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All Journal Jurnal NERS Indonesian Journal of Tropical and Infectious Disease The Indonesian Journal of Public Health Paediatrica Indonesiana Query : Jurnal Sistem Informasi Jurnal Respirasi (JR) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Anesthesiology and Reanimation (IJAR) Essential: Essence of Scientific Medical Journal

Dharmawati, Ira

Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Airlangga Kampus A Jl. Mayjen Prof. Dr. Moestopo Surabaya

Author-ID : 3291359

Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Articles

Clinical Profile of Children Presenting with Intoxication on Emergency Departement Soetomo Hospital in 2011 Ira Dharmawati; Neurinda Permata Kusumastuti; Arina Setyaningtyas
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Introduction: Acute poisoning in children is an important pediatric emergency and is a world wide problem, the majority of these poisoning incidents are unintentional and preventable. Based on data from WHO, the mortality of children under 4 years varies between 0.3–7% per 100,000 population in some countries in the world. The incidence, clinical proﬁle and the type of poison and the output of poisoning cases in children in Surabaya until now there is no deﬁnitive data. The objective of the study was to study the clinical proﬁle and outcome of childhood poisoning and intoxication in Soetomo hospital.Method: Design used in the study was a retrospective study done in children between 1 month and 18 years old of age who were admitted in emergency departement Soetomo hospital with diagnosis of acute poisoning between January until Desember 2012. Patients were proﬁled according to age, sex, poison consume and outcome.Result: There were 12 patients enrolled in the study. Male: female ratio was 2:1. The mean age of presentation was 53 months. Hydrocarbon poisoning was the commonest poisoning seen in (41.7%) patients followed by organophospat (33.3%) poisoning. During treatment, 58.3% received antibiotics, 25% patients who poisoning with organophosphat received antidots and 50% from all sample received antagonist histamin H2 because of stomached. Overall survival was 91,6%.Discussion: Hydrocarbon is the commonest agent involved in childhood poisoning. Overall, the outcome is good with 91,6% survival in our hospital.

Profile of Patients at Pediatric Emergency Services Soetomo Hospital Surabaya Ira Dharmawati; Arina Setyaningtyas; Neurinda Permata Kusumastuti
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Installation service system at the Emergency Department (ED) Soetomo Hospital is a coordinated and integrated system under one roof. Include emergency medical and emergency surgery in a very important component of health services at each hospital. The information published on the patient proﬁle and the usefulness of emergency care services indeveloping countries and developed countries is still very rare. This study aimed to describe the characteristic of patients attending the ED at Soetomo hospital Surabaya.Method: This study was a retrospective study. The proﬁle of patients visiting the ED for 1 year were recorded and presented descriptively.Result: The total number of patients visiting the hospital was 5,835, with a monthly average of 486 patients. The children at the age of 1–5 years presented the largest age group (33.6%). The main diagnosis was respiratory tract infection (31%), diarrhea (17.%), followed by seizure (12.4%). The overall mortality rate was 1.7%.Discussion: Respiratory tract infection in children at the age of 1–5 years still count as a major problem at Soetomo Hospital Surabaya.

The CDC PNU-1 criteria for diagnosis of ventilator-associated pneumonia Hapsari Widya Ningtiar; Dwi Putri Lestari; Neurinda Permata Kusumastuti; Arina Setyaningtyas; Retno Asih Setyoningrum; Ira Dharmawati; Abdul Latief Azis
Paediatrica Indonesiana Vol 59 No 4 (2019): July 2019
Publisher : Indonesian Pediatric Society

Background Ventilator-associated pneumonia (VAP) is one of the most common nosocomial infections in the pediatric intensive care unit (PICU), with mortality rates of up to 50%. Post-mortem pulmonary examination is considered to be the gold standard for diagnosis of VAP, but is impossible for routine application. The sensitivity and specificity of Clinical Pulmonary Infection Score (CPIS) are considered to be similar to the those of the gold standard, but the Centers for Disease Control and Prevention PNU-1 (CDC PNU-1) is simpler and not invasive, compared to the CPIS. Objective To evaluate the level of agreement between CDC PNU-1 and CPIS criteria in diagnosing VAP. Methods This cross-sectional study was conducted in the PICU at Dr. Soetomo Hospital, Surabaya from June to October 2018. Subjects were children aged 1 monthâ€“18 years who had been intubated for more than 48 hours. The VAP diagnoses were made by CDC PNU-1 and CPIS criteria. The level of agreement between the two methods was evaluated by Cohen's Kappa test using SPSS Statistics Base 21.0 software. Results hirty-six subjects were evaluated using CDC PNU-1 and CPIS criteria. Subjects' mean age was 3.5 (SD 4.7) years. Amongst 19 patients with VAP, 14 were diagnosed by CPIS criteria and 17 were diagnosed by CDC PNU-1 criteria. The level of agreement between the CDC PNU-1 and CPIS criteria was good (Kappa 0.61; 95%CI 0.31 to 0.83). The CDC PNU-1 had sensitivity 0.85, specificity 0.77, positive predictive value (PPV) 0.70, and negative predictive value (NPV) 0.89. Conclusion The CDC PNU-1 criteria has a good level of agreement with CPIS criteria in diagnosing VAP.

