The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia

COVID-19 is a major public health problem, with still questionable specific cure. Favipiravir is a COVID-19 antiviral that is potentially a therapy for COVID-19. This study aimed to analyze its effectivity and safety in moderate to critical hospitalized patients. This study was a retrospective cohor...

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Main Authors: Herni Damayanti, I Gede K Sajinadiyasa, Hindun Wilda Risni, Rani Sauriasari
Format: Article
Language:English
Published: Universitas Indonesia 2021-11-01
Series:Kesmas: Jurnal Kesehatan Masyarakat Nasional
Subjects:
Online Access:https://journal.fkm.ui.ac.id/kesmas/article/view/5433
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author Herni Damayanti
I Gede K Sajinadiyasa
Hindun Wilda Risni
Rani Sauriasari
author_facet Herni Damayanti
I Gede K Sajinadiyasa
Hindun Wilda Risni
Rani Sauriasari
author_sort Herni Damayanti
collection DOAJ
description COVID-19 is a major public health problem, with still questionable specific cure. Favipiravir is a COVID-19 antiviral that is potentially a therapy for COVID-19. This study aimed to analyze its effectivity and safety in moderate to critical hospitalized patients. This study was a retrospective cohort in a tertiary referral hospital in Denpasar City, Bali Province, Indonesia, from August 2020 to January 2021. There was a total of 192 patients; 96 in the favipiravir group and 96in the non-favipiravir group (remdesivir/oseltamivir). Effectivity was measured by assessing the clinical condition at the end of the isolation period of 14 days. The favipiravir group showed better clinical conditions than the non-favipiravir group (79.2% vs. 56.3%; adjusted RR = 2.196; 95% CI = 1.084 – 4.451; p-value= 0.029), seen from being free of fever and respiratory problems. Stratification analysis demonstrated that the clinical improvement was significantly differentin the severe/critical group in favor of favipiravir (RR = 1.573; 95% CI = 1.139-2.172). The most common non-serious adverse events (AE) found in the use offavipiravir were gastrointestinal disturbances (12.5%). In brief, favipiravir is effective in severe/critical cases, and less serious AE were found in its use. Appropriate treatment is expected to help in reducing the public health burden.
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spelling doaj.art-012c56bbdbe74b139eb4e8850c6b47a72023-09-02T10:54:54ZengUniversitas IndonesiaKesmas: Jurnal Kesehatan Masyarakat Nasional1907-75052460-06012021-11-0116410.21109/kesmas.v16i4.54331174The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, IndonesiaHerni Damayanti0I Gede K Sajinadiyasa1Hindun Wilda Risni2Rani Sauriasari3Faculty of Pharmacy Universitas Indonesia, Depok 16424, IndonesiaPulmonology Division, Internal Medicine Department, Sanglah General Hospital, Denpasar, IndonesiaFaculty of Pharmacy Universitas Indonesia, Depok 16424, IndonesiaFaculty of Pharmacy Universitas Indonesia, Depok 16424, IndonesiaCOVID-19 is a major public health problem, with still questionable specific cure. Favipiravir is a COVID-19 antiviral that is potentially a therapy for COVID-19. This study aimed to analyze its effectivity and safety in moderate to critical hospitalized patients. This study was a retrospective cohort in a tertiary referral hospital in Denpasar City, Bali Province, Indonesia, from August 2020 to January 2021. There was a total of 192 patients; 96 in the favipiravir group and 96in the non-favipiravir group (remdesivir/oseltamivir). Effectivity was measured by assessing the clinical condition at the end of the isolation period of 14 days. The favipiravir group showed better clinical conditions than the non-favipiravir group (79.2% vs. 56.3%; adjusted RR = 2.196; 95% CI = 1.084 – 4.451; p-value= 0.029), seen from being free of fever and respiratory problems. Stratification analysis demonstrated that the clinical improvement was significantly differentin the severe/critical group in favor of favipiravir (RR = 1.573; 95% CI = 1.139-2.172). The most common non-serious adverse events (AE) found in the use offavipiravir were gastrointestinal disturbances (12.5%). In brief, favipiravir is effective in severe/critical cases, and less serious AE were found in its use. Appropriate treatment is expected to help in reducing the public health burden.https://journal.fkm.ui.ac.id/kesmas/article/view/5433covid-19, effectivity, favipiravir, safety
spellingShingle Herni Damayanti
I Gede K Sajinadiyasa
Hindun Wilda Risni
Rani Sauriasari
The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
Kesmas: Jurnal Kesehatan Masyarakat Nasional
covid-19, effectivity, favipiravir, safety
title The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
title_full The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
title_fullStr The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
title_full_unstemmed The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
title_short The Effectiveness and Safety of Favipiravir in COVID-19 Hospitalized Patients at Tertiary Referral Hospital, Bali, Indonesia
title_sort effectiveness and safety of favipiravir in covid 19 hospitalized patients at tertiary referral hospital bali indonesia
topic covid-19, effectivity, favipiravir, safety
url https://journal.fkm.ui.ac.id/kesmas/article/view/5433
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