Table 1.
Parameter | Value | Ref |
---|---|---|
Probabilities | ||
| ||
Strain Distribution | ||
Andean Countries a | ||
L. braziliensis | 49% | [24] |
L. panamensis | 27% | [24] |
L. guyanensis | 4% | [24] |
L. amazonensis | 5% | [24] |
Other | 15% | [24] |
Brazil | ||
L. amazonensis | 20% | assumption b |
L. braziliensis | 60% | [29] |
L. guyanensis | 20% | assumption b |
Mexico | ||
L. mexicana | 100% | assumption b |
Lifetime Risk of MCL given infection by L. braziliensis, L. panamensis, or L. guyanensis | 2% | [55-57] |
Lifetime Risk of DCL given infection by L. amazonensis | 30% c | [58] |
| ||
Cure Rates | ||
| ||
Penatvalent antimonials (CL) | 77% d | [59] |
(40-100%) | ||
Pentavalent antimonials (MCL) | 67% d | [10] |
(28-94%) | ||
Pentamidine (MCL) | 93% | [10] |
Amphotericin B (MCL) | 89% | [10] |
Any Treatment (DCL) | (0-10%) e | [60] |
| ||
Costs f | ||
| ||
Pentavalent antimonials, CL (intralesional) g | $56.46 | [61] |
Pentavalent antimonials, CL (systemic)e | $169.37 | [61] |
Pentavalent antimonials, MCL and DCL (systemic) g | $254.06 | [61] |
Pentamidine | $0 | [61] |
Amphotericin B (MCL and DCL) | $150 | [61] |
Lab Materials (per visit) | $0.50 | [62] |
Bolivia, Colombia, Ecuador, Peru, Venezuela
Based on expert opinion from Brazil
Overall risk of DCL following CL was 5%
Triangular distribution
Uniform distribution
All costs calculated using a 50kg person
Calculated using the average of both generic and non-generic versions of sodium stibogluconate and meglumine antimoniate