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All Journal Indonesian Journal of Urology Indonesian Journal of Tropical and Infectious Disease Universa Medicina Paediatrica Indonesiana Care : Jurnal Ilmiah Ilmu Kesehatan Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Abdi Insani Green Medical Journal JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology Gunung Djati Conference Series
Risky Vitria Prasetyo
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Airlangga
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Repeat urine cultures in children with urinary tract infection Risky Vitria Prasetyo; Ninik Asmaningsih Soemyarso; Mohammad Sjaifullah Noer
Paediatrica Indonesiana Vol 52 No 3 (2012): May 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.106 KB) | DOI: 10.14238/pi52.3.2012.170-4

Abstract

Background Urinary tract infections (UTIs) are the secondleading cause of infection in children, following respiratorytract infections. Repeat urine cultures after antibiotic treatmentare routinely obtained in clinical practice to verify proof ofbacteriologic cure. The American Academy of Pediatrics doesnot recommended repeat cultures, due to increased cost anddiscomfort to patients.Objective To determine the frequency of positive repeat urinecultures after 3 days of antibiotics in children 'With UTIs.Methods We conducted a retrospective study on childrenwith UTIs who visited the Division of Pediatric Nephrology,Department of Child Health at Dr. Soetomo Hospital, Surabayafrom January 2006 to December 2011. Results of repeat urinecultures were obtained after 3 days of antibiotic treatment.Descriptive statistics were used to analyze the data.Results Of the 779 pediatric UTI cases, repeat urine cultureswere performed in 264 (33.9%) cases. Of the 264 patients whocomprised our study, there were similar numbers of girls and boys(50.4% vs. 49.6%, respectively). The mean age of patients was43.9 (SD 1.59) months and 35.5% of subjects were aged under 1year. In the initial urine cultures of our subjects, Escherichia coliwas the most common organism found, v,ith 92 cases (34.8%),compared to 58 cases (21.9%) of Klebsiella pneumoniae and 29cases (10.9%) of Pseudom.onas aeruginosa. Repeat urine culturesshowed no bacterial growth in 168 cases (63.6%).Conclusion Mostly negative repeat urine cultures v,ill probablyobviate the need of this test in daily routine practice. [PaediatrIndanes.2012,52:170·4].
Comparison of the efficacy and safety of hydroxyethyl starch 130/0.4 and Ringer's lactate in children with grade III dengue hemorrhagic fever Risky Vitria Prasetyo; Abdul Latief Azis; Soegeng Soegijanto
Paediatrica Indonesiana Vol 49 No 2 (2009): March 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.221 KB) | DOI: 10.14238/pi49.2.2009.97-103

Abstract

Background Theoretically hydroxyethyl starch (HES) will givemore rapid recovery from shock, including in dengue shocksyndrome (DSS) and currently gained popularity for its lessdeleterious effects on renal function and blood coagulation.Objectives To compare the efficacy and safety ofHES 130/0.4 andRinger's lactate (RL) for shock recovery in children with DSS.Methods A randomized controlled study was performed on 39children admitted with DSS at Dr. Soetomo Hospital, Surabaya,between March and May 2007. Children were grouped intograde III (n=25) and grade IV (n=14) dengue hemorrhagicfever (DHF) according to the WHO criteria. Within eachgroup, subjects were randomly assigned to receive initial fluidresuscitation with either HES 130/0.4 (n=9 in the DHF grade IIIgroup, 10 in the DHF grade IV) or RL (n= 16 in the DHF gradeIII group, 4 in the DHF grade IV). Clinical and laboratory datawere collected to determine improvements in shock recovery andadverse reactions.Results In both the grades III and IV DHF, HES 130/0.4significantly decreased hemoglobin and hematocrit levels. Clinicalimprovements in pulse pressure and pulse rate were seen aftertreatment with HES 130/0.4 although these were statisticallyinsignificant if compared to the RL group. No differences in fluidrequirement and recurrent shock episodes were noted betweenthe RL and HES groups. No adverse reactions were found duringthe study.Conclusion HES 130/0.4 administration is effective and safe inchildren with DSS.
Predictors of mortality in children with lupus nephritis Lukman Oktadianto; Risky Vitria Prasetyo; Ninik Asmaningsih Soemyarso; Mohammad Sjaifullah Noer
Paediatrica Indonesiana Vol 54 No 6 (2014): November 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.854 KB) | DOI: 10.14238/pi54.6.2014.338-43

