Barriers to diagnosis and management of CNS infections in Indonesia

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Darma Imran, Sekar Satiti, Paulus Sugianto, Riwanti Estiasari, Kartika Maharani, David Pangeran, Putri Widya Andini, Badrul Munir, Arthur H.P. Mawuntu, Ni Made Susilawathi, Kiking Ritarwan, O.S. Hartanto, Meity Frida, Ahmad Rizal Ganiem, Dede Gunawan, Sofiati Dian, A.A.R. Sudewi, Reinout Van Crevel

2019 Neurology Vol. 92 Issue 2 Review Cited by 6 SDG 3SDG 17 Quartile

Abstract

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. © 2018 American Academy of Neurology.

Affiliations

Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia; Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia; Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia; Faculty of Medicine, Universitas Udayana, Denpasar, Indonesia; Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia; Faculty of Medicine, Universitas Negeri Sebelas Maret, Solo, Indonesia; Faculty of Medicine, Universitas Andalas, Padang, Indonesia; Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Department of Internal Medicine and Radboud, Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, United Kingdom

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