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All Journal E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana ISM (Intisari Sains Medis) : Jurnal Kedokteran INDONESIAN JOURNAL OF URBAN AND ENVIRONMENTAL TECHNOLOGY

Komang Ayu Witarini

Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Airlangga, RSU Dr Soetomo Surabaya

Author-ID : 3472463

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Energy Environmental Science Health Professions Medicine & Pharmacology

Published : 23 Documents Claim Missing Document

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Diagnosis dan tatalaksana Sindroma Stevens-Johnson (SJS) pada anak: tinjauan pustaka Komang Ayu Witarini
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Stevens-Johnson Syndrome (SJS) is an emergency situation with a fairly high mortality rate characterized by a triad of lesions on the skin, mucosa orifice, and eyes. In general, SJS is caused by a reaction to a drug. This literature review is trying to explain more in the effort to diagnose and manage SJS specifically in children.Methods: This literature review involved 14 relevant literature from 1990-2011 about SJS. Different data sources or manual literature search methods used to find articles related to the topic of literature.Results: The diagnosis of SJS is mainly based on clinical symptoms. The clinical picture of SJS is known to be very similar to Toxic Epidermolysis Necrotikans (TEN). Various efforts to stop all drugs given previously is the main treatment, supported by supportive treatment of accompanying symptoms. The mortality rate depends on the presence of severe complications and delay of treatment.Conclusion: Early diagnosis and prompt treatment are the key to the management of SJS in children.

Pencegahan penularan infeksi Human Immunodeficiency Virus (HIV) dari ibu ke anak di Indonesia: sebuah tinjauan pustaka Komang Ayu Witarini
Intisari Sains Medis Vol. 12 No. 2 (2021): (Available Online: 1 August 2021)
Publisher : DiscoverSys Inc.

Human Immunodeficiency Virus (HIV) can be transmitted from an HIV-positive woman to her child during pregnancy, childbirth, and breastfeeding. Mother-to-child transmission (MTCT), also known as ‘vertical transmission’, accounts for the vast majority of infection in children (0-14 years). Prevention of mother-to-child HIV infection transmission (PMTCT) programs offers a range of services for women of reproductive age (15-49 years) living with or at risk of HIV to maintain their health and stop their infants from acquiring HIV. WHO promotes a comprehensive approach to PMTCT programs which include: preventing new HIV infections among women of reproductive age, preventing unintended pregnancies among women living with HIV, preventing HIV transmission from women living with HIV to her baby, and providing appropriate treatment, care, and support to mothers living with HIV, their children, and families. The health service program to prevent HIV transmission from HIV-infected pregnant women to their babies includes the following activities: integrated ANC services, including offering and testing HIV to pregnant women; HIV diagnosis in pregnant women; administering antiretroviral therapy to pregnant women; safe delivery; arrange for subsequent pregnancies; management of feeding for infants and children; administration of Antiretroviral (ARV) prophylaxis and cotrimoxazole in children; HIV diagnostic testing in children; and immunization. The risk of MTCT of HIV can be reduced to less than 2% with optimal PMTCT programs. Human Immunodeficiency Virus (HIV) dapat ditularkan dari ibu yang terinfeksi kepada bayi yang dikandung selama kehamilan, persalinan dan menyusui. Penularan infeksi HIV dari ibu kepada bayi yang dikandung, dikenal dengan istilah transmisi vertikal, merupakan cara penularan infeksi tersering dijumpai pada anak usia 0-14 tahun. Program pencegahan penularan infeksi HIV dari ibu ke anak (PPIA) merupakan upaya terhadap perempuan usia produktif (15-49 tahun) yang terinfeksi atau memiliki risiko terinfeksi HIV untuk tetap terjaga kesehatannya, serta mencegah menularkan infeksi HIV kepada bayi yang dikandung. World Health Organization (WHO) mempromosikan upaya komprehensif dari PPIA, terdiri dari: mencegah terjadinya penularan HIV pada perempuan usia reproduksi, mencegah kehamilan yang tidak direncanakan pada perempuan dengan HIV, mencegah terjadinya penularan HIV dari ibu hamil HIV positif ke bayi yang dikandungnya, serta memberikan dukungan psikologis, sosial, dan perawatan kesehatan kepada ibu HIV positif beserta bayi dan keluarganya. Program pelayanan kesehatan untuk mencegah penularan HIV dari ibu hamil terinfeksi HIV kepada bayi yang dikandung mencakup kegiatan sebagai berikut: layanan antenatal care (ANC) terpadu termasuk penawaran dan tes HIV pada ibu hamil; diagnosis HIV pada ibu hamil; pemberian terapi antiretroviral pada ibu hamil; persalinan yang aman; menunda dan mengatur kehamilan berikutnya; tatalaksana pemberian makanan bagi bayi dan anak; pemberian profilaksis Antiretroviral (ARV) dan kotrimoksazol pada anak; pemeriksaan diagnostik HIV pada anak; serta imunisasi. Dengan upaya PPIA yang optimal, risiko penularan HIV dari ibu ke anak dapat diturunkan sampai kurang dari 2%.