Abstract

Background Renal involvement during the clinical course ofsystemic lupus erythematosus (SLE) is generally considered to bethe most important factor influencing disease prognosis in termsof morbidity and mortality. Various factors have been reported toinfluence the prognosis of lupus nephritis (LN).Objective To analyze clinical signs and laboratory parameters thatmight serve as predictors associated with mortality in pediatricLN.Methods Retrospectively, medical records of children with LNat Soetomo Hospital from 1998 to 2011 were studied. Diagnosisof SLE was based on Revised American Rheumatism Associationcritera, while patients with clinical manifestations of hypertension,abnormal urinalysis, and serum creatinin > 1 mg/dL wereconsidered as lupus nephritis. Cox proportional hazard modelingwas used to assess for associations of clinical signs and laboratoryparameters with mortality. Kaplan-Meier survival analysis wasused to assess the cumulative survival from the time of diagnosisto the outcome.Results There were 57 children with LN of whom 43 (75%) weregirls. The female-to-male ratio was 3:1. Subjects’ mean age was 10.6(SD 6.87) years. The mean time of observation was 51 (SD 74.54)months and 23 (40%) children died. Age, gender, hypertension,hematuria, proteinuria, and anemia were not significant aspredictors for mortality. However, hypertensive crisis (HR=2.79;95%CI 1.16 to 6.75; P=0.02) and initial glomerular filtration rate(GFR) of <75 mL/min/1.73m2 (HR=3.01; 95%CI 1.23 to 7.34;P=0.01) were significant predictors of mortality in children with LN.The mean survival time of LN with hypertensive crisis and initialGFR <75 mL/min/1.73m2 was 36.9 (SD 12.17) months.Conclusion Hypertensive crisis and GFR <75 mL/min/1.73m2 aresignificant predictors of mortality in children with LN.
Risk Factors of Chronic Kidney Disease (CKD) in Type 2 Diabetes Mellitus (DM) Patients at Dr. Soetomo General Academic Hospital, Surabaya Joshua Teofilus Sutadji; Agung Pranoto; Risky Vitria Prasetyo
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 14 No. 1 (2023): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V14I12023.12-16

Abstract

Highlights:1. The highest risk was a history of hypertension, followed by a history of low HDL levels.2. Patients with type 2 DM at Dr. Soetomo General Academic Hospital, Surabaya, had a greater risk of developing CKD for patients with a history of hypertension (3.801 times higher) and patients with a history of low HDL (3.356 times higher). AbstractIntroduction: Type 2 diabetes mellitus (DM), categorized as a non-communicable disease, has become a global health concern. This study aimed to identify the risk factors for chronic kidney disease (CKD) in type 2 DM patients at Dr. Soetomo General Academic Hospital, Surabaya.Methods: This was a case-control study. The samples were collected using consecutive sampling methods from the medical records Dr. Soetomo General Academic Hospital, Surabaya. The total samples were 158 patients consisting of 79 cases and 79 controls. Independent variables were a history of uncontrolled HbA1c levels; hypertension; high triglyceride (TG) levels; low high-density lipoprotein (HDL) levels, high low-density lipoprotein (LDL) levels, and being overweight. The dependent variable was CKD. Samples were analyzed using the Chi-Square test and logistic regression.Results: From six independent variables that were analyzed, two variables had significant results based on the Chi-Square test. Logistic regression was performed and showed the significant results between risk factors of CKD and type 2 DM patients at Dr. Soetomo General Academic Hospital, Surabaya, were a history of hypertension (OR = 3.801, 95% CI = 1.875-7.706) and a history of low HDL levels (OR = 3.356, 95% CI = 1.650-6.827). The highest risks were a history of hypertension followed by a history of low HDL levels.Conclusion: Type 2 DM patients at Dr. Soetomo General Academic Hospital, Surabaya, with a history of hypertension and a history of low HDL had a greater risk of developing CKD.
PENCEGAHAN DAN PENANGANAN BALITA STUNTING MELALUI PEMAHAMAN SERTA IMPLEMENTASI BUKU KESEHATAN IBU DAN ANAK (KIA) OLEH IBU BALITA DAN KADER DI DESA BANARAN, KABUPATEN NGANJUK, JAWA TIMUR Irwanto Irwanto; Risky Vitria Prasetyo; Hanna Dyahferi Anomsari; Ayling Sanjaya; Egi Azhar Rafsanjani; Firyal Nadiah Rahmah
Jurnal Abdi Insani Vol 10 No 4 (2023): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v10i4.1157

