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Journal : Paediatrica Indonesiana

Profiles of diphtheria cases in children in Hasan Sadikin Hospital, West Java Iskandar, Safira Atya; Setiabudi, Djatnika; Tarigan, Rodman; Alam, Anggraini; Afriandi, Irvan
Paediatrica Indonesiana Vol. 64 No. 4 (2024): July 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.4.2024.305-10

Abstract

Background Diphtheria cases continue to be reported in Indonesia, which has long been one of the countries with the highest number of diphtheria cases worldwide. One of Indonesia's province with the highest annual diphtheria cases is West Java. Dr. Hasan Sadikin General Hospital (RSHS) is one of the tertiary referral hospitals in Bandung, West Java, that treats several diphtheria cases annually. No study focused on the clinical characteristics of diphtheria cases in children admitted to RSHS between 2017 and 2021 yet. Therefore, this study sought to analyze that. Objective To find out the profiles of children < 18-year-old with diphtheria admitted in RSHS between 2017-2021. Methods This descriptive, cross-sectional study reviewed the medical records of diphtheria patients 0 to 18-year-old who were admitted to RSHS between year 2017 and 2021. Results Out of 45 subjects, 76% were males. The median of age was eight years old, ranging from 2 to 17 years. Most patients lived in urban areas and had normal anthropometry status, although some showed abnormal findings. The data showed that 44% had more than 3 days of onset until admission to the hospital, and the median length of stay was 9 days. The clinical characteristics showed that 91% of patients had pseudomembrane, also present with cough, common cold, hoarseness, stridor, and bull’s neck. As many as 44% of patients did not have complete basic immunization status. Complications found were airway obstructions, myocarditis, and sepsis, and 2 deaths were reported. Conclusion Pseudomembrane was found in the majority of patients. Most patients were over five years of age, and almost half number of the patients did not have complete basic immunization status, indicating the need for improved immunization and booster coverage.
Co-Authors -, Burhan Abdullah Ichsan Ain Izzati Khiruddin Ain Izzati Khiruddin, Ain Izzati Albaru, Agung Allania Hanung Putri Sekar Ningrum Andila, Anggia Dwi Anggia Dwi Andila Anggia Farrah Rizqiamuti, Anggia Farrah Anggraini Alam, Anggraini Anita D. Anwar Annisa Fitri Maharani Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Argya Nareswara Arifah Nur Istiqomah Atiek Novianty Atri Laranova Bachti Alisjahbana Balqis, Dinda Benny Hasan Purwara Briska Sudjana Budi Sujatmiko Burhan Burhan, Burhan Chrysanti Murad Chrysanti Murad, Chrysanti Dahlia Yulianti Dany Hilmanto Deni Kurniadi Sunjaya Dewi Marhaeni Diah Herawati Dida Akhmad Gurnida Djatnika Setiabudi Eka Nurfitri, Eka Eleonora Anindya Tiara Dewi Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Emi Demiyanti Fadillah, Reza Arif Fardin Hasibuan Farid Husin Febri Sri Lestari Fedri Ruluwedrata Rinawan Fianza, Padji Irani Fitriyah, Sukhriyatun Gatot N. A. Winarno Giyawati Yulilania Okinarum Hadyana Sukandar Herawati, Pipit Herry Garna Herry Herman Ichsan, Abdullah Ika Murtiyarini Insi Farisa Arya Insi Farisa Arya Insi Farisa Arya, Insi Farisa Insi Farisa Desy Arya Ishak Abdulhak Iskandar, Hadyana Iskandar, Safira Atya Julistio T. B. Djais Julistio T. B. Djais, Julistio T. B. Kevin Gunawan Krisnian, Tharani Kurnia Wahyudi Kurnia Wahyudi Kurnia Wahyudi Kurnia Wahyudi, Kurnia Kusnandi Rusmil Laili Aznur Laili Aznur, Laili Laranova, Atri Maharani, Annisa Fitri Maria Lidwina Soetanto Nareswara, Argya Nita Arisanti Nita Arisanti Nur Fadilla Nur Fadilla, Nur Nurrasyidah, Nurrasyidah Nurul Auliya Kamila Okta Wismandanu Padji Irani Fianza Pipit Herawati Pipit Herawati Prasetya, Taufan Rafsae Iqbal Akbar Rodman Tarigan Rudi Herman Sitanggang Rudi Herman Sitanggang, Rudi Herman Sahril, Indra Sari Puspa Dewi Setiawan Setiawan Shuffi Galuh Aditiyanti Siska Bradinda Putri Sudirman Siti Karlinah Solek, Purboyo Sri Endah Rahayuningsih Sri Yusnita Irda Sari, Sri Yusnita Irda Sudjana, Briska Susiarno, Hadi Syaputra, Muhammad Lyan Tharani Krisnian Titing Nurhayati Tono Djuwantono Tono Djuwantono Tuti Wahmurti Uni Gamayani, Uni Villia Damayantie Vita Murniati Tarawan Winarno, Gatot N.A Witri Septiani Wulan Fitrian Yudi Rachman Saleh Yudi Rachman Saleh, Yudi Rachman Yulia Sofiatin Yulidar Yanti Yuni Susanti Pratiwi Yuni Susanti Pratiwi, Yuni Susanti Yussy Afriani Dewi