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Guo X, Liu C, Zhao Q, Huang S. Efficacy of five different traditional Chinese medicine injections in acute upper respiratory tract infection in children: a network meta-analysis and systematic review. Front Pediatr 2024; 12:1358639. [PMID: 38915872 PMCID: PMC11194337 DOI: 10.3389/fped.2024.1358639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 05/10/2024] [Indexed: 06/26/2024] Open
Abstract
Background Acute upper respiratory tract infection (AURI) includes infections caused by a variety of pathogens and is one of the most common diseases in children. Traditional Chinese medicine (TCM) injections are widely used for treating AURI in clinical practice, but their efficacy is unclear because of the lack of clear evidence. In this study, a network meta-analysis (NMA) was used to evaluate the efficacy and safety of TCM injections in the treatment of AURI and to provide a reference for clinical treatment. Methods Eight databases were searched, namely, PubMed, Embase, the Cochrane Library, Web of Science, SinoMed, China National Knowledge Infrastructure (CNKI), the Wanfang database, and the Chinese Scientific Journal database (VIP). The search time period was from 1 January 2013 to 1 November 2023. Randomized controlled trials of herbal injections for treating AURI were searched. The Cochrane Risk of Bias 2.0 tool was used to assess the quality of these studies. Review Manager 5.4 and Stata 15.0 were used for the NMA. Results A total of 81 papers involving 11,736 patients were included. These involved five different TCM injections, namely, Xiyanping injection (XYPI), Qingkailing injection (QKLI), Reduning injection (RDNI), Yanhuning injection (YHNI), and Tanreqing injection (TRQI). QKLI was most effective in alleviating symptoms of fever and improving overall clinical effectiveness. TRQI was most effective in relieving cough symptoms. YHNI was most effective in alleviating sore throat, runny nose, and nasal congestion. The overall incidence of adverse effects of these herbal injections in the treatment of AURI was lower, and their safety profiles were better. Conclusions The herbal injections combined with ribavirin improved clinical outcomes, and were superior to ribavirin injection alone in alleviating clinical symptoms such as fever, cough, sore throat, runny nose, and nasal congestion, and have favorable safety profiles. Systematic Review Registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023484099, CRD42023484099.
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Affiliation(s)
- Xinyi Guo
- College of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Department of Pediatrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Changxing Liu
- Graduate Student, Heilongjiang University of Traditional Chinese Medicine, Heilongjiang, China
| | - Qiong Zhao
- College of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Department of Pediatrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Sajiyue Huang
- College of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China
- Department of Pediatrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Tadese ZB, Hailu DT, Abebe AW, Kebede SD, Walle AD, Seifu BL, Nimani TD. Interpretable prediction of acute respiratory infection disease among under-five children in Ethiopia using ensemble machine learning and Shapley additive explanations (SHAP). Digit Health 2024; 10:20552076241272739. [PMID: 39114117 PMCID: PMC11304488 DOI: 10.1177/20552076241272739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 07/13/2024] [Indexed: 08/10/2024] Open
Abstract
Background Although the prevalence of childhood illnesses has significantly decreased, acute respiratory infections continue to be the leading cause of death and disease among children in low- and middle-income countries. Seven percent of children under five experienced symptoms in the two weeks preceding the Ethiopian demographic and health survey. Hence, this study aimed to identify interpretable predicting factors of acute respiratory infection disease among under-five children in Ethiopia using machine learning analysis techniques. Methods Secondary data analysis was performed using 2016 Ethiopian demographic and health survey data. Data were extracted using STATA and imported into Jupyter Notebook for further analysis. The presence of acute respiratory infection in a child under the age of 5 was the outcome variable, categorized as yes and no. Five ensemble boosting machine learning algorithms such as adaptive boosting (AdaBoost), extreme gradient boosting (XGBoost), Gradient Boost, CatBoost, and light gradient-boosting machine (LightGBM) were employed on a total sample of 10,641 children under the age of 5. The Shapley additive explanations technique was used to identify the important features and effects of each feature driving the prediction. Results The XGBoost model achieved an accuracy of 79.3%, an F1 score of 78.4%, a recall of 78.3%, a precision of 81.7%, and a receiver operating curve area under the curve of 86.1% after model optimization. Child age (month), history of diarrhea, number of living children, duration of breastfeeding, and mother's occupation were the top predicting factors of acute respiratory infection among children under the age of 5 in Ethiopia. Conclusion The XGBoost classifier was the best predictive model with improved performance, and predicting factors of acute respiratory infection were identified with the help of the Shapely additive explanation. The findings of this study can help policymakers and stakeholders understand the decision-making process for acute respiratory infection prevention among under-five children in Ethiopia.
