Saddier P, Floret D, Guess H A, Dürr F, Peyrieux J C, Weber D J, Plotkin S A
Pharmacoepidemiology Unit and Medical Direction, Pasteur Mérieux Connaught, Lyon, France.
J Infect Dis. 1998 Nov;178 Suppl 1:S58-63. doi: 10.1086/514275.
To assess the cost of varicella in young children in France, a prospective study was done in day care centers. Children (1263), who were 3 months to 3 years old and attending day care, were followed over a varicella season. For every child who developed varicella (n = 200), detailed information was obtained by use of parental questionnaires. Questions concerned medical care, days missed from work for parents, and the need for extra baby-sitting. On average, each sick child had one consultation with a physician and received three medications. In half of the families (52%), at least 1 parent had to miss work an average of 4.5 days to care for a sick child. Total costs to society were estimated to be US$352 per family, with medical costs accounting for 22% of the cost. The average eventual cost to parents was $89 per family, including $80 of non-medical costs. This study emphasizes the important socioeconomic impact of varicella in the day care setting in France.
为评估法国幼儿水痘的成本,在日托中心开展了一项前瞻性研究。对1263名3个月至3岁在日托中心接受照料的儿童,在一个水痘流行季节进行了跟踪。对于每例患水痘的儿童(n = 200),通过家长问卷获取详细信息。问题涉及医疗护理、家长误工天数以及额外请保姆的需求。平均而言,每名患病儿童看了一次医生并接受了三种药物治疗。在半数家庭(52%)中,至少有1名家长平均误工4.5天来照顾患病儿童。社会总成本估计为每户352美元,其中医疗成本占成本的22%。家长最终的平均成本为每户89美元,其中非医疗成本为80美元。这项研究强调了水痘在法国日托环境中的重要社会经济影响。