Abstract

Stunting is still a problem around the world, particularly Indonesia where the prevalence of stunting in 2020 was 26.92%. The short-term impact of stunting included an increased risk of morbidity and mortality due to infectious diseases, while, long-term impacts of stunting can cause obesity, impaired cognitive function, and work productivity. One of the efforts to prevent stunting is the use of the Maternal and Child Health (MCH) Handbook by pregnant women and children aged under 5 years which has not been implemented properly. This community service activity aims to provide training in filling out the MCH handbook and educate the public on the importance of monitoring stunting in babies and children. Methods for implementing this activity include lecture in presentation form, discussion, and training approaches. A pre-test and post-test were carried out before and after this activity. A total of 80 participants took part in this activity, including the Head of Kertosono District, the Head of Banaran Village, the Head of the Kertosono Community Health Center and his staff, health cadres, and mothers who have stunted children, consisting of 37 Banaran's health cadres and mothers with stunted toddlers (72% of total stunted children in Banaran). It was found that there was an increase in participants' ability to fill out the MCH Handbook; before the activity, the mean pre-test score was 77.03 ± 16.64 and the post-test score was 88.65 ± 12.508. Training in understanding how to fill out the MCH Handbook to prevent stunting is very effective.
Increased Interleukin-6 as Infl ammatory Response and Magnesium Defi ciency in Pre-dialysis Chronic Kidney Disease of Indonesian Children Kardani, Astrid Kristina; Soemyarso, Ninik Asmaningsih; Aras, Jusli Aras; Prasetyo, Risky Vitria; Noer, Mohammad Sjaifullah
Indonesian Journal of Tropical and Infectious Disease Vol. 9 No. 2 (2021)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v9i2.21479

Abstract

Chronic kidney disease (CKD) is a serious health problem in children, with increasing morbidity and mortality rates throughout the world. Children with CKD tend to experience magnesium (Mg) defi ciency that can stimulate an infl ammatory response in the body. One of the infl ammatory responses is an increase of Interleukin-6 (IL-6).  Study to analyze the correlation between Mg and IL-6 in pre-dialysis CKD children. The methods a cross sectional study was conducted in Dr Soetomo General Academic Hospital from November 2018 to April 2019. Children with pre-dialyis CKD were included in this study. Variables of serum Mg level (mg/dL) and infl ammatory marker (IL-6) were measured from the blood and analyzed by ELISA method. The correlation between Mg and IL-6 was analyzed with Spearman's correlation test with p <0.05.  Result a total of 47 children (27 boys vs 20 girls) between 3 months to 18 years old, with pre-dialysis CKD and no history of magnesium supplementation were included. The primary disease that causes of CKD were lupus nephritis (38.3%), nephrotic syndrome (23.4%), urologic disorder (23.4%),  tubulopathy (10.6%) and others (4.3%). The average IL-6 level was 55.42±43.04 pg/dL and Mg level was 2.06±1.54 mg/dL. There were no signifi cant correlation between IL-6 level and Mg level with staging of CKD and duration of illness (p>0.05), but there was a signifi cant correlation between serum Mg level and IL-6 level (r=-0.748; p<0.001). Magnesium levels have a signifi cant inverse correlation with IL-6 levels in pre-dialysis CKD children. The lower the Mg levels in the blood, the higher IL-6 levels and vice versa. 
Bacterial Profile and Antibiotic Resistance Pattern among Children with Urinary Tract Infections in Dr. Soetomo Hospital, Surabaya, Indonesia Adhima, Fauziah; Wahyunitisari, Manik Retno; Prasetyo, Risky Vitria; Setiabudi, Rebekah Juniati
Indonesian Journal of Tropical and Infectious Disease Vol. 10 No. 2 (2022)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v10i2.32908

