Claim Missing Document
Check
Articles

CONCORDANCE OF THE SCORING SYSTEM AND GENE-XPERT MTB/RIF TO DIAGNOSE CHILDHOOD TUBERCULOSIS IN PRIMARY HEALTH CARE Zeffira, Laura; Finny Fitry Yani; Rizanda Machmud
Jurnal EduHealth Vol. 12 No. 02 (2022): Edition March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (839.639 KB) | DOI: 10.54209/jurnaleduhealth.v12i02.162

Abstract

The Scoring system developed by the Indonesian childhood tuberculosis working group is an alternative way to clinically diagnose TB in children especially in primary health care, however, bacteriological confirmation using gene-Xpert MTB/RIF is still highly recommended. To compare childhood TB scoring system performance and gene-Xpert MTB/RIF results among children suspected of tuberculosis in primary health care. This study was conducted on 47 children who went to the primary health care facility. The design of this study was a cross-sectional study with a conformity test (kappa). Samples that meet the inclusion criteria are recorded in the form of age, gender, weight, height, nutritional status, previous history of BCG vaccination, and physical examination, then the data is entered into the scoring system. Sputum is obtained by induction and then examined using gene-Xpert. The number of boys and girls suspected of having pulmonary TB is almost the same. About 72% of children experience malnutrition and a positive BCG score is found in more than half of the samples. There were 51.1% of children in contact with positive smear adult TB patients. Based on the scoring system obtained a TB diagnosis of 74.5% whereas based on gene-Xpert MTB/RIF examination only 4.3% of children confirm TB. There is no match between the two (conformity test with the kappa values of -0.01 and suitability 0.397). There is no compatibility in making a diagnosis of pediatric tuberculosis between the scoring system and gene-Xpert MTB/RIF at the primary health care facility.
Hubungan Laju Endap Darah (LED) dengan Kejadian Syok pada Pasien Multisystem Inflammatory Syndrome in Children (MIS-C) Rahmi, Yannisa Mutiara; Ihsan, Indra; Indra, Beni; Yani, Finny Fitry; Rofinda, Zelly Dia
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1094

Abstract

Latar Belakang: Multisystem Inflammatory Syndrome in Children (MIS-C) merupakan respon inflamasi yang melibatkan > 2 organ pasca infeksi SARS-CoV-2. Pemeriksaan marker inflamasi dapat membantu klinisi dalam menegakkan diagnosis dan memprediksi luaran buruk, seperti kejadian syok. Laju endap darah (LED) merupakan marker inflamasi yang murah dan mudah dilakukan di layanan primer yang memiliki keterbatasan fasilitas. Objektif: Mengetahui hubungan LED dengan kejadian syok pada pasien MIS-C yang dirawat di RSUP Dr. M. Djamil Padang. Metode: Jenis penelitian ini adalah analitik retrospektif dengan menggunakan data rekam medis pasien yang memenuhi kriteria inklusi dan eksklusi. Penelitian dilakukan di RSUP Dr. M. Djamil Padang pada pasien yang didiagnosis MIS-C sesuai kriteria World Health Organization (WHO). Data kemudian dianalisis dengan uji Mann-Whitney. Hasil: Penelitian ini mendapatkan median LED adalah 25,5 (1-117) mm/jam pada pasien MIS-C. Sebanyak 43,8% pasien mengalami syok. Uji statistik Mann-Whitney menunjukkan bahwa tidak terdapat perbedaan yang signifikan antara nilai LED pada pasien MIS-C yang mengalami syok dengan yang tidak (p = 0,055). Kesimpulan: Median LED pada pasien MIS-C ditemukan meningkat melebihi batas normal. Pasien MIS-C yang mengalami syok memiliki median nilai LED yang lebih tinggi jika dibandingkan dengan yang tidak (43 vs. 19,5 mm/jam), namun tidak terdapat hubungan yang signifikan antara nilai LED dengan kejadian syok pada pasien MIS-C. Pemeriksaan LED tidak dianjurkan untuk digunakan dalam memprediksi kejadian syok pada pasien MIS-C. Kata kunci: Laju Endap Darah, Luaran, MIS-C, SARS-CoV-2, Syok
Penurunan Kasus Tuberkulosis Anak saat Pandemi Covid-19 di RSUD Dr. Achmad Mochtar Bukittinggi Humaira, Hamdini; Fitria, Liza; Alkamdani, Riki; Yani, Finny Fitry
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 1 (2024): Maret 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i1.1278

