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Hubungan ASI Eksklusif dan Riwayat ISPA Terhadap Kolonisasi Streptococcus pneumoniae pada Swab Nasofaring Anak Bawah Dua Tahun Indri Permata Rani; Finny Fitry Yani
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 2 (2020): Juli 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1160.688 KB) | DOI: 10.25077/jikesi.v1i2.27

Abstract

Pneumonia merupakan penyebab kematian utama pada anak di dunia. Streptococcus pneumoniae (S. pneumoniae) sebagai bakteri terbanyak penyebab pneumonia dapat membentuk kolonisasi di nasofaring anak. Faktor yang mempengaruhi kolonisasi S. pneumoniae ini diantaranya adalah pemberian air susu ibu (ASI) ekslusif dan infeksi saluran pernafasan akut (ISPA) pada anak. Penelitian ini bertujuan untuk mengetahui hubungan pemberian ASI ekslusif dan riwayat ISPA terhadap kolonisasi S. pneumoniae pada swab nasofaring anak usia bawah dua tahun. Penelitian ini merupakan studi analitik dengan metode cross sectional pada 30 orang anak usia bawah dua tahun. Data mengenai pemberian ASI eksklusif dan riwayat ISPA didapatkan dari hasil wawancara langsung pada saat pengambilan swab nasofaring anak. Analisis data menggunakan uji chi square. Hasil yang didapatkan pada penelitian ini sebanyak 63,3% dari anak usia bawah dua tahun ditemukan adanya kolonisasi S. pneumoniae dari hasil swab nasofaring. Hasil analisis data menggunakan chi square diperoleh nilai p=0,637 untuk hubungan pemberian ASI eksklusif terhadap kolonisasi S. pneumoniae, dan hubungan riwayat ISPA terhadap kolonisasi S. pneumoniae nilai p=0,245. Kesimpulan dari penelitian ini tidak terdapat hubungan yang bermakna antara pemberian ASI eksklusif dan riwayat ISPA terhadap kolonisasi S. pnuemoniae pada swab nasofaring anak usia bawah dua tahun
Penggunaan Kortikosteroid pada Pasien Anak dengan Perikarditis Tuberkulosis. Novi Violona Edwar; Abi Andayu; Finny Fitry Yani
Jurnal Ilmu Kesehatan Indonesia Vol 1 No 3 (2020): November 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1014.021 KB) | DOI: 10.25077/jikesi.v1i3.484

Abstract

Tuberculous pericarditis (TB pericarditis) is a disease that still frequently occurs in developing countries. The mortality rate due to TB pericarditis is still quite high, reaching 17-40%. Death due to tuberculous pericarditis is influenced by adequate or not treatment. The use of additional corticosteroid therapy is still a matter of debate in the treatment of tuberculous pericarditis. Writing this case aims to see the outcome of the use of corticosteroids in patients with tuberculous pericarditis. Literature searches were carried out through Pubmed and Google Scholar. From the results of literature search, two meta-analyzes were obtained that discussed the use of corticosteroids in tuberculous pericarditis. In children with tuberculous pericarditis, the use of corticosteroids does not reduce mortality, but can reduce complications due to tuberculous pericarditis. Keywords: corticosteroids, tuberculous pericarditis, outcome.
Successful Long-Term Monitoring of Children with Scrofuloderma, Malnutrition, and HIV Destri Linjani; Finny Fitry Yani
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 8 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i8.550