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Affiliation(s)
- Zinabu Bekele Tadese
- Department of Health Informatics, College of Medicine and Health Science, Samara University, Samara, Ethiopia
| | - Debela Tsegaye Hailu
- Department of Health Informatics, School of Public Health, Bule Hora University, Bule Hora, Ethiopia
| | - Aschale Wubete Abebe
- Department of Health Informatics, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Shimels Derso Kebede
- Department of Health Informatics, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Agmasie Damtew Walle
- Department of Health Informatics, College of Health Science, Mettu University, Mettu, Ethiopia
| | - Beminate Lemma Seifu
- Department of Public Health, College of Medicine and Health Science, Samara University, Samara, Ethiopia
| | - Teshome Demis Nimani
- Department of Epidemiology and Biostatistics, School of Public Health College of Medicine and Health Science, Haramaya University, Harar, Ethiopia
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Santri IN, Wardani Y, Phiri YVA, Nyam G, Putri TA, Isni K, Suryani D, Sambo G. Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey. J Prev Med Public Health 2023; 56:255-263. [PMID: 37287203 DOI: 10.3961/jpmph.22.470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 04/06/2023] [Indexed: 06/09/2023] Open
Abstract
OBJECTIVES The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age. METHODS A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia. RESULTS The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father's smoking frequency, which were considered the sample's socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father's smoking frequency, and a low education level were all linked to ARI symptoms. CONCLUSIONS The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father's smoking frequency and low education level were associated with ARI symptoms.
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Affiliation(s)
| | - Yuniar Wardani
- Faculty of Public Health, Universitas of Ahmad Dahlan, Yogyakarta, Indonesia
- School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan
| | - Yohane Vincent Abero Phiri
- School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan
- Institute for Health Research and Communication (IHRC), Lilongwe, Malawi
| | - Gunchmaa Nyam
- Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Tyas Aisyah Putri
- Faculty of Public Health, Universitas of Ahmad Dahlan, Yogyakarta, Indonesia
| | - Khoiriyah Isni
- Faculty of Public Health, Universitas of Ahmad Dahlan, Yogyakarta, Indonesia
| | - Dyah Suryani
- Faculty of Public Health, Universitas of Ahmad Dahlan, Yogyakarta, Indonesia
| | - Grace Sambo
- School of Public Health, Tzu Chi University, Hualien, Taiwan
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Xie MZ, Dong M, Du J, Zhang SS, Huang F, Lu QB. Epidemiological features of Streptococcus pneumoniae in patients with acute respiratory tract infection in Beijing, China during 2009-2020. J Infect Public Health 2023; 16:719-726. [PMID: 36940499 DOI: 10.1016/j.jiph.2023.03.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 02/20/2023] [Accepted: 03/09/2023] [Indexed: 03/14/2023] Open
Abstract
BACKGROUND Streptococcus pneumoniae (S. pneumoniae) is one of the common pathogens causing acute respiratory tract infection (ARTI). The study aimed to investigate the prevalence of S. pneumoniae in patients with ARTI in Beijing, and to provide reference evidence for prevention and control of S. pneumoniae. METHOD The patients from the surveillance data of ARTI in Beijing from 2009 to 2020 were recruited in the study. All patients were tested for S. pneumoniae and other viral and bacterial pathogens. Logistic regression model was used to explore the epidemiological features of S. pneumoniae. RESULTS Totally, 4.63% (253/5468) of the ARTI patients were positive for S. pneumoniae. The age, case type and antibiotic therapy in one week before sampling affected the positive rate of S. pneumoniae in patients. No significant difference on the positive rate of S. pneumoniae between the mild and severe pneumonia. Patients infected with S. pneumoniae had a higher risk of pneumonia in adults and the elderly, but a lower risk in children. The leading bacterial and viral pathogens in patients positive for S. pneumoniae were Haemophilus influenzae (36.36%) and human rhinovirus (35.59%), respectively. CONCLUSION This study showed that the prevalence of S. pneumoniae in the patients with ARTI was at a low level in Beijing from 2009 to 2020, which was higher in elderly patients, outpatients and patients without antibiotic therapy. It is necessary to further explore the serotype of S. pneumoniae and PCVs vaccine coverage, and rationally develop vaccine manufacture and vaccination programs to reduce the burden of pneumococcal diseases.
