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Bambang Supriyatno
Department Of Child Health, Faculty Of Medicine, Universitas Indonesia, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Gambaran Karakteristik Ibu, Pengetahuan, dan Praktik Pemberian Makanan Pendamping Air Susu Ibu pada Bayi di Kota Pontianak Rini Andriani; Bambang Supriyatno; Damayanti Rusli Sjarif
Sari Pediatri Vol 22, No 5 (2021)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.5.2021.277-84

Abstract

Latar belakang. Stunting adalah masalah malnutrisi balita di Indonesia. Di Kalimantan Barat, prevalensinya 33,3% berdasarkan data Riskesdas 2018. Praktik pemberian MPASI yang tidak optimal berkontribusi besar pada angka itu.Tujuan. Sebagai langkah awal dalam pencegahan stunting dilakukan survei untuk mengetahui gambaran karakteristik ibu, pengetahuan, dan praktik pemberian MPASI pada bayi di kota Pontianak.Metode. Studi potong lintang dilakukan pada bulan November- Desember 2018 di tiga Puskesmas Kecamatan Kota Pontianak. Pengambilan sampel dan data primer dilakukan dengan metode consecutive sampling, wawancara dan pengisian kuisioner. Hasil. Didapatkan 110 ibu yang memenuhi kriteria inklusi dengan usia antara 26,9+5 tahun. Sebanyak 89,1% ibu memiliki gawai dan menggunakannya untuk mencari informasi nutrisi anak (82,7%). Ibu berpendapat informasi dari dokter (99,1%) yang paling terpercaya. Sebanyak 4,5% ibu memberikan MPASI dini dan 12,7% memberikan menu tunggal pada awal pemberian MPASI. Makanan pertama yang diberikan pada bayi usia 6 bulan terutama dari golongan karbohidrat dan ditemukan keterlambatan pemberian protein hewani. Sebanyak 20% ibu berpendapat bahwa garam dan gula tidak boleh diberikan pada bayi di bawah 1 tahun. Tidak semua ibu mengetahui manfaat pemberian minyak dalam MPASI dan masih terdapat 87,3% ibu yang berpendapat minyak tidak boleh diberikan pada usia di bawah 9 bulan. Dalam pemberian makan, terdapat ibu yang memberikan tontonan televisi/gawai saat makan (65,5%), memarahi (14,5%), dan memaksa anaknya untuk makan (11,8 %), Kesimpulan. Pengetahuan ibu yang kurang mengenai praktik pemberian MPASI berbasis bukti terkini masih menjadi penyebab utama praktik MPASI yang belum optimal. Intervensi edukasi yang menyeluruh melalui media gawai diperlukan untuk mengoptimalkan praktik pemberian MPASI oleh ibu.
Obstructive sleep apnea syndrome pada Anak Bambang Supriyatno; Rusmala Deviani
Sari Pediatri Vol 7, No 2 (2005)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp7.2.2005.77-84

Abstract

Obstructive Sleep Apnea Syndrome (OSAS) adalah suatu sindrom obstruksi total atauparsial jalan nafas yang menyebabkan gangguan fisiologis yang bermakna dengan dampakklinis yang bervariasi. Prevalensi OSAS adalah 0,7 – 10,3%. Beberapa keadaan dapatmerupakan faktor risiko OSAS seperti hipertofi adenoid dan atau tonsil, obesitas,disproporsi sefalometri, kelainan daerah hidung. OSAS pada anak berbeda dengan dewasabaik faktor risiko maupun tata laksananya. Manifestasi klinis OSAS pada anak adalahkesulitan bernafas pada saat tidur, mendengkur, hiperaktif, mengantuk pada siang hari,dan kadang-kadang enuresis. Diagnosis OSAS secara definitif menggunakanpolisomnografi yaitu adanya indeks apnea atau hipopnea lebih dari 5. Sebagai alternatifdiagnosis adalah menggunakan kuesioner Brouillette dkk, observasi dengan video, ataumenggunakan pulse oksimetri. Tata laksana OSAS pada anak adalah pengangkatanadenoid (adenoidektomi dan/atau tonsilektomi). Angka keberhasilannya cukup tinggiyaitu sekitar 75%. Selain itu diet untuk penurunan berat badan pada obesitas, sertapengunaan CPAP (continuous positive airway pressure). Komplikasi yang dapat terjadiadalah gangguan tingkah laku, kelainan kardiovaskular, dan gagal tumbuh.
Akurasi Pulse Oksimetri Fingertip Dibandingkan Pulse Oksimetri Generasi Baru dalam Deteksi Dini Penyakit Jantung Bawaan Kritis pada Bayi baru Lahir: Penelitian Pendahuluan Ina Rochayati; Sukman Tulus Putra; Bambang Supriyatno
Sari Pediatri Vol 17, No 2 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (72.848 KB) | DOI: 10.14238/sp17.2.2015.113-8