Abstract

Abstrak Latar Belakang: Pandemi COVID-19 berdampak pada layanan esensial tuberkulosis (TB) di seluruh dunia. Objektif: Penelitian ini bertujuan untuk mendeskripsikan profil TB anak sebelum dan selama pandemi COVID-19 pada pasien rawat jalan anak di Rumah Sakit Dr. Achmad Mochtar Bukittinggi, Sumatera Barat, Indonesia. Metode: Penelitian ini dilakukan secara deskriptif retrospektif, dari data rekam medis pasien rawat jalan TB anak tahun 2017-2022 di Rumah Sakit Dr. Achmad Mochtar Bukittinggi. Data usia, jenis kelamin, klasifikasi diagnosis TB, gejala dan tanda dikumpulkan. Kami juga membandingkan total kasus sebelum (2017-2019) dan saat (2020-2022) pandemi COVID-19. Hasil: Subyek yang terdiagnosis TB anak sebanyak 164 anak, sebagian besar berusia 5-14 tahun (56,1%) dan berjenis kelamin laki-laki (53%). TB paru sebanyak 65,9% dan sebagian besar didiagnosis berdasarkan sistem skor TB anak Indonesia (68,9%). Gejala terbanyak adalah batuk >2 minggu (75%), diikuti gizi buruk (70,1%), dan demam >2 minggu (55,5%). Pembesaran kelenjar getah bening sebanyak 51,8% dan tidak ada pembengkakan sendi atau tulang. Tes kulit tuberkulin positif ditemukan sebanyak 62,2% dan rontgen dada menunjukkan sugestif TB pada 25,6% pasien. Dalam analisis perbandingan, kami menemukan bahwa jumlah kasus TB anak mengalami penurunan yang signifikan (p<0,01) selama pandemi COVID-19 mencapai 70% dibandingkan sebelumnya. Namun tren kasus TB anak kembali meningkat pada tahun 2022 lebih dari 100%. Kesimpulan: Terjadi penurunan kasus TB anak secara signifikan selama pandemi COVID-19, namun meningkat tajam pada tahun 2022. Kata kunci: COVID-19, tuberkulosis anak
Effect of Diagnosis, Complications, and Nutrition for Using Nasogastric Tube to Body Weight of Child Patients with Feeding Difficulty at Dr. M. Djamil General Hospital, Padang, Indonesia Youri, Riana; Gustina Lubis; Finny Fitry Yani; Aumas Pabuti; Didik Hariyanto; Yusri Dianne Jurnalis; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 6 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i6.1008