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Affiliation(s)
- Ming-Zhu Xie
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China
| | - Mei Dong
- Institute for Immunization and Prevention, Beijing Center for Disease Control and Prevention, Beijing Research Center for Preventive Medicine, Beijing 100013, China
| | - Juan Du
- Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China
| | - Shan-Shan Zhang
- Global Center for Infectious Disease and Policy Research & Global Health and Infectious Diseases Group, Peking University, Beijing 100191, China
| | - Fang Huang
- Institute for Immunization and Prevention, Beijing Center for Disease Control and Prevention, Beijing Research Center for Preventive Medicine, Beijing 100013, China.
| | - Qing-Bin Lu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China; Department of Laboratorial Science and Technology & Vaccine Research Center, School of Public Health, Peking University, Beijing 100191, China; Global Center for Infectious Disease and Policy Research & Global Health and Infectious Diseases Group, Peking University, Beijing 100191, China.
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5
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Khasanah U, Efendi F, Has EMM, Adnani QES, Ramadhan K, Arna YD, Almutairi WM. Healthcare-seeking behavior for children aged 0-59 months: Evidence from 2002-2017 Indonesia Demographic and Health Surveys. PLoS One 2023; 18:e0281543. [PMID: 36758015 PMCID: PMC9910639 DOI: 10.1371/journal.pone.0281543] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 01/25/2023] [Indexed: 02/10/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Healthcare-seeking behavior for children is crucial for reducing disease severity. Such behavior can improve child health outcomes and prevent child morbidity and mortality. The present study sought to analyze the determinants of mothers' engagement in healthcare-seeking behavior for children with common childhood diseases, focusing on mothers of children aged 0-59 months in Indonesia. METHODS This cross-sectional study comprised a secondary data analysis using the 2002-2017 Indonesia Demographic and Health Survey (IDHS) databases. We included all women surveyed aged 15-49 years old who had children under five years of age. We weighted the univariate, bivariate, and multivariate logistic regression analysis of healthcare-seeking behavior for children aged 0-59 months. RESULTS We analyzed data for 24,529 women whose children were under five years of age at the time of survey. Common diseases, such as diarrhea, fever, and acute respiratory infection (ARI) were the most frequently cited reasons for healthcare-seeking behavior. During 2002-2017, the proportion of mothers seeking healthcare for their children with diarrhea increased from 67.70% to 69.88%, that with fever increased from 61.48% to 71.64% and that ARI increased from 64.01% to 76.75%. Multivariate analysis revealed that child's age, child's birth order, mother's education, ability to meet expenses, distance to nearest healthcare facility, wealth index, place of residence, and region of residence, were significantly associated with healthcare-seeking behavior. CONCLUSION Various individual and environmental-level factors influence healthcare-seeking behavior for childhood diseases. Available, accessible, and affordable health service facilities are recommended to assist socio-economically and geographically disadvantaged families.
