Vaccines for the 21st Century: A Tool for Decisionmaking

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Vaccines for the 21st Century: A Tool for Decisionmaking (2000)
Institute of Medicine (IOM)

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. "Appendix 26: Streptococcus pneumoniae." Vaccines for the 21st Century: A Tool for Decisionmaking. Washington, DC: The National Academies Press, 2000.

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Vaccines for the 21st Century: A Tool for Decisionmaking

Table A26–3 Health Care Costs Associated with Streptococcus pneumoniae Infection

	Cost per Case	Cost per Unit	Units per Case	Form of Treatment
<5 YEARS OF AGE
Bacteremia/Sepsis
outpatient care only	$100	$50	2.0	physician a
	$50	$50	1.0	medication b
	$50	$50	1.0	diagnostic a
ICU and post-phase	$4,000	$4,000	1.0	hospitalization
	$300	$100	3.0	physician b
	$100	$100	1.0	diagnostic b
inpatient (no ICU)	$4,000	$4,000	1.0	hospitalization
	$300	$100	3.0	physician b
	$100	$100	1.0	diagnostic b
inpatient; complications	$4,000	$4,000	1.0	hospitalization
	$300	$100	3.0	physician b
	$500	$500	1.0	diagnostic c
Pneumonia
outpatient care only	$100	$50	2.0	physician a
	$50	$50	1.0	diagnostic a
	$50	$50	1.0	medication b
inpatient	$4,000	$4,000	1.0	hospitalization
	$300	$100	3.0	physician b
	$100	$100	1.0	diagnostic b
outpatient after inpatient	$100	$50	2.0	physician a
	$50	$50	1.0	medication b
	$50	$50	1.0	diagnostics
Other Respiratory
otitis media	$50	$50	1.0	physician visits
	$50	$50	1.0	medication b
	$50	$50	1.0	diagnostic a
Meningitis
ICU and non-ICU	$7,000	$7,000	1.0	hospitalization
combine meningitis for costs	$450	$150	3.0	physician b
	$50	$50	1.0	medication b
	$100	$100	1.0	diagnostic b
	$500	$500	1.0	diagnostic c
inpatient, acute complications	$7,000	$7,000	1.0	hospitalization
	$900	$150	6.0	physician b
	$50	$50	1.0	medication b
	$100	$100	1.0	diagnostic b
	$500	$500	1.0	diagnostic c
Meningitis: sequelae
lifelong annual costs	$600	$100	6.0	physician b
	$300	$50	6.0	physical therapy, other services