Abstract

Background: Scrofuloderma is a skin TB that occurs percontinuitatum from tissues underneath, such as lymph nodes, muscles, and bones. It often affects children and young adults. The incidence of TB disease is estimated to increase 20-fold in children with HIV infection. Poor nutrition can affect the mortality rate of children with HIV infection. This case report presents long-term monitoring of boys aged 1 year 5 months with scrofuloderma, malnutrition, and HIV infection. The case report aims to assist children and caregivers in undergoing treatment to prevent drug withdrawal and nutritional procedures and monitor the growth and development of children. Case presentation: A 1-year and 5-month-old boy with a complaint of ulcers on his right neck since 12 months ago. He also complained of diarrhea 12 months ago, accompanied by recurrent stomatitis and progressive weight loss since 3 months ago. He looked pale 1 month ago. Blood laboratory examination with hemoglobin 5.1 gr/dl, leukocytes 5280 / mm3, platelets 323,000 / mm3, hematocrit 20%, reactive anti-HIV test, CD4 examination with a value of 178 cells / L, negative tuberculin test, a chest x-ray showed infiltrate in both lung fields, and bajah examination of the nodules in the Colli dextra region, with the impression of granulomatous inflammation that can be caused by mycobacterial infection. Conclusion: Tuberculosis is the most common opportunistic infection found in children with HIV infection and increases the mortality rate. There is a relationship between nutritional status and the incidence of mortality in HIV/AIDS children, so it is necessary to monitor children for adherence to treatment, improve nutritional status and reduce morbidity and mortality rates.
SARS-CoV-2 Serology Antibody in Children with MIS-C (Multiple Inflammatory Syndrome in Children) Suspected Finny Fitry Yani; Indra Ihsan; Efrida
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 10 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i10.572

Abstract

Background: Multiple inflammatory syndromes in children (MIS-C) relate to COVID-19 severity in children. SARS-CoV-2 serology antibody is one of the diagnostic tools of MIS-C. The study aimed to describe the yield of serology antibodies of MIS-C and some characteristics found in hospitalized children with MIS-C suspects. Methods: This research was an analytic observational study. The data were collected retrospectively from some children who were hospitalized in Dr. M. Djamil General Hospital, Padang, West Sumatra, Indonesia, from April - June 2021. The inclusion criteria were children aged 1 month to 18 years, with or without contact history with the person who probable or confirmed COVID-19 and have signs and symptoms as MIS-C base on WHO criteria. Results: About eight out of 44 children showed positive serology antibodies and were diagnosed as MISC (18,2%). Based on demographic characteristics, children aged 11-15 years (27.3%) and boys were more affected (52.3%) as MIS-C suspected. Most of them were referred from a 2nd-level hospital outside Padang City (70.4%), but only 13.6% had a history of contact with COVID-19 confirmation patients. There was a significant difference in cardiovascular signs and symptoms between positive and negative serology antibody SARS-CoV-2 among children with MIS-C suspected (p<0.05), but not in fever, respiratory distress, gastrointestinal, neurology symptoms, either in laboratory results such as leukocytes, CRP and D-dimmer. Intravenous immunoglobulin, steroid, and PICU admitted showed no significant differences between the 2 groups, but more death prevalence in positive than negative. However, no significant differences (12.5% vs. 11.1%, p>0.05). Conclusion: Cardiovascular signs and symptoms could be proposed to be one of the significant differences in clinical conditions to differentiated children with MIS-C suspected and MIS-C due to serology antibody results.
Tuberculous Pleural Effusion in Child with Acute Lymphoblastic Leukemia Diska Yulia Trisiana; Finny Fitry Yani
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Abstract

Tuberculosis (TB) is a world health problem, especially in developing countries. Extrapulmonary tuberculosis may occur in 25-30% of TB infected children. Immunocompromised patientsare in risk for developing TB disease, such as in malignancy. In this case, we will present pleural TB case in children with acute lymphoblastic leukemia with a history of previous pulmonary TB. This aims to highlight the diagnostic points of pleural effusion due to malignancies or reactivation of latent infection. A 16 years old boy had been known to have an acute L2 lymphoblastic leukemia and history of pulmonary TB at 6 years old and recovered. Patient has recurrent fever, weight loss, and shortness of breath. Chest pain and decrease of breath sound at left hemithorax were found in physical examination. Chest x-ray showed left pleural effusion. Pleural tapping was performed and showed mononuclear predominant, indicated TB or malignancy. Adenosine deaminade (ADA) test was performed, it confirmed the diagnosis of TB pleural effusion. Patient received anti tuberculosis therapy plus prednisone.n Diagnosing TB in malignancies is challeingchallenging due to similarity of clinical manifestation, and patient with malignancy are in high risk for developing TB infection. ADA pleural test has a higher specificity and sensitivity in diagnosing pleural TB.
Exctraction of Foreign Body Aspiration in Children Nisa Haska Maulina; Finny Fitry Yani
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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Abstract