Korelasi nilai Homeostasis Model Assesment for Insulin Resistance (HOMA-IR) dan kadar vitamin D pada remaja dengan obesitas di Kota Denpasar, Bali, Indonesia Luh Gede Yuliadewi NS; I Made Arimbawa; Ketut Suarta; I Gde Raka Widiana; Made Kardana; Ni Putu Veny Kartika Yantie; Komang Ayu Witarini
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Background: Obesity during adolescence can developed into obesity in adulthood and will increase the risk of metabolic dissease sush as insulin resistance. Recent years the role of vitamin D begin to be connection with insulin resistance. Vitamin D plays a role in regulation of synthesis dan insulin secretions from pancreatic beta cells, increase peripheral and hepatic glucose uptake. In obesity there is decrease in vitamin D bioavailability that causes low levels of vitamin D. This study aimed to proves a correlation between insulin resistance and vitamin D levels in adolescents with obesity.Methods: A observational analytic research with crossestional design has been done in junior and senior high school in Denpasar. Adolescennts performed anthropometric screening covers weight, height, body mass index (BMI), obesity if BMI > 95th percentile of CDC 2000 curve. Examined vitamin D levels and insulin resistance through calculation of HOMA-IR levels. Sample size calculation with ? 0,05, correlation coefficient (r) set to 0,5 with minimum sampel size 50. Data were analyzed using SPSS versin 17 for Windows.Results: Anthropometric screening performed obtained 135 students (3,3%) with obesity. Mean of vitamin D levels was 18,9 ng/mL, 10 (20 %) classified as vitamin D insufficiency and 39 (78 %) vitamin D deficiencies. The average of HOMA-IR levels 3,84, 24 (48 %) with insulin resistance based on HOMA-IR levels. Correlation coefficient between HOMA-IR levels and vitamin D was obtained – 0,37 (p=0,007). There was significant difference of prevalence of insulin resistance between obese adolescent with vitamin D deficiency compared with insuficiency and suficiency group (OR=5.8; 95%CI=1.1-30.6; p=0.025).Conclusion: This study concluded that There is a moderate negative correlation between HOMA-IR levels and vitamin D in obese adolescents. Latar Belakang: Obesitas pada masa remaja berisiko menjadi obesitas pada masa dewasa dan meningkatkan risiko penyakit metabolik seperti resistensi insulin. Beberapa tahun terakhir peran vitamin D mulai dihubungkan dengan resistensi insulin. Vitamin D berperan dalam regulasi sintesis dan sekresi insulin oleh sel beta pankreas, meningkatkan uptake glukosa perifer dan hepatik. Pada obesitas terjadi penurunan bioavaibilitas vitamin D yang menyebabkan rendahnya kadar vitamin D. Penelitian ini bertujuan untuk membuktikan adanya korelasi antara kadar vitamin D dengan resistensi insulin pada remaja dengan obesitas.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain potong lintang pada remaja SMP dan SMA di kota Denpasar. Remaja dilakukan skrining antropometri meliputi berat badan, tinggi badan, Indeks Masa Tubuh (IMT). Diagnosis obesitas jika IMT > persentil 95 kurva CDC 2000. Dilakukan pemeriksaan kadar vitamin D darah dan resistensi insulin melalui perhitungan kadar HOMA-IR. Perhitungan besar sampel dengan ? 0,05 ( tingkat kemaknaan 0,95), koefesien korelasi (r) ditetapkan 0,5 dengan jumlah sampel minimal 50. Data dianalisis dengan SPSS versi 17 untuk Windows.Hasil: Skrining antropometri dilakukan pada 135 subyek (3,3%) dengan obesitas. Rerata kadar vitamin D 18,9 ng/mL, dimana 10 ( 20 %) tergolong insufiseiensi vitamin D dan 39 (79%) defisiensi vitamin D. Rerata kadar HOMA-IR 3,84, 24 (48 %) mengalami resistensi insulin berdasarkan kadar HOMA-IR. Besar koefesien korelasi antara kadar HOMA-IR dan kadar vitamin D didapatkan – 0,37 (nilai p 0,007). Terdapat perbedaan bermakna kejadian resistensi insulin antara kelompok remaja obesitas dengan status defisiensi vitamin D dan kelompok dengan status vitamin D pada kelompok sufisien dan insufisien (OR=5,8; 95%IK=1,1-30,6; p=0,025).Kesimpulan: Penelitian ini menyimpulkan terdapat korelasi negatif sedang antara kadar HOMA-IR dan kadar vitamin D pada remaja dengan obesitas.

