Costs associated with outpatient diarrhoea in infants and toddlers: a nationwide study of the Italian Society of Paediatric Gastroenterology and Hepatology (SIGEP)

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
M FontanaSIGEP Working Group on Intestinal Infections

Abstract

As diarrhoea mortality is negligible in Italy, other costs should be considered when planning health strategies. Little is known about the costs associated with diarrhoea in Italian children. To assess the costs associated with outpatient infantile diarrhoea in Italy. Primary care paediatricians from five regions filled in a questionnaire for the first 10 children (1-47 months) they visited for acute diarrhoea during a 3-month period. We analysed 473 questionnaires. Mean age (standard deviation) of children was 21 (11) months; mean duration of diarrhoea (standard deviation) was 4.3 (2.6) days. An overall cost of 110 (137) euro per episode was estimated, with significant difference between children younger and older than 36 months (116 euro versus 72 euro). Missed work by relatives accounts for 75% of the cost. The parents of children attending a day-care centre had an increased risk to miss work (relative risk = 2.15). A weak relationship was found between days of diarrhoea and missed work (r = 0.30); it could be estimated that the diarrhoea should be shortened by about 4 days in order to save I day of missed work. Acute outpatient diarrhoea is associated with a significant financial burden in Italy. Simply shortening the diarr...Continue Reading

References

Nov 1, 1993·The Pediatric Infectious Disease Journal·P AvendañoL K Pickering
Feb 27, 1999·The Pediatric Infectious Disease Journal·J P CaeiroH L Dupont
Aug 23, 2002·Journal of Pediatric Gastroenterology and Nutrition·Geoffrey DavidsonStefano Guandalini
Jul 19, 2003·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·M J G FarthingM R Banks

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Citations

Aug 11, 2007·BMJ : British Medical Journal·Roberto Berni CananiAlfredo Guarino
Jun 3, 2010·World Journal of Gastroenterology : WJG·Annalisa PassarielloRoberto Berni Canani
Nov 24, 2011·Expert Opinion on Pharmacotherapy·Alfredo GuarinoEduardo Salazar-Lindo
Jul 18, 2009·Explore : the Journal of Science and Healing·Tanmeet Sethi

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