Aspiration of foreign bodies by children can lead to serious illness and sometimes even death. It commonly ocurs in children younger than 3 years old, as they tend to put objects in their mouth. A local epidemiology study also revealed that among paediatric patients suffering from this condition, 73% were below the age of 3 years. Bronchoscopy is an endoscopic technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. This case reported a 1 years and 3 months old boy with foreign body aspiration. Bronchoscopy with rigid brochoscope was performed electively. Patient was clinically improved after the bronchoscopy.
Characteristics of Nutrients and Microbiological Dadih Puding as Food Supplementation for Children with Sars-Cov-2 Infection Helmizar Helmizar; Hafifatul A Rahmy; Susmiati Susmiati; Asrawati Asrawati; Nice Rachmawati; Finny Fitry Yani
Jurnal Kesehatan Masyarakat Andalas Vol 16 No 1 (2022): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v16i1.1041

Abstract

The Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) that cause COVID-19 global pandemic is a devastating disease causing thousands of victims every day. Therefore, there must be a certain effort to reduce the risk of the disease progress, including improvement of individual immune system like the probiotic supplementation. Meanwhile, dadih is a dairy product obtained from fermented buffalo milk contains various nutrients for human body, especially probiotics that beneficial for reducing the risk of COVID-19 infection in children. The aim of the study was to determine the nutritional and microbiological content of dadih pudding as additional supplementation in children confirmed positive for COVID-19. The study design was True Experiment using Completely Randomized Design (CRD). It consisted of four formulas. They were F0 as the standard formula, then F1, F2, and F3 as the treatment formula by adding dadih 50, 60, 70, and 80 grams, respectively. This study was initiated with the analysis of biochemical nutritional value  at a laboratory in Padang Research Center and Industry Standardization. Besides, it also determined the number of total Acid Lactic Bacterial quantification which was analyzed at microbiology laboratory, Agricultured Technology Faculty, Universitas  Andalas. Nutrients and lactic acid bacteria in dadih pudding are potential as food supplementation, especially for children with COVID-19 infection. It is strongly recommended to give probiotic dadih to children in order to counter oxidative stress and inflammation, and the setting of COVID-19. 
Calcitriol levels and the stage of chronic kidney disease in children Diska Yulia Trisiana; Finny Fitry Yani; Fitrisia Amelin; Aumas Pabuti
Paediatrica Indonesiana Vol 62 No 5 (2022): September 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.5.2022.318-23