UNDERSTANDING LEVEL OF PKK BANJAR PURWA SANTHI BENOA ON MEDICAL MASK WASTE MANAGEMENT AND STRENGTHENING HEALTH PROTOCOLS IN CONTROLLING COVID-19 INFECTION I Komang Hotra Adiputra; Kadek Diana Harmayani; Ni Made Susilawathi; Cokorda Agung Wahyu Purnamasidhi; Komang Ayu Witarini; I Wayan Arya Biantara; I Dewa Made Sukrama; I Gede Purna Weisnawa; Jerry; Putu Kintan Wulandari; Darren Junior; Dewa Ayu Fony Prema Shanti; I Dewa Ayu Agung Warmadewanthi
INDONESIAN JOURNAL OF URBAN AND ENVIRONMENTAL TECHNOLOGY VOLUME 6, NUMBER 1, APRIL 2023
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/urbanenvirotech.v6i1.15335

The increase in mask waste and a lack of understanding about the management of single-use mask waste raises the potential for environmental pollution and COVID-19 transmission. Aim: This study aimed to assess the level of understanding of medical mask waste management and strengthening health protocols in controlling COVID-19 infection in Banjar Purwa Santhi, Benoa, Badung Regency. Methodology and Results: A cross-sectional method and descriptive study design were used with a sample of 100 respondents selected via stratified sampling. The research and service activities at Banjar Purwa Santhi Benoa include public campaign and assessment of the level understanding of medical mask waste management. Based on univariate analysis, 91% of respondents know that mask waste contains hazardous and toxic substances. If mask waste is disposed carelessly, 98% of respondents stated that it can pollute the environment, and 98% of respondents also stated that it has the potential to become a means of transmitting COVID-19. However, 85% of respondents disposed of the masks in the household trash. Conclusion, significance and impact study: Respondents had a good level of knowledge about health protocols and mask waste management but have not separated masks from household waste. By holding the community service activity, it is hoped that changes in community behavior will occur.