Pengembangan Media Pembelajaran Technical English Berbasis Digital Dharmawati Dharmawati, Sumi Khairani, Diana Suita
Query: Journal of Information Systems Volume: 01, Number: 02, October 2017
Publisher : Program Studi Sistem Informasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.806 KB)

This research is conducted based on the problem in teaching learning process of technical English for civil engineering in STT Harapan Medan. The use of lecturer method, copied and printed teaching material make the students unmotivated to learn English. The solution for this problem, it is needed to develop learning media based on CAI (Computer Aided Instruction). The objective of this research is developing digital English media designed for civil engineering students. This research conducted qualitative method using Development Research methodology, it is used Four D Model. Case of this research in STT Harapan Medan. The result of this research is the application of digital teaching materials in learning technical English, especially in grammar in civil engineering class. The digital teaching materials for grammar was designed by using SOM application and the exercise was designed by using cartoon story maker. Keywords: Computer Aided Instruction, Multimedia

Risk Factors for Mortality in Children with Hospital-Acquired Pneumonia in Dr. Soetomo General Hospital Surabaya Diska Hanifah Nurhayati; Retno Asih Setyoningrum; Arie Utariani; Ira Dharmawati
Jurnal Respirasi Vol. 7 No. 2 (2021): May 2021
Publisher : Faculty of Medicine Universitas Airlangga

Introduction: Hospital-Acquired Pneumonia (HAP) is a nosocomial pneumonia that brings negative impacts, such as prolonged hospital stay and increased cost. Previous studies often discussed about the risk factors of HAP mortality in adult patients rather than in children. This study aimed to analyze the risk factors of mortality in children with HAP.Methods: This was a retrospective observational analytic study using cross sectional method with total sampling. A total of 73 children were enrolled in this study, consisted of inpatients at Pediatric Inpatient Room Dr. Soetomo General Hospital Surabaya who met the inclusion and exclusion criteria. Independent variables were gender, age, onset of HAP, length of stay (LOS), comorbidities, birth weight, type of breastfeeding, the use of mechanical ventilation (MV), and response to therapy. Dependent variable was mortality. The data were collected from medical records, which later were analyzed by bivariate and multivariate analysis.Results: The mortality of children with HAP was 23.3%. Bivariate analysis showed that age (p = 0.009), the use of MV (p = 0.029), and response to therapy (p = 0.036) were proven to affect mortality in children with HAP in Dr. Soetomo General Hospital Surabaya. In addition, the use of MV was the significant risk factor (p = 0.023) given by the multivariate analysis. Gender, onset of HAP, LOS, comorbidities, and type of breastfeeding were not proven to be the risk factors for mortality.Conclusion:Mortality in children with HAP in Dr. Soetomo General Hospital Surabaya was significantly affected by children’s age, the use of MV, and response to therapy. This information might be used as early signs and treatment strategies for children with HAP which lead to the decrease of hospital mortality.

Prevalensi dan Luaran Gangguan Hemodinamik Dengue Shock Syndroma pada Anak Di Departemen Anak RSUD Dr SOetomo Fenska Seipalla; Ira Dharmawati; Sundari Indah Wiyasihati
Essence of Scientific Medical Journal Vol 18 No 1 (2020): Volume 18 No. 1 (Januari - Juni 2020) Essential: Essence of Scientific Medical J
Publisher : Kelompok Ilmiah Hippocrates Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ESTL.2020.v18.i01.p06