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Background Kidney damage in chronic kidney disease (CKD) disrupts the 1?-hydroxylase enzyme, preventing the conversion of vitamin D into the active form of calcitriol. To our knowledge, no previous studies have assessed calcitriol levels in children with CKD. Decreased vitamin D levels may occur at an early stage of the disease, so it is important to evaluate calcitriol levels in children with early stage CKD. Objective To assess calcitriol levels in children with CKD according to disease stage and other characteristics. Methods This cross-sectional study was conducted on 43 pediatric CKD patients at Dr. M Djamil Hospital, Padang, Indonesia. We recorded patient characteristics and performed laboratory tests, including routine hematology, blood urea nitrogen (BUN), creatinine, uric acid, electrolytes, calcium, and calcitriol levels. Based on estimated glomerular filtration rate (GFR), patients were grouped into either early-stage (stages I and II), or advanced-stage (stages III to V) CKD. Univariate and multivariate analyses were conducted to determine the association between calcitriol levels with disease stage and other characteristics. Results The overall mean calcitriol level of our subjects was 108.77 (SD 10.79) pmol/L. Mean levels at each CKD stage from I to V were 164.28 (SD 160.90), 94.14 (SD 50.63), 72.16 (SD 13.18), 62.92 (SD 4.87), and 67.51 (SD 4.87) pmol/L, respectively. Calcitriol levels did not differ significantly by CKD stage (P=0.114) when each stage from I to V was considered separately. There was no significant difference in calcitriol levels by growth characteristics (P=0.944), etiology (P=0.311), or anemic status (P=0.104). However, low calcitriol levels were found in all subjects with advanced stage CKD, compared to 63.6% subjects with early stage CKD (P=0.004). Mean calcitriol levels were significantly lower in CKD stage IV (P=0.049) and stage V (P=0.027) compared to stage I. Conclusions The decrease in calcitriol level occurs at an early stage in CKD. Calcitriol levels are significantly lower in advanced stage than in early stage CKD.
Overview of Risk Factors for Toddlers with Congenital Heart Disease Suffering from Pneumonia at Dr. M. Djamil General Hospital, Padang, Indonesia Ricco Azali; Didik Hariyanto; Finny Fitry Yani
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 17 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i17.717

Abstract

Background: Congenital heart disease (CHD) includes structural and non-structural abnormalities that arise from birth. Disorders of the circulatory system can also affect the respiratory system, causing symptoms and disturbances that similar to primary respiratory disease. This study aimed to describe the risk factors for toddlers with congenital heart disease who suffer from pneumonia at Dr. M. Djamil General Hospital, Padang, Indonesia. Methods: Descriptive observational study using secondary data. A total of 58 research subjects participated in the study. The research subjects met the inclusion criteria in the form of patients who had been diagnosed with congenital heart disease, aged 29 days – 60 months, and were treated at Dr. M. Djamil General Hospital, Padang, Indonesia. Data analysis was performed using SPSS software univariately. Results: The majority of patients with various age levels have a cured outcome. The majority of subjects with medium and high parental education had a greater recovery percentage than subjects with low parental education. Subjects with medium and high socioeconomic status had a greater percentage of recovery outcomes than subjects with low socioeconomic status. The majority of subjects with normal nutritional status and normal birth weight had a higher percentage of recovered outcomes than those who died. The history of DPT immunization and the type of congenital heart disease did not show a large percentage difference between patients who recovered and died. History of measles immunization and leukocytosis showed a greater percentage of patients with cured outcomes than death outcomes. Conclusion: CHD patients with pneumonia are under 1 year old, male, come from families with low-medium socioeconomic status, low-medium educational level, and malnutrition status have worse patient outcomes.
Delayed Bochdalek Diaphragmatic Hernia Appearance and Coincidence with Pneumonia in One-Year-Old Baby: A Case Report Imil Irsal Imran; Finny Fitry Yani; Riki Alkamdani
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 7 No. 2 (2023): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v7i2.783