RELATIONSHIP BETWEEN NUTRITIONAL STATUS, IRON AND ZINC INTAKE AND LEARNING ACHIEVEMENT IN ADOLESCENT WOMEN IN SANTO YOSEPH JUNIOR HIGH SCHOOL Sri Widiani, Ni Komang Ayu; Mestika Mayangsari, Ayu Setyorini; Witarini, Komang Ayu; Eka Pratiwi, I Gusti Ayu Putu
E-Jurnal Medika Udayana Vol 13 No 2 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i02.P17

ABSTRAK Remaja adalah periode peralihan dari masa anak menjadi dewasa. Perkembangan remaja merupakan kompleks dengan pubertas, kematangan neurokognitif, transisi peran sosial, konsekuensi peningkatan kebutuhan terhadap nutrisi. Remaja putri membutuhkan zat gizi tiga kali lebih tinggi dari pria karena setiap bulan remaja putri mengalami menstruasi. Status gizi, zat besi dan seng adalah salah satu aspek penting mikronutrient yang mempengaruhi prestasi akademik remaja putri. Penelitian ini dilakukan untuk mengetahui hubungan status gizi, tingkat konsumsi zat besi (Fe) dan seng (Zn) dengan prestasi belajar pada remaja putri di SMP Santo Yoseph Denpasar. Penelitian ini menggunakan metode cross sectional. Instrumen dalam penelitian ini adalah kuesioner sosiodemografi, form food recall 1x24 jam, nilai rapor siswi kelas IX dan status gizi dinilai melalui Indeks Massa Tubuh. Hasil penelitian ini mengungkapkan sebagian besar responden (60,4%) dengan status gizi normal, sebagian besar responden (84,9%) dengan tingkat konsumsi zat besi kurang dan paling banyak responden (71,7%) memiliki tingkat konsumsi seng kurang. Prestasi belajar sebagian besar siswi memiliki prestasi belajar tinggi dalam mata pelajaran Bahasa Indonesia (78,3%), Matematika (73,6%), Bahasa Inggris (80,2%) dan Ilmu Pengetahuan Alam (92,5%). Tidak ditemukan hubungan antara status gizi dengan prestasi belajar Bahasa Indonesia (p=0,241), Matematika (p=0,288), Bahasa Inggris (p=0,690), dan IPA (p=0,327). Tingkat konsumsi zat besi tidak memiliki hubungan dengan prestasi belajar Bahasa Indonesia (p=0,096), Matematika (p=0,889), Bahasa Inggris (p=0,572), dan IPA (p=0,416). Tingkat konsumsi seng tidak memiliki hubungan dengan prestasi belajar Bahasa Indonesia (p=0,436), Matematika (p=0,971), Bahasa Inggris (p=0,568), dan IPA (p=0,829). Kata Kunci: Status Gizi, Zat Besi, Seng, Prestasi Belajar, Remaja Putri

The QUALITY OF LIFE IN ADOLESCENT DURING COVID 19 PANDEMIC Setiyawan, I Made Karma; Apsari, Ni Luh Sri; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu; Dewi, Ida Ayu Made Ratna
E-Jurnal Medika Udayana Vol 12 No 7 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i07.P13