Abstract

Latar belakang. Peningkatan morbiditas dan mortalitas bayi baru lahir dengan penyakit jantung bawaan kritis berkaitan dengandiagnosis yang terlambat.Tujuan. Mengetahui nilai diagnostik pulse oksimetri fingertip dibandingkan generasi baru untuk deteksi dini PJB kritis pada bayibaru lahir.Metode. Penelitian dilakukan di Ruang Rawat Gabung RSCM pada bayi bugar, usia gestasi 􀁴37 minggu, dan berusia 24-72 jam.Oksimetri dilakukan di tangan kanan (preduktal) dan kaki (postduktal). Subjek dengan SpO2 <95% /beda >3% antara tangan kanandan kaki diperiksa lebih lanjut.Hasil. Pada 442 bayi, SpO2 preduktal kedua jenis pulse oksimetri bervariasi secara statistik namun tidak bermakna klinis. Tidak adasubjek dengan hasil deteksi positif dan didiagnosis PJB kritis melalui pemeriksaan oksimetri.Kesimpulan. Uji diagnostik pulse oksimetri fingertip dibandingkan generasi baru untuk deteksi dini PJB kritis pada bayi baru lahirpada penelitian ini belum dapat dinilai.
Infeksi Respiratorik Bawah Akut pada Anak Bambang Supriyatno
Sari Pediatri Vol 8, No 2 (2006)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp8.2.2006.100-6

Abstract

Infeksi respiratorik akut dibagi menjadi 2 kelompok besar yaitu infeksi respiratorikatas akut (IRAA) dan infeksi respiratorik bawah akut (IRBA), yang menjadi masalahutama adalah pneumonia dan bronkiolitis. Pneumonia merupakan ancaman baikkesakitan maupun kematian pada bayi khususnya bayi muda. Pengobatan utama adalahpemberian antibiotik yang sesuai dengan penyebabnya. Masalahnya adalah penyebabpneumonia sulit diketahui secara pasti karena tidak dilakukan kultur darah, sehinggapemberian antibiotik hanya berdasarkan empiris. Mengenai manfaat pemberian obatsuportif lain seperti vitamin A, Zn masih memerlukan penelitian lebih jauh. Sementaraitu bronkiolitis yang disebabkan oleh virus terutama RSV (respiratory syncitial virus)masih merupakan kendala bagi kesehatan anak di Indonesia; sehingga pengobatanbronkiolitis masih merupakan perdebatan yang panjang. Penggunaan antibiotik tidakdiperlukan, pemberian anti virus ribavirin, kortikosteroid sistemik, dan pemberianbronkodilator masih memerlukan analisis yang mendalam. Pernah dilaporkanpemberian RSVIG pada kasus yang berat, hasilnya masih belum memuaskan karenatidak berbeda bermakna dengan pemberian albumin disamping pengobatan suportiflainnya.
Efficacy of salbutamol-ipratropium bromide nebulization compared to salbutamol alone in children with mild to moderate asthma attacks Matahari Harumdini; Bambang Supriyatno; Rini Sekartini
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 (135.443 KB) | DOI: 10.14238/pi52.4.2012.200-8

