Indirect costs associated with skin infectious disease in children: a systematic review.

BMC Health Serv Res

Ferrer Internacional, S.A., Av Diagonal 549, 5th floor, 08029, Barcelona, Spain.

Published: December 2021

AI Article Synopsis

  • Limited research exists on the indirect costs related to skin and soft tissue infections (SSTIs) in children, prompting a systematic review to fill this gap.
  • Thirteen studies were included in the review, highlighting indirect costs from various countries, with significant losses reported for infections like varicella-zoster virus and community-associated methicillin-resistant Staphylococcus aureus.
  • The findings reveal that indirect costs associated with SSTIs are substantial but often overlooked, emphasizing the need for more research to accurately assess the economic impact of these infections.

Article Abstract

Background: There are limited data in the literature on the indirect costs associated with skin and soft tissue infections (SSTIs) in the pediatric population. This study aimed to conduct a systematic review of the indirect costs associated with SSTIs in children.

Methods: The search was conducted in PubMed, SCOPUS, and Web of Science up to January 2020. Thirteen search strategies were designed combining MeSH terms and free terms. SSTIs were defined as bacterial or viral infections, dermatomycoses, and parasitic infestations. Only primary studies were included. All analyzed costs were converted to 2020 Euros.

Results: Thirteen of the identified publications presented indirect costs of SSTIs in children and were conducted in Argentina, Australia, Brazil, Hungary, New Zealand, Poland, Spain, Taiwan, and the USA. Nine studies described indirect costs associated with infection of Varicella-zoster virus: lost workdays by outpatient caregivers ranged from 0.27 to 7.8, and up to 6.14 if caring for inpatients; total productivity losses ranged from €1.16 to €257.46 per patient. Three studies reported indirect costs associated with acute bacterial SSTIs (community-associated methicillin-resistant Staphylococcus aureus) in children: total productivity losses ranged from €1,814.39 to €8,224.06 per patient, based on impetigo, cellulitis, and folliculitis. One study of parasitic infestations (Pediculus humanus capitis) reported total indirect costs per patient of €68.57 (formal care) plus €21.41 due to time lost by parents in purchasing treatment.

Conclusions: The economic burden of SSTIs is highly relevant but underestimated due to the lack of studies reporting indirect costs. Further cost studies will allow a better understanding of the magnitude of the financial burden of the disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665520PMC
http://dx.doi.org/10.1186/s12913-021-07189-3DOI Listing

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