Background : Assessment of quality of life in children is a useful indicator of overall health because it encompasses information about children's physical and mental health. Managing the existing environment and adhering to current constraints due to Covid-19 can be especially difficult for children and adolescents because these conditions can be regarded as incompatible with their developmental tasks. The Pediatric Quality of Life Inventory (PedsQL) is a tool designed to assess children's quality of life based on age, maturity, and cognitive development. While self-report is the gold standard for measuring perceived PedsQL, there may be occasions when the kid is too young, too sick, or too tired to complete PedsQL instrument, in which case a parent-proxy report may be required. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The research was conducted at Udayana University Hospital in July 2022. Detailed explanations about the context and how to fill out the PedsQL form were given to students and their parents. The students and parents fill out PedsQL forms in separate rooms. The PedsQL questionnaire used was the Indonesian version. Concordance between self-report and parent-proxy was evaluated using the Wilcoxon paired sign rank test. Intraclass correlation coefficients (ICC) to assess parent and child agreement. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was no difference in PedsQL between self-report and parent-proxy in overall and subscales functioning domain. Physical, emotional, social, and school functioning all had intraclass correlation coefficients of 0.85, 0.83, 0.79, and 0.88, respectively. Low energy (physical functioning), feel afraid or scared and feel angry (emotional functioning), and can’t do things that children his age do (social functioning) were found different among factor loadings. School functioning factor loadings were found similar. Conclusion : This study shows a good agreement and no significant difference in overall and subscale scores between children's self-report and parent-proxy reports. Although significant differences were found when examining each factor loadings in each component.

GAMBARAN STATUS KONTROL ASMA DAN KUALITAS HIDUP ANAK DENGAN ASMA DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR DAN RSUD WANGAYA DENPASAR TAHUN 2020-2021 Nurliandari, Nia; Witarini, Komang Ayu; Mayangsari, Ayu Setyorini Mestika; Pratiwi, I Gusti Ayu Putu Eka
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P03

Asthma is a chronic and emergency disease in children. Uncontrolled asthma in children can affect the quality of life of children and even lead to death. Bali is the province with the third highest prevalence of asthma after the Special Region of Yogyakarta and East Kalimantan. However, data regarding the description of asthma control status and quality of life of children with asthma in Bali, especially in Denpasar, are still limited. Therefore, the authors want to know the overview of asthma control status and quality of life of children with asthma at Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar and Wangaya Hospital Denpasar in 2020-2021. The design of this research is descriptive observational with a cross-sectional approach. After the approval of the constitutional ethics committee, all children aged 6-11 years with asthma at the Outpatient and Inpatient Respirology Pediatric Clinic Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar and Wangaya Hospital Denpasar in 2020-2021 which is recorded in a complete medical record and has approval for participation in the study by parents/guardians (n=32) will be given a questionnaire containing the child and parent’s biodata, Childhood Asthma Control Test (C-ACT) to assess asthma control status, and Pediatric Quality of Life (PedsQL) to assess children's quality of life through an electronic form. Based on asthma control status, the results showed that 27 children (84.4%) had fully controlled asthma control status and 5 children (15.6%) had partially controlled asthma control status. In controlled asthma control status, all children were male. The majority of children (3 children) have poor nutritional status and some (2 children) have obese nutritional status. All children have a family history of asthma. Most of the children's parents have the latest education in college (3 children), senior high school (1 child), and elementary school (1 child). All parents of children have jobs and most of them (3 parents of children) have salaries above the minimum wage. Based on the quality of life, there were 4 children (12.5%) with a disturbed quality of life and 28 (87.5%) children with an undisturbed quality of life. In terms of quality of life, there were 2 children, male and female, respectively. The majority of these children had good nutritional status (2 children) and did not have a family history of asthma (3 children). The parents of the 2 children have the last education in elementary school, while the other 2 parents have the last education in college. All of the children's parents have jobs and the majority (3 parents of children) have salaries above the minimum wage. Further research is needed with a larger sample size and should be carried out prospectively so that the data obtained is more complete.

