Abstract

LOPEZ BARON, ELIANA; MORALES JIMENEZ, JUAN CARLOS  and  RODRIGUEZ MORALES, FABIO. COST-OPPORTUNITY ANALYSIS OF THE USE OF FECAL SCREENING TEST IN ACUTE DIARRHEA IN CHILDREN UNDER 5 YEARS OLD. rev.fac.med [online]. 2016, vol.24, n.2, pp.66-73. ISSN 0121-5256.  https://doi.org/10.18359/rmed.2642.

Objective: To analyze the use of routine fecal screening test in children under 5 years old, with acute diarrheal disease in a primary care level hospital in Bogotá and evaluate how best the resources used in this intervention can be allocated to an alternative one, that produces greater benefit . Methods: Review of the literature on acute diarrhea and utility of fecal screening test. Data collection of diarrhea consultations in children under 5 years old and fecal screening test done between October 2011 and February 2012 in a Bogota´s Hospital. Selecting those one, which diagnoses enteroinvasive diarrhea and costing of routine use, and estimated opportunity-cost in programs to reduce morbi-mortality in children under 5 years old. Results: The main etiology of diarrhea is viral. More than 5 WBCs / field has adequate sensitivity and specificity, but the clinical assessment is better on detection of enteroinvasive disease. Fecal screening test was requested in 44.8 %; 14.6 % was suggested enteroinvasive disease. The resources used in 30.2 % of patients did not require the test match to US$2.633. Conclusions: The utility of Fecal screening test is low and does not imprve the pretest probability of enteroinvasive diarrhea. Is necessary to address the cost-opportunity analysis for the proper distribution of resources in intervetions that reduce the morbi-mortality.

Keywords : Diarrhea; Fecal test; Stool analysis.

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