Evidence map›Paper›PMID 33206684›Full record

ArticlePloS one2020

Non-antibiotic medication use in an Indonesian community cohort 0-18 months of age.

Jarir At Thobari, Cahya Dewi Satria, Yohanes Ridora, Emma Watts, Amanda Handley, Jane Standish, Novilia S Bachtiar, Jim P Buttery, Yati Soenarto, Julie E Bines

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Jarir At ThobariDepartment of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Special Region of Yogyakarta, Indonesia.ORCID 0000-0002-7035-4846
Cahya Dewi SatriaPediatric Research Office, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Special Region of Yogyakarta, Indonesia.
Yohanes RidoraPediatric Research Office, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Special Region of Yogyakarta, Indonesia.
Emma WattsRV3 Rotavirus Vaccine Program, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Amanda HandleyRV3 Rotavirus Vaccine Program, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Jane StandishRV3 Rotavirus Vaccine Program, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Novilia S BachtiarPT Bio Farma, Bandung, West Java, Indonesia.
Jim P ButteryRV3 Rotavirus Vaccine Program, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Yati SoenartoPediatric Research Office, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Special Region of Yogyakarta, Indonesia.
Julie E BinesRV3 Rotavirus Vaccine Program, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-5452-6601
Universitas Gadjah Mada · IDRoyal Children's Hospital · AUCenter for Global Development · USMurdoch Children's Research Institute · AUPT Bio Farma (Indonesia) · IDThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRational medication use for treatment is mandatory, particularly in children as they are vulnerable to possible hazards of drugs. Understanding the medication use pattern is of importance to identify the problems of drug therapy and to improve the appropriate use of medication among this population.

methodsA post-hoc study of the RV3-BB Phase IIb trial to children aged 0-18 months which was conducted in Indonesia during January 2013 to July 2016. Any concomitant medication use and health events among 1621 trial participants during the 18 months of follow-up were documented. Information on medication use included the frequency, formulation, indication, duration of usage, number of regimens, medication types, and therapeutic classes.

resultsThe majority of participants (N = 1333/1621; 82.2%) used at least one non-antibiotic medication for treatment during the 18-month observation period. A total of 7586 medication uses were recorded, mostly in oral formulation (90.5%). Of all illnesses recorded, 24.7% were treated with a single drug regimen of non-antibiotic medication. The most common therapeutic classes used were analgesics/antipyretics (30.1%), antihistamines for systemic use (17.4%), cough and cold preparations (13.5%), vitamins (8.6%), and antidiarrheals (6.6%). The main medication types used were paracetamol (29.9%), chlorpheniramine (16.8%), guaifenesin (8.9%), zinc (4.6%), and ambroxol (4.1%). Respiratory system disorder was the most common reason for medication use (51.9%), followed by gastrointestinal disorders (19.2%), pyrexia (16.9%), and skin disorders (7.0%).

conclusionA large number of children were exposed to at least one medication during their early life, including those where evidence of efficacy and safety in a pediatric population is lacking. This supports the need for further research on pediatric drug therapy to improve the appropriate use of medication in this population.

Indexed as

AnalgesicsAntipyreticsDrug TherapyDrug UtilizationDrug Utilization ReviewFemaleHistamine AntagonistsHumansIndonesiaInfantInfant, NewbornMalePharmaceutical PreparationsAnalgesicsAntipyreticsHistamine AntagonistsPharmaceutical Preparations

Identifiers

PMID33206684
PMCPMC7673523
OpenAlexW3100558140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.