Abstract

Background: Several conditions in children can cause nutritional intake via the oral route to be inadequate. Providing enteral nutrition via a nasogastric tube (NGT) is an alternative option. Research on the use of NGTs in Indonesia is still limited, so this research aims to determine the effect of NGT use on the weight of pediatric patients with feeding difficulties at Dr. M. Djamil General Hospital, Padang. Methods: Experimental research with a pre and post-test-only design was conducted on 96 children aged 1 month - 18 years in the children's inpatient room at Dr. M. Djamil General Hospital, Padang. Body weight measurements were carried out before and after using NGT for 4 weeks (January 2022 – January 2023) at the pediatric nutrition and metabolic diseases polyclinic. Data were analyzed using paired t-test and ANOVA. Results: Most subjects (40.9%) were in the 1-12 month age group. The most common type of nutrition was ONS (oral nutritional supplements) (84.4%), the most common diagnosis was pulmonology (33.3%), and the majority were without complications (72.9%). There is an influence on the child's weight before and after using NGT (p-value <0.01). Significant differences were also found in changes in children's weight with diagnosis and complications (p<0.01). Conclusion: The use of NGT can increase the weight of pediatric patients who have feeding difficulties at Dr. M. Djamil General Hospital, Padang. Significant differences were found in changes in children's weight by diagnosis and complications.
Effect of Diagnosis, Complications, and Nutrition for Using Nasogastric Tube to Body Weight of Child Patients with Feeding Difficulty at Dr. M. Djamil General Hospital, Padang, Indonesia Youri, Riana; Gustina Lubis; Finny Fitry Yani; Aumas Pabuti; Didik Hariyanto; Yusri Dianne Jurnalis; Rinang Mariko
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 6 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i6.1008

Abstract

Background: Several conditions in children can cause nutritional intake via the oral route to be inadequate. Providing enteral nutrition via a nasogastric tube (NGT) is an alternative option. Research on the use of NGTs in Indonesia is still limited, so this research aims to determine the effect of NGT use on the weight of pediatric patients with feeding difficulties at Dr. M. Djamil General Hospital, Padang. Methods: Experimental research with a pre and post-test-only design was conducted on 96 children aged 1 month - 18 years in the children's inpatient room at Dr. M. Djamil General Hospital, Padang. Body weight measurements were carried out before and after using NGT for 4 weeks (January 2022 – January 2023) at the pediatric nutrition and metabolic diseases polyclinic. Data were analyzed using paired t-test and ANOVA. Results: Most subjects (40.9%) were in the 1-12 month age group. The most common type of nutrition was ONS (oral nutritional supplements) (84.4%), the most common diagnosis was pulmonology (33.3%), and the majority were without complications (72.9%). There is an influence on the child's weight before and after using NGT (p-value <0.01). Significant differences were also found in changes in children's weight with diagnosis and complications (p<0.01). Conclusion: The use of NGT can increase the weight of pediatric patients who have feeding difficulties at Dr. M. Djamil General Hospital, Padang. Significant differences were found in changes in children's weight by diagnosis and complications.
Clinical Severity of COVID-19 among Pediatric in Tertiary Level Hospital, West Sumatra Yani, Finny Fitry; Izzah, Amirah Zatil; Alkamdani, Riki; Widoyo, Ratno
Frontiers on Healthcare Research Vol. 1 No. 2 (2024)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v1.n2.p8-16.2024

Abstract

Background: COVID-19 clinical signs can be different for each pediatric patient. This study aims to systematically evaluate the clinical, laboratory examination, severity of COVID-19 infection of pediatric patients in RSUP Dr. M. Djamil General Hospital. Methods: This is a cohort retrospective study. Data were extracted from the medical records of pediatric patient who received COVID-19 medical treatment between September 2020 to June 2021. The data were presented as frequency, percentage and adjusted odd ratio (aOR). Bivariate and multivariate analysis was done to identify the association. Results: The results showed that from a total sample of 93 patients, the majority of these patients were male (60,2%) and fell within the age groups of 1-5 years (30,1%) and 11-15 years (31,2%). Most pediatric patients presented with a mild severity level of COVID-19. Clinical characteristics, such as consciousness (p=0.014), neurologic deficits (p=0.035), and thoracic abnormalities (p=0.040), showed a significant association with the severity level of COVID-19. There are no significant association between laboratory results and the severity level of COVID-19. Admission to PICU was identified as a protective factor against the mortality of COVID-19 (aOR=0.02) and abdominal abnormalities were identified as a contributing factor to mortality among pediatric COVID-19 cases (aOR=14.44). Conclusions: Clinical characteristics including consciousness, neurologic deficits, and thoracic abnormalities were associated with the severity level of COVID-19. PICU admission and abdominal abnormalities were associated with mortality among pediatric COVID-19 patients.
Calcium and Vitamin D Serum Level of Stunting and Severe Stunting Children Aged 12-23 Months in the Pauh Health Center, Padang City Rachmawati Masnadi, Nice; Yani, Finny Fitry
Eduvest - Journal of Universal Studies Vol. 5 No. 12 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i12.52498