Abstract The prevalence of Dengue infection has increased markedly worldwide. Dengue shock syndrome (DSS) is a severe manifestation of dengue virus infection. Higher mortality of DSS was found in children. This study’s aim was to portray prevalence and hemodynamic outcome in children attending the department of pediatric in Dr. Soetomo General Hospital. A Descriptive Retrospective study of children aged <15 years old with DSS was performed and evaluated from 2013-2016. The samples were divided into 5 groups, aged <1 years old, 1-2 years old, 3-5 years old 6-11 years old and 12-15 years old. Data were taken secondarily and calculated with Microsoft Excel 2010. The most common findings were prevalence of DSS in 6-11 years old group and mortality rate in <1 years old group. This can be seen as in the hemodynamic outcome; the average HR was higher in aged group 1-2 years old while RR was higher in group under 1-year-old. Meanwhile, the average blood pressure, PP, and MAP were lower in children under 2 years old. The hemodynamic outcome varies on each group based on age. Incidence of DSS remained high in older children but mortality rates were high in younger children.

THE CORRELATION BETWEEN KNOWLEDGE AND FOOD SELECTION PRACTICES AND HAZARDOUS SUBSTANCES AMONG JUNIOR HIGH SCHOOL STUDENTS Cindy Zerlina Artanti; Linda Dewanti; Ira Dharmawati
The Indonesian Journal of Public Health Vol. 17 No. 1 (2022): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Introduction: There are many cases of food poisoning in Surabaya. Furthermore, there are also many food vendors around the school and canteen using hazardous substances which can cause food poisoning. The aim of this study was to analyze the association between knowledge and food selection practices among students at one of junior high schools in East Surabaya towards hazardous substances. Methods: The methods of this is an analytic-observational study with a cross-sectional design which used primary data from the student who fills out the questionnaire. The study sample includes 119 students at junior high school 19 Surabaya, Indonesia, range of age 12-14 years old. The dependent variable in this study food selection practices, the independent variable was level of knowledge of hazardous substances. The study used 4 questionnaires to collect the data. Data collection was carried out in December 2019, this study used simple random sampling and the data analyzed by Chi-Square Test. Result: The results of this research showed that 52.9% of students have knowledge category ‘moderate’ and 47% of students ‘food selection practices’ category ‘correct’. This research showed that there was no significant correlation between knowledge and food selection practices. Conclusion: The conclusion of this study there was no significant correlation between knowledge and food selection practices towards on hazardous substances, it must another factor that could be affected the decision of adolescents. Keywords: food poisoning, food selection, knowledge, food vendor, hazardous substances, schoolchildren

Faktor Risiko Pneumonia Komplikata Pada Anak Pratista Oktafia; Prananda Surya Airlangga; Ira Dharmawati; Retno Asih Setyoningrum
Majalah Kedokteran Indonesia Vol 71 No 3 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.3-2021-336

Introduction: Pneumonia causes morbidity and mortality in children worldwide. Pediatric patients with complicated pneumonia have a poor prognosis and are more at risk of death. Objective To identify risk factors for complications in pediatric patients with pneumonia. Method: This research was a case-control study, involving children with pneumonia aged 1-59 months in Dr. Soetomo in 2016-2020. The sample was divided into two groups. Patients who had complications at first admission were classified as a case group. Whereas patients without complications at first admission were classified as a control group. Samples for the case group were obtained by using total sampling method, while the control group employed random sampling technique. Data were collected from medical records and analyzed by chi-square test. Result: A total of 44 case group samples and 53 control group samples were involved during this study. Among investigated variables, male gender (OR=2,842; 95% CI, 1,24-6,49) and anemia (OR=3,283; 95% CI, 1,26-8,49) might increase the risk of complicated pneumonia. Meanwhile other variables, namely age, comorbidities, birth weight, malnutrition, and immunization status did not have a significant relationship with the incidence of complications in pneumonia patients. Conclusion: Male gender and anemia are risk of complicated pneumonia.

