Cost Effectiveness of Predicting Severity in Leptospirosis

The prognosis of leptospirosis depends of severity, early diagnosis and prompt intensive treatment. Only few studies estimate the costs in outbreak of leptospirosis. We aimed to assess the cost effectiveness of predicting severity in leptospirosis by retrospective cohort study of 100 consecutive hospitalized patients with leptospirosis (1976-2015). The prices of service, investigations, drugs and no-medical costs were obtained from valid prices-table of the hospital. Total hospital costs per capita for mild, moderate and severe case were 1184 BGL (Bulgarian Lev=0.5 €), 2111 BGL and 8044 BGL, respectively (ratio 1 to 1.78 to 6.79). The costs for dialysis of severe cases were equal to the costs for drugs and blood products. We concluded that the predicting of severity could be facilitating the decision for prompt treatment including dialysis, decreases the risk for unfavorable outcome and could be decreasing the hospital costs.