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Hubungan Vaksinasi Rotavirus Pentavalent dengan Kejadian Diare pada Anak Usia 6-24 Bulan di Denpasar I Made Dwiky Vinandyanata; Ni Putu Aniek Mahayani; Anak Agung Ayu Lila Paramasatiari
AMJ (Aesculapius Medical Journal) Vol. 1 No. 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Abstrak Diare adalah penyakit yang banyak menimpa serta menjadi sebab kematian kedua tertinggi secara global pada anak yang berumur < 5 tahun. Prevalensi diare pada balita di Indonesia terus meningkat tiap tahunnya. Kota Denpasar adalah kabupaten dengan kasus diare tertinggi kedua di Provinsi Bali. Infeksi rotavirus menjadi sebab diare banyak menjangkiti bayi dan anak-anak di Indonesia bahkan dunia. WHO memiliki 7 poin pedoman yang paling efektif untuk mencegah diare pada anak, salah satunya adalah pemberian vaksin rotavirus. Maksud kajian ini ialah guna memahami kaitan vaksinasi rotavirus pentavalent terhadap kasus diare anak umur 6-24 bulan di Kota Denpasar. Kajian ini merupakan observasional analitik melalui desain penelitian case control. Peserta penelitian dipilih mempergunakan teknik consecutive sampling dengan jumlah 72 anak berusia 24-36 bulan yang datang ke praktik dokter spesialis anak wilayah Denpasar. Data penelitian didapatkan menggunakan instrumen kuesioner yang berikutnya akan dianalisis menggunakan aplikasi SPSS memakai uji chi-square dan regresi logistik. Kajian ini memperlihatkan pada kelompok yang tidak mengalami kejadian diare sebagian besar mendapatkan vaksin rotavirus pentavalent (66,7%). Pada uji chi-square diketahui bahwa adanya kaitan yang bermakna antara vaksinasi rotavirus pentavalent dengan kejadian diare dan vaksin rotavirus pentavalent mempunyai dampak protektif pada kasus diare anak (OR = 0,318, IK 95% = 0,121-0,843, dan nilai p = 0,018). Kata kunci: anak, diare, rotavirus, vaksin, pentavalent Abstract Diarrhea is a disease that afflicts many and is the second leading cause of death globally in children aged < 5 years. The prevalence of diarrhea in children under five in Indonesia continues to increase every year. Denpasar City is the district with the second highest diarrhea case in Bali Province. Rotavirus infection is the cause of diarrhea in many infants and children in Indonesia and even the world. WHO has 7 points of the most effective guidelines for preventing diarrhea in children, one of which is the provision of rotavirus vaccine. The purpose of this study is to understand the relationship between pentavalent rotavirus vaccination on cases of diarrhea in children aged 6-24 months in Denpasar City. This study is an analytic observational through case control research design. The study participants were selected using a consecutive sampling technique with a total of 72 children aged 24-36 months who came to the pediatrician's practice in the Denpasar area. Research data obtained using a questionnaire instrument which will then be analyzed using the SPSS application through chi-square test and logistic regression. The results of this study showed that in the group that did not experience diarrhea, most of them received pentavalent rotavirus vaccine