Profile of Airway Patency, Respiratory Rate, PaCO2, and PaO2 in Severe Traumatic Brain Injury Patients (GCS Maria Marind Desrianti Hutauruk; Ira Dharmawati; Philia Setiawan
Indonesian Journal of Anesthesiology and Reanimation Vol. 1 No. 2 (2019): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Introduction: Traumatic Brain Injury (TBI) is the most common neurotrauma with high morbidity and mortality. Many guidelines recommend the use of mechanical ventilation for severe TBI patients, but there are limited resources of procuring ventilator machine in hospitals especially in developing countries. Yet it is not comparable with the number of TBI patients. Objective: This study is purposed to provide the profile of ventilation and oxygenation (airway patency, RR, PaCO2, and PaO2) in severe TBI patients (GCS<9) admitted in the Emergency Room (ER) of Dr. Soetomo General Academic Hospital Surabaya. Method and Material: This is a retrospective study using medical records of patients with TBI who were admitted in the ER of Dr. Soetomo General Academic Hospital from January to December 2017. The patient's general characteristics, blood gas analysis (PaCO2, PaO2), airway patency were recorded and analyzed. Results and Discussion: Thirty-seven severe TBI patients were included in the analysis. 30 men (81.1%) and 7 women (18.9%) with an average of 37±16 years old (range: 5-65) were studied. Most of the patients (94.6%) had MAP between 60 and 160 mmHg, PaCO2<35 mmHg (72.9%), PaO2>60 mmHg (100%), RR>20 breaths per minute (70.2%), and patent airways (64.9%) with simple support of oxygen. 8.1% of all of those patients had PaCO2>45 mmHg. Conclusion: Most of the severe TBI admitted in the ER of Dr. Soetomo General Academic Hospital had hypocapnia or respiratory rate higher than the normal range. Though one-third of the patient has partial obstruction of the airway, no significant hypoxemia is found.

MICROBIAL PATTERN AND ANTIBIOTIC SUSCEPTIBILITY IN PEDIATRIC INTENSIVE CARE UNIT DR. SOETOMO HOSPITAL, SURABAYA A.A.W., I Wayan Putra; Irwanto, Irwanto; Dharmawati, ira; Setyaningtyas, Arina; Puspitasari, Dwiyanti; Wahyu, Agung Dwi; Kuntaman, Kuntaman
Indonesian Journal of Tropical and Infectious Disease Vol. 7 No. 5 (2019)
Publisher : Institute of Topical Disease Universitas Airlangga

Gram-negative bacterial are known as common pathogen caused infection in Pediatric Intensive Care Unit (PICU). Microbial Pattern and Antibiotic Susceptibility are needed as clinical data for selected appropriate antibiotic therapy. In PICU Dr. Soetomo hospital until now still lacking of Microbial Pattern and Antibiotic Susceptibility data. This descriptive study is to recognized Microbial Pattern and Antibiotic Susceptibility in PICU patients from blood, urine, sputum, stool, cerebrospinal fluid, endotracheal tube, pus swab and pleural fluid culture specimens. Patients whose admitted into PICU without signs of infections were excluded from the study. The inclusion criteria are patients with sign infection as follows: fever < 36,5°C or > 37.5°C, leukocyte < 4000/mm3 or > 10000/mm3, marker infections CRP >10 mg/L or PCT >0,3 ng/mL, bradycardia or tachycardia, tachypnea, infiltrates on chest X-ray, turbid urine, dysuria, thrombophlebitis, abdominal pain or tenderness, and mucous or skin lesion. Medical record data from 2011 to 2016, revealed 1138 patients had positive microbial culture result, wherein positive result came from blood 44.46%, urine 19.15%, sputum 11.59%, stool 8.96%, cerebrospinal fluid 7.50%, endotracheal tube 4.04%, pus swab 2.89%, and pleural fluid 1.41%. The microorganisms found in PICU Dr. Soetomo was dominated with gram negative bacteria. Commonest bacterial that recognized from blood was B. cepacea, urine was E. coli, sputum was P. aeruginosa, Stool was E. coli, Cerebrospinal fluid was S. cohnii, endotracheal tube was K. pneumoniae ESBL, pus swab was S. aureus, and pleural fluid was S. maltophilia. Both gram-negative bacteria and gram-positive bacteria isolates revealed multiple drug resistance to commonly used antibiotic, but still had good susceptibility for antibiotic such as; amikacin, cefoperazone-sulbactam, linezolid, vancomycin and carbapenem group.

Co-Authors A.A.W., I Wayan Putra Abdul Latief Azis Arina Setyaningtyas Cindy Zerlina Artanti Diska Hanifah Nurhayati Dwi Putri Lestari Dwiyanti Puspitasari, Dwiyanti Fenska Seipalla Hapsari Widya Ningtiar Irwanto Irwanto Kuntaman Kuntaman Linda Dewanti Maria Marind Desrianti Hutauruk Neurinda Permata Kusumastuti Prananda Surya Airlangga Pratista Oktafia Retno Asih Setyoningrum Setiawan, Philia Sundari Indah Wiyasihati Utariani, Arie Wahyu, Agung Dwi

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