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Abstract

The risk of paracetamol induced hepatotoxicity could increase with alcohol consumption.
Paracetamol was usually given to tropical malaria patients to treat fever. The aim of this study
was to determine the hepatotoxicity effect of alcohol consumption in malaria tropica patients
receiving paracetamol. This study was a cross-sectional study which was conducted during
April-June 2015 at a hospital in Jayapura, Indonesia. The data were obtained from questionnaires
and medical records. Alcohol status was determined by Short Michigan Alcoholics Screening
Test (SMAST) questionnaire. Level of ALT, AST and bilirubin were observed before and after
receiving paracetamol therapy for 5 days. Based on the results, the ALT and bilirubin levels of
alcoholic group were higher than in non-alcoholic. However, chi-square test showed that alcohol
status did not have a significant influence in ALT, AST, and bilirubin levels. Otherwise,
logistic regression analysis showed that age gave a significant effect on AST level (P=0.067).

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