Utami, Nabilah Puspa
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ANOSMIA SYMPTOMS AND RT-PCR SWAB RESULTS IN COVID-19 DIAGNOSTICS Lusida, Vincent Geraldus Enoch; Limawan, Denillia; Arifin, Fabilla Faiz; Utami, Nabilah Puspa; Kesuma, Raudhatuzzahra; Qonitatillah, Jihan; Amatullah, Nida` Fahima; Prajitno, Subur
Journal of Community Medicine and Public Health Research Vol. 3 No. 1 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.361 KB) | DOI: 10.20473/jcmphr.v3i1.28915

Abstract

Coronavirus Disease-19 (Covid-19) is an infectious disease that has become a pandemic since March 11, 2020. PCR (Polymerase chain reaction) swab is a definitive diagnostic tool for Covid-19, because it has a high level of sensitivity and specificity. One of the symptoms of this infection is anosmia. This study aimed to determine the relationship between the symptoms of anosmia and the positive RT-PCR swab results in Covid-19 diagnostics. This study used a systematic review and meta-analysis method that was in accordance with PRISMA. From 16 articles that met the inclusion and exclusion criteria, we selected 12 articles through EPHPP that reported smell disorder among Covid-19 patients. Four reports studied whether smell disorder was independently associated with Covid-19 diagnosis. The frequency of anosmia ranged between 7,5-95%. Anosmia has high specificity for detecting Covid-19 but has low sensitivity. There was a strong relationship between anosmia symptoms and positive RT-PCR swab results. This showed that anosmia can be a marker for patients to carry out further investigations.
Transform Your Heart Failure Treatment Approach: Conquering Svt and Pneumonia Challenges Utami, Nabilah Puspa; Nugraha, Adriyawan Widya
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v12i3.16294

Abstract

In this complex case, an 81-year-old female presented with acute decompensated heart failure (ADHF), pneumonia, and SVT-induced tachyarrhythmia. Upon admission, she received meticulous therapy in the intensive care unit (ICU). The treatment regimen was multifaceted, aiming to address each condition effectively. Fluid balance was closely monitored and maintained. Pharmacological interventions played a crucial role, with digoxin administered initially to manage SVT, alongside medications targeting heart failure including clopidogrel, atorvastatin, spironolactone, candesartan, and furosemide. Antibiotic therapy was initiated promptly following consultation with a pulmonologist, comprising ceftriaxone, levofloxacin, and methylprednisolone for pneumonia management. Additionally, regular nebulizations with salbutamol-ipratropium were administered. By the third day of hospitalization, significant improvement was observed, allowing for the patient's transfer to a general medical ward. This case underscores the importance of a comprehensive therapeutic approach in managing complex medical conditions, such as ADHF exacerbated by SVT and pneumonia, to achieve optimal patient outcomes.