Abstract

Stunting remains a significant public health challenge, particularly in developing countries. Vitamin D and calcium play crucial roles in linear growth and bone mineralization during early childhood. This study aimed to analyze the levels of serum vitamin D and calcium in stunted and severely stunted children aged 12–23 months in the working area of Pauh Health Center, Padang City, West Sumatra. This cross-sectional analytical study was conducted from February to May 2025, involving 43 children aged 12–23 months (33 stunted and 10 severely stunted). Data were analyzed using the chi-square test and independent-samples t-test. Most children exhibited hypovitaminosis D (62.7%), with 9.3% deficiency and 53.4% insufficiency. Serum calcium levels were predominantly normal (85.1%). No significant differences were found in vitamin D levels (p > 0.05) or calcium levels (p > 0.05) between stunted and severely stunted children. The mean vitamin D level was 12.14 ± 1.97 ng/mL in stunted children and 12.16 ± 1.63 ng/mL in severely stunted children. The mean serum calcium levels were 9.14 ± 1.97 mg/dL in stunted children and 9.16 ± 1.63 mg/dL in severely stunted children, respectively. Despite the high prevalence of vitamin D insufficiency, there were no significant differences in serum vitamin D and calcium levels between stunted and severely stunted children aged 12–23 months. The body's homeostatic mechanisms maintain normal serum calcium levels despite low vitamin D status, potentially at the expense of bone density. Further research is needed to identify other contributing factors to stunting severity.
Faktor Sosial Demografi dan Faktor Lingkungan dengan Pneumonia pada Anak Bawah Lima Tahun: Sebuah Studi Observasional di Kota Batam Didi Yunaspi; Dachriyanus Hamidi; Finny Fitry Yani; Alfan Miko
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55330

Abstract

Infeksi saluran pernapasan akut, khususnya pneumonia, merupakan penyebab utama morbiditas dan mortalitas pada anak di bawah usia lima tahun di seluruh dunia. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan pneumonia pada anak balita di Batam, Indonesia. Desain penelitian yaitu cross-sectional pada anak usia 0-59 bulan. Sampel diambil dengan simple random sampling. Data dikumpulkan dengan wawancara terpimpin menggunakan kuesioner meliputi faktor social demografi (tingkat pendidikan orang tua, sosial ekonomi, usia, jenis kelamin) dan faktor lingkungan (ventilasi rumah, perokok keluarga, kepadatan rumah, tempat memasak dan bahan utama lantai). Penelitian dianalisis menggunakan binary logistic regression untuk mengidentifikasi faktor risiko signifikan yang berhubungan dengan pneumonia. Hasil penelitian menunjukkan ada hubungan antara tingkat pendidikan ibu (p=0.034) sosial ekonomi (p=0.012), usia anak (p=0.002), jenis kelamin (p=0.024), ventilasi rumah (p=0.004), perokok keluarga (p=0.008), kepadatan rumah (p=0.039) dan bahan utama lantai (p=0,006) dengan pneumonia (nilai p< 0,05). Factor risiko dominan pneumonia adalah bahan utama lantai (adjusted odds ratio (aOR): 10,8; IK 95%: 2.291-51.684; p=0.003), usia anak (AOR: 3,81; IK: 0.455-10.017; p=0.006). dan sosial ekonomi (AOR: 3.348; IK: 1.277-8.775; p=0.014). Bahan utama lantai, usia anak dan social demografi merupakan faktor risiko signifikan penyebab pneumonia pada anak balita. Peningkatan kesadaran pengasuh/ibu tentang faktor-faktor yang diprediksi diperlukan untuk mengurangi insiden pneumonia pada anak dan meningkatkan kualitas kesehatan anak.
Association between sugary beverage and unhealthy food consumption and stunting among children under five Sari, Maharani Permata; Yusrawati, Yusrawati; Afdal, Afdal; Desmawati, Desmawati; Amir, Arni; Yani, Finny Fitry
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 11 (2026): February Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i11.2429

