Cost effectiveness analysis of ceftriaxone with cefoperazon in thypoid patients at X Mataram Hospital

  • Sondang Khairani Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Pancasila, Jakarta, 12640, Indonesia
  • Reise Manninda Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Pancasila, Jakarta, 12640, Indonesia
  • Akhmad Fajri Widodo Graduate Institute of Injury Prevention and Control, Cpllege of Public Hea;th Taipei Medical University, Taiwan
  • Lalu Joko Raharjo Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Pancasila, Jakarta, 12640, Indonesia

Abstract

Typhoid is the third most common cause of hospitalisation in Indonesia, affecting 100,000 people every year. Typhoid fever, with an average case fatality rate of 2.45% at X Mataram Hospital, was among the top 10 most common inpatient illnesses in 2019 and 2020. Antibiotics are effective in reducing typhoid infection, lowering body temperature, shortening the length of hospitalisation, and reducing mortality. The aim study to determine the cost-effectiveness of using ceftriaxone and cefoperazone antibiotics for typhoid patients at X Mataram Hospital. Method a compares two groups of antibiotics and evaluates direct costs and clinical outcomes clinic (length of stay and time free of fever). This research is using ACER's cost-effectiveness analysis. The study included 63 samples with an average direct cost of Rp 3,645,106 for cefoperazon and Rp 3,168,106 for ceftriaxone. According to the ACER analysis results, hospitalisation with ceftriaxone is more cost-effective a lower cost of Rp 704,023 and based on fever-free time, cefoperazone is more cost-effective at Rp. 1,024,094. No correlation between antibiotic effectiveness and fever-free time, no correlation between antibiotic effectiveness and length of hospitalisation (p-value >0.05).

References

[1] I. E. Purba, T. Wandra, N. Nugrahini, S. Nawawi, and N. Kandun, “Typhoid Fever Control Program in Indonesia: Challenges and Opportunities,” Media Libangkes, vol. 26, no. 2, pp. 99–108, 2016.

[2] World Health Organization, Typhoid and other invasive salmonellosis. 2018. doi: 10.2139/ssrn.3866551.

[3] Health Indonesia of Ministry, “Basic Health Research,” Jakarta, 2018.

[4] P. Hazmen, S. Kumala, and P. Sarnianto, “Analysis of Typhoid Fever Treatment Costs Based on Clinical Pathway at Harapan Bunda Hospital,” J. Profesi Med. J. Kedokt. dan Kesehat., vol. 13, no. 2, pp. 74–81, 2019, doi: 10.33533/jpm.v13i2.1314.

[5] S. Alba et al., “Risk factors of typhoid infection in the Indonesian archipelago,” PLoS One, vol. 11, no. 6, pp. 1–14, 2016, doi: 10.1371/journal.pone.0155286.

[6] Y. Parama Cita, “Salmonella typhi bacteria and typhoid fever,” J. Kesehat. Masy. Andalas, vol. 6, no. 1, pp. 42–46, 2011, doi: 10.24893/jkma.v6i1.87.

[7] R. Karunakaran et al., “Ceftriaxone resistance and genes encoding extended-spectrum β-lactamase among non-typhoidal Salmonella species from a tertiary care hospital in Kuala Lumpur, Malaysia,” Jpn. J. Infect. Dis., vol. 65, no. 5, pp. 433–435, 2012, doi: 10.7883/yoken.65.433.

[8] M. Z. A. Rustam, “Relationship between patient characteristics and the incidence of typhoid fever in inpatients at Salewangan Maros Regional Hospital,” Str. J. Ilm. Kesehat., vol. 1, no. 2, pp. 57–62, 2021, [Online]. Available: https://www.neliti.com/publications/236488/hubungan-karakteristik-penderita-dengan-kejadian-demam-tifoid-pada-pasien-rawat

[9] T. M. Andayani, Pharmacoeconomics: Principles and Methodology. Yogyakarta: Bursa Ilmu, 2013.

[10] I. G. A. N. D. Sukmawati, M. K. Adi Jaya, and D. A. Swastini, “Evaluation of the Use of Antibiotics in Inpatient Typhoid Patients at One of the Bali Provincial Government Hospitals using the Gyssens and ATC/DDD Methods,” J. Farm. Udayana, vol. 9, no. 1, p. 37, 2020, doi: 10.24843/jfu.2020.v09.i01.p06.