Korelasi antara Pediatric Symptom Checklist-17 (PSC-17) dan Pediatric Quality Of Life Inventory (PedsQL) pada Anak Sekolah Dasar Setiyawan, I Made Karma; Saputra, I Made Yullyantara; Sindhughosa, Wega Upendra; Apsari, Ni Luh Sri; Sinardja, Siska Permanasari; Mayangsari, Ayu Setyorini Mestika; Witarini, Komang Ayu
E-Jurnal Medika Udayana Vol 13 No 9 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i09.P04

Background : Identification of psychosocial problems and quality of life of school-aged children should be routinely applied in child developmental health-related practices. The main concerns in measuring the quality of life of children with psychosocial disorders are mainly related to language development, cognitive development and the type of disorder. This has led to the identification of developmental disorders in school-aged children requiring specific tools (PSC-17 score and PedsQL score) designed for pediatric patients. The similarities or differences obtained based on these measurement tools will depend on the precise formulation of the questions as well as the assessment of the situation of the individual being evaluated. Methods : An analytic observational study using a cross-sectional design involve three elementary schools in the Jimbaran area, Badung, Bali. The study was conducted at Udayana University Hospital in July 2022. The scores used in this study were self-reported PedsQL scores and PSC-17 scores obtained based on interviews with children. The correlation between the evaluation results using the PSC-17 and PedsQL questionnaires was evaluated using the Spearman correlation test. Results : Amongst 189 children, median age was 11 years (range 11–13 years). There was a significant correlation between PSC-17 scores and PedsQL scores (r= -0.59; p<0.001). Subgroup analysis on PSC-17 aspect subscales and PedsQL dimensions found significantly varying negative correlations. Conclusion : This study found a moderate negative correlation between PSC-17 scores and PedsQL scores, varying correlations strength between each aspect/dimension of each score. Keywords: children, quality of life, PedsQL, psychosocial, PSC-17.

KARAKTERISTIK FAKTOR RISIKO MENINGITIS BAKTERIAL PADA NEONATUS DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR Sampe, Dhea Gracia Eliani; Mahalini, Dewi Sutriani; Witarini, Komang Ayu
E-Jurnal Medika Udayana Vol 13 No 6 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i06.P16

Bacterial meningitis in neonates is inflammation of the meninges in response to bacteria that can occur during the first 28 days of life. Bacterial meningitis is a serious problem causing neonatal deaths with various influencing factors. This research was conducted to obtain data regarding the characteristics of risk factors for bacterial meningitis in neonates at RSUP Prof. Dr. IGNG Ngoerah Denpasar. This study is retrospective, and data was taken from medical records of neonatal patients treated in the 2021-2022 period. Data are presented descriptively with sample determination using a total sampling technique. From a total of 45 samples that met the inclusion and exclusion criteria, it was found that most cases of neonatal bacterial meningitis occurred at premature gestational age <37 weeks (64.4%), 0-72 hours age group (64.4%), male gender. (51.1%), low birth weight <2500 grams (64.4%), history of asphyxia (51.1%), clinical respiratory distress (82.2%), clinical neonatal sepsis (100%), clinical jaundice neonatorum (68.9%), and use of ventilator/NIV/CPAP (82.2%). However, in this study, only distribution was obtained based on premature rupture of membranes (20%), intrauterine infection (35.6%), congenital abnormalities (26.7%), and neonates with clinical seizures (6.7%). Based on the research results, it can be concluded that the characteristic risk factors for neonates with bacterial meningitis, namely birth to mothers with preterm or premature gestational age, are more common in neonates aged 0-72 hours, which are associated with clinical EONS, male gender, LBW, history of asphyxia, clinical respiratory distress, clinical neonatal jaundice, and use of ventilator/NIV/CPAP. Keywords : Neonatal bacterial meningitis, characteristics, risk factors

Pengaruh Pemberian ASI Eksklusif Terhadap Kejadian Diare pada Anak Usia 1-3 Tahun Wardani, Ni Made Elsa; Witarini, Komang Ayu; Putra, Putu Junara; Artana, I Wayan Dharma
E-Jurnal Medika Udayana Vol 11 No 1 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.v11.i01.P03

