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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana Indonesian Journal for Health Sciences (IJHS) ISM (Intisari Sains Medis) : Jurnal Kedokteran JBMR: Journal of Business and Management Review
Made Gede Dwi Lingga Utama
Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Udayana, Bali
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : ISM (Intisari Sains Medis) : Jurnal Kedokteran

 1 
Study of knowledge in diarrhea and personal hygiene among students below 10 years old in SD Santo Yoseph 2, Denpasar in 2016-2017 Karthigeyan Manogaran; I Made Gede Dwi Lingga Utama; I Wayan Gustawan
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.448 KB) | DOI: 10.15562/ism.v10i2.411

Abstract

Background: The lack of basic knowledge of diarrhea and also poor self-hygiene might be the risk factors of diarrhea.Aim: The study aims to identify the knowledge of diarrhea and personal hygiene among student below 10 years old in SD Santo Yoseph 2, Denpasar, Bali. Method: This cross sectional study was conducted on students below 10 years old in SD Santo Yoseph 2, Denpasar. Fifty students participated in this study, and they were divided into two groups. Of total study participants, 25 were from 8 years old, and 25 were from 9 years old. They were asked to fill up a self-administered questionnaire. The variables assessed were their knowledge of diarrhea (definition, etiology, risk factors, sign and symptoms, complications, treatment and management, and prevention) and application of personal hygiene.Result: About 34% of 50 students below 10 years old in SD Santo Yoseph respectively had good knowledge of diarrhea. However, 66% of students had very less knowledge about diarrhea where they get below. For the application of personal hygiene, 24% of students managed to get a good score while 74% of them failed to get a good score. The vast majority had adequate knowledge of the definition of diarrhea. At the same time, the majority of the students was unable to know that dehydration is the complication of diarrhea due to the loss of a large amount of water and salt in the body.Conclusion: Though the overall knowledge in diarrhea and application of hygienic lifestyle among the students were poor, few minorities of the students had a good understanding of both these variables. There is a strong need for early childhood education about knowledge in diarrhea and personal hygiene in school level itself as a method of prevention.
Mean platelet volume count as a risk factor for bloodstream infection in Pediatric Ward Sanglah General Hospital Denpasar, Bali-Indonesia Ni Putu Wirantari; I Wayan Gustawan; Made Gede Dwilingga Utama; Bagus Ngurah Putu Arhana; Ni Nengah Dwi Fatmawati; Ni Made Adi Tarini
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (425.308 KB) | DOI: 10.15562/ism.v11i1.553

Abstract

Background: Mean platelet volume (MPV) is a potentially interesting parameter in predicting bacteremia in patients admitted with suspected community-acquired  infections. The incidence of bacteremia, defined as the presence of viable bacteria in the bloodstream, in patients who were being admitted to hospital. Multiple recent studies have confirmed that low-level bacteremia is more common than previously thought, occurring in 38% to 68% of all pediatric patients with a positive blood culture. The mortality rate is 25%–30%, increases to 50% when associated with severe sepsis. The objective of this study is to investigate whether MPV as a risk factor for bloodstream infection.Methods: This was a hospital-based case-control study, review of the medical record from January 2016 until December 2018. We collect age, gender, MPV, platelet and blood culture. We analyze the association between MPV to bloodstream infection.Result: Between January 1st 2016 and December 31st 2018, there were 86 patients with positive blood cultures and 89 negative blood cultures. In the case group, there were 48 (53.9%) male and 41 (46.1%) female subjects, while in the control group there were 63 (73.3%) male and 23 (26.1%) female subjects. The median age for case group was 14 months while the median age for control group was 23 months. From the ROC curve, the optimal cutoff value for MPV was determined as 5.59. The odd ratio determined the relationship between MPV to blood stream infection was 2,26 with 95% CI 1.13-4.52. The adjusted odds ratio was 2.24 95% CI (1.10-4.57). The majority diagnosis was pneumonia (46.1%) in case group then early onset neonatal sepsis (28.1%) and meningitis (7.9%).Conclusion: The MPV ≥5.59 is a risk factor for developed bloodstream infection. This result can be used as a cutoff point to initially administered antibiotic to prevent the worse prognosis (sepsis, multiple organ failure, and death).
Karakteristik infeksi Acinetobacter baumannii pada anak yang dirawat di RSUP Sanglah, Bali, Indonesia periode Januari 2017-Desember 2018 Gusti Ayu Putu Sri Satya Mahayani; I Wayan Gustawan; I Made Gede Dwi Lingga Utama; Ida Bagus Gede Suparyatha; I Made Arimbawa; Ni Made Adi Tarini
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (504.529 KB) | DOI: 10.15562/ism.v11i3.756

