Barriers to diagnosis and management of CNS infections in Indonesia

被引：6

作者：

Imran, Darma ^{[1
]}

Satiti, Sekar ^{[2
]}

Sugianto, Paulus ^{[3
]}

Estiasari, Riwanti ^{[1
]}

Maharani, Kartika ^{[1
]}

Pangeran, David ^{[1
]}

Andini, Putri Widya ^{[1
]}

Munir, Badrul ^{[4
]}

Mawuntu, Arthur H. P. ^{[5
]}

Susilawathi, Ni Made ^{[6
]}

Ritarwan, Kiking ^{[7
]}

Hartanto, O. S. ^{[8
]}

Frida, Meity ^{[9
]}

Ganiem, Ahmad Rizal ^{[10
]}

Gunawan, Dede ^{[10
]}

Dian, Sofiati ^{[10
]}

Sudewi, A. A. R. ^{[6
]}

van Crevel, Reinout ^{[11
,12
,13
]}

机构：

[1] Univ Indonesia, Fac Med, Jakarta, Indonesia

[2] Univ Gadjah Mada, Fac Med, Yogyakarta, Indonesia

[3] Univ Airlangga, Fac Med, Surabaya, Indonesia

[4] Univ Brawijaya, Fac Med, Malang, Indonesia

[5] Univ Sam Ratulangi, Fac Med, Manado, Indonesia

[6] Univ Udayana, Fac Med, Denpasar, Indonesia

[7] Univ Sumatera Utara, Fac Med, Medan, Indonesia

[8] Univ Negeri Sebelas Maret, Fac Med, Surakarta, Indonesia

[9] Univ Andalas, Fac Med, Padang, Indonesia

[10] Univ Padjadjaran, Fac Med, Bandung, Indonesia

[11] Radboud Univ Nijmegen, Med Ctr, Dept Internal Med, Nijmegen, Netherlands

[12] Radboud Univ Nijmegen, Med Ctr, Radboud Ctr Infect Dis, Nijmegen, Netherlands

[13] Univ Oxford, Nuffield Dept Med, Ctr Trop Med & Global Hlth, Oxford, England

来源：

NEUROLOGY | 2019年 / 92卷 / 02期

关键词：

D O I：

10.1212/WNL.0000000000006732

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Little is known about the management and outcome of CNS infections in Indonesia (population: approximately 261 million), and the burden of CNS infections is increasing as result of a rapidly growing HIV epidemic. Indeed, in a recent study in Jakarta,(1) 54% of patients with a CNS infection were HIV-infected, vs 25% in a similar study conducted in Bandung, the second largest city on Java.(2) Establishing the etiology of CNS infections is important for clinical management and outcome, but anecdotal evidence suggests that there are major gaps in clinical management, including a failure to recognize CNS infections, perform appropriate diagnostics, or initiate necessary drug treatment. In this study, we address some of these barriers by interviewing a group of Indonesian neurologists.

引用

页码：104 / 106

页数：3

共 5 条

[1] The effect of HIV infection on adult meningitis in Indonesia: a prospective cohort study [J].