Predictors of Infection in Children with Systemic Lupus Erythematosus: A Single Center Study in Indonesia

Sari, Maria Kristianti and Satria, Cahya Dewi and Arguni, Eggi (2021) Predictors of Infection in Children with Systemic Lupus Erythematosus: A Single Center Study in Indonesia. Global Pediatric Health, 8. ISSN 2333794X

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Abstract

Patients with Systemic Lupus Erythematosus (SLE) are susceptible to infection due to defects in their immune system. Corticosteroids and immunosuppressant drugs used as SLE therapy also contribute to infection. This study aimed is to determine predictors of infection in pediatric patients with SLE. This retrospective cohort study was conducted at Dr. Sardjito Hospital, a referral hospital in Yogyakarta, Indonesia between 2013 and 2019. Logistic regression analysis was performed to identify predictor variables for the occurrence of infection. A total of 109 SLE patients were included in this study. The incidence of infection in children with SLE was 27.5. The most common types of infection in hospitalized SLE patients were urinary tract infections (41), skin and soft tissue infections (20.5), and pneumonia (20.5). Multivariate regression analysis showed that the use of methylprednisolone pulse dose (RR 3.204; 95 CI 1.234-8.318) was a predictor of infection. Clinician should closely observe SLE patients with predictors for infection. © The Author(s) 2021.

Item Type: Article
Additional Information: Cited by: 1; All Open Access, Gold Open Access, Green Open Access
Uncontrolled Keywords: azathioprine; carbapenem; cephalosporin; chloroquine; corticosteroid; cyclophosphamide; cyclosporine; methylprednisolone; mycophenolate mofetil; penicillin derivative; Article; body mass; brain abscess; child; cohort analysis; disease activity; disease duration; disease severity; female; follow up; hospitalization; human; incidence; infection; kidney disease; major clinical study; male; nephritis; observational study; pneumonia; preschool child; retrospective study; risk factor; sepsis; Sequential Organ Failure Assessment Score; SLEDAI; systemic lupus erythematosus; thrombocytopenia; urinary tract infection
Subjects: R Medicine > RB Biomedical Sciences
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Sri JUNANDI
Date Deposited: 18 Sep 2024 04:14
Last Modified: 18 Sep 2024 04:14
URI: https://ir.lib.ugm.ac.id/id/eprint/4837

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