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Zizlavsky S, Supartono N, Zachreini I, Bashiruddin J, Hajar Haryuna TS, Savitri E, Mayangsari ID, Tamin S, Priyono H, Ranakusuma RW, Indrasari SR, Manukbua T, Harahap J, Alviandi W, Purnami N, Alia D, Warto N, Ghanie A, Hifni A, Anggraeni R, Lasminingrum L, Wijana W, Muyassaroh, Prasetyo A, Bawono M, Indrasworo D, Suardana S, Setiawan EP, Ariyanti Putri PD, Dwi Saputra KA, Lely Rahayu IM, Wiranadha IM, Mengko SK, Tamus AY, Fitria H, Hidayat B, Kasim M, Damayanti H, Syukrinto G, Primadewi N, Purnanta A, Amar A, Nurfarihah E. Factors associated with time of diagnosis and habilitation of congenital hearing loss in Indonesia: A multicenter study. Int J Pediatr Otorhinolaryngol 2022; 163:111369. [PMID: 36335758 DOI: 10.1016/j.ijporl.2022.111369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 10/05/2022] [Accepted: 10/22/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVES To investigate factors associated with time of diagnosis and habilitation of congenital hearing loss in Indonesia. METHOD A retrospective cohort study was conducted from January to December 2020 by collecting data on patients with congenital hearing loss using validated questionnaires. RESULT Among 535 children with congenital hearing loss, 2.7% had a family history of congenital hearing loss, 11.2% and 37.4% had a maternal history of ototoxic drugs and herbal medicine use during pregnancy, respectively, and 17.8% had prenatal exposure to TORCH infection. Lower maternal education level was shown to be associated with older age at diagnosis (p = 0.045), while older maternal age (p < 0.001), non-housewife mothers (p = 0.029), and out-of-pocket payment scheme (p = 0.027) were associated with a higher rate of habilitation. CONCLUSION The present study showed that the presence of family history, the use of certain medications during pregnancy, and prenatal TORCH infection are prevalent in children with congenital hearing loss in Indonesia. Several factors such as maternal education level, age, occupation, and habilitation payment scheme may be associated with time of diagnosis and habilitation of congenital hearing loss.
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Affiliation(s)
- Semiramis Zizlavsky
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia.
| | - Natasha Supartono
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Indra Zachreini
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Malikussaleh / Cut Meutia Hospital, Aceh Utara, 24351, Indonesia
| | - Jenny Bashiruddin
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Tengku Siti Hajar Haryuna
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Sumatera Utara / Universitas Sumatera Utara Hospital, Medan, 20155, Indonesia
| | - Eka Savitri
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Hasanuddin / Dr. Wahidin Sudirohusodo Hospital, Makasar, 90425, Indonesia
| | - Ika Dewi Mayangsari
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Susyana Tamin
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Harim Priyono
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Respati W Ranakusuma
- Clinical Epidemiology and Evidence-Based Medicine Unit, Dr. Cipto Mangunkusumo Hospital Jakarta / Faculty of Medicine, Universitas Indonesia, Jakarta, 10430, Indonesia
| | - Sagung Rai Indrasari
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Gajah Mada / Dr. Sardjito Hospital Jogjakarta, 55281, Indonesia
| | - Tjandra Manukbua
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Lakipadada Hospital, Makale, Tana Toraja, 91811, Indonesia
| | - Juliandi Harahap
- Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, 20155, Indonesia
| | - Widayat Alviandi
- Department of Otorhinolaryngology, Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Indonesia / Dr.Cipto Mangunkusumo Hospital, Jakarta, 10430, Indonesia
| | - Nyilo Purnami
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Airlangga / Dr.Soetomo General Hospital Centre, Surabaya, 60286, Indonesia
| | - Dina Alia
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Syiah Kuala/dr. Zainoel Abidin Hospital, Banda Aceh, 24415, Indonesia
| | - Nirza Warto
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Andalas/dr. M. Djamil Hospital, kota Padang, 25171, Indonesia
| | - Abla Ghanie
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Sriwijaya/Siti Fatimah Hospital, Palembang, 30151, Indonesia
| | - Ahmad Hifni
- Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Sriwijaya/Siti Fatimah Hospital, Palembang, 30151, Indonesia
| | - Ratna Anggraeni
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Padjajaran / Hasan Sadikin General Hospital, Bandung, 40161, Indonesia
| | - Lina Lasminingrum
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Padjajaran / Hasan Sadikin General Hospital, Bandung, 40161, Indonesia
| | - Wijana Wijana
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Padjajaran / Hasan Sadikin General Hospital, Bandung, 40161, Indonesia
| | - Muyassaroh
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Diponegoro, Semarang, 50275, Indonesia
| | - Ashadi Prasetyo
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Gajah Mada / Dr. Sardjito Hospital Jogjakarta, 55281, Indonesia
| | - Mahatma Bawono
