PROFIL EFEK SAMPING OBAT ANTIVIRAL PADA PASIEN COVID DI RUMAH SAKIT X BALI PERIODE TAHUN 2020.

Authors

  • Fransiska Rosari Dewi ITEKES BALI
  • I Putu Yuda Pratama itekes bali

DOI:

https://doi.org/10.37294/jrkn.v5i2.340

Abstract

Coronavirus Disease2019 (COVID-19) menjadi pandemi sejak awal tahun 2020 di seluruh dunia termasuk Indonesia. Penularan terjadi antara manusia ke manusia melalui droplet yang keluar saat batuk atau bersin serta melalui sentuhan dengan benda mati. Penelitian terkait obat-obatan dalam menangani pasien Covid-19 terus berlanjut hingga saat ini. 

Adanya obat baru tersebut tentunya tidak hanya efektifitas yang dicari melainkan aspek keamanan perlu dipertimbangkan oleh karena itu kita dituntut untuk lebih mengetahui lebih banyak efek samping dari obat. Maka penelitian ini dilakukan untuk mengetahui gambaran dan frekuensi efek samping antiviral pada penderita Covid-19. Penelitian bersifat cross-sectional retrospektif dengan mengambil data dari rekam medis pasien covid-19 dewasa di Rumah Sakit X Bali, Indonesia, pada periode tahun 2020. Data selanjutnya dilakukan penghitungan skor algoritma Naranjo yang dicocokan dengan skala potensi efek samping. Data yang diambil adalah jenis antiviral, profil pasien Covid-19, efek samping yang muncul, serta LOS pasien COVID-19.

Terdapat 3 macam antiviral yang digunakan selama tahun 2020 yaitu hidroksiklorokuin, Oseltamivir dan favipiravir. Efek samping kemungkinan besar rasa tidak nyaman di perut (probable) pada Hidroksiklorokuin, Oseltamivir, Favipiravir berturut-turut ; 34%, .37% dan 25%. ESO mual pada Hidroksiklorokuin, Oseltamivir, Favipiravir berturut-turut ; 23%, 22%, 17%. Efek samping possible(skala Naranjo 4) pusing dan tidak napsu makan. ESO pusing pada Hidroksiklorokuin, Oseltamivir, Favipiravir berturut-turut ; 8%, 13%, 17% sedangkan ESO tidak adanya napsu makan Hidroksiklorokuin, Oseltamivir, Favipiravir berturut-turut ; 12%, 15%, 8%. Skala Naranjo 0 (doubtful) berupa kulit bersisik (Xerosis cutis) yaitu pada obat favipiravir. Kesimpulan ; Penggunaan antivirus dapat menimbulkan berbagai macam efek samping akan tetapi tidak ditemukan efek samping pada pasien covid-19 yang fatal pada penelitian ini.

Kata kunci: Efek samping, antiviral, covid-19

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References

Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): the epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.

World Health Organization Regional O ce for Europe. WHO announces COVID-19 outbreak a pandemic [Internet]. Copenhagen: World Health Organization Regional O ce for Europe; 2020 [cited 2020 Mar 26]. Available from: https://www. euro.who.int/en/health-topics/health-emergencies/coronavirus

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239–42.

Vervloet c, Durham s. abc OD ALLERGIES Adverse Reactions to drugs. BMJ 1998; 316 :1511-4

Gruchalla R. Drug allergy. J Allergy Clin Immunol 2003;111 Suppl 5:48-59.

Gruchalla R. Understanding drug allergies. J Allergy Clin Immunol 2000;105 Suppl 6:37-44.

Sama, E., Iziah, et al., 2020. Circulating Plasma Concentrations of Angiotensin-Converting Enzym 2 in Men and Women with Heart Failure and Effects of Renin-Angiotensin Aldosterone Inhibitor. European Heart Journal. 41(9).

Reuter, 2020. Men Have High Levels of Enzyme Key to COVID-19 Infection, Study Finds. [daring]. Tersedia dalam https://www.reuters.com/article/us-health-coronavirus-ace2men/men-have-high-levels-of-enzyme-key-tocovid-19-infection-study-findsidUSKBN22MoUA . [Diakses 1 April 2021].

Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, et al. Dysregula on of immune response in pa ents with COVID-19 in Wuhan, China. Clin Infect Dis. 2020; published online March 12. DOI: 10.1093/ cid/ciaa248.

UN Women, 2020. COVID-19: Emerging Gender Data and Why It Matters. [daring]. Tersedia dalam https://data.unwomen.org/resources/covid-19-emerging-gender-data-and-why-it-matters. [Diakses 10 Maret 2021]

Karlberg J, Chong DSY, Lai WYY. Do men have a higher case fatality rate of severe acute respiratory syndrome than women do? Am J Epidemiol 2004;159:229–31.

Wei X, Xiao Y-T, Wang J, et al. Sex differences in severity and mortality among patients with COVID-19: evidence from pooled literature analysis and insights from integrated bioinformatic analysis. arXiv 2020;200313547.

Klein SL, Flanagan KL. Sex differences in immune responses. Nat Rev Immunol 2016;16:626–38.

Taghizadeh-Hesary F, Akbari H. The powerful immune system against powerful COVID-19: a hypothesis, 2020.

Jaillon S, Berthenet K, Garlanda C (2019). Sexual Dimorphism in Innate Immunity. Clin RevAllergy Immunol. Doi:10.1007/s1206-017-8648-x.

Guan, W. et al., 2020. Clinical Characteristic of Coronavirus Disease 2019 in China. New England Journal of Medicine. Hal. NEJMoa2002032. [daring].Tersedia dalam http://dx.doi.org/10.1056/NEJMoa2002032 [Diakses 31 Maret 2021].

Wang Z, Ji Js, Liu Y, et al. (2020). Survival analysis of hospital length of stay of novel Coronavirus (COVID-19)pneumonia patients in Sichuan, China. medRxiv. DOI : 10.1101/2020.0407.20057299.

Thai, P. Q., Toan, D., Son, D.T., Van, H., Minh, L. X., Toan, N.V., Hoat, L. N., Luong, D. H., Khue, L .N., Khoa, N. T., & Huong, L. T (2020). Factors associated with the duration of hospitalization among COVID-19 patients in Vietnam: A Survival analysis. Epidemiology and infection, 148, e114. https://doi.org/10.1017/S0950268820001259

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of pa ents infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteris cs of Coronavirus Disease 2019 in China. New Engl J Med. 2020; published online February 28. DOI: 10.1056/ NEJMoa2002032.

Chen J, Qi T, Liu L, Ling Y, Qian Z, Li T, et al. Clinical progression of pa ents with COVID-19 in Shanghai, China. J Infect. 2020; published online March 19. DOI: 10.1016/j.jinf.2020.03.004.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteris cs of 138 Hospitalized Pa ents With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020; published online February 7. DOI: 10.1001/jama.2020.1585.

Cai H. Sex difference and smoking predisposi on in patients with COVID-19. Lancet Respir Med. 2020; published online March 11. DOI: 10.1016/S2213-2600(20)30117-X

Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, et al. Dysregula on of immune response in patients with COVID-19 in Wuhan, China. Clin Infect Dis. 2020; published online March 12. DOI: 10.1093/ cid/ciaa248.

Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological ndings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020; published online February 18. DOI: 10.1016/S2213-2600(20)30076-X

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of pa ents infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.

Li X, Geng M, Peng Y, Meng L, Lu S. Molecular immune pathogenesis and diagnosis of COVID-19. J Pharm Anal. 2020; published online March 5. DOI: 10.1016/j.jpha.2020.03.001

Sanyaolu, A., Okorie, C., Marinkovic, A., Patidar, R., Younis, K., Desai, P., Hosein, Z., Padda, I., Mangat, J. and Altaf, M., 2020. Comorbidity and its Impact on Patients with COVID-19. SN Comprehensive Clinical Medicine, 2(8), pp.1069-1076.