[11] Betram G Katzung and wodd G. Vanderah, Basic & Clinical Pharmacology 15th ed. New York: McGraw-Hill, 2018.

[12] P. B. S. Kinanta, D. G. D. D. Santhi, and A. A. N. Subawa, “Profile of antibiotic administration and clinical improvement of fever in pediatric patients with typhoid fever at Sanglah General Hospital, Denpasar,” J. Med. Udayana, vol. 9, no. 3, pp. 10–14, 2020.

[13] S. Sidabutar and H. I. Satari, “Empirical Treatment Options for Typhoid Fever in Children: Chloramphenicol or Ceftriaxone?,” Dep. Ilmu Kesehat. Anak, RS Dr Cipto Mangunkusumo, Fak. Kedokt. Univ. Indones. Jakarta Demam, vol. 11, no. 6, 2010.

[14] C. D. Britto, V. K. Wong, G. Dougan, and A. J. Pollard, “A systematic review of antimicrobial resistance in Salmonella enterica serovar Typhi, the etiological agent of typhoid,” PLoS Negl. Trop. Dis., vol. 12, no. 10, pp. 1–15, 2018, doi: 10.1371/journal.pntd.0006779.

[15] Martha Ardiaria, “Epidemiology of Clinical Manifestations and Management of Typhoid Fever,” JNH (Journal Nutr. Heal., vol. 7, no. 2, p. 1, 2019.

[16] H. Puspasari, D. Suryaningrat, and M. Rizky, “Cost Analysis of Treatment for Patients Diagnosed with Typhoid Fever at the Inpatient Installation of Dr Soedarso Pontianak Hospital in 2018,” J. Farm. Dan Ilmu Kefarmasian Indones., vol. 7, no. 1, p. 1, 2020, doi: 10.20473/jfiki.v7i12020.1-6.

[17] P. R. Melarosa, D. K. Ernawati, and A. N. Mahendra, “Pola Penggunaan Antibiotika Pada Pasien Dewasa Dengan Demam Tifoid Di Rsup Sanglah Denpasar Tahun 2016-2017,” E-Jurnal Med. Udayana, vol. 8, no. 1, p. 12, 2019, doi: 10.24922/eum.v8i1.45224.

[18] Health Indonesia of Ministry, “Guidelines for the Implementation of Pharmacoeconomic Assessment,” Jakarta, 2013.

[19] S. Hidayah, A. Hakim, and A. Syahrir, “Cost Effectiveness Analysis of Seftriaxone and Sefotaxime in Typhoid Fever Patients in the Shofa and Marwah PKU Karangasem Muhammadiyah Paciran Inpatient Installation in 2019,” Energy Sustain. Dev. Demand, Supply, Convers. Manag., vol. 5, no. 2, pp. 46–52, 2020.

[20] A. Lorensia, D. De Queljoe, and M. Dwike, “Cost-Effectiveness Analysis Kloramfenikol Dan Seftriakson Untuk Pengobatan Demam Tifoid Pada Pasien Dewasa Di Rumah Sakit Sanglah Denpasar Amelia Lorensia, Doddy de Queljoe, dan Made Dwike,” vol. 2, no. 2, pp. 105–112, 2018.

[21] D. Oktavia, L. Indriani, “Evaluasi Pemberian Antibiotik Pada Pasien Demam Tifoid Di Instalasi Rawat Inap Rumah Sakit Azra Kota Bogor,” FITOFARMAKA J. Ilm. Farm., vol. 10, no. 1, pp. 54–64, 2020.
Published
2024-04-30
How to Cite
KHAIRANI, Sondang et al. Cost effectiveness analysis of ceftriaxone with cefoperazon in thypoid patients at X Mataram Hospital. JURNAL ILMU KEFARMASIAN INDONESIA, [S.l.], v. 22, n. 1, p. 163-168, apr. 2024. ISSN 2614-6495. Available at: <http://jifi.farmasi.univpancasila.ac.id/index.php/jifi/article/view/1585>. Date accessed: 18 nov. 2024. doi: https://doi.org/10.35814/jifi.v22i1.1585.
Section
Articles