Abstract

Background The efficacy of salbutamol-ipratropiumbromidenebulization in children with moderate asthma attacks remainsunclear, and studies on patients with mild attacks have beenrelatively few, especially in Indonesia. However, it is commonpractice for this drug combination to be given to patients withmild􀁓moderate asthma attacks.Objective To compare the efficacy of salbutamol􀁓ipratropiumbromide nebulization to salbutamol alone in children v.ith mildto moderate asthma attacks.Methods This single-blind, randomized clinical trial was heldin the Department of Child Health at Cipto MangunkusumoHospital, the Tebet Community Health Center, and the MHThamrin Salemba Hospital on children aged 5􀁓18 years withmild to moderate asthma attack. We randomized subjectsto receive either 2.5 mg salbutamol plus 0.5 mg ipratropiumbromide (experimental group) or 2.5 mg salbutamol alone(control group). Nebulization was given twice, with a 20minute interval between treatments. We assessed clinicalscores, vital signs, oxygen saturations, and peak flow rates(PFRs) at baseline, and every 20 minutes up to 120 minutespost-nebulization .Results A total of 46 patients were randomized to either theexperimental or the control group. Subjects had similar baselinemeasurements. At 20 minutes post􀁓nebulization, the percentageincrease of PFR was 19% higher in the experimental group(p􀀽O.OI, 95% CI 1.8 to 47.2). The proportion of PFR reversibilitywas 27% higher in the experimental group, although this resultwas statistically insignificant (P=0.06, 95% CI 0.03 to 0.52).There were no significant differences in clinical scores, oxygensaturations, respiratory rates, or hospitalization rates between thetwo groups. Side effects also did not differ significantly.Concl usion Salbutamol􀁓ipratropium bromide nebulizationimproved PFR measurements better than salbutamol alone.However, other clinical parameters were not significantly differentbetween the two groups. [paediatr lndones. 2012;52:200,8].
Incidence and characteristics of antituberculosis drug-induced hepatotoxicity in children: a preliminary study Bina Akura; Hanifah Oswari; Bambang Supriyatno; Najib Advani
Paediatrica Indonesiana Vol 49 No 6 (2009): November 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.74 KB) | DOI: 10.14238/pi49.6.2009.342-8

Abstract

Background Antituberculosis drugs show good efficacy but have adverse effects including hepatotoxicity.Objective To find the incidence and characteristics of antituberculosis hepatotoxicity in children during the first 2 weeks of therapy.Methods A cohort study was performed in Cipto Mangunkusumo, Persahabatan, and Tangerang Hospitals from August 2008 toMarch 2009. The diagnosis of tuberculosis (TB) based on TB scoring system. Laboratory tests were performed including transaminase enzymes, bilirubin, y-GT, albumin, ureum, and creatinine before and after 2 weeks of treatment. Patients were monitored during the first 2 weeks of therapy. Informed consent obtained from the parents.Results Six of 81 subjects had hepatotoxicity reaction. Most of the patients were 1 to 5 years old (65%) and well nourished (50%). Extrapulmonary tuberculosis found in 67% of cases. Thirty-three percents of patients received four agents. Thirty-three percents of cases received 4 agents combined with other hepatotoxic drugs. Six subjects had hepatotoxicity (1 hepatitis, 2 mixed case, and 3 asymptomatic). Two of 50 children (4%) with pulmonary TB and 4 out of 31 ( 13%) children with extrapulmonary TB had hepatotoxicity reaction. Antituberculosis drug doses were similar between the hepatotoxicity group and control.Conclusions Incidence of antituberculosis hepatotoxicity in thefirst 2 weeks of therapy was 7%, consisted of hepatitis (1 cases), mixed (2 cases), and asymptomatic (3 cases). There was no difference in sex as well as in nutritional state distribution found in cases with hepatotoxicity.
Effect of intranasal mometasone furoate administered in children with coexisting allergic rhinitis and asthma towards asthma attacks and lung function Ellen P. Gandaputra; Zakiudin Munasir; Bambang Supriyatno; Jose R. L. Batubara
Paediatrica Indonesiana Vol 49 No 6 (2009): November 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.377 KB) | DOI: 10.14238/pi49.6.2009.359-64

Abstract

Background Allergic rhinitis and asthma are allergic manifestations in respiratory tract, which related each other. Intranasal corticosteroid is effective in allergic rhinitis and has benefits in decreasing lower airway reactivity.Objectives To evaluate effectiveness of intranasal mometasonefuroate towards asthma in children aged 6-18 years with coexisting allergic rhinitis and asthma.Methods A one group pretest-posttest ("before and after") study was conducted in Cipto Mangunkusumo Hospital from May to December 2008. Subjects were children aged 6-18 years, with moderate-severe intermittent or persistent allergic rhinitis with coexisting frequent episodic asthma or persistent asthma, and visited outpatient clinic of allergy immunology division or respirology division. Subjects were administered intranasal mometasone furoate 100 J-ig daily only for 8 weeks, without long term administration of oral and inhaled corticosteroid. Improvements in allergic rhinitis and asthma were evaluated using questionnaires and lung function tests.Results There were 35 subjects and four of them dropped outduring the study. There was >50% improvement in allergic rhinitis symptoms after 4 weeks of treatment (P<0.001). This improvement was associated with decreasing in frequency of asthma attack >50% after 8 weeks of treatment (P< 0.001). There was an insignificant improvement in FEY 1 (P=0.51). However, the evaluation of sinusitis was not performed in all subjects, thus may influence the results. During study, there were no side effects observed.Conclusions Intranasal mometasone furoate improves allergicrhinitis and decrease >50% of asthma symptoms, however it is not followed with significant improvement in lung function. No side effects are reported during 8 weeks use of intranasal mometasone furoate.
Clinical manifestations of childhood asthma persisting until the age of seven Rini Asterina; Sjawitri P Siregar; Bambang Madiyono; Bambang Supriyatno
Paediatrica Indonesiana Vol 44 No 1 (2004): January 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.738 KB) | DOI: 10.14238/pi44.1.2004.1-6

