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  1. Health care and its costs for children with perinatally acquired HIV infection.

    Article - En anglais

    Objective 

    To describe survival patterns, use of health services and related costs for Australian children with perinatally acquired human immunodeficiency virus (HIV) infection.

    Methodology 

    A retrospective cross-sectional survey was made of 20 children with HIV infection (91% of those diagnosed) and 13 children with maternal antibodies who subsequently seroreverted, treated at 10 medical centres.

    Details of disease progression and use of health services were obtained from hospital medical records.

    Monthly costs for three phases of infection were estimated by linking service usage rates with estimates of the unit cost of each service.

    The average lifetime cost was estimated by combining monthly costs and phase duration estimates from the literature.

    Results 

    Patterns of disease progression were similar to those reported internationally, with a median survival of 8 years.

    Use of health services increased with severity of illness.

    Mean monthly costs were $120 per month (1992 Australian dollars) for children with maternal antibodies who subsequently seroreverted, $320 per month for children with HIV infection but no acquired immunodeficiency syndrome (AIDS) - defining illness, and $1830 per month for children with AIDS.

    The present value of total lifetime cost for a child with HIV infection was $48174,46% of which was for treatment of AIDS.

    Discussion 

    The mean lifetime cost for a perinatally infected child was just over half that for a man with HIV in A...

    Mots-clés Pascal : SIDA, Virose, Infection, Séropositivité, Virus immunodéficience humaine, Lentivirinae, Retroviridae, Virus, Transmission mère enfant, Maladie congénitale, Coût, Soin, Consommation, Australie, Océanie, Hôpital, Service hospitalier, Immunopathologie, Immunodéficit, Economie santé

    Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Seropositivity, Human immunodeficiency virus, Lentivirinae, Retroviridae, Virus, Mother to child transmission, Congenital disease, Costs, Care, Consumption, Australia, Oceania, Hospital, Hospital ward, Immunopathology, Immune deficiency, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0120266

    Code Inist : 002B06D01. Création : 199608.