Abstract

Background: Stunting is a condition of growth failure in children under five caused by chronic malnutrition, resulting in children being too short for their age. Malnutrition occurs during the first one thousand (1000) days of life, starting from conception until the child reaches two years of age; however, the condition of stunting becomes visible after the child was two years old. The risk factors contributing to stunting are consumption of sweetendebeverage and unhealthy foods, such as snacks high in sugar, salt, and fat, as well as sweetened and carbonated drinks that are low in nutrients. Such dietary patterns can lead to an imbalance in the intake of macro- and micronutrients that play an important role in a child’s growth. Purpose: To analyze the relationship between the consumption of unhealthy foods and beverages and the incidence of stunting. Method: This study was an analytic observational with a retrospective case control design. The sample in this study were mothers who had toddlers aged 24-48 months with case and control groups. The total sample in this study was 138 with an unpaired categorical comparative formula. The sampling method in the case group was directly carried out by consecutive sampling, while in the control group it was carried out by proportional sampling first and then taken by consecutive sampling. Results: The results of this study show that there were no relationship between the consumption of sweetened beverage (p = 0.232) and the consumption of unhealthy foods (p = 0.086) with the incidence of stunting in the working area of Pagambiran Public Health Center, Padang City (p-value < 0.05). Conslusion: The conclusion of this study are that there are no relationship between the consumption of sweetened beverage consumption and the incidence of stunting in the working area of Pagambiran Public Health Center, as well as no relationship between the consumption of unhealthy foods and the incidence of stunting in the same area
Co-Authors Abi Andayu Adang Bachtiar Adefri Wahyudi Afdal Afdal Afdal Afdal Afdal, Afdal Ahmad Junaidi Ahmad Kurniawan Akbar Aidil Rahman Novesar Alfi Maido Alius Alkamdani, Riki Amelin, Fitrisia Amirah Zatil Izzah Andani Eka Putra 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 Hamidi Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfious Basir Darmawan B. Setyanto Dasman, Hardisman Denas Symond Desmawati Desmawati Desmawati Destri Linjani Devi Gusmaiyanto Devita, Retno 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 Efrida Eka Agustia Rini Elsesmita Elsesmita Emeraldy Chatra Erkadius Erkadius Erli Meichory Viorika Eryati Darwin Fachry Abda El Rahman Fauzar Fauzar Felisia . 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 Koesoemadinata, Raspati C. Lita Farlina Liza Fitria Liza Fitria, Liza Lydia Aswati, Lydia Machdawaty Masri Masri Marhefdison Marhefdison Miko, Alfan Muhammad Hendri Munthe, Novita Br Ginting Nastiti Kaswandani Nelwati, Nelwati Nia Kurniati Nice Rachmawati Nina Dwi Putri Nisa Haska Maulina Novi Violona Edwar Nur Afrainin Syah Nur Indrawaty Lipoeto Nurul Noviarisa Osharinanda Monita Rachmawati Masnadi, Nice Rahmi Lestari Rahmi, Yannisa Mutiara Rapida Saragih Ratno Widoyo, Ratno Revi Riliani Ricco Azali Riki Alkamdani Rima Semiarty Rina Triasih Rinang Mariko Rizanda Machmoed Rizanda Machmoed Rizanda Machmud Rizanda Machmud Rizki Meizikri Roni Eka Sahputra Roza Erisma Roza Kurniati Russilawati, Russilawati Sahputra, Roni Eka Sari, Maharani Permata 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