Abstract

Background: Congenital diaphragmatic hernia (CDH) is a developmental defect in the diaphragm leading to protrusion of abdominal contents into the thoracic cavity. The incidence rates showed that this disease happened to one in 2,200-3,000 births. This study aimed to describe a case of delayed Boschdalek diaphragmatic hernia and coincidence with pneumonia in a one-year-old baby. Case Presentation: A 12-month-old girl came to the emergency room of Dr. M. Djamil General Hospital with a chief complaint of breathlessness for 2 days before admission to the hospital. She had difficulty gaining weight, only about 200 grams per month. The symptoms are breathlessness, cyanosis, asymmetry of lung sounds, change in the position of the heart sound, and scaphoid abdomen. The chest X-ray showed the opacity loops, which are fluid-filled, suggestive left diaphragmatic hernia. Conclusion: Pneumonia-like symptoms and signs could be an initial or coincidence with delayed presentation of Bochdalek hernia diaphragmatic.
Co-Authors Abi Andayu Adang Bachtiar Adang Bachtiar Adefri Wahyudi Afdal Afdal Afdal Afdal, Afdal Ahmad Junaidi Ahmad Kurniawan Akbar Aidil Rahman Novesar Al Hafiz Alfi Maido Alius Alkamdani, Riki Amelin, Fitrisia Amir, Arni Amirah Zatil Izzah Andani Eka Putra Anisya Selvia Ariescha, Putri Ayu Yessy Arni Amir Arwin AP Akib Asrawati Asrawati Aumas Pabuti Aumas Pabuti Bachti Alisjahbana Bambang Supriyatno Beni Indra, Beni Br Ginting Munthe, Novita Chicy WIdya Morfi Chika Aulia Husna Dachriyanus Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfious Basir Darmawan B. Setyanto Dasman, Hardisman Delmi Sulastri Denas Symond Desmawati Desmawati Desmawati Destri Linjani Devi Gusmaiyanto Dhyna Lidya Lestari Diana Nur Asrini Didi Yunaspi Didik Hariyanto Didik Hariyanto Dini Anggini Diska Yulia Trisiana Diska Yulia Trisiana Dita Maharani Dwiana Ocviyanti Dwihardiani, Bintari Dya Mulya Lestari Edison Edison Efrida Efrida Eka Agustia Rini Elmatris Sy Elsesmita Elsesmita Emeraldy Chatra Erkadius Erkadius Erli Meichory Viorika Eryati Darwin Fachry Abda El Rahman Fauzan Azima Fauzar Fauzar Felisia . Firdawati Firdawati Firman Arbi Gustina Lubis Gustina Lubis Hafifatul A Rahmy Hafni Bachtiar Hanifa Hanif Hardisman Dasman Harun Harnavi Helmizar Hervita Yeni Hirowati Ali, Hirowati Humaira, Hamdini Husna Yetti Ied Imilda Ihsan, Indra Ikhsan Marzony Ilmiawati Ilmiawati, Ilmiawati Imil Irsal Imran Indra Ihsan Indrapriyatna, Ahmad Syafruddin Indri Permata Rani Irhamna Yusra Irvan Medison Irvan Medison Irvan Medison Iskandar Fitri, Iskandar Joserizal Serudji Koesoemadinata, Raspati C. Lestari, Rahmi Lita Farlina Liza Fitria Liza Fitria, Liza Lydia Aswati, Lydia Machdawaty Masri Masri Maharani Permata Sari Marhefdison Marhefdison Masrul Djalal Miko, Alfan Muhammad Hendri Mukhti, Karina Astarini Nastiti Kaswandani Nelwati Nelwati Nelwati, Nelwati Nia Kurniati Nice Rachmawati Nice Rachmawati Masnadi Nina Dwi Putri Nisa Haska Maulina Novi Violona Edwar Novialdi . Novita Br Ginting Munthe Novita Br Ginting Munthe Nur Afrainin Syah Nur Indrawaty Lipoeto Nurul Noviarisa Osharinanda Monita Rahmi Lestari Rahmi, Yannisa Mutiara Rapida Saragih Ratno Widoyo, Ratno Resti Ayu Safitri Retno Devita Revi Riliani Ricco Azali Rima Semiarty Rina Triasih Rinang Mariko Rinang Mariko Rinang Mariko, Rinang Rizanda Machmoed Rizanda Machmoed Rizanda Machmud Rizanda Machmud Rizki Meizikri Roza Erisma Roza Kurniati Russilawati, Russilawati Sahputra, Roni Eka Shinta Ayudhia Stephen M. Graham, Stephen M. Susmiati Susmiati Syahredi SA Trisasi Lestari, Trisasi Triyanto Triyanto Utari Gustiany G Viorika, Erli Meichory Youri, Riana Yuhandri Yuhandri, Yuhandri Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati Yusri Dianne Jurnalis Yusri Dianne Jurnalis Zeffira, Laura Zelly Dia Rofinda