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Gajah Mada / Dr. Sardjito Hospital Jogjakarta, 55281, Indonesia
| | - Dyah Indrasworo
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Brawijaya/ dr Saiful Anwar Hospital, Malang, 65112, Indonesia
| | - Suardana Suardana
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - Eka Putra Setiawan
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - Putu Dian Ariyanti Putri
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - Komang Andi Dwi Saputra
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - I Made Lely Rahayu
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - I Made Wiranadha
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Udayana, Bali, 80361, Indonesia
| | - Steward Kennedy Mengko
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Sam Ratulangi/ Prof. Dr. R. D. Kandou Hospital, Manado, 95163, Indonesia
| | - Augustien Yuliet Tamus
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Sam Ratulangi/ Prof. Dr. R. D. Kandou Hospital, Manado, 95163, Indonesia
| | - Hidayatul Fitria
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Abdurrab, Riau, 28292, Indonesia
| | - Benny Hidayat
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Eka Hospital Pekanbaru, Riau, 28282, Indonesia
| | - Muslim Kasim
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Pringsewu Hospital, Lampung, 35376, Indonesia
| | - Heditya Damayanti
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, UIN Syarif Hidayatullah Jakarta/ Fatmawati Hospital, Jakarta, 12430, Indonesia
| | - Gustav Syukrinto
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), RS Mulya Tangerang, Kota Tangerang, 15145, Indonesia
| | - Novi Primadewi
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Sebelas Maret/ dr Moewardi, Surakarta, 57126, Indonesia
| | - Arief Purnanta
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Faculty of Medicine, Universitas Gajah Mada / Dr. soeradji Tirtonegoro, Klaten, 57424, Indonesia
| | - Arman Amar
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Klinik Utama Budi Mulia Raya, Paser Utara Kalimantan Timur, 76141, Indonesia
| | - Eva Nurfarihah
- Department of Otorhinolaryngology Head and Neck Surgery (ORL-HNS), Sultan Syarif Mohamad Alkadrie Hospital, Pontianak, 78244, Indonesia
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Kurniawan FD, Alia D, Priyanto H, Mahdani W, Hagiwara K. HIRA-TAN detects pathogens of pneumonia with a progressive course despite antibiotic treatment. Respir Investig 2019; 57:337-344. [PMID: 31031122 DOI: 10.1016/j.resinv.2019.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2018] [Revised: 01/09/2019] [Accepted: 03/05/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Empiric antibiotics are administered for pneumonia when the causative pathogens are unidentified. Pathogen-directed therapy is impeded by negative culture results and/or culture time lag. This circumstance necessitates a salvage method for pathogen identification, especially when antibiotic therapy has failed. Here, we aimed to preliminarily investigate the HIRA-TAN method in pneumonia with a progressive course despite prior empiric antibiotic therapy. METHODS This prospective study was conducted for patients who were referred to Dr. Zainoel Abidin Hospital, Aceh, Indonesia, from December 2016 to January 2017, owing to pneumonia with a progressive course. Sputum or pleural effusion was subjected to culture and the HIRA-TAN assay. The HIRA-TAN identified the candidate causative pathogens based on the difference in the cycle threshold (Ct) between the targeted pathogen and the single-copy human gene. RESULTS Patients (n=27) were predominantly males (22 patients, 81.5%), with a median age of 62 years. All patients had comorbid disease and were classified as hospital-acquired pneumonia (25 patients, 92.6%) with multilobar infiltrates (22 patients, 81.5%). Bacterial culture identified causative pathogen(s) in some (14 patients, 51.8%), whereas the HIRA-TAN identified pathogen(s) in most (23 patients, 85.2%). The rapid pathogen identification by the HIRA-TAN will provide valuable information in guiding pathogen-directed therapy. CONCLUSIONS The result warrants a larger clinical trial to confirm the clinical efficacy of the HIRA-TAN in patients with progressive pneumonia despite previous antibiotic treatment.
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Affiliation(s)
- Ferry Dwi Kurniawan
- Pulmonology Department, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Aceh, Indonesia; Comprehensive Medicine 1, Saitama Medical Centre, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-shi, Saitama 330-8503, Japan
| | - Dina Alia
- Comprehensive Medicine 1, Saitama Medical Centre, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-shi, Saitama 330-8503, Japan
| | - Herry Priyanto
- Pulmonology Department, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Aceh, Indonesia
| | - Wilda Mahdani
- Microbiology Department, Faculty of Medicine, Syiah Kuala University, Dr. Zainoel Abidin Hospital, Aceh, Indonesia
| | - Koichi Hagiwara
- Comprehensive Medicine 1, Saitama Medical Centre, Jichi Medical University, 1-847 Amanuma-cho, Omiya-ku, Saitama-shi, Saitama 330-8503, Japan; Division of Pulmonary Medicine, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.
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