Abstract

Background: Acinetobacter baumannii is a gram-negative bacterium that can cause nosocomial infections in humans. An increased incidence of A. baumannii infection is accompanied by increased antibiotic resistance and mortality from this bacterial infection. This study aims to determine the characteristic Acinetobacter baumannii infection and the pattern of germ sensitivity of antibiotics in children treated at Sanglah Hospital.Methods: A cross sectional study was conducted in the Pediatric Ward Sanglah Hospital. We performed a retrospective review of medical records from pediatric patients who were proven to have Acinetobacter baumannii infection through microbiological examination from blood culture samples while undergoing treatment in Pediatric Ward Sanglah Hospital from January 2017 to December 2018. Data were analyzed using SPSS version 20 for Windows.Results: A total of 33 pediatric patients were proven to have Acinetobacter baumannii bloodstream infection through microbiological examination. Most of them are males (72.7%) and 57.57% are neonates. Laboratory results obtained mean leukocyte levels 16.2±8.6 x 103/?L, median platelets 113.8 (3.7-464) x 103/?L, and mean procalcitonin 20.0±3.11 ng/ml. The average length of stay before Acinetobacter baumannii infection was 7 days, with the average total length of stay was 29.7 days. Patients who died during treatment were relatively high (45.5%) and 84.8% of them were treated in the intensive care unit, with 30 out of 33 patients infected with A. baumannii multidrug-resistant (MDR). Most patients use medical devices with an average usage time of more than 7 days.Conclusion: Most patients infected by Acinetobacter baumannii are treated in the intensive care unit with a high mortality rate. The A.baumannii bacteria identified were mostly MDR with a history of long-term use of antibiotics and medical devices. Latar Belakang: Acinetobacter baumannii adalah bakteri gram negatif yang dapat menyebabkan infeksi nosokomial pada manusia. Terdapat peningkatan insiden infeksi A. baumannii yang disertai peningkatan kejadian resistensi terhadap antibiotik, serta mortalitas akibat infeksi bakteri ini. Penelitian ini bertujuan untuk mengetahui bagaimana gambaran infeksi Acinetobacter baumannii serta pola sensitifitas kuman terhadap antibiotik pada anak yang dirawat di RSUP Sanglah yang merupakan rumah sakit rujukan di wilayah Indonesia bagian timur.Metode: Studi ini merupakan studi deskriptif dengan pendekatan potong lintang. Studi ini menggunakan data sekunder dari rekam medis pasien anak yang terbukti terinfeksi Acinetobacter baumannii melalui pemeriksaan kultur darah selama dirawat di RSUP Sanglah periode Januari 2017-Desember 2018. Data dianalisis dengan SPSS versi 20 untuk Windows.Hasil: Terdapat 33 pasien dengan kultur darah positif Acinetobacter baumannii. Sebagian besar berjenis kelamin lelaki (72,7%) dan 57,57% merupakan neonatus kurang bulan. Hasil laboratorium didapatkan rerata kadar leukosit 16,2±8,6 x 103/?L, median trombosit 113,8 (3,7- 464) x 103/?L, dan rerata procalcitonin 20,0±3,11 ng/ml. Median lama perawatan sebelum terjadinya infeksi adalah 7 hari dengan rerata lama perawatan 29,7 hari. Pasien yang meninggal selama perawatan cukup tinggi (45,5%) dan 84,8% dari pasien dirawat di ruang intensif dengan 30 dari 33 pasien terinfeksi multidrug resistant (MDR) A. baumannii. Sebagian besar pasien menggunakan alat medis dengan rerata lama pemakaian lebih dari 7 hari.Simpulan: Sebagian besar pasien yang terinfeksi Acinetobacter baumannii dirawat di ruang intensif dengan angka kematian yang cukup tinggi. Kuman A.baumannii yang teridentifikasi sebagian besar bersifat MDR dengan riwayat penggunaan antibiotika serta alat medis dalam jangka waktu lama. 
Karakteristik anak dengan infeksi dengue di RSUP Sanglah, Denpasar, Bali Niluh Putu Wida Pangestika; I Wayan Gustawan; I Made Gede Dwi Lingga Utama
Intisari Sains Medis Vol. 13 No. 1 (2022): (Available Online : 1 April 2022)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.789 KB) | DOI: 10.15562/ism.v13i1.1261