Abstrak Diare adalah suatu penyakit yang ditandai dengan adanya perubahan bentuk dan konsistensi tinja yang lembek sampai mencair dan bertambahnya frekuensi buang air besar yaitu 3 kali atau lebih dalam sehari yang dapat disertai dengan muntah atau tinja yang berdarah. Kejadian diare pada anak dapat terjadi akibat pemberian susu formula sebagai pengganti ASI. Penelitian ini bertujuan untuk dapat mengetahui pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Penelitian ini dilakukan dengan metode analitik menggunakan studi kasus kontrol dengan sampel yang sesuai dari populasi berdasarkan kriteria inklusi dan eksklusi. Data dianalisis menggunakan software SPSS versi 26 untuk mendapatkan pengaruh pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun dan dengan memperhatikan faktor lain seperti keberadaan toilet, berat bayi saat lahir, tingkat pendidikan ibu, sumber air minum, kebersihan diri, kebersihan lingkungan dan status gizi. Hasil menunjukkan tidak terdapat hubungan yang signifikan antara pemberian ASI Eksklusif terhadap kejadian diare pada anak usia 1-3 tahun. Saran yang diberikan yaitu melakukan penelitian kembali dalam rentang waktu yang singkat sehingga memudahkan dalam mengingat kembali hal-hal yang telah dialami saat wawancara. Selain itu juga perlu memperhatikan berbagai faktor lain seperti kebersihan lingkungan, kebersihan diri, dan juga kebersihan peralatan makan dan botol susu sebelum digunakan. Kata Kunci: Diare, ASI Eksklusif, pengaruh

Co-Authors Adiputra, I Komang Hotra Ahmad Suryawan Apsari, Ni Luh Sri Ayu Setyorini Mestika Mayangsari Bambang Permono Biantara, I Wayan Arya Cempaka, Putu Mas Vina Paramitha Cokorda Agung Wahyu Purnamasidhi Darren Junior Defranky Theodorus Dewa Ayu Fony Prema Shanti Dewi Sutriani Mahalini Dewi, Ida Ayu Made Ratna Dyah Kanya Wati Eka Gunawijaya Eka Pratiwi, I Gusti Ayu Putu Eva Jacomina Jemima Sapulete Fatimah Indarso Fatimah lndarso Haning, Joy Aprianis Hendra Santoso Hendra Santoso Hendra Santoso I Dewa Ayu Agung Warmadewanthi I Dewa Made Sukrama I Gde Raka Widiana I Gede Purna Weisnawa I Gusti Ayu Putu Eka Pratiwi I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Gusti Ngurah Sanjaya Putra I Komang Hotra Adiputra I Made Arimbawa I Made Kardana I Nyoman Budi Hartawan I Nyoman Supadma I Putu Gede Karyana I Wayan Arya Biantara I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Gustawan I.D.A.A Warmadewanthi Ida Bagus Krisna Jaya Sutawan Ida Bagus Subanada Irwanto, Irwanto Jerry Jerry Junior, Darren Kadek Diana Harmayani Ketut Dewi Kumara Wati Ketut Suarta Luh Gede Yuliadewi NS Luh Putu Putri Sanjiwani Made Ardinata Moersintowarti B. Narendra Moersintowati B. Narendra Ni Made Ayu Agustini Ni Made Susilawathi Ni Nyoman Metriani Nesa Ni Putu Siadi Purniti NP Veny Kartika Yantie Nurliandari, Nia Purwoko, Agus Putu Ayunda Trisnia Putu Diah Vedaswari Putu Junara Putra, Putu Junara Putu Kintan Wulandari Risa Etika, Risa Sampe, Dhea Gracia Eliani Saputra, I Made Yullyantara Setiyawan, I Made Karma Shanti, Dewa Ayu Fony Prema Sindhughosa, Wega Upendra Siska Permanasari Sinardja Sri Widiani, Ni Komang Ayu Sukarta, Ni Kadek Yusthiani Susilawathi, Ni Made Sylviati M. Damanik Wardani, Ni Made Elsa Weisnawa, I Gede Purna Wulandari, Putu Kintan

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