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All Journal E-Jurnal Medika Udayana Sari Pediatri Jukema (Jurnal Kesehatan Masyarakat Aceh) Jurnal SOLMA Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Sustainable: Jurnal Hasil Penelitian dan Industri Terapan Jurnal Pengabdian Magister Pendidikan IPA Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Medikes (Media Informasi Kesehatan) J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) JURNAL PENELITIAN PERAWAT PROFESIONAL Majalah Kesehatan Masyarakat Aceh (MaKMA) Jurnal Ners Science Midwifery Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Agribisnis JTAM ROTARY Panji Keadilan : Jurnal Ilmiah Nasional Mahasiswa Hukum Pasundan Journal of Mathematics Education : Jurnal Pendidikan Matematika Jurnal Promotif Preventif Didaktika: Jurnal Kependidikan Hydrogen: Jurnal Kependidikan Kimia Jurnal Ilmiah Wahana Pendidikan MAHESA : Malahayati Health Student Journal Narra J Jurnal Agro Dedikasi Masyarakat (JADM) Journal of Education Research Journal Of World Science International Journal of Public Health Excellence (IJPHE) Journal of Halal Science and Research Nanggroe: Journal Of Scholarly Service Jurnal Ilmu Alquran dan Tafsir Narra X Jurnal Multidisiplin Teknologi dan Arsitektur Nasuwakes : Jurnal Kesehatan Ilmiah Kohesi: Jurnal Sains dan Teknologi Nanggroe: Journal of Scholarly Service Jurnal Pengabdian Bakti Akademisi Jurnal Bisnis Digital dan Enterpreneur (BISENTER) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Teewan Journal Solutions
Saputra, Irwan
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Quantity of antibiotic use and its association with clinical outcomes in COVID-19 patients: A snapshot from a provincial referral hospital in Indonesia Yossadania, Asyriva; Hayati, Zinatul; Harapan, Harapan; Saputra, Irwan; Mudatsir, Mudatsir; Diah, Muhammad; Ramadhana, Ika F.
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.272

Abstract

Irrational antibiotic use in Indonesia is considered high, yet there are still lacks reliable information regarding the issue. The quantity of antibiotic use studies, in particular during coronavirus disease 2019 (COVID-19) pandemic, was not well reported. The aim of this study was to evaluate antibiotic use in COVID-19 patients at a province referral hospital in Aceh, Indonesia, Dr Zainoel Abidin Hospital, and to assess the association between antibiotic use and COVID-19 clinical outcomes. The defined daily dose (DDD) method was used and expressed in DDDs per 100 patient-days as in hospital setting. The data were obtained from inpatient confirmed COVID-19 patients between March 2020 and December 2021. A logistic regression was used to determine the association between patients’ characteristics and antibiotic usage with clinical outcomes. A total of 361 treated COVID-19 patients were included using a random sampling technique and analyzed. Out of 361 patients, 89.2% of them were treated with antibiotic(s). All the antibiotics were given empirically except for cefazoline (5.5%) that was used as prophylaxis to obstetric patients who underwent the c-section. Azithromycin was the most prescribed antibiotic and levofloxacin had the highest DDD. Our data suggested that there was no association between antibiotic use and clinical outcomes of COVID-19 patients (p=0.128). Having sepsis and another pulmonary disease however were associated with mortality of COVID-19 patients with adjusted odds ratio (aOR) 14.14; 95%CI 2.94–67.90, p=0.001 and aOR 8.64; 95%CI 3.30–22.63, p<0.001, respectively. In addition, patients older than 60-year-old had a higher chance to an unfavorable outcome compared to those younger than 30-year-old, aOR: 7.61; 95%CI: 1.07–53.94. In conclusion, the use of antibiotics is prevalent among COVID-19 and it is not directly associated with clinical outcomes.
Co-Authors . Nurjannah Abdat, Munifah Achmad Fathoni, Achmad Adamy, Aulina Agustina, Rini Fitri Ahmad Muhibbin Aini, Zahratul Aisyafitri, Afifah Albana, Fadhila Shofi Alfiana Alfiana Ali Basrah Pulungan Allanas, Edith Ambawani, Cettra Shandilia Latunusa Amiyatno, Rifki Andrina, Alisya Aqli Mursadin Aripin Ahmad, Aripin Asnawi Abdullah Asworo, Yuliana Dwi Aurellia, Dema Griseldis Azahra, Nur Fadillah Adelia Azzati, Rahmil Baharuddin, Dharina Bakhtiar Bakhtiar Bambang Sumardjoko Barkah, Eka Chairunissa, Indri Dedy Syahrizal Dewanti, Farradilla Alenia Diah, Muhammad Edy Miswar, Edy Eka Mulyana, Eka Endang Fauziati Evi Dewi Yani Fadlina, Amelia Fahmi Ichwansyah Fajri, Muhammad Iqbal Fitri, Aina Fitria Fitria Fitria Handayani Fredinan Yulianda Frisca Fazira Gadis Halizasia Gusti, Naufal Hadi, Nariman Hakim, Deandi Alif Hanis, Nonong Hanum, Misra Harapan Harapan Harisa, Muh. Harun Joko Prayitno Haryanto, Robby Haslinur, Sari Hastuty, Henny Hati, Futi Kusuma Herlina Dimiati, Herlina Hermansyah Hermansyah Hermasnyah, Hermasnyah Hollanda Arief Kusuma Ibrahim Ibrahim Ira Puspita Sari Irwanto Irwanto Isnani, Ayu Kartika, Irma Ratna Kartikawati, Nindya Galuh Kurniadewi, Fera Kurniawan, Ifanda Kusma, Nila Kusuma, Teuku Meldi Kusuma, Thitha Meista Mulya Laurensia, Laurensia Listiara, Aulia M. Marthoenis Maghfirah Maghfirah Maharani, Cut Rika Mahruri Saputra Maidar Maidar, Maidar Marianah, Marianah martunis, . Marty Mawarpury Mashadi Maulana, Teuku Mawaddah Warahmah Meutia Zahara Mudatsir Mudatsir Mursalin . Nabilah Nabilah Nilawati Nilawati Nugroho, Aidahaya Hanannisa Nurhayati Nurhayati Nurjannah Nurjannah Nusgia, Abi Hadit Permata Sari, Novia Putri, Dina Soes Rahayuningsih, Endang Mutiawati Rahmahdani, Yuni Rahmayuli, Eka Rajai, Lailatul Ramadhana, Ika F. Rani, Hafnidar Ar Raudhatul Jannah Reka Julia Utama Riansyah, Ferdi Ristiani, Ristiani Rohmah, Luluk Rustini, Yeyet Salsabila, Hilwa Salsabila, Nisa Sania, Putri Santosa, Rezky Raulia Saragih, Juwita Sari, Desy Ambar Sayekto, Giri Sharif, Sabariah Sifani, Reza Fahrizal Sri Wartini Suliawati, Gidul Susilo, Ahmad Dwi Syahputra, Arie Abri Zatama Syam, Marniati Syirril Ihromi, Syirril T. Maulana T. Maulana, T. T.M. Rafsanjani Taufik Teuku Heriansyah, Teuku Tiarnida Nababan Tonny Suhendra Umuri, Khairil Usman, aid Usman, Said Widiawan, Ages Kayla Shyfa Yaniawati, Poppy Yosefani, Fiveva Tria Chantika Yossadania, Asyriva Yuli Rahmawati Yusuf, Nazira Z, Nasrul Zakaria, Radhiah Zaman, Nasrul Zinatul Hayati Zohriah, Roviatul