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Antibiotic use patterns and factors associated with leukocyte decrease in COVID-19 patients with suspected secondary infections: A cross-sectional study in Indonesia Ginting, Pricella A.; Padmasawitri, Tjokorde IA.; Hanum, Nadia; Nurhayati, Raden D.; Soeroto, Arto Y.; Amalia, Lia
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2170

Abstract

Antibiotics are frequently prescribed to coronavirus disease 2019 (COVID-19) patients, often without evidence of bacterial superinfection, increasing the risk of antibiotic resistance and posing a public health threat. The aim of this study was to evaluate antibiotic prescribing patterns in COVID-19 patients with suspected secondary infections and to assess the association between antibiotic use and clinical outcomes, particularly leukocyte count. The study analyzed 376 hospitalized COVID-19 patients from two hospitals in Bandung, Indonesia, between 2020 and 2022. All included patients were aged ≥17 years with confirmed COVID-19, leukocyte count >11,000 μg/L, and received antibiotic therapy. The Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD) and drug utilization (DU) 90% were used to assess prescribing patterns. The patients’ demographic characteristics, clinical and culture results were also collected. Our data indicated that most patients received multiple antibiotics (>2), with prescribing patterns significantly associated with age, confirmed bacterial pathogen, length of hospital stay and having tuberculosis infection. The most frequently identified pathogens included Gram-positive bacteria Staphylococcus aureus, Staphylococcus haemolyticus and Gram-negative bacteria Klebsiella pneumoniae, Acinetobacter baumannii, and Escherichia coli. The most frequently prescribed antibiotics were azithromycin, levofloxacin, and ceftriaxone. No significant association was found between the number of antibiotics prescribed and clinical outcome (leukocyte normalization). Broad-spectrum antibiotics from the World Health Organization (WHO) AWaRe "Watch" category dominated the antibiotic prescriptions in the patients. While antibiotic selection was generally aligned with pathogen type and comorbidities, standardized guidelines remain crucial to optimizing antibiotic use, particularly in settings with limited pathogen testing.
Co-Authors Abas, Muhamad Abda Abda Adnan, Saepul Agus Rahayu Ahmad, Zul Fikar Ai Komariah -, Ai Komariah Ainun Muthoharoh, Ainun Aji Jumiono Akbar, Aulia Arif Akromy, Muhammad Zidan Fikri Aminullah Aminullah, Aminullah Anargya, Raffy Amantha Anggeswari, Inggrid Dya Anggraini, Elistria Anjasmara, Aulia Putri Anugraini, Ajeng Devita Arief Kusuma Arifiyanti, Nurul Asep Sopyan, Asep Baehaqi Bahtiar, Ali Basuki , Budiarti, Dini Tri Budiasih Budiasih, R Budiasih, R. Deni Rahman Desmawan, Deris Destiarni, Resti Prastika Destiny, Keysi Devain Dewi Andriani Dewi Putri Wibowo, Sabrina Dewi, Kania Sari Dewita Suryati Ningsih Dharmayanti, Amilita Medisa Rizky Dhinuk Puspita Kirana, Dhinuk Puspita Dihin Septyanto Elistia, Elistia Elmi, Farida Endang Kantikowati Fachmi Tamzil Fadhilah, Rizka Zu Fatonah Fatonah Faturrokhman, Faturrokhman Fauzan, Rafli Akmal Fiqrie, Okky Faitzal Ginanjar, Husni Ginting, Pricella A. Hanafi, Harri Hanum, Nadia Hariandi Napitupulu, Ricki Heni Marliany Heru Budiono Hikmawati, Elok Hiola, Faramita Hudaya Mulyana Husna, Harir Mamluatul Ifan Rizky Kurniyanto Iin Endang Mardiani, Iin Endang Indriana, Kovertina Rakhmi Iskandar, Hervyaningsih Isni, Sefta Nandiatama Fahrizal Jatmoko Awali Juliana, Deby Kadir, Laksmyn Karnawati, Yosevin - Khofiyya, Nida Kirana, Rahma Sasi Kurniawati, Media Y Kusnandar Anggadiredja Kusumaningrum, Julia Laksono Trisnantoro Laksono, Andromeda Dwi Lareko, Julianeristawati I Lia Amalia Lilis Lismayanti Lintje Boekoesoe Maman, Maman Manoppo, Ovira Winda Mardiah Mardiansyah, Ryan Marliani, Leni Marnis Marnis Maulida Ma’rufa, Sulton Fajar Ayu Mudjiarto Mudjiarto, Mudjiarto Muhamad Abas Muhammad Sofwan Muhidin, Rahmat Mulia, Agus Surya Mulyana, Rifki Muthia Putri Darsini Lubis Nada, Royani Qothrun Naschihah Nasution, Isna Nurlela Noertjahyani Noertjahyani Novita Nugraha, Rahmat Mulya Nur Aini NURAISYAH, AI Nurhayati, Raden D. Nurlinda, R.A. Nurlukman, Candra Perkasa Nurwulan, Sita Oktariza, Yasinda Padmasawitri, Tjokorde IA. Paramita, Fika Parlinah, Linlin Perdi Ramadan, Harry Pertiwi, Sri Rejeki Pertiwi, Sri Rejeki Pratama, Alvin Rio Priyatna, Arif Qoiroh, Shirotul Nur Qonaatun, Aa Rachman, Redy Raditia, Ica Rahayu, Sulistyowati Puji Rahmania, Handizah Kingkin Rakhmi Indriana , Kovertina Ramayani, Novi Ria, Elly Roosma Rina Anindita Rizqi, Soffan Rojuaniah Rojuaniah Romiyadi Romiyadi Roni Assafaat Hadi Rosdiana Dewi, Elvira Rukmawati, Iis S Slamet, S Sahal Mahfudz, Ahmad Salsabila, Adinda Kanza Samsu, Asep Santoso, I Putu Rahmat Sapto Jumono Sapura, Najla Lia Saroh, Nisa May Setyo Riyanto, Setyo Shofah, Anuri Sholihah, Adellia Alfiani Sidabutar, Octaviana Sinambela, Maria Lena Sobaryati, Sobaryati Soeroto, Arto Y. Sophi Damayanti Sudjana, Dina Sugiharto, Amo Sulaksono, Rachmad Prabowo Sumitro, Dewi Sari Sunati, Nur Ahya Sutarman, Novia Nila Suwatno Suwatno Tajalla, Gusti Umindya Nur Tanjung, Rifqi Aulia Tantan Hermansah, Tantan Taryana, Yana Tien Turmuktini Tualar Simarmata Ulfah, Indriana Valentina Valentina, Valentina Wandana, Alit widodo, R. wahyono Widyaningrum , Lia Retno Wijaya, Henhen Wiratmoko, Widi Wulandari, Dita Wulandari, Dita Yasir Mokodompis Yenny Muliani Yulian Wahyu Permadi Yuniar, Cindra Tri Zazuli, Zulfan Zulkhaeriyah, Zulkhaeriyah