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Affiliation(s)
| | - Ferry Efendi
- Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
| | | | | | - Kadar Ramadhan
- Department of Midwifery, Poltekkes Kemenkes Palu, Palu, Indonesia
- Center for Stunting Studies, STBM and Disaster Health, Poltekkes Kemenkes Palu, Palu, Indonesia
| | | | - Wedad M Almutairi
- Faculty of Nursing, Maternity and Childhood Department, King Abdulaziz University, Jeddah, Saudi Arabia
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Indriyani W, Yudhistira MH, Sastiono P, Hartono D. The relationship between the built environment and respiratory health: Evidence from a longitudinal study in Indonesia. SSM Popul Health 2022; 19:101193. [PMID: 36105559 PMCID: PMC9464964 DOI: 10.1016/j.ssmph.2022.101193] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/20/2022] [Accepted: 07/29/2022] [Indexed: 11/26/2022] Open
Abstract
Multiple studies have discussed the relationship between the built environment and non-infectious diseases, but research involving infectious diseases and the built environment is scarce. How the built environment is associated with infectious diseases varies across areas, and previous literature produces mixed results. This study investigated the relationship between the built environment and infectious diseases in Indonesia, which has different settings compared to developed countries. We combined the longitudinal panel data, Indonesian Family Life Survey (IFLS), and land cover data to examine the relationship between the built environment and the likelihood of contracting respiratory infectious diseases. We focused on the sprawl index to measure the built environment. The study confirmed that a sprawling neighbourhood is linked to lower respiratory infection symptoms by employing a fixed effect method. The association is more evident in urban areas and for females. The results also suggested that the linkage works through housing quality, such as housing crowdedness and ventilation, and neighbourhood conditions like neighbourhood transportation modes and air pollution levels. Thus, our results underlined the need to consider the health consequences of the densification policy and determine the direction of landscape planning and policy.
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Affiliation(s)
- Witri Indriyani
- Research Cluster on Urban and Transportation Economics, Faculty of Economics and Business, Universitas Indonesia, Indonesia
- Research Cluster on Energy Modeling and Regional Economic Analysis (RCEMREA), Faculty of Economics and Business, Universitas Indonesia, Indonesia
| | - Muhammad Halley Yudhistira
- Research Cluster on Urban and Transportation Economics, Faculty of Economics and Business, Universitas Indonesia, Indonesia
- Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia, Indonesia
| | - Prani Sastiono
- Research Cluster on Urban and Transportation Economics, Faculty of Economics and Business, Universitas Indonesia, Indonesia
- Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia, Indonesia
| | - Djoni Hartono
- Research Cluster on Energy Modeling and Regional Economic Analysis (RCEMREA), Faculty of Economics and Business, Universitas Indonesia, Indonesia
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Arifin H, Chou KR, Ibrahim K, Fitri SUR, Pradipta RO, Rias YA, Sitorus N, Wiratama BS, Setiawan A, Setyowati S, Kuswanto H, Mediarti D, Rosnani R, Sulistini R, Pahria T. Analysis of Modifiable, Non-Modifiable, and Physiological Risk Factors of Non-Communicable Diseases in Indonesia: Evidence from the 2018 Indonesian Basic Health Research. J Multidiscip Healthc 2022; 15:2203-2221. [PMID: 36213176 PMCID: PMC9532265 DOI: 10.2147/jmdh.s382191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/19/2022] [Indexed: 12/08/2022] Open
Affiliation(s)
- Hidayat Arifin
- Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, Republic of China
- Correspondence: Hidayat Arifin, Department of Medical Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Bandung-Sumedang, KM. 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +62 811 3194 433, Email