Abstract

Background Asthma is a chronic illness commonly found in chil-dren. We aimed to find out the clinical manifestations of childhoodasthma persisting until the age of seven and the influencing factors.Methods A review was performed at the outpatient clinic of theDepartment of Child Health Cipto Mangunkusumo Hospital Jakarta,from January 1992 to December 2001, on children with asthmawho still had symptoms until the age of seven.Results During the period of 10 years, there were 322 childrenwith clinical symptoms of asthma persisting until the age of 7. Onehundred and forty-six (45.3%) met the inclusion criteria, consistingof 75 (51.4%) boys and 71 (48.6%) girls. The average age was11.7 years. There were 101 (69.2%) patients with rare episodicasthma, 26.0% with frequent episodic asthma, and 4.8% with per-sistent asthma. Age of onset was mostly beyond 3 year-old (51%).Besides asthma, atopic diseases noted in these patients were al-lergic rhinitis in 85 (58.2%) and atopic dermatitis in 42 (28.8%).Logistic regression found that cigarette smoke exposure (adjustedOR 4.72, 95%CI 2.05;10.87, p=0.000), allergic rhinitis (adjustedOR 3.44, 95%CI 1.40;8.45, p=0.007), and atopic dermatitis (ad-justed OR 2.37, 95%CI 1.01;5.72, p=0.048) had significant asso-ciation with the degree of asthma.Conclusion Of 146 children who still had asthma until the age ofseven, there were 69% with rare episodic asthma, 26% with fre-quent episodic asthma, and 4.8% with persistent asthma. Factorspresumably influencing this manifestations were cigarette smokeexposure, allergic rhinitis, and atopic dermatitis
Comparison of peak expiratory flow measurement by Mini-Wright peak flow meter and electronic spirometer in healthy elementary school children Mardjanis Said; Sudigdo Sastroasmoro; Bambang Supriyatno; Yovita Ananta
Paediatrica Indonesiana Vol 44 No 6 (2004): November 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.656 KB) | DOI: 10.14238/pi44.6.2004.248-52

Abstract

Objective This study aims to compare peak expiratory flow mea-surement by peak flow meter and electronic spirometer in healthyelementary school children.Methods This was a cross-sectional study performed in an el-ementary school near Cipto Mangunkusumo hospital (SDNPegangsaan 01). The study group consisted of healthy childrenaged 6-12 year old. Data regarding identity and history of illnesswas taken in each subject. Routine physical examination was per-formed and recorded. Each subject performed lung function testsby means of electronic spirometer AS-7 as well as by Mini-Wrightpeak flow meter. The subject should perform a minimum of threemaneuvers for each method where only the best result was re-corded. Method comparison test to assess agreement betweentwo methods was employed in this study.Results There were 10 males and 15 females enrolled in this study.None of the subjects currently have any respiratory symptoms andsigns. This study found that the mean peak expiratory flow (PEF) byspirometer was 226.8±73.13 L/min while by peak flow meter was223.0±45.05. Mean difference between spirometer and peak flowmeter measurements is 6.2 with standard deviation of 60.82. Thesevalues resulted in limits of agreement of -115.44 to +127.84 L/min.Conclusions This study finds disagreement between electronicspirometer and Mini-Wright peak flow meter in measuring peakexpiratory flow, therefore these two devices cannot be usedinterchangeably. Mini-Wright peak flow meter still has a role inhome monitoring, but the physician should interpret the resultscarefully.
Comparison of pulmonary functions of thalassemic and of healthy children Mardjanis Said; Sudigdo Sastroasmoro; Djajadiman Gatot; Bambang Supriyatno; Yovita Ananta
Paediatrica Indonesiana Vol 45 No 1 (2005): January 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.462 KB) | DOI: 10.14238/pi45.1.2005.1-6

