A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia

Background: To determine the incidence of hepatitis A infections and the clinical profiles of adult patients admitted to public hospitals in Jakarta, Indonesia. Methods: This was a cross-sectional study that utilised consecutive secondary data from internal medicine wards of seven public hospitals i...

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Main Authors: Randy Adiwinata, Andi Kristanto, Timoteus Richard, Daniel Edbert, Frida Angelina, Eppy, Ifael Yerosias Mauleti, Soroy Lardo, Iman Firmansyah, Rika Bur, Titos Ahimsa, Erni Juwita Nelwan
Format: Article
Language:English
Published: Universitas Indonesia 2017-04-01
Series:Makara Journal of Health Research
Subjects:
Online Access:https://scholarhub.ui.ac.id/mjhr/vol21/iss1/1/
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author Randy Adiwinata
Andi Kristanto
Timoteus Richard
Daniel Edbert
Frida Angelina
Eppy
Ifael Yerosias Mauleti
Soroy Lardo
Iman Firmansyah
Rika Bur
Titos Ahimsa
Erni Juwita Nelwan
author_facet Randy Adiwinata
Andi Kristanto
Timoteus Richard
Daniel Edbert
Frida Angelina
Eppy
Ifael Yerosias Mauleti
Soroy Lardo
Iman Firmansyah
Rika Bur
Titos Ahimsa
Erni Juwita Nelwan
author_sort Randy Adiwinata
collection DOAJ
description Background: To determine the incidence of hepatitis A infections and the clinical profiles of adult patients admitted to public hospitals in Jakarta, Indonesia. Methods: This was a cross-sectional study that utilised consecutive secondary data from internal medicine wards of seven public hospitals in Jakarta between 2011 and 2013. Eligibility criteria included patients over the age of 18 years and an ICD-10 diagnosis code of B15, acute hepatitis A. Case proportion was reported per 1000 people by dividing incidence per year to total in-ward patients. Clinical profiles were reported descriptively. Laboratory results were compared and categorised into groups of patients aged below and above 25 years old. Results: Data revealed that hospitalisations of patients with hepatitis A had decreased from 2011 to 2013. 289 patients were studied, the majority were young adults (18-25 years old) and their common chief complaints were nausea (36%), fever (24%), and jaundice (21%). Higher bilirubin levels were seen in older patients. There were 13 patients coinfected with hepatitis B, one patient coinfected with hepatitis C, and one patient coinfected with HIV. Conclusions: The proportion of hepatitis A infection amongst adults admitted to public hospitals in Jakarta was low and had decreased during the study period. Most of the patients reported classical clinical manifestations. This study found that the targeted age group may benefit from receiving routine hepatitis A vaccinations.
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spelling doaj.art-a5d6e2d4590d4bceb12831969fad00882023-04-13T01:44:11ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562017-04-012111510.7454/msk.v21i1.46103313A Clinical Profile of Hepatitis A Patients in Jakarta, IndonesiaRandy Adiwinata0Andi Kristanto1Timoteus Richard2Daniel Edbert3Frida Angelina4Eppy5Ifael Yerosias Mauleti6Soroy Lardo7Iman Firmansyah8Rika Bur9Titos Ahimsa10Erni Juwita Nelwan11Faculty of Medicine, Universitas Katolik Indonesia Atmajaya, Jakarta 14440, IndonesiaFaculty of Medicine, Universitas Katolik Indonesia Atmajaya, Jakarta 14440, IndonesiaFaculty of Medicine, Universitas Katolik Indonesia Atmajaya, Jakarta 14440, IndonesiaFaculty of Medicine, Universitas Katolik Indonesia Atmajaya, Jakarta 14440, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Internal Medicine, Persahabatan Hospital, Jakarta 13230, IndonesiaDepartment of Internal Medicine, Fatmawati Hospital, Jakarta 12430, IndonesiaDepartment of Internal Medicine, Gatot Soebroto Central Army Hospital, Jakarta 10410, IndonesiaDepartment of Internal Medicine, Sulianti Saroso Hospital, Jakarta 14340, IndonesiaDepartment of Internal Medicine, Sulianti Saroso Hospital, Jakarta 14340, IndonesiaDepartment of Internal Medicine, Cengkareng Hospital, Jakarta 11730, IndonesiaDivision of Tropical and Infectious Disease, Department of Internal Medicine, Universitas Indonesia, Jakarta 10430Background: To determine the incidence of hepatitis A infections and the clinical profiles of adult patients admitted to public hospitals in Jakarta, Indonesia. Methods: This was a cross-sectional study that utilised consecutive secondary data from internal medicine wards of seven public hospitals in Jakarta between 2011 and 2013. Eligibility criteria included patients over the age of 18 years and an ICD-10 diagnosis code of B15, acute hepatitis A. Case proportion was reported per 1000 people by dividing incidence per year to total in-ward patients. Clinical profiles were reported descriptively. Laboratory results were compared and categorised into groups of patients aged below and above 25 years old. Results: Data revealed that hospitalisations of patients with hepatitis A had decreased from 2011 to 2013. 289 patients were studied, the majority were young adults (18-25 years old) and their common chief complaints were nausea (36%), fever (24%), and jaundice (21%). Higher bilirubin levels were seen in older patients. There were 13 patients coinfected with hepatitis B, one patient coinfected with hepatitis C, and one patient coinfected with HIV. Conclusions: The proportion of hepatitis A infection amongst adults admitted to public hospitals in Jakarta was low and had decreased during the study period. Most of the patients reported classical clinical manifestations. This study found that the targeted age group may benefit from receiving routine hepatitis A vaccinations.https://scholarhub.ui.ac.id/mjhr/vol21/iss1/1/epidemiologyhepatitis aindonesiavaccination
spellingShingle Randy Adiwinata
Andi Kristanto
Timoteus Richard
Daniel Edbert
Frida Angelina
Eppy
Ifael Yerosias Mauleti
Soroy Lardo
Iman Firmansyah
Rika Bur
Titos Ahimsa
Erni Juwita Nelwan
A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
Makara Journal of Health Research
epidemiology
hepatitis a
indonesia
vaccination
title A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
title_full A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
title_fullStr A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
title_full_unstemmed A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
title_short A Clinical Profile of Hepatitis A Patients in Jakarta, Indonesia
title_sort clinical profile of hepatitis a patients in jakarta indonesia
topic epidemiology
hepatitis a
indonesia
vaccination
url https://scholarhub.ui.ac.id/mjhr/vol21/iss1/1/
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