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Nurtjahjo Budi Santoso
Divisi Gastroenterologi dan Hepatologi, Laboratorium Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Brawijaya/ RSU Dr. Saiful Anwar Malang, Jl. Jaksa Agung Suprapto No. 2 Malang
Medicine & Pharmacology

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RISIKO KENAIKAN HEMATOKRIT TERHADAP TERJADINYA RENJATAN PADA KASUS DEMAM BERDARAH DENGUE Sumakto, Sumakto; Santoso, Nurtjahjo Budi; Nugroho, Susanto; Kawurjan, Siti Lintang
Jurnal Kedokteran Brawijaya Vol 20, No 2 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.827 KB) | DOI: 10.21776/ub.jkb.2004.020.02.2

Abstract

ABSTRACT Shock is life threatening feature of DHF it must be manage properly through close clinical and laboratory observations. This was a pre-eliminary study to evaluate hematocrit (Hct) increased where shock occurs on dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). The WHO criteria was used to diagnose DHF, with two or more clinical criteria with trombocytopenia (≤ 100.000) and Hct increase ≥ 20 %. Examination of hemoglobin (Hb), Hct, thrombocytes and leucocytes were done in RSU Dr. Saiful Anwar Central Laboratory everyday during hospitalized. The increase of Hct percentage and Hct/Hb ratio calculation were based on the result of lowest dan highest Hct and Hb examination. The data obtains was analysed with t-test using SPSS version 10.0 programme. From 30 DHF cases, 23 (76.66%) non DSS and 7 (23.77%) DSS. The average Hct increase in all patients from serial examinations was 21.09% (SD= 2.32%). However, in 7 DSS patients the average Hct increase was 23.79% (SD= 3.84%) higher than the 23 non DSS patients (20.28%; SD= 0.25%). It was observed that the Hct increase in DSS patients was higher than that for non DSS patients. This high Hct level of 23.79% increases the likelihood of shock by 2.5 times compare with an Hct rise of 20.28%. There was a significant difference in the highest and lowest Hct/Hb ratio between DSS and non DSS cases (p= 0.000). Keywords : dengue hemorrhagic fever, dengue shock syndrome, hematocrit increase, Hct/Hb ratio
DIARE ROTAVIRUS PADA ANAK DIBAWAH USIA 3 TAHUN YANG DIRAWAT DI RSU DR. SAIFUL ANWAR MALANG TAHUN 2005 (PRELIMINARY STUDY) Santoso, Nurtjahjo Budi; Hamid, Aulia Abdul; Santoso, Sanarto
Jurnal Kedokteran Brawijaya Vol 20, No 2 (2004)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.132 KB) | DOI: 10.21776/ub.jkb.2004.020.02.5

Abstract

ABSTRACT Rotavirus is the most common cause of acute diarrhea among children worldwide. The majority of the cases required hospitalization. Epidemiologic pattern and clinical manifestation could be helpful in establishing the proper diagnosis and management. To find out prevalence and the clinical pictures of rotavirus diarrhea among children under three years of ages with acute diarrhea admitted in the Department of Child Health Dr. Saiful Anwar General Hospital. The stools of children under three years of age with acute diarrhea between March 1st and May 1st, 2005 were assessed for rotavirus using Latex agglutination test (Slidex, Rota K2, bio Merieux). Age, sex, clinical sign and symptoms and breast-fed were recorded. The severity of acute diarrhea was estimated using WHO criteria. Statistical analysis were performed using EpiInfo 2000 program with x2 or x2 for trend. From the 40 patients with acute diarrhea were found 16 patients (40%) with rotavirus positive, both male and female were 8 patients (50%). Distribution of rotavirus positive patients in age group were 0-5 months 3/16 (18,7%), 6-11 months 6/16 (37,5%), 12-23 months 6/16 (37,5%) and 24-36 months 1/16 (6,3%). Clinical manifestations showed that most children had fever (75%), vomiting (87.5%) and dehydration (87.5%). Rotavirus infection among breast-fed patients were found less than bottle-fed patients.
Co-Authors Aulia Abdul Hamid Sanarto Santoso Siti Lintang Kawurjan Sumakto Sumakto Susanto Nugroho