Skip to main content
. 2021 Nov 8;16(11):e0258299. doi: 10.1371/journal.pone.0258299

Table 1. Model inputs.

Parameter Parameter Description Population (patients)
Pop Population 4391
Cost Parameter Parameter Description Mean ($) * SD ($) 95% CI Distribution (α, β) + Source
cTEST Cost of the POCCRP test kit 1.00 0.20 0.61–1.39 Gamma (25, 0.04) [27]
cTRAIN Training to administer and interpret test 0.03 0.01 0.02–0.04 Gamma (25, 0.001) [41]
cOPD Outpatient services delivery cost 0.28 0.06 0.25–0.31 Gamma (376.83, 0.001) [41]
cDISP Dispensary cost at healthcare facility 1.33 0.10 1.29–1.38 Gamma (2.31, 0.58) [41]
cOPEapp Patient out of pocket expenditure—appropriate treatment 3.82 12.32 2.95–4.65 Gamma (51.64, 33.61) [41]
cPLTapp Opportunity cost of patient’s time—appropriate treatment 3.20 4.47 2.89–4.74 Gamma (0.51, 0.07) [41]
cCLTapp Opportunity cost of carer’s time—appropriate treatment 1.44 2.71 1.24–1.65 Gamma (151.73, 0.009) [41]
cOPEnot Patient out of pocket expenditure—inappropriate treatment 5.61 17.16 4.32–6.91 Gamma (14.77, 0.38) [41]
cPLTnot Opportunity cost of patient’s time—inappropriate treatment 4.15 4.90 3.78–4.52 Gamma (99.01, 0.04) [41]
cCLTnot Opportunity cost of carer’s—inappropriate treatment 1.85 2.42 1.67–2.03 Gamma (80.67, 0.02) [41]
cANTI Cost per full course of antibiotics 0.12 0.02 0.11–0.12 Gamma (25, 0.005) [41]
cAMR Cost of AMR to society per full course of antibiotics 4.39 0.88 2.67–6.11 Gamma (25, 0.18) [42]
Probability Parameter Parameter Description Probability * 95% CI Distribution (α, β) + Source
pBac Prevalence of bacterial infection among malaria-negative patients 0.10 0.09–0.10 Beta (15, 142) [14]
pDIAGanti Probability of being prescribed antibiotic under current clinical practice 0.56 0.56–0. 56 Beta (2479, 1912) [30]
pSENSpoccrp Sensitivity of POCCRP test for detection of CRP concentration at 10 mg/L 0.95 0.87–0.97 Beta (86, 5) [22]
pSPECpoccrp Specificity of POCCRP test for non-detection of CRP concentration of less than 10 mg/L 0.98 0.92–1.00 Beta (75, 2) [22]
pBACcrp>10 Probability of bacterial infection patient having CRP concentration of 10 mg/L 0.95 0.92–0.97 Beta (404, 21) [21]
pOTHcrp<10 Probability of non-bacterial infection patient having CRP concentration of less than 10 mg/L 0.49 0.46–0.53 Beta (464, 483) [21]

* Value used for the deterministic model.

+ Distribution for PSA.

Alpha (α) and Beta (β) values for Gamma distributions calculated as below (where x¯ denotes mean and σx¯ denotes standard error of the data):

α=(x¯σx¯)2

β=σx¯2x¯

Alpha (α) and Beta (β) values for Beta distributions are assigned based on counts of events of interest as a proportion of total sample. Standard error (σx¯) is calculated as below: σx¯=αβ(α+β)2+(α+β+1)