treatment | Duration of incurred cost (days) | Mean cost per episode ($) | Proportion of children requiring treatment | Duration of incurred cost (days) | Mean cost per episode ($) | Proportion of children requiring treatment | Duration of incurred cost (days) | Mean cost per episode ($) | Proportion of children requiring treatment | Duration of incurred cost (days) | Mean cost per episode ($) | Proportion of children requiring treatment | Duration of incurred cost (days) | Mean cost per episode ($) |
| RSV-associated severe illness | ||||||||||||||||
| Facility fee (24H) | 84.20 | 1.00 | 6.24 | 525.11 | 1.00 | 4.74 | 399.37 | 1.00 | 4.37 | 367.66 | 1.00 | 5.60 | 471.50 | 1.00 | 4.13 | 347.61 |
| Consultation (24H) | 24.29 | 1.00 | 6.24 | 151.46 | 1.00 | 4.74 | 115.20 | 1.00 | 4.37 | 106.05 | 1.00 | 5.60 | 136.00 | 1.00 | 4.13 | 100.27 |
| ICU (24H) | 691.61 | 0.03 | 7.00 | 165.41 | 0.01 | 3.83 | 25.80 | 0.02 | 0.67 | 10.97 | 0.02 | 0.67 | 8.55 | 0.04 | 2.00 | 51.48 |
| Chest X-ray | 26.16 | 0.58 | 1.00 | 15.09 | 0.70 | 1.00 | 18.22 | 0.85 | 1.00 | 22.36 | 0.83 | 1.00 | 21.69 | 0.74 | 0.86 | 16.58 |
| Oxygen (24H) | 34.29 | 0.45 | 1.20 | 18.44 | 0.44 | 1.20 | 18.23 | 0.44 | 1.20 | 18.23 | 0.53 | 1.20 | 21.84 | 0.91 | 1.03 | 32.06 |
| Antibiotic treatment | 18.30 | 0.96 | 1.00 | 17.64 | 0.93 | 1.00 | 17.06 | 0.93 | 1.00 | 16.95 | 0.92 | 1.00 | 16.83 | 0.96 | 0.86 | 15.04 |
| Other medications | 8.04 | 1.00 | 1.00 | 8.04 | 1.00 | 1.00 | 8.04 | 1.00 | 1.00 | 8.04 | 1.00 | 1.00 | 8.04 | 1.00 | 0.86 | 6.89 |
| HIV rapid | 5.36 | 0.00 | 1.00 | 0.00 | 0.29 | 1.00 | 1.54 | 0.58 | 1.00 | 3.09 | 0.00 | 1.00 | 0.00 | 0.00 | 0.86 | 0.00 |
| HIV ELISA | 4.38 | 0.15 | 1.00 | 0.64 | 0.25 | 1.00 | 1.08 | 0.04 | 1.00 | 0.19 | 0.07 | 1.00 | 0.32 | 0.24 | 0.86 | 0.90 |
| HIV PCR | 30.54 | 0.28 | 1.00 | 8.43 | 0.23 | 1.00 | 7.02 | 0.44 | 1.00 | 13.58 | 0.48 | 1.00 | 14.76 | 0.31 | 0.86 | 8.03 |
| HIV viral load | 27.23 | 0.00 | 1.00 | 0.11 | 0.01 | 1.00 | 0.27 | 0.00 | 1.00 | 0.00 | 0.02 | 1.00 | 0.50 | 0.05 | 0.86 | 1.28 |
| HIV CD4 + | 14.55 | 0.00 | 1.00 | 0.03 | 0.01 | 1.00 | 0.09 | 0.00 | 1.00 | 0.00 | 0.00 | 1.00 | 0.00 | 0.04 | 0.86 | 0.47 |
| Bacterial culture | 4.11 | 0.89 | 1.00 | 3.65 | 0.68 | 1.00 | 2.80 | 0.83 | 1.00 | 3.40 | 0.69 | 1.00 | 2.85 | 0.59 | 0.86 | 2.09 |
| Tuberculosis test | 25.00 | 0.01 | 1.00 | 0.22 | 0.01 | 1.00 | 0.20 | 0.04 | 1.00 | 1.12 | 0.09 | 1.00 | 2.37 | 0.07 | 0.86 | 1.59 |
| Blood cell count | 4.64 | 0.58 | 1.00 | 2.71 | 0.57 | 1.00 | 2.66 | 1.00 | 1.00 | 4.64 | 0.83 | 1.00 | 3.87 | 0.24 | 0.86 | 0.96 |
| CRP test | 5.89 | 0.47 | 1.00 | 2.77 | 0.70 | 1.00 | 4.11 | 0.85 | 1.00 | 5.01 | 0.80 | 1.00 | 4.69 | 0.83 | 0.86 | 4.20 |
| ESR test | 2.77 | 0.07 | 1.00 | 0.19 | 0.13 | 1.00 | 0.37 | 0.18 | 1.00 | 0.51 | 0.32 | 1.00 | 0.87 | 0.17 | 0.86 | 0.41 |
| Urea and creatinine | 2.41 | 0.72 | 1.00 | 1.73 | 0.64 | 1.00 | 1.54 | 0.80 | 1.00 | 1.93 | 0.83 | 1.00 | 1.99 | 0.77 | 0.86 | 1.58 |
| Cost per episode | 921.66 | 623.59 | 583.71 | 716.68 | 591.44 | |||||||||||
| Patient day equivalent (PDE) | 147.70 | 131.56 | 133.57 | 127.98 | 143.26 | |||||||||||
| RSV-associated mild illness | ||||||||||||||||
| Facility fee | 8.4 | 1 | 1 | 8.4 | 1 | 1 | 8.4 | 1 | 1 | 8.4 | 1 | 8.4 | 1 | 1 | 8.4 | |
| Consultation | 8.9 | 1 | 1 | 8.9 | 1 | 1 | 8.9 | 1 | 1 | 8.9 | 1 | 8.9 | 1 | 1 | 8.9 | |
| Antibiotic treatment | 11.3 | 0.39 | 1 | 4.41 | 0.39 | 1 | 4.41 | 0.41 | 1 | 4.63 | 0. 42 | 1 | 4.75 | 0.45 | 1 | 5.09 |
| Other medication | 3.3 | 0.99 | 1 | 3.27 | 0.99 | 1 | 3.27 | 0.99 | 1 | 3.27 | 0.99 | 1 | 3.27 | 0.99 | 1 | 3.27 |
| Total | 24.98 | 24.98 | 25.20 | 1 | 25.29 | 25.66 | ||||||||||