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All Journal Majalah Kedokteran Bandung Althea Medical Journal ANNALES BOGORIENSES Jurnal Ilmu-Ilmu Pertanian Annales Bogorienses
SRI SUDARWATI
Department of Child Health Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Immunology & microbiology Medicine & Pharmacology

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Journal : Althea Medical Journal

 1 
Treatment Failure of Ampicillin to Children with Pneumonia at Dr. Hasan Sadikin General Hospital Bandung from 2014–2015 Suharno, Kania Devi; Husen, Ike Rostikawati; Sudarwati, Sri
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Background: Pneumonia is one of the causes of death in infants in developing countries especially Indonesia. Appropriate treatment is needed to decrease mortality rate in children due to pneumonia. Ampicillin is one of first choices empirical antibiotic to children with severe pneumonia. The study was aimed to determine the failure rate of ampicillin in children with severe pneumonia.Methods: This study was a descriptive study which used medical records as source of data. Subjects were children aged 2–59 months with World Health Organization (WHO) defined with severe pneumonia and treated with intravenous ampicillin during January 2014 to July 2015 at Dr. Hasan Sadikin General Hospital Bandung. Samples were obtained using total sampling method while variables were analyzed using statistics software.Results: This study acquired 107 patients who met the inclusion criteria with 23.36% of them aged 2–11 months and 62.21% aged 12–23 months. Majority of subjects were male amounted as 63.55% while female occupied 36.45%. Treatment failure on the third day was 45.8% while 16.7% on the sixth day of therapy with majority failure due to existence of lower chest indrawing.Conclusions: Treatment failure on the third and sixth day of therapy still high that is characterized by the existence of lower chest indrawing as its main factor. [AMJ.2017;4(1):100–6]DOI: 10.15850/amj.v4n1.1029
Clinical Profile and Mortality in Children with Pneumonia Manivel, Ashvinii; Sudarwati, Sri; Herdiningrat, RB. Soeherman
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Background: Pneumonia is the leading killer in under-five children. Therefore, by identifying the danger signs, we are able to predict children who are at higher risk of mortality. The objective of the study is to identify the relationship between the clinical profile and mortality in children with pneumonia at Dr. Hasan Sadikin General Hospital, Bandung.Methods: This was an analytical study with a retrospective case control approach using medical records with patient’s age limitation of 1–60 month. The study period started on January 1st 2010 and ended on December 31st 2011. All types of pneumonia included whereas congenital anomalies, immunocompromised and Down’s syndrome patients were excluded in this study. Data were presented as frequency distribution.Results: During the study period, there were 653 children under age of 5 with pneumonia. Only 56 subjects met the inclusion and exclusion criteria. Twenty-eight patients with pneumonia were cured and 28 died. Based on the phi’s coefficient, tachycardia (α-value = 0.019) and hepatomegaly (α-value = 0.001) were significant predictors of death and based on the Mantel-Haenszel analysis, hepatomegaly (OR=9.62, CI 95% 2.349–39.35) was significant as a risk for mortality. Inability to drink, cyanosis, tachypnea, grunting, vomiting, convulsion, and unconsciousness were not related to mortality.Conclusion: Tachycardia and hepatomegaly have a significant relationship with mortality in under-five children with pneumonia. [AMJ.2015;2(1):235–40]
Application of Scoring System Components in Children Diagnosed with Tuberculosis in Jatinangor Primary Health Care, Sumedang Nurwanti, Mutiara Azhara; Chrysanti, Chrysanti; Sudarwati, Sri
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (641.271 KB) | DOI: 10.15850/amj.v49n4.1185

Abstract

Background: Diagnosis of tuberculosis in children is very difficult. Scoring system is used to diagnose tuberculosis in children in Indonesia. The aim of this study was to determine the application of scoring system components in children diagnosed with tuberculosis in the primary health care.Methods: This cross-sectional study was conducted in  Jatinangor Primary Health Care, Sumedang in September–October 2013. Data were obtained from 59 medical records of pediatric patients diagnosed with tuberculosis in 2010–2012, and recorded on the application of scoring system components including tuberculosis contact history, tuberculin skin test, fever, cough, nutritional status, lymph node enlargement, swelling of bones or joints, and chest X-ray. Results: All scoring system components either with tuberculosis contact history, fever, cough, nutritional status, lymph node enlargement, swelling of bones or joints, and chest X-ray were performed on all of the children diagnosed with tuberculosis, except the tuberculin skin test was performed only on 38 (64%) children. Most frequent clinical symptoms were cough (97%), while fever and malnutrition occurred in 69% and 19% of children, respectively.Conclusions: The application of scoring system components in children diagnosed with tuberculosis in Jatinangor primary health care is not having problems, except for the tuberculosis skin test. Most frequent clinical symptoms of childhood tuberculosis in this study are cough.
Co-Authors Adi Utomo Suardi Ashvinii Manivel, Ashvinii Chrysanti Chrysanti Cissy B. Kartasasmita Diah Asri Wulandari Ike Rostikawati Husen Kaiin, Ekayanti M Kaiin, Ekayanti Mulyawati Nurwanti, Mutiara Azhara RB. Soeherman Herdiningrat Reni Ghrahani D. M. Suharno, Kania Devi Sumarsono, Sony H. Sumarsono, Sony H. Surjono, Tien W. Surjono, Tien W.