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Publikasi Scopus FKUI 2021 per tanggal 30 Juni 2021 (428 artikel)
Publikasi Scopus FKUI 2021 per tanggal 30 Juni 2021 (428 artikel)
Etiologies of severe acute respiratory infection (SARI) and misdiagnosis of influenza in Indonesia, 2013-2016
2021
Influenza and other Respiratory Viruses
15
1
34
44
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087868865&doi=10.1111%2firv.12781&partnerID=40&md5=d277f265cec13ab0a49fac5153d6d8ed
Department of Microbiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia; Indonesia Research Partnership on Infectious Diseases (INA-RESPOND), Jakarta, Indonesia; Department of Internal Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia; Department of Pediatric, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia; Department of Clinical Pathology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Yogyakarta, Indonesia; Cipto Mangunkusumo Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Faculty of Medicine, Universitas Hasanudin / Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia; Dr. Soetomo Academic General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Faculty of Medicine, Universitas Padjadjaran / Dr. Hasan Sadikin Hospital, Sumedang, Indonesia; Medical Faculty, Udayana University and Sanglah General Hospital, Denpasar, Indonesia; Dr. Kariadi Hospital / Diponegoro University, Semarang, Indonesia; Tangerang District Hospital, Tangerang, Indonesia; Sulianti Saroso Hospital, Jakarta, Indonesia; National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health, Bethesda, MD, United States; National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta, Indonesia
Background: Severe acute respiratory infection (SARI) accounts for a large burden of illness in Indonesia. However, epidemiology of SARI in tertiary hospitals in Indonesia is unknown. This study sought to assess the burden, clinical characteristics, and etiologies of SARI and concordance of clinical diagnosis with confirmed etiology. Methods: Data and samples were collected from subjects presenting with SARI as part of the acute febrile Illness requiring hospitalization study (AFIRE). In tertiary hospitals, clinical diagnosis was ascertained from chart review. Samples were analyzed to determine the “true” etiology of SARI at hospitals and Indonesia Research Partnership on Infectious Diseases (INA-RESPOND) laboratory. Distribution and characteristics of SARI by true etiology and accuracy of clinical diagnosis were assessed. Results: Four hundred and twenty of 1464 AFIRE subjects presented with SARI; etiology was identified in 242 (57.6%), including 121 (28.8%) viruses and bacteria associated with systemic infections, 70 (16.7%) respiratory bacteria and viruses other than influenza virus, and 51 (12.1%) influenza virus cases. None of these influenza patients were accurately diagnosed as having influenza during hospitalization. Conclusions: Influenza was misdiagnosed among all patients presenting with SARI to Indonesian tertiary hospitals in the AFIRE study. Diagnostic approaches and empiric management should be guided by known epidemiology. Public health strategies to address the high burden of influenza should include broad implementation of SARI screening, vaccination programs, clinician education and awareness campaigns, improved diagnostic capacity, and support for effective point-of-care tests. © 2020 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.
adolescent; adult; Article; child; demography; diagnostic accuracy; diagnostic error; disease burden; female; hospitalization; human; Indonesia; influenza; information processing; major clinical study; male; measurement accuracy; medical record review; middle aged; priority journal; severe acute respiratory syndrome; tertiary care center
Blackwell Publishing Ltd
17502640
32666619
Article
Q1
1709
1765