| | - Kuei-Ru Chou
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, Republic of China
| | - Kusman Ibrahim
- Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
| | - Siti Ulfah Rifa’atul Fitri
- Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
| | - Rifky Octavia Pradipta
- Department of Fundamental Nursing Care, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
| | - Yohanes Andy Rias
- Department of Medical and Surgical Nursing, Institut Ilmu Kesehatan Bhakti Wiyata Kediri, Kediri, Indonesia
| | - Nikson Sitorus
- Research Center for Public Health and Nutrition, National Research and Innovation Agency, Jakarta, Indonesia
| | - Bayu Satria Wiratama
- Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Agus Setiawan
- Department of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Setyowati Setyowati
- Department of Maternity Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Heri Kuswanto
- Department of Statistics, Institut Teknologi Sepuluh Nopember, Surabaya, Indonesia
| | - Devi Mediarti
- Politeknik Kesehatan Kemenkes Palembang, Palembang, Indonesia
| | - Rosnani Rosnani
- Politeknik Kesehatan Kemenkes Palembang, Palembang, Indonesia
| | | | - Tuti Pahria
- Department of Medical and Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
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Lokida D, Farida H, Triasih R, Mardian Y, Kosasih H, Naysilla AM, Budiman A, Hayuningsih C, Anam MS, Wastoro D, Mujahidah M, Dipayana S, Setyati A, Aman AT, Lukman N, Karyana M, Kline A, Neal A, Lau CY, Lane C. Epidemiology of community-acquired pneumonia among hospitalised children in Indonesia: a multicentre, prospective study. BMJ Open 2022; 12:e057957. [PMID: 35728910 PMCID: PMC9214401 DOI: 10.1136/bmjopen-2021-057957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 05/27/2022] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE To identify aetiologies of childhood community-acquired pneumonia (CAP) based on a comprehensive diagnostic approach. DESIGN 'Partnerships for Enhanced Engagement in Research-Pneumonia in Paediatrics (PEER-PePPeS)' study was an observational prospective cohort study conducted from July 2017 to September 2019. SETTING Government referral teaching hospitals and satellite sites in three cities in Indonesia: Semarang, Yogyakarta and Tangerang. PARTICIPANTS Hospitalised children aged 2-59 months who met the criteria for pneumonia were eligible. Children were excluded if they had been hospitalised for >24 hours; had malignancy or history of malignancy; a history of long-term (>2 months) steroid therapy, or conditions that might interfere with compliance with study procedures. MAIN OUTCOMES MEASURES Causative bacterial, viral or mixed pathogen(s) for pneumonia were determined using microbiological, molecular and serological tests from routinely collected specimens (blood, sputum and nasopharyngeal swabs). We applied a previously published algorithm (PEER-PePPeS rules) to determine the causative pathogen(s). RESULTS 188 subjects were enrolled. Based on our algorithm, 48 (25.5%) had a bacterial infection, 31 (16.5%) had a viral infection, 76 (40.4%) had mixed bacterial and viral infections, and 33 (17.6%) were unable to be classified. The five most common causative pathogens identified were Haemophilus influenzae non-type B (N=73, 38.8%), respiratory syncytial virus (RSV) (N=51, 27.1%), Klebsiella pneumoniae (N=43, 22.9%), Streptococcus pneumoniae (N=29, 15.4%) and Influenza virus (N=25, 13.3%). RSV and influenza virus diagnoses were highly associated with Indonesia's rainy season (November-March). The PCR assays on induced sputum (IS) specimens captured most of the pathogens identified in this study. CONCLUSIONS Our study found that H. influenzae non-type B and RSV were the most frequently identified pathogens causing hospitalised CAP among Indonesian children aged 2-59 months old. Our study also highlights the importance of PCR for diagnosis and by extension, appropriate use of antimicrobials. TRAIL REGISTRATION NUMBER NCT03366454.