Abstract

Objectives The aim of this study was to compare some pulmo-nary functions of thalassemic patients and those of normal chil-dren. Factors correlated with lung dysfunction were assessed.Methods This cross-sectional study compared some pulmonaryfunctions of thalassemic patients with those of healthy children.The study was performed in the Department of Child Health, CiptoMangunkusumo Hospital, Jakarta, Indonesia. Pre- and post-trans-fusion hemoglobin levels of the thalassemic subjects were deter-mined. Other data such as chelation therapy and serum ferritinlevels were also obtained. Both thalassemic and control subjectsunderwent routine physical examinations and lung function testsusing an electronic spirometer. Spirometry was repeated threetimes for each subject, and only the best result was recorded.Results Sixty-three thalassemic patients were enrolled, consist-ing of 32 male and 31 female subjects. Healthy subjects consistedof 31 males and 31 females. Most thalassemic patients (46/63)were found to have lung function abnormalities. This was signifi-cantly different from control subjects, of whom most (39/62) hadnormal lung function. Restrictive lung function abnormality was themost common (42/63) observation documented. Serum ferritin lev-els were obtained from 28 male and 29 female thalassemic sub-jects. There was no correlation between percentage from predictedforced vital capacity and serum ferritin levels, whether in male(r=0.191; P=0.967) or female (r =-0.076, P=0.695) thalassemicsubjects.Conclusion Thalassemic patients have significantly lower lungfunction than healthy children. More thalassemic patients had lungfunction abnormalities compared to healthy children. Restrictivedysfunction was the most common finding in the thalassemic group.No correlation was found between lung function and serum ferritinlevels
Co-Authors Adhi Teguh Perma Iskandar Ahmad Kautsar Ahmad Syafiq Alan R Tumbelaka Amir S. Madjid, Amir S. Anisa Rahmadhany Antonius H. Pudjiadi Aria Kekalih Arwin AP Akib Bambang Madiyono Bambang Tridjadja Bina Akura Chozie, Novie A. Citra Estetika Damayanti R. Syarif Damayanti Rusli Sjarif Darmawan B Setyanto Darmawan B. Setyanto Desy Dewi Saraswati Dewi I. Santoso Dewi Kartika Suryani Dewi Sukmawati Dewi Wulandari Dina Medina Dina Muktiarti, Dina Djajadiman Gatot Djer, Mulyadi Muhammad Eka Laksmi Hidayati, Eka Laksmi Ellen P. Gandaputra Endang Windiastuti Evita KB Ifran Faisal Yunus Finny Fitry Yani Fiolita I. Sutjipto Gunanti . Hanifah Oswari Hartono Gunardi Hartono Gunardi Heda Melinda D Nataprawira Heriandi Sutadi I Gusti Lanang Sidiartha I. Boediman Ida Bagus Subanada IGAN Partiwi Ika Karlina Idris Ina Rochayati Ina Susianti Timan Ina Susianti Timan Iqbal Zein Assyidiqie Irlisnia Irlisnia Irma Sapriani Iskandar, Adhi Teguh Perma Joedo Prihartono Joedo Prihartono Jose RL Batubara Kautsar, Ahmad Laila, Dewi S. Lisa Adhia Garina Mardjanis Said Matahari Harumdini Mulya Rahma Karyanti, Mulya Rahma Mulyadi M. Djer Mulyadi M. Djer Mulyadi M. Djer Munar Lubis Muzal Kadim Najib Advani Najib Advani Najib Advani Nalapraya , Widhy Yudistira Nani Nurhaeni Nastiti Kaswandani Nastiti N Rahajoe Nastiti N. Rahajoe Nia Kurniati Nia Kurniati Noenoeng Rahajoe Nyimas Heny Purwati Oke Rina Ramayani Partini Pudjiastuti Trihono Perdana, Andri Permatasari, Ruth K. Piprim Basarah Yanuarso, Piprim Basarah Rahmadhany, Anisa Rini Andriani Rini Andriani Rini Andriani Rini Asterina Rini Sekartini Risma Kerina Kaban Risma Kerina Kaban, Risma Kerina Rismala Dewi Riza Sahyuni Rusmala Deviani Rusmala Deviani Santoso, Dewi Irawati Soeria Sjawitri P Siregar Sri R.S. Hadinegoro Sudigdo Sastroasmoro Sudung O Pardede, Sudung O Sudung O. Pardede, Sudung O. Sudung Oloan Pardede Suhendro Sukman Tulus Putra Sutjipto, Fiolita Indranita Syahrial MH Tetty Yuniarti Tetty Yuniati Titis Prawitasari, Titis Wahyuni Indawati Yeni Rustina Yeni Rustina Yovita Ananta Zakiudin Munasir