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Mohammad Supriatna
Department of Child Health, Diponegoro University Medical School/Dr. Kariadi Hospital. Semarang
Health Professions Medicine & Pharmacology

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Chest x-ray findings and outcomes of children with suspected ventilator-associated pneumonia Neni Sumarni; Muhammad Sholeh Kosim; Mohammad Supriatna; Eddy Sudijanto
Paediatrica Indonesiana Vol 52 No 4 (2012): July 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.108 KB) | DOI: 10.14238/pi52.4.2012.233-8

Abstract

Background Ventilator-associated pneumonia (VAP) is anosocomial infection in patients who have received mechanicalventilation (MV), either by endotracheal intubation ortracheostomy, for more than 48 hours. YAP represents 80% ofall hospital-acquired pneumonias. VAP incidence varies from5.1 %-33.3%. The modified clinical pulmonary infection scoreis a criteria for diagnosing suspected YAP and typically includesradiographic evidence. YAP is associated with significantmorbidity and mortality.Objective To determine the relationship between chest x-rayfindings and outcomes in children Mth suspected VAP.Methods This retrospective study was held in Dr. Kariadi Hospitalfrom January - December 2010. Data was collected from medicalrecords of pediatric ICU (PICU) patients with suspected VAP.Chest x-ray findings and patient outcomes were recorded. X-rayfindings were assessed by the on-duty radiologist. Chi square testwas used for statistical analysis.Results Subjects were 30 children consisting of 14 males and 16females. Patient outcomes were 23 patients survived and 7 patientsdied. Chest x-ray findings were categorized into the followinggroups and compared to patient survivability: diffuse infiltrates76.7% (OR=0.694; P=0.532; 95% CI 0.102 to 4.717), localhedinfiltrates 13.3% (OR=4.200; P=0.225; 95% CI 0.470 t037.49),and no infiltrates 10% (OR=1.222; P=0.436; 95% CI 0.593 to0.926). None of the x-ray findings had a significant correlationto patient outcomes.Conclusion There was no significant relationship between chestx-ray findings and outcomes in children with suspected VAP.[Paediatr rndones. 2012;52:233-8].
The relationship between pleural effusion index and mortality in children with dengue shock syndrome Novianti Hawarini; Muhammad Sholeh Kosim; Mohammad Supriatna; Yusrina Istanti; Eddy Sudjanto
Paediatrica Indonesiana Vol 52 No 4 (2012): July 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.108 KB) | DOI: 10.14238/pi52.4.2012.239-42

Abstract

Background Dengue shock syndrome (DSS) mortality rate is stillhigh. The extent of plasma effusion in dengue shock syndromecan be identified in the right lateral decubitus position on chestx􀁃ray, and quantified by the pleural effusion index (PEl). It isthought that PEl value can be used to predict DSS mortality inchildren. Pleural effusion in DSS patients can cause respiratoryfailure and death.Objective To determine the relationship bet ween PEl andmortality in children \\lith DSS.Methods This cross􀁃sectional, retrospective study was held in theDr. Kariadi Hospital, Semarang, Indonesia. Data was taken frommedical records of pediatric intensive care unit (PICU) patientswith DSS from January 2009 to January 2011. DSS diagnosiswas confirmed by clinical and radiological manifestations. PEldiagnosis was established by the presence of fluid in the pleuralcavity on pulmonary radiological examinations. X􀁃rays wereinterpreted by the radiologist on duty at the time. Chi square andlogistic regression tests were used to analyze the data.Results There were 48 subjects with DSS, consisting of 18 males(37.5 %), and 30 females (62.5%). Twenty􀁃nine subjects (60.4%)survived and 19 (39.6%) died. One patient (2.1 %) had PEl <6%,4 (8.3%) had PEl 6-15%, 17 (35.4%) had PEl 15-30%, and26 (54.2%) had PEl> 30% on their x􀁃rays. The mortality rateof DSS with PEl 15-30% was 11.8% (95% CI 0.021 to 0.564;P<0.005) and PEl >30% was 65.4 % (95% CI 3,581 to 99,642;P <0.005).Cone-lution PEl> 15% was a risk factor for mortality in childrenwith DSS. [Paediatr lndanes. 2012;52:239-42].
Co-Authors Eddy Sudijanto Eddy Sudjanto Muhammad Sholeh Kosim Neni Sumarni Novianti Hawarini Yusrina Istanti