Further efforts needed to achieve measles elimination in Germany: results of an outbreak investigation
Ole Wichmann, Anette Siedler, Daniel Sagebiel, Wiebke Hellenbrand, Sabine Santibanez, Annette Mankertz, Georg Vogt, Ulrich van Treeck & Gérard Krause
Volume 87, Number 2, February 2009, 108-115
Table 2. Cost items used to calculate health-care provider costs during measles outbreak in Duisburg, North Rhine-Westphalia, Germany, 2006 (n = 614)
| Cost item | Cost (€) | Number of cases |
Total cost (€) | |
|---|---|---|---|---|
| Interviewee | Non-responder | |||
| Total costs for hospitalization | ||||
| Measles without complications | 1 325.0 | 39 | 18 | 75 525 |
| Measles with pneumonia | 2 038.0 | 23 | 0 | 46 874 |
| Measles with otitis media | 1 088.0 | 12 | 0 | 13 056 |
| Measles with encephalitis | 2 867.0 | 1 | 0 | 2 867 |
| Measles with complicated encephalitis | 4 384.0 | 1 | 0 | 4 384 |
| Measles with fatal encephalitis, ICU | 35 623.0 | 1 | 0 | 35 623 |
| Outpatient consultation | 46.5 | 477 | 115 | 27 528 |
| Serological tests at local laboratory | 29.4 | 154 | 33 | 5 492 |
| Laboratory confirmation at NRCa | ||||
| Serological tests | 29.4 | 15 | 1 | 470 |
| PCR | 58.3 | 59 | 36 | 5 538 |
| Genotyping | 116.6 | 50 | 30 | 9 326 |
| Antibiotic treatment | 20.0 | 122 | Unknown | 2 440 |
| Total costs | 499 | 115 | 229 122 | |
ICU, intensive care unit; NRC, national reference centre; PCR, polymerase chain reaction.
a For each patient, up to four specimens (serum,urine and oral fluid samples, throat swab) were tested. The number indicates the number of tests performed.