Table 2.

Patient and Caregiver Cost of Illness Due to Enteric Fever: Direct Medical, Direct Nonmedical, Indirect, and Total Costs—Nepal, September 2016–December 2018

	Patients Who Did Not Report Any Inpatient Care Expensesa				Patients Who Reported Inpatient Care Expensesa				All Patients
Cost Type	n	Median	25th Pctl	75th Pctl	n	Median	25th Pctl	75th Pctl	n	Median	25th Pctl	75th Pctl
Direct medical costs, 2018 US $
Total direct medical costs	277	24.86	14.59	45.59	100	139.38	95.73	216.54	377	34.25	18.24	91.17
Registration	250	0.73	0.64	1.33	83	1.09	0.64	2.46	333	0.76	0.64	1.66
Clinical examination	10	1.54	0.39	3.28	4	2.57	1.14	39.82	14	1.86	0.46	3.32
Inpatient stay	0	N/A	N/A	N/A	100	12.79	7.29	26.67	100	12.79	7.29	26.67
Laboratory tests	227	13.68	6.38	20.70	82	37.23	18.23	56.93	309	16.41	9.35	29.18
Drugs and medications	252	7.84	4.43	11.72	86	47.43	19.15	83.52	338	9.39	4.92	21.88
Other servicesb	2	8.25	3.68	12.81	5	3.32	3.32	3.61	7	3.61	3.32	12.81
Direct nonmedical costs, 2018 US $
Total direct nonmedical costs	258	3.21	1.37	7.59	96	16.37	4.97	48.83	354	4.56	1.71	13.73
Transport	246	2.05	0.95	5.47	92	6.22	2.74	17.10	338	2.74	1.09	7.97
Food, lodging, child care	123	2.28	1.37	4.90	54	27.35	13.68	41.32	177	4.56	1.73	18.23
Direct medical and nonmedical expenses, 2018 US $
Direct medical and nonmedical pre-enrollment expense	192	2.51	0.71	9.63	77	6.38	3.19	18.98	269	3.65	0.91	12.31
Total direct medical and nonmedical expenses	286	27.95	17.16	50.15	100	168.22	108.79	268.83	386	39.57	20.21	104.37
Indirect costs—patient
Days spent seeking care	282	0.21	0.13	0.38	100	7.00	4.00	10.00	382	0.29	0.13	4.00
Days unable to work	51	14.00	8.00	26.00	9	20.00	14.00	24.00	60	14.00	8.00	25.50
Days of sick leave	35	7.00	5.00	13.00	5	19.00	12.00	25.00	40	7.50	5.00	14.10
School days lost	117	14.00	7.00	22.00	63	21.00	12.00	33.00	180	14.50	9.00	26.00
Total productivity loss, 2018 US $	76	44.10	26.33	84.63	12	73.35	49.82	161.04	88	49.24	26.87	92.15
Indirect costs—caregiver
Days spent accompanying the patient seeking care	270	0.29	0.17	1.00	100	10.00	6.00	14.40	370	1.00	0.19	6.29
Days unable to work	44	3.00	1.00	7.00	39	10.00	6.00	14.00	83	7.00	2.00	11.00
Days of sick leave	31	2.00	1.00	3.00	12	6.50	4.50	9.50	43	2.00	1.00	6.00
Total productivity loss, 2018 US $	72	7.83	3.76	22.57	48	33.85	22.57	50.78	120	16.43	7.52	37.61
Cost of illness, 2018 US $
Total cost of illness per case	288	38.90	19.9	77.19	100	189.53	144.56	317.98	388	59.99	24.04	151.23
Total cost of illness per case without the value of sick leave	286	32.96	18.5	68.41	100	189.53	142.41	292.52	386	50.92	21.88	146.03

N = 395.

Abbreviations: N/A, not applicable because it excludes inpatient care; 25th Pctl, 25th percentile; 75th Pctl, 75th percentile.

^aInpatient care expenses: expenses for inpatient care regardless of patient recruitment location (outpatient care, inpatient care, hospital laboratory, surgery).

^bOther services that patients did not report in the above categories (eg, medical materials or equipment for surgery).