Abstract

Background: Dengue infection is a global health problem. The incidence of this disease in children has tended to increase in the last three decades. The World Health Organization (WHO) noted that Indonesia has the highest dengue infection cases in Southeast Asia. Objective: To find the characteristics of children with dengue infection in Sanglah General Hospital, Denpasar, Bali Methods: This research is a retrospective cross-sectional study of pediatric patients aged 1-18 years with dengue infection treated at Sanglah Hospital, Denpasar City, from August 2017 until July 2021 using frame sampling. The collected data was analyzed statistically using SPSS for Windows version 23.0. Results: In this study, 137 children with dengue infection were treated at Sanglah Hospital. The median age of the subjects was 9 years (range 1-18 years), with the highest number in the 5-to-9-year age group (33.5%). 61.3% male and 38.7% female. The average length of stay of the subjects was 4 days. 79.6% of the subjects live in urban areas. The degree of infection in the study subjects was dengue fever 35.8%, dengue hemorrhagic fever grade I 19%, dengue hemorrhagic fever grade II 14,6%, dengue hemorrhagic fever grade III 19%, and dengue hemorrhagic fever grade IV 11.7%. Based on the outcome of the research subjects, 98.5% of the subjects had good outcomes. Conclusion: Children with dengue infection are mostly found in school-age children with male sex, living in urban areas, with an average length of stay of 4 days and a good outcome.   Latar belakang: Infeksi dengue masih merupakan masalah kesehatan dunia. Angka kejadian penyakit ini pada anak cenderung meningkat dalam tiga dekade terakhir. World Health Organization (WHO) mencatat negara Indonesia sebagai negara dengan kasus infeksi dengue tertinggi di Asia Tenggara. Penelitian ini bertujuan mengetahui karakteristik anak dengan infeksi dengue di RSUP Sanglah, Denpasar, Bali Metode: Penelitian ini dilakukan menggunakan rancangan penelitian retrospektif dengan desain potong lintang yang dilakukan di RSUP Sanglah, Denpasar, Bali pada bulan Juli 2021. Penelitian ini menggunakan data register pasien anak usía 1-18 tahun dengan infeksi dengue yang dirawat di RSUP Sanglah, di Kota Denpasar pada Agustus 2017 sampai Juli 2021. Pengambilan sampel dilakukan dengan cara frame sampling. Data yang terkumpul kemudian dianalisis secara statistik menggunakan SPSS for Windows versi 23.0. Hasil: Pada penelitian ini, terdapat 137 anak dengan infeksi dengue yang berobat di RSUP Sanglah yang dijadikan sampel penelitian. Median usia subjek didapatkan 9 tahun (rentang 1-18 tahun), dengan jumlah terbanyak pada kelompok usia 5-9 tahun (33,5%). Jenis kelamin laki-laki 61,3% dan perempuan 38,7%. Rerata lama rawat subjek adalah 4 hari. 79,6% subjek tinggal di daerah urban. Derajat infeksi pada subjek penelitian adalah demam dengue 35,8%, demam berdarah dengue derajat I 19%, demam berdarah dengue derajat II 14,6%, demam berdarah dengue derajat III 19%, dan demam berdarah dengue derajat IV 11,7%. Berdasarkan luaran subjek penelitian didapatkan 98,5% subjek dengan luaran baik. Simpulan: Anak dengan infeksi dengue banyak didapatkan pada anak usia sekolah, dengan jenis kelamin laki-laki, tinggal didaerah urban, dengan rerata lama rawat inap 4 hari dan luaran yang baik.
Co-Authors Agung Bagus S. Satyarsa Anak Agung Ngurah Ketut Putra Widnyana Andi Nurul Khadijah Artawan Artawan Bagus Ngurah Putu Arhana Dewi Sutriani Mahalini Dyah Kanya Wati Eka Gunawijaya Eko Kristanto Kunta Adjie Gusti Ayu Putu Sri Satya Mahayani I Gusti Ayu Putu Eka Pratiwi I Gusti Ngurah Sanjaya Putra I Ketut Suarta I Made Arimbawa I Made Yullyantara Saputra I Nyoman Budi Hartawan I Wayan Gustawan Ida Bagus Gede Suparyatha Ida Bagus Subanada Imanuel Y. Malino Jayadhi Widyakusuma Jefry Gilberth Koibur Karthigeyan Manogaran Ketut Ariawati Kresna Chandra Putra Mohammad Juffrie Ni Made Adi Purnami Ni Made Adi Tarini Ni Made Anggi Dwi Jayanti Ni Nengah Dwi Fatmawati Ni Putu Indah Kartika Putri Ni Putu Wirantari Ni Wayan Ari Utami Niluh Putu Wida Pangestika NP Veny Kartika Yantie Nyoman Dinar Astika Pande Putu Firsta Widyaning Sekar Wulan Prasetyaningtyas Siska Permanasari Sinardja Tedo Aris Pratama Yati Soenarto