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All Journal Folia Medica Indonesiana Jurnal NERS Paediatrica Indonesiana PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Neurinda Permata Kusumastuti
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Airlangga Kampus A Jl. Mayjen Prof. Dr. Moestopo Surabaya
Health Professions Medicine & Pharmacology Nursing Public Health Other

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.207 KB) | DOI: 10.20473/jn.v7i1.4005

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.185 KB) | DOI: 10.20473/jn.v7i2.4011

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.873 KB) | DOI: 10.14238/pi59.4.2019.195-201

Abstract

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 month–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.
Diagnosis and Management of Adrenal Crisis in 46XX Congenital Adrenal Hyperplasia Infant Nur Rochmah; Muhammad Faizi; Neurinda Permata Kusumastuti; Leonardo Ferryanto Mak Samadhi; Wika Yuli Deakandi
Folia Medica Indonesiana Vol. 58 No. 3 (2022): September
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1436.417 KB) | DOI: 10.20473/fmi.v58i3.14891

Abstract

Highlight: The diagnosis and therapy of Congenital Adrenal Hyperplasia (CAH) children with Adrenal crisis (AC) case report. Adrenal crisis (AC) is a life-threatening emergency that contributes to the high death rate of children with adrenal insufficiency. The early detection and prompt treatment can improve the outcomes of patients with CAH and AC.   Abstract: Adrenal crisis is the acute complication of the patient with congenital adrenal hyperplasia. Congenital adrenal hyperplasia (CAH) is a rare condition. Children with CAH commonly come to the emergency room due to acute complications. The condition has high mortality and thus needs early recognition. Newborn screening for CAH in Indonesia is not routinely performed and has not been suggested yet. The purpose of this case report was to report a case of adrenal crisis in a congenital adrenal hyperplasia patient focused on diagnosis and therapy. A female, 10 months old infant, was admitted to the emergency department with a chief complaint of a decrease of consciousness for 3 hours before admission and frequent vomiting since born. On physical examination, there was clitoromegaly. Laboratory showed 17-OH progesterone: 173 ng/dL (7-77 ng/dL) and karyotyping: 46 XX. Management of adrenal crisis is a stress dose of hydrocortisone and rehydration. Education is the key to optimal outcomes and normal growth and development.
CHARACTERISTIC OF MECHANICALLY VENTILATED CHILDREN IN PEDIATRIC INTENSIVE CARE UNIT (PICU) Sudarmanto, Aisya Azzahra; Kusumastuti, Neurinda Permata; Utariani, Arie
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.38513

Abstract

Ventilator Mekanik (VM) merupakan alat bantu kehidupan yang dapat membantu pasien untuk bernapas dengan menjaga oksigen yang adekuat dan ventilasi yang cukup sampai dengan penyakit yang mendasari terselesaikan. Oleh karena itu, data tentang admisi dan perawatan anak-anak pengguna Ventilator Mekanik dengan penyakit kritis di Ruang Perawatan Intensif Anak (PICU) terutama di negara berkembang sangat penting. Namun, informasi dan data mengenai admisi dan penggunaan VM di Ruang Perawatan Intensif Anak susah untuk dicari dan ditemukan. Hal ini menyebabkan kesulitan untuk meningkatkan pelayan perawatan dan hasil akhir luaran pasien. Penelitian ini bertujuan untuk mengetahui karakteristik admisi dan perawatan pasien anak dengan penggunaan VM di Ruang Perawatan Intensif Anak di RSUD Dr. Soetomo Surabaya, sehingga diharapkan hasil dari penelitian dapat digunakan untuk meningkatkan pelayanan perawatan pasien anak di Ruang Perawatan Intensif Anak di Seluruh Indonesia khususnya di Surabaya. Penelitian ini menggunakan metode penelitian deskriptif retrospektif. Dari pengumpulan data, ditemukan sebanyak 111 pasien memenuhi kriteria inklusi. Mayoritas pasien yang dirawat di Ruang Perawatan Intensif Anak adalah pasien bayi sebanyak 55 pasien (49.55%), dengan pasien laki-laki sebanyak 64 pasien (57.66%) dan dengan status nutrisi kurang sebanyak 35 pasien (53.84%). Mayoritas pasien dirawat di Ruang Perawatan Intensif Anak karena masalah sistem pernapasan sebanyak 46 pasien (41.44%).
Pediatric Shock Profile in The Pediatric Intensive Care Unit (PICU) of Dr. Soetomo General Academic Hospital Anshori, Rafida; Setyaningtyas, Arina; Utariani, Arie; Kusumastuti, Neurinda Permata
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 1 (2023): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V5I12023.11-17

Abstract

Introduction: Shock is a life-threatening condition caused by circulatory failure which increases morbidity and mortality rate. According to the western literature, about 2% of children are admitted to hospitals worldwide due to shock. Objective: This study aimed to describe the pediatric shock profile of patients in the Pediatric Intensive Care Unit (PICU) of Dr. Soetomo General Academic Hospital between 1 January to 1 December 2019. Methods: A total of 60 patients were selected as the participants using a descriptive method. Data collection was carried out by recording the exact time the participants first entered the PICU. Furthermore, data were collected based on gender, age, physical and laboratory examination, diagnosis of shock, patients' outcomes, as well as PRISM III score. Results: The results of this study that the males and children are 51.7% and 53.3%, respectively. At an infant age, the distribution of the highest average pulse and breathing frequency was 135 and 32.2, respectively. The highest average body temperature at the age of adolescents was 37.19°C. Furthermore, the patients' diagnoses were dominated by distributive shock with the highest PRISM III score ≥8 and deaths recorded of 76.6%, 60%, and 61.7%, respectively. The diagnosis results showed that distributive shock leads to the highest mortality with a PRISM III score of 51.7% and 53.3%. Conclusion: Distributive shock contributes to the patient's diagnoses and mortality rate with the highest score of PRISM III being ≥8. From this conclusion, the PICU needs to be more responsive to detect distributive shock in children.
Co-Authors Abdul Latief Azis Anshori, Rafida Arina Setyaningtyas Dharmawati, Ira Dwi Putri Lestari Hapsari Widya Ningtiar Leonardo Ferryanto Mak Samadhi Muhammad Faizi Nur Rochmah Retno Asih Setyoningrum Sudarmanto, Aisya Azzahra Utariani, Arie Wika Yuli Deakandi