Table 3.
Annual impact of antibiotic resistance on costs of pneumococcal infections in Ethiopia
Outcomes | Value* | 95% Probabilistic sensitivity analysis CI† | |
---|---|---|---|
Average costs per successful first-line treatment | |||
Overall costs, USD | 16.69 | 12.05 | 25.89 |
Direct medical costs, USD | 5.78 | 2.13 | 13.03 |
Direct nonmedical costs, USD | 1.54 | 0.56 | 3.46 |
Productivity losses for caregiver, USD | 9.37 | 9.36 | 9.40 |
Average costs per treatment failure due to resistance | |||
Overall costs, USD | 35.39 | 25.90 | 52.97 |
Direct medical costs, USD | 11.39 | 3.91 | 25.23 |
Direct nonmedical costs, USD | 3.03 | 1.03 | 6.72 |
Short-term productivity losses (caregiver), USD | 20.97 | 20.95 | 21.02 |
Long-term productivity losses (death/disability), USD | 45.32 | 11.94 | 92.89 |
Annual costs incurred by first-line treatments due to resistance | |||
Overall costs, USD | 3,267,389 | 2,149,468 | 5,658,071 |
Direct medical costs, USD | 1,131,602 | 378,609 | 2,851,699 |
Direct nonmedical costs, USD | 300,688 | 99,672 | 758,165 |
Productivity losses for caregiver, USD | 1,835,099 | 1,671,186 | 2,048,206 |
Annual costs incurred by second-line treatments due to resistance | |||
Overall costs, USD | 3,661,208 | 2,547,098 | 5,741,984 |
Direct medical costs, USD | 1,098,473 | 329,218 | 2,585,820 |
Direct nonmedical costs, USD | 292,546 | 87,430 | 689,212 |
Short-term productivity losses (caregiver), USD | 2,270,190 | 2,130,451 | 2,466,952 |
Long-term productivity losses (death/disability), USD | 8,872,107 | 2,158,860 | 20,017,281 |
CI = confidence interval; USD = United States dollars.
* Point estimates were derived by taking average values across 10,000 base case simulations.
† The 2.5th and 97.5th percentiles across 10,000 probabilistic sensitivity analyses were used to derive 95% CIs.