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Volume 10, Number 6—June 2004

Research

Mycobacterium ulcerans Treatment Costs, Australia

Christina Drummond*Comments to Author  and James R.G. Butler†
Author affiliations: *Monash Medical Centre, Melbourne, Victoria, Australia; †Australian National University, Canberrra, ACT, Australia

Main Article

Table 1

Cost of diagnosing and treating Mycobacterium ulcerans cases (Australian dollars, 1997–98 prices)a

Item Unit Cost
General practitioner visits Visit $24.68
Specialist visits Visit $57.98
Hospitalization Cost per day for DRG 505 (other skin graft • debridement): public hospital $776
Cost per day for DRG 505 (other skin graft • debridement): private hospital $935
Hospitalization over 4 days $598/day
Dressings Cost if known or unit costb
Bandages $18/week
Dressings $20/week
Medications Cost if known or unit costb $5/course
Clarithromycin 500 mg twice daily $3.89/dose
Rifampicin 600mg daily $0.36/dose
Ethambutol 400 mg three times/day $0.71/dose
Home nursing Visits $29/visit
Laboratory costs Biopsy (MBS item no. 30071) $38.80
Microscopy and culture (MBS item no. 69207) $28.00
Liver function tests (MBS item no. 66211) $16.80
Heat Treatment Cost if known or unit cost (/day)b $3.00/day
Lost income Cost if known or unit cost (days)b Average weekly earnings of $766.80
Transport Cost if known or unit cost (/km travel)b $0.50/km

aDRG, diagnosis-related group; MBS, Medicare Benefits Schedule.
bIf known, the actual cost was used; otherwise, it was estimated from the unit cost.

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