Zaki, N., Alashwal, H., & Ibrahim, S. (2020). Association of hypertension, diabetes, stroke, cancer, kidney disease, and high-cholesterol with COVID-19 disease severity and fatality: A systematic review. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), 1133–1142. https://doi.org/10.1016/j.dsx.2020.07.005

Bramasta, Dandy Bayu. (2020). Update Virus Corona di Dunia 1 April: 854.608 Kasus di 201 Negara, 176.908 Sembuh. Melalui < https://www.kompas.com/tren/read/202 0/04/01/070200365/update-virus-corona- di-dunia-1-april-854608-kasus-di-201- negara-176908>. Diakses pada 11 Januari 2021.

Shrestha DB, Budhathoki P, Khadka S, Shah PB, Pokharel N, Rashmi P. Favipiravir versus otherantiviral or standard of care for COVID-19 treatment: a rapid systematic review and meta-analysis. Virol J. 2020; 17(1):141.

Udwadia ZF, Singh P, Berkate H, Patil S, Rangwala S, Pendse A et al. Efficacy and safety of favipiravir, an oral RNA-dependent RNA polymerase inhibitor, in mild-to-moderate COVID-19: A randomimized, comparative, open label, multicentre, phase 3 clinical trial. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases. 2020;103:62-71.

Vincent, M.J., Bergeron, E., Benjannet, S. et al. (2005). Chloroquine is a potent inhibitor of SARS Coronavirus infection and spread. Virol J2, 69. https://doi.org/10.1186/1743-422X-2-69

Savarino A, Di Trani L, Donatelli I, Cauda R, Cassone A. (2006). New insights into the antiviral effects of Chloroquine. Lancet Infect Dis. 6(2):67-69. Doi:10.1016/S1473-3099(06)70361-9

Devaux CA, Rolain JM, Colson P, Raoult D. New insights on the antiviral effects of chloroquine against coronavirus: What to expect for COVID-19?. Int J Antimicrob Agents. 2020;55(5):105938. doi: 10.1016/j. ijantimicag.2020.1059368

ChenJ,LiuD,LiuL,LiuP,XuQ,XiaL, et al. A pilot study of hydroxychloroquine in treatment of patients with common coronavirus disease-19 (COVID-19). J Zhejiang Univ. 2020;49(2):215–9. doi: 10.3785/j.issn.1008-9292.2020.03.03

Multicenter collaboration group of Department of Science and Technology of Guangdong Province and Health Commission of Guangdong Province for chloroquine in the treatment of novel coronavirus pneumonia. Expert consensus on chloroquine phosphate for the treatment of novel coronavirus pneumonia. Zhonghua Jie He He Hu Xi Za Zhi. 2020;43(3):185–8. doi: 10.3760/ cma.j.issn.1001-0939.2020.03.009

The multicenter collaboration group of Department of Science and Technology of Guangdong Province and Health Commission of Guangdong Province for chloroquine in the treatment of novel coronavirus pneumonia. [Expert consensus on chloroquine phosphate for the treatment of novel coronavirus pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi. 2020;43(3):185–8. Chinese.

Ghasemian, R; Shamsirian, A; Heydari, K; Malekan, M; M; Akizadeh-Navaei, R; Ebrahimzadeh, M.A.;Jafarpur, H; Syahmirzadi, A.R.; Khodabandeh, M.; Seyfari, B; et al. The Role of Vitamin D in the age of COVID-19; Asystematic and Meta-analysis Along with an Ecological Approach.medRxio 2020.[CrossRet]

Munshi, R.; Hussein, M.H.;Toraih, E.A; Elshazli, R.M.;Jardak, C.; Sultana, N.;Youssef, M.R.; Omar, M.;Attia, A.S.; Fawzy, M.S.; et al. Vitamin D insufficiency as potential culprit in critical COVID-19 patients. J. Med. Virol.2020. .[CrossRet]

Prima, E. (2020, Mei 14). Guru Besar UI Bahas Penggunaan Vitamin C, D, dan E untuk Covid-19. Retrieved from tekno.tempo.co: https://tekno.tempo.co/read/1342297/guru-besar-ui-bahas-penggunaan-vitamin-c-d-dan-e-untuk-covid-19. 7 April 2021

