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Felicia, Fabiola Vania
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Health Professions Medicine & Pharmacology Public Health

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Manifestasi Klinis Infeksi COVID-19 pada Anak Felicia, Fabiola Vania
Cermin Dunia Kedokteran Vol 47, No 8 (2020): Kardiologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (105.693 KB) | DOI: 10.55175/cdk.v47i8.774

Abstract

Coronavirus Disease 2019 (COVID-19) merupakan penyakit infeksi baru dengan tingkat penyebaran sangat cepat dan saat ini menjadi pandemi. Sampai Juni 2020, tercatat sekitar 8 juta kasus positif COVID-19 di dunia. Penyakit ini disebabkan oleh spesies coronavirus, SARS-CoV-2. COVID-19 ditularkan dari manusia ke manusia dan dapat menginfeksi seluruh kalangan usia. Sebagian besar kasus COVID-19 anak asimptomatik atau bergejala ringan sehingga status infeksi COVID-19 anggota keluarga penting untuk deteksi infeksi COVID-19 pada anak. Konfirmasi kasus pada anak sama halnya pada kasus dewasa dengan pemeriksaan RT-PCR. Prinsip tatalaksana adalah isolasi, terapi suportif, dan simptomatik sesuai kondisi pasien.Coronavirus Disease 2019 (COVID-19) is a new communicable disease that has spread rapidly around the world and causing a global pandemic. As of June 2020, approximately 8 million confirmed cases of COVID-19 have been reported worldwide. This disease is caused by coronavirus species, the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 spreads through human-to-human transmission and affected every age group. Most cases of COVID-19 in children were asymptomatic or mild; family clustering is a strong epidemiological link in pediatric COVID-19. Preferred diagnostic test in children is similar to adult, with RT-PCR test. Management is based on clinical conditions, which include self-isolation, supportive therapy, and symptomatic therapy.
Manajemen Laktasi di Masa Pandemi COVID-19 Felicia, Fabiola Vania
Cermin Dunia Kedokteran Vol 47, No 11 (2020): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.492 KB) | DOI: 10.55175/cdk.v47i11.1198

Abstract

Pandemi infeksi severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) sudah terbukti dapat menyerang seluruh kelompok masyarakat termasuk ibu hamil dan neonatus. Angka kejadian anak di bawah usia 10 tahun <1% kasus. Neonatus dengan coronavirus disease 2019 (COVID-19) kebanyakan asimtomatik atau klinis ringan. Hingga saat ini, risiko transmisi infeksi SARS-CoV-2 melalui air susu ibu (ASI) masih belum jelas dan belum dapat disingkirkan. Hal ini menyebabkan munculnya keraguan terhadap praktik pemberian ASI. WHO merekomendasikan ibu suspek atau terkonfirmasi COVID-19 untuk tetap menyusui. Manfaat ASI dibandingkan dengan potensi risiko infeksi COVID-19 pada neonatus perlu diketahui, sehingga dapat mendukung berlangsungnya praktik menyusui di masa pandemi ini.Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection pandemic has affected all populations including pregnant women and neonates. Clinical features of neonates with coronavirus disease (COVID-19) are generally mild or asymptomatic. Cases of COVID-19 in children younger than 10 years old were <1 %. To date, the possibility of COVID-19 virus transmission from mothers to their newborns through breastmilk still cannot be ruled out. WHO recommends every mother with confirmed or suspected SARS-CoV-2 infection should be supported to continue or initiate breastfeeding. Mothers should know the advantages of breastfeeding compared to potential risks of COVID-19 transmission, so that continuation of breastfeeding practice could be maintained during pandemic.
Corrosive esophagitis due to alkali ingestion in children: a case report Felicia, Fabiola Vania; Sutarinda, Rina Desdwi Utami; Budiyanto, Budiyanto
Paediatrica Indonesiana Vol. 65 No. 6 (2025): November 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Caustic ingestion is a relatively common event in childhood. History, identification of chemical substances, and clinical features are essential to predict the extension of damage and plan for diagnostic modalities and management. Thorough follow-up should be done to evaluate the development of complications. This report is about a 16-months-old boy who was admitted to the ER with frequent vomiting and swollen, reddened lips that appeared a few minutes after the accidental ingestion of air conditioner cleaner, which happened in the evening after iftar, 21 hours prior to admission. Clinical findings were first to third degree burns on lips and perioral skin, oropharyngeal mucosa, anterior of right axilla, shoulder, and right-back side of neck to upper back. Laboratory findings revealed anemia, leukocytosis, and thrombocytosis. Patient’s management includes NPO, total parenteral nutrition (first three days), broad-spectrum intravenous antibiotic, analgetic, PPI, corticosteroid, and sucralfate. Esophagoscopy and guided NGT insertion were done on the fourth day, and the diagnosis of esophagitis grade 2A was confirmed. Enteral feeding was started immediately and gradually increased until full oral feeding was achieved. The patient was hospitalized for ten days. It was concluded that in the case of caustic ingestion, the type of caustic substance and degree of injury determine the proper management of corrosive esophagitis, predict its complications, and follow-up planning.
Co-Authors Budiyanto Budiyanto Sutarinda, Rina Desdwi Utami