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POLA KUMAN BERDASARKAN PEWARNAAN GRAM PADA TINJA ANAK DENGAN DIARE DI RSUP PROF. DR. R. D. KANDOU MANADO Pramana, I Made Dwi
e-CliniC Vol 2, No 1 (2014): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.2.1.2014.3666

Abstract

Abstract: Background: Bacterial infection is one of the causes of diarrhea in infants and children. Bacteria are a group of microorganisms belongs to the prokaryotes which are structurally simpler than eukaryotics. There were many examinations used to detect the bacteria caused diarrhea, one of them was microscopic examination of the Gram stain smear. This technique is to determine whether the examination is Gram positive or Gram negative bacteria. Objective: This study aimed to determine the pattern of bacteria by Gram stain in children?s feces with diarrhea. Methods: This research used a descriptive designed with cross sectional approach by consecutive sampling from November to December 2013. There were 50 children in this study. Result: The results showed, 29 girls (58%) and 21 boys (42%). There were 34 children (68%) as the largest group that belongs to 1 - <3 years old. The results of feces microscopic examination showed 29 children (58%) got contaminated by bacteria. 23 children (46%) were contaminated with Gram positive and Gram negative bacteria. Gram negative Basil bacteria ware the most common bacteria that found in 23 preparations. Conclusion: Gram-negative bacilli germ were the most common germs that found in children?s feces with diarrhea and the numbers of diarrhea on November to December 2013 were increased. Key words: bacterial pattern, Gram staining, children, diarrhea  Abstrak: Latar belakang: Infeksi bakteri merupakan salah satu penyebab terjadinya diare pada bayi dan anak. Bakteri merupakan mikroorganisme yang termasuk dalam golongan prokariot yang strukturnya lebih sederhana dari eukariot. Banyak pemeriksaan yang dilakukan untuk mendeteksi bakteri penyebab diare, salah satunya dengan pemeriksaan mikroskopis pulasan yaitu pewarnaan Gram yang merupakan salah satu teknik pemeriksaan untuk menentukan apakah termasuk bakteri Gram positif atau bakteri Gram negatif. Tujuan penelitian: Penelitian ini bertujuan unutk mengetahui pola kuman berdasarkan pewarnaan Gram pada tinja anak dengan diare. Metode: Penelitian ini menggunakan desain penelitian deskriptif dengan pendekatan cross sectional yang dilakukan dengan cara consecutive sampling dari bulan November sampai Desember 2013. Sampel penelitian berjumlah 50 anak dan dilakukan pemeriksaan pewarnaan Gram. Hasil penelitian: Hasil penelitian didapatkan, perempuan 29 anak (58%) dan Laki-laki 21 anak (42%). Kelompok umur terbanyak 1 ? <3 berjumlah 34 anak (64%). Hasil pemeriksaan mikroskopis feses ditemukan positif bakteri sebanyak 29 anak (58%). Bakteri Gram positif dan Gram negatif didapatkan berjumlah 23 anak (46%). Bakteri Basil Gram negatif merupakan bakteri terbanyak yang ditemukan yaitu 23 preparat. Kesimpulan: Kuman basil Gram negatif merupakan kuman terbanyak yang ditemukan pada tinja anak dengan diare dan terjadi peningkatan angka kejadian diare pada bulan November ? Desember 2013. Kata kunci : pola kuman, pewarnaan Gram , anak, diare
Supraclavicular Brachial Plexus Block Guided by Ultrasonography in Pediatric Patient: A Case Report Pramana, I Made Dwi; Adinda Putra Pradhana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 12 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i12.898

Abstract

Background: Supraclavicular brachial plexus block has proven to be very useful in upper limb surgeries in pediatric patients. Supraclavicular brachial plexus block is preferred over general anesthesia for pediatric patients undergoing upper limb surgeries. This study aimed to report a procedure of supraclavicular brachial plexus block guided by ultrasonography in a pediatric patient undergoing orthopedic surgery on the upper extremity, which yielded good results, a high success rate, reduced opioid usage, and aided in faster recovery while minimizing complications. Case presentation: The patient was a 14-year-old child with a diagnosis of malunion in the left distal radius after open reduction internal fixation (ORIF) planned for osteoclasis surgery and ORIF with regional anesthesia through supraclavicular brachial plexus block. The patient was monitored during the surgery, and after the surgery, the patient returned to the ward; the patient was given oral analgesics without opioids for pain management. Conclusion: The efficient regional anesthesia procedure option for upper limb surgeries in pediatric patients is the supraclavicular brachial plexus block. Due to lower risks and fewer side effects, the supraclavicular brachial plexus block procedure is preferred over general anesthesia in pediatric patients.