Table 10.
Health Care Provider Cost of Illness Due to Enteric Fever: Procedure Unit Costs and Frequencies, and Average Cost Per Case of Enteric Fever, Karachi, Pakistan, July 2015–June 2016
| Unit cost in 2018 US$ | Frequency | |||||
|---|---|---|---|---|---|---|
| Procedure | Hospital Aa | Hospital Ba | Hospital Ca | Hospital Aa | Hospital Ba | Hospital Ca |
| General services not specific to enteric fever | ||||||
| Pediatric intensive care unit, per patient, per day | $256.92 | N/A | N/A | ...b | N/A | N/A |
| Intensive care unit, per patient, per day | N/A | $162.24 | ...b | N/A | ...b | ...b |
| Inpatient hospital cost, per patient, per day | $71.75 | $12.36 | ...b | 0 | 1165 | 590 |
| Surgical inpatient, per patient, per day | $44.15 | $11.98 | ...b | 0 | 0 | 4 |
| Surgical outpatient visit, per patient, per visit | $6.52 | $12.08 | ...b | 22 | 1 | 1 |
| Emergency, per patient, per visit | $5.23 | $35.43 | ...b | ...b | ...b | ...b |
| Outpatient routine service cost, per patient, per visit | $4.33 | $21.18 | ...b | 0 | 168 | 231 |
| Services specific to enteric fever | ||||||
| Gallbladder surgery | $64.76 | ...b | $107.41 | ...b | ...b | ...b |
| Surgery for intestinal perforation | $40.58 | ...b | $151.28 | 73 | 17 | 1 |
| Complete blood count | ...b | ...b | ...b | 21 | 418 | 115 |
| Blood culture | $23.28 | $11.76 | $10.25 | 22 | 497 | 365 |
| Abdominal X-rayc | $3.60 | $4.93 | $3.80 | 11 | 123 | 8 |
| Abdominal ultrasound | $2.14 | $7.07 | $2.11 | 12 | 84 | 7 |
| Blood draw | $1.42 | $1.98 | $0.94 | 22 | 478 | 365 |
| Total blood culture–confirmed enteric fever or nontraumatic ileal perforation cases | … | … | … | 73 | 497 | 365 |
| Weighted average cost per case by enrollment site | $50.88 | $52.24 | $11.73 | … | … | … |
N = 935.
Abbreviations: N/A, not applicable because this hospital does not offer that service.
a Hospital A is a public-sector, not-for-profit pediatric hospital with teaching status; Hospitals B and C are private, not-for-profit teaching hospitals.
b Missing information.
c Based on number of chest X-rays as a proxy, as number of abdominal X-rays was not collected in the Surveillance for Enteric Fever in Asia Project (SEAP) II clinical surveillance component.