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Infectio

Print version ISSN 0123-9392

Abstract

LEMOS, Elkin V et al. Healthcare costs in Colombian patients infected with Acinetobacter baumannii. Infect. [online]. 2013, vol.17, n.4, pp.185-192. ISSN 0123-9392.

Objective: The purpose of the study was to determine the healthcare costs among patients infected with A. baumannii in intensive care units (ICUs) in Colombia. Methods: We reviewed information from a previous prospective, observational, and multicenter study that included 165 patients admitted to Critical Care Units (ICUs) between April 2006 and April 2010. Direct and indirect health care costs were estimated from the societal perspective using micro-costing, and uni- and multivariate models were constructed. Results: The majority of patients (64%) were male; most (75%) were under 65 years of age, and 32% were infected with a pathogen resistant to 5 or more antimicrobial families. Overall, the healthcare cost in our sample was US $10,180 (The total direct cost (SD) was US $10,105±$6671 and the indirect cost was US $75±$106 per patient). The antimicrobia cost was US $3,497±$3,510 per patient and indirect costs represented <1% of the total cost. Conclusions: High costs were observed in patients with A. baumannii who were admitted to the ICU. The main cost was the direct cost of care, but patients and their families assumed out-of-pocket costs as a consequence of the infection that represented nearly 30% of the legal minimum wage for Colombia in 2012.

Keywords : Acinetobacter; Cost; Colombia.

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