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All Journal Jurnal Ilmu Kesehatan Indonesia (JIKSI) Frontiers on Healthcare Research
Alkamdani, Riki
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Penurunan Kasus Tuberkulosis Anak saat Pandemi Covid-19 di RSUD Dr. Achmad Mochtar Bukittinggi Humaira, Hamdini; Fitria, Liza; Alkamdani, Riki; Yani, Finny Fitry
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1278

Abstract

Abstrak Latar Belakang: Pandemi COVID-19 berdampak pada layanan esensial tuberkulosis (TB) di seluruh dunia. Objektif: Penelitian ini bertujuan untuk mendeskripsikan profil TB anak sebelum dan selama pandemi COVID-19 pada pasien rawat jalan anak di Rumah Sakit Dr. Achmad Mochtar Bukittinggi, Sumatera Barat, Indonesia. Metode: Penelitian ini dilakukan secara deskriptif retrospektif, dari data rekam medis pasien rawat jalan TB anak tahun 2017-2022 di Rumah Sakit Dr. Achmad Mochtar Bukittinggi. Data usia, jenis kelamin, klasifikasi diagnosis TB, gejala dan tanda dikumpulkan. Kami juga membandingkan total kasus sebelum (2017-2019) dan saat (2020-2022) pandemi COVID-19. Hasil: Subyek yang terdiagnosis TB anak sebanyak 164 anak, sebagian besar berusia 5-14 tahun (56,1%) dan berjenis kelamin laki-laki (53%). TB paru sebanyak 65,9% dan sebagian besar didiagnosis berdasarkan sistem skor TB anak Indonesia (68,9%). Gejala terbanyak adalah batuk >2 minggu (75%), diikuti gizi buruk (70,1%), dan demam >2 minggu (55,5%). Pembesaran kelenjar getah bening sebanyak 51,8% dan tidak ada pembengkakan sendi atau tulang. Tes kulit tuberkulin positif ditemukan sebanyak 62,2% dan rontgen dada menunjukkan sugestif TB pada 25,6% pasien. Dalam analisis perbandingan, kami menemukan bahwa jumlah kasus TB anak mengalami penurunan yang signifikan (p<0,01) selama pandemi COVID-19 mencapai 70% dibandingkan sebelumnya. Namun tren kasus TB anak kembali meningkat pada tahun 2022 lebih dari 100%. Kesimpulan: Terjadi penurunan kasus TB anak secara signifikan selama pandemi COVID-19, namun meningkat tajam pada tahun 2022. Kata kunci: COVID-19, tuberkulosis anak
Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Co-Authors Amirah Zatil Izzah Finny Fitry Yani Humaira, Hamdini Liza Fitria, Liza Ratno Widoyo, Ratno