Tang, Y.; Liu, J.; Zhang, D.; Xu, Z.; Ji, J.; Wen, C. Cytokine storm in COVID-19; The current evidance and treatment strategies. Front. Immunol. 2020, 11, 1708. .[CrossRet] .[PubMed]

Khamis F, Al Naabi H, Al, Lawati A, Ambusaidi Z, Al Sharji M, Al Barwani U, et al. Ramdomized Controlled Open Label Trial on the Use Favipiravir combined with Inhaled Interferon beta-1b in Hospitalized Patients with Moderate to Severe Covid-19 Pneumonia. International Journal of Infectious Diseases.2020.

Thevarajan I, Nguyen THO, Koutsakos M, Druce J, Caly L, van de Sandt CE, et al. Breadth of concomitant immune responses prior to patient recovery: a case report of non-severe COVID-19. Nat Med. 2020; published online March 16. DOI: 10.1038/s41591- 020-0819-2.

Tett SE. Clinical pharmacokinetics of slow-acting antirheumatic drugs. Clin Pharmacokinet. 1993;25(5):392-407. doi:10.2165/00003088-199325050-00005[PubMed 7904547].

Lemaitre F, Luyt C, Roullet-Renoleau F, et al. Impact of Extracorporeal Membrane Oxygenation and Continuous Venovenous Hemodiafiltration on the Pharmacokinetics of Oseltamivir Carboxylate in Critically Ill Patients With Pandemic (H1N1) Influenza. Ther Drug Monit. 2012;34:171-175.[PubMed 22354159]

Mulla H, Peek GJ, Harvey C, et al. Oseltamivir Pharmacokinetics in Critically Ill Adults Receiving Extracorporeal Membrane Oxygenation Support. Anaesth Intensive Care. 2013;41(1):66-73.[PubMed 23362894]

Naranjo, CA, Busto U., Sellers, E.M., Sandor, P., Ruiz, I., Robert, E.A., et al., A Method For Estimating the Probability od Adverse Drug Reactions, Clinical Pharmacology and therapeutics. 1981; 30:2:239-45

BPOM RI. Pedoman Monitoring Efek Samping Obat (MESO) Bagi Tenaga Kesehatan. Jakarta: Badan POM RI. 2012

Fatemeh Sameni, Bahareh Hajikhani, Somayeh Yaslianifard,Mehdi Goudarzi, Parviz Owlia, Mohammad Javad Nasiri,Shervin Shokouhi, Mahmood Bakhtiyari, and Masoud Dadashi. COVID-19 and Skin Manifestations: An Overview of Case Reports/Case Series and Meta-Analysis of Prevalence Studies. Front Med (Lausanne). 2020; 7: 573188. Published online 2020 Oct 29. doi: 10.3389/fmed.2020.573188

Alomar MJ. Factors Affecting The Development of Adverse Drug Reactions. Saudi Pharmaceutical Journal. Feb 2013:22:83-94.

Rao GA, Mann JR, Shoaibi A, et al. Azithromycin and levofloxacin use and increased risk of cardiac arrhythmia and death. Ann Fam Med. 2014;12(2):121-127. doi: 10.1370/afm.1601.[PubMed 24615307]

Ray WA, Griffin MR. Use of Medicaid data for pharmacoepidemiology. Am J Epidemiol. 1989;129(4):837-849.[PubMed 2646920]

Ray WA, Murray KT, Hall K, et al. Azithromycin and the risk of cardiovascular death. N Engl J Med. 2012;366(20):1881-1890.[PubMed 22591294]

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Published

2021-10-04

How to Cite

Dewi, F. R., & Pratama, I. P. Y. (2021). PROFIL EFEK SAMPING OBAT ANTIVIRAL PADA PASIEN COVID DI RUMAH SAKIT X BALI PERIODE TAHUN 2020. Jurnal Riset Kesehatan Nasional, 5(2), 137–149. https://doi.org/10.37294/jrkn.v5i2.340

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