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Affiliation(s)
- Dewi Lokida
- Tangerang District General Hospital, Tangerang, Banten, Indonesia
| | - Helmia Farida
- Rumah Sakit Umum Pusat Dr Kariadi, Semarang, Central Java, Indonesia
| | - Rina Triasih
- Rumah Sakit Umum Pusat Dr Sardjito, Sleman, DIY, Indonesia
| | - Yan Mardian
- Indonesia Research Partnership on Infectious Disease, Jakarta, Indonesia
| | - Herman Kosasih
- Indonesia Research Partnership on Infectious Disease, Jakarta, Indonesia
| | | | - Arif Budiman
- Tangerang District General Hospital, Tangerang, Banten, Indonesia
| | | | - Moh Syarofil Anam
- Rumah Sakit Umum Pusat Dr Kariadi, Semarang, Central Java, Indonesia
| | - Dwi Wastoro
- Rumah Sakit Umum Pusat Dr Kariadi, Semarang, Central Java, Indonesia
| | | | - Setya Dipayana
- Rumah Sakit Umum Pusat Dr Kariadi, Semarang, Central Java, Indonesia
| | - Amalia Setyati
- Rumah Sakit Umum Pusat Dr Sardjito, Sleman, DIY, Indonesia
| | | | - Nurhayati Lukman
- Indonesia Research Partnership on Infectious Disease, Jakarta, Indonesia
| | - Muhammad Karyana
- National Institute of Health Research and Development, Ministry of Health, Republic of Indonesia, Jakarta, Indonesia
| | - Ahnika Kline
- National Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA
| | - Aaron Neal
- National Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA
| | | | - Clifford Lane
- National Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA
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Lutpiatina L, Sulistyorini L, Notobroto HB, Raya RP, Utama RD, Thuraidah A. Multilevel Analysis of Lifestyle and Household Environment for Toddlers With Symptoms of Acute Respiratory Infection (ARI) in Indonesia in 2007, 2012, and 2017. Glob Pediatr Health 2022; 9:2333794X221078700. [PMID: 35342776 PMCID: PMC8941706 DOI: 10.1177/2333794x221078700] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 01/19/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction. The morbidity and mortality rate of Acute
Respiratory Tract Infection (ARI) in children under 5 is relatively high in
Indonesia. Socio-demographic characteristic is considered one of the factors
causing ARI in Indonesia. However, no study analyzed the prevalence of ARI among
toddlers and the differences among the determinant factors in multiple periods.
Thus, this study aimed to analyze the prevalence trends and determinant factors
associated with ARI symptoms in children under 5 in Indonesia in 2007, 2012, and
2017. Methods. This study analyzed cross-sectional survey data
from the Demographic and Health Survey (DHS) in Indonesia during 2007, 2012, and
2017. Bivariate and multivariate analysis with logistic regression was performed
using Stata version 15. The final results were expressed in Adjusted Odds Ratio
(AORs) and 95% Confidence Interval (CI). Results. The findings
showed a progress in prevalence trends with a decrease in the percentage of
children with ARI symptoms from 11.25% (2007), then 5.12% (2012) to 4.22%
(2017). Risk factors for toddlers experiencing ARI symptoms were as follows:
younger maternal age (OR: 1.13, 95% Cl 0.70-1.81 in 2007, OR: 1.72, 95% Cl
1.03-2.88 in 2012 and OR: 0.98, 95% Cl 0.48-1.97 in 2017), smoking habits of
family members (OR: 1.12, 95% Cl 0.85-1.48 in 2012, OR: 1.23, 95% Cl in 2017),
poor drinking water quality (OR: 1.12, 95% Cl 0.85-1.48 in 2012 and OR: 1.23,
95% Cl in 2017), unavailable toilet facilities (OR: 1.27, 95% Cl 1.04-1.56 in
2007, OR: 1.24, 95% Cl 0.95-1.63 in 2012 and OR: 1.28, 95% Cl 0.97-1.68 in
2017). Conclusion. There was a decrease in the prevalence of
ARI symptoms among children in 2007, 2012, and 2017, with no prominent
differences in other related factors. The lifestyle and household environmental
factors such as the use of dirty fuel, the presence of smokers in the household,
the poor quality of drinking water, unavailable toilet facilities in addition to
the maternal age and child age were the determinant factors that must be
prioritized and improved. Family self-awareness should also be enhanced for
better prospects for toddler survival.
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Affiliation(s)
- Leka Lutpiatina
- Universitas Airlangga, Surabaya, Indonesia
- Poltekkes Kemenkes Banjarmasin, Banjarbaru, Indonesia
| | | | | | - Reynie Purnama Raya
- University College London, London
- Aisyiyah Bandung Health Sciences College, Bandung, Indonesia
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Dissolving Microneedle Formulation of Ceftriaxone: Effect of Polymer Concentrations on Characterisation and Ex Vivo Permeation Study. J Pharm Innov 2021. [DOI: 10.1007/s12247-021-09593-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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