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All Journal Indonesian Journal of Tropical and Infectious Disease
Effendi, Rambu Farah
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Earth & Planetary Sciences Health Professions Medicine & Pharmacology Public Health

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CLINICAL AND HEMOGLOBIN PROFILE OF MALARIA PATIENTS IN KARITAS HOSPITAL, SOUTHWEST SUMBA, PERIOD OF YEAR 2017 Johan, Alvin; Natalia, Audrey; Djauhari, William; Effendi, Rambu Farah
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 1 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i1.11455

Abstract

Malaria infections in high endemic areas are not pathognomonic and often show non-specific symptoms. The Southwest Sumba district is a high endemic area of malaria with the annual parasite incidence (API) of 14.48"°. The research conducted in this area was to identify the clinical and hemoglobin profile of malaria patients and to obtain comprehensive information on the clinical characteristics of malaria in a high endemic area of Southwest Sumba district. This is a descriptive cross-sectional study. The data was obtained from the medical record of malaria patients between  January 1st and December 31st, 2017 in Karitas Hospital, Southwest Sumba district. Inclusion criteria were patients with asexual stages of Plasmodium spp. on their Giemsa-stained thick and thin peripheral blood smears examination. Exclusion criteria were malaria patients with coexisting diseases and who had taken medication before admitted to the hospital. The total number of patients was 322 patients, 50.6% of the subjects were ≥ 15 years old and 59.3% were male. Among 322  patients, 133 subjects were treated as inpatients. The result shows that most infection was caused by a single infection of P. falciparum.  The most common clinical symptom was fever (98.4%), followed by headache, vomiting, cough, and nausea. The most common physical finding was the axillary temperature of > 37.5°C (87.6%) followed by anemic conjunctiva and hepatomegaly, which was mostly found in pediatric patients. The number of patients with hemoglobin level ≤ 10 g/dL was 129. The MCV <80 fL was found in 79% of patients with anemia. Severe malaria was found in 116 subjects in this study according to severe malaria criteria set by the Indonesian Ministry of Health. Study results were consistent with other existing studies from other high endemic areas in East Nusa Tenggara province.
Clinical Profiles, Laboratory, Radiological and Outcome of COVID-19 Elderly Patients in Waikabubak Regional General Hospital, West Sumba Laurentia, Lisbeth Maria; Effendi, Rambu Farah
Indonesian Journal of Tropical and Infectious Disease Vol. 10 No. 2 (2022)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v10i2.33381

Abstract

Cases of COVID-19 in the elderly show varied clinical characteristics. Elderly patients tend to be easily infected with COVID-19 and experience more severe conditions. This study aims to analyze the correlation between clinical characteristics of elderly COVID-19 patients and severity of COVID-19 disease at Waikabubak Regional General Hospital. Retrospective study from the medical records of elderly patients with confirmed COVID-19 at Waikabubak Regional General Hospital in March 2020 – September 2021. Inclusion criteria were elderly patients with confirmed COVID-19 who underwent treatment in COVID isolation room and did rapid antigen examination. The data collected were demographics, clinical manifestations, laboratory, radiological features, comorbid, and outcomes. Data analysis using SPPS for Window 12.0 version. There were 33 patients with 18 men and 15 women. Patients aged 65-74 are the most infected with COVID-19 and experience more severe conditions. Patients with no previous vaccine history were associated with the severity of COVID-19. Elderly patients with obesity tend to experience severe COVID-19 symptoms. Elderly patients with multi-comorbidities tend to experience severe COVID-19 symptoms. Dominant clinical symptoms in elderly patients were cough (33%), shortness of breath (25%) and fever (21%). Hematologic parameters that correlated with severity were hemoglobin, platelets, NLR, ALC and RBG. The most common radiological findings were bilateral infiltrates (92%). Mortality rate of elderly COVID-19 patients treated at the Waikabubak Regional General Hospital still tends to be high (42%). Age, vaccine history, obesity, shortness of breath, multi-comorbidities, laboratory and radiology significantly influence the severity of COVID-19 infection in the elderly.
Co-Authors Djauhari, William Johan, Alvin Lisbeth Maria Laurentia, Lisbeth Maria Natalia, Audrey