Abstract

Urinary tract infections (UTIs) are the most common infections in pediatric patients characterized by the growth of bacteria in the urine in significant numbers. Antibiotics remain the primary treatment of UTI in children. However, there has been an increase in antibiotic resistance to uropathogens worldwide due to their inappropriate and extensive uses. There is considerable geographical variation in the distribution of bacteria and antibiotic resistance pattern. Thus, to prevent further resistance and provide empirical antibiotic options, this study aims to determine the profile of bacteria and antibiotics resistance pattern among UTI pediatric patients in Dr. Soetomo Hospital. This study was performed by collecting data from the urine culture logbook at the Clinical Microbiology Laboratory of Dr. Soetomo Hospital in July-October 2019. The sample was UTI patients aged one day – 18 years due to bacterial infection with a colony count of   ≥100,000 CFU/ml. In this study, 131 patients showed significant bacterial growth dominated by males and ages one month – 2 years. UTI were caused by gram-negative bacteria (74%) and gram-positive bacteria (26%), with the most bacteria found in each group were Escherichia coli and Enterococcus faecalis. E. coli showed ≥70% resistance to ampicillin, cefazoline, piperacillin, tetracycline, and trimethoprim-sulfamethoxazole. Comorbidities were dominated by hydronephrosis (10.98%), chronic kidney disease (9.79%) and hydrocephalus (8.09%). In conclusion, gram-negative bacteria were the leading cause of UTI in children with E. coli as the most common uropathogen, highly resistant to ampicillin and cefazolin. Gram-positive bacteria were less frequent with varied resistance patterns. Most common comorbidity was hydronephrosis.
PENGUKURAN TINGKAT KEMATANGAN AKTIVITAS BERBAGI PENGETAHUAN ANTAR PESERTA PENDIDIKAN DOKTER SPESIALIS (PPDS) DEPARTEMEN ILMU KESEHATAN ANAK Oktri Mohammad Firdaus; Nanan Sekarwana; Risky Vitria Prasetyo; Magdalena Sidhartani; Lilis Sulastri
Gunung Djati Conference Series Vol. 42 (2024): Seminar Nasional Ekonomi dan Bisnis Islam
Publisher : UIN Sunan Gunung Djati Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Peningkatan jumlah dan jenis penyakit di dunia ini membutuhkan tindakan medis yang berkualitas. Tindakan medis yang berkualitas adalah bentuk dari buah perjalanan panjang dari suatu penelitian. Hasil penelitian akan sangat berguna apabila didistribusikan atau dilakukan diseminasi dengan tepat. Salah satu syarat utama agar proses diseminasi hasil penelitian dapat berjalan dengan baik adalah adanya kegiatan berbagi pengetahuan antar dokter. Tujuan utama dari penelitian ini adalah melakukan pengukuran tingkat kematangan kegiatan berbagi pengetahuan antar dokter, khususnya para Peserta Pendidikan Dokter Spesialis (PPDS) pada rumah sakit pendidikan di Indonesia dengan menggunakan Knowledge Management Maturity Model (KMMM). Pada penelitian ini digunakan metode survei dan wawancara mendalam dengan beberapa responden kunci. Survei dilakukan pada Departemen Ilmu Kesehatan Anak di 3 (tiga) Rumah Sakit Pendidikan di Indonesia. Kurun waktu survei dan wawancara mendalam dilakukan selama 4 (empat) tahun mulai dari 2012-2016. Hasil penelitian menunjukkan bahwa tingkat kematangan aktivitas berbagi pengetahuan antar PPDS Departemen Ilmu Kesehatan Anak yang telah memasuki level 5 (optimal) adalah parameter Kompetensi Dokter serta Kepemimpinan dan Dukungan Pimpinan Departemen. Artinya kedua parameter tersebut telah menunjukkan adanya konsistensi dan juga perbaikan secara berkelanjutan serta adanya ketergantungan pada sistem dan bukannya pada seseorang.
Profil Pasien Infeksi Saluran Kemih Pada Anak di Puskesmas Surabaya Periode Januari-Desember 2018 Dewi, Maharani Sita; Prasetyo, Risky Vitria; Tirthaningsih, Ni Wajan; Puspitasari, Dwiyanti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021): EDITION MARCH 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.1962

Abstract

Infeksi Saluran Kemih merupakan salah satu penyakit yang sering terjadi pada anak. Gejala infeksi saluran kemih bervariasi tergantung dengan usia dan jenis kelamin. Sering kali infeksi saluran kemih terjadi pada perempuan daripada laki-laki. Penelitian ini menggunakan metode retrospektif potong lintang. Data yang diambil yaitu rekam medik pasien di Puskesmas Surabaya dengan teknik pengumpulan data cluster random sampling. Hasil penelitian ini menunjukkan bahwa pasien anak yang mengalami infeksi saluran kemih di Puskesmas Surabaya dengan usia 1-6 tahun (34,8%), jenis kelamin perempuan dan laki-laki (50%), dengan keluhan buang air kecil nyeri (86%), dari hasil urinalisis didapatkan bakteriuria. Pasien anak yang mengalami infeksi saluran kemih dari tipe pembiayaan menggunakan Badan Penyelenggara Jaminan Sosial-Penerima Bantuan Iuran (60,9%) di Puskesmas Jeruk (41,3%). Pasien infeksi saluran kemih pada penelitian ini yang berjenis kelamin laki-laki maupun perempuan memiliki nilai yang sama, berusia 1-6 tahun, dengan keluhan buang air kecil nyeri. Lokasi puskesmas yang terdapat banyak pasien infeksi saluran kemih pada anak ialah Puskesmas Jeruk dengan tipe pembiayaan Badan Penyelenggara Jaminan Sosial - Penerima Bantuan Iuran. Kata kunci: Anak, infeksi saluran kemih, puskesmas
The Impact of Community Service on Early Detection of Conenital Anomalies of the Kidney and Urinary Tract and Congenital Heart Disease in Children at Primary Health Care Sobo, Banyuwangi, Indonesia Risky Vitria Prasetyo; Arief Rakhman Hakim; Fandaruzzahra Putri; Susianto, Steven Christian; Agus Budiarto; Muhammad Riza Kurniawan; Ninik Asmaningsih Soemyarso; Mohammad Sjaifullah Noer
Journal of Community Medicine and Public Health Research Vol. 6 No. 2 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i2.75284

Abstract

Congenital anomalies of the kidney and urinary tract (CAKUT) and congenital heart disease (CHD) represent significant global public health challenges, contributing substantially to childhood morbidity and mortality. This study aimed to determine the impact of the community service on CAKUT and CHD early detection conducted by Universitas Airlangga, Surabaya, Indonesia, at Puskesmas Sobo, Banyuwangi Regency. This pre-test post-test design study was conducted among health cadres, parents of students, and the elderly in Puskesmas Sobo District. The subjects' knowledge was assessed by comparing pre- and post-test scores, which included 10 questionnaire questions. We conducted an early detection program for children in grades 4-6 of elementary school, which included weight, height, blood pressure, saturation, heart sound screening, and a complete urine dipstick examination. 62 subjects participated in the community service, with Pre-Test Scores of 62.9±16.5 and Post-Test Scores of 71.7±20.2. There were 25 children examined in our community service, with 100% regular heart examination and 76% with trace proteinuria; systolic blood pressure 90 ± 11.7 mmHg and diastolic blood pressure 59.4 ± 11.6 mmHg. This community service initiative demonstrated its dual impact on enhancing health knowledge and facilitating the early detection of potential congenital abnormalities in children. The findings underscore the critical need for more systematic, comprehensive screening programs for kidney and heart health in children across the region.
Co-Authors Abdul Latief Azis Adhima, Fauziah AGUNG PRANOTO Agus Budiarto Aras, Jusli Aras, Jusli Aras Arief Rakhman Hakim Ayling Sanjaya Bambang Permono Chairunnisa Desita, Saskia Ratna Dewi, Maharani Sita Dwiyanti Puspitasari, Dwiyanti Egi Azhar Rafsanjani Fandaruzzahra Putri Firyal Nadiah Rahmah Hanna Dyahferi Anomsari Heru Setiawan I Dewa Gede Ugrasena Ida Fitriawati Irwanto Irwanto Irwanto Irwanto Irwanto, Irwanto Ismoedijanto Joshua Teofilus Sutadji Kardani, Astrid Kristina Lilis Sulastri Lukman Oktadianto Magdalena Sidhartani ManikRetno Wahyunitisari Mia Ratwita Andarsini Mohammad Sjaifullah Noer Muhammad Riza Kurniawan Nanan Sekarwana Ni Wayan Tirthaningsih Ninik Asmaningsih Soemyarso Noershanti Ramadhani Oktri Mohammad Firdaus Prastiya Indra Gunawan Putu Dian Saraswati Rebekah Setiabudi, Rebekah Rozalina Loebis, Rozalina Shanty, Maria Christina Sherly Yuniarchan Sherly Yuniarchan, Sherly Soegeng Soegijanto Sri Andreani Utomo, Sri Andreani Susianto, Steven Christian Tirthaningsih, Ni Wajan Tuksin Jearanaiwitayakul Wahyunitisari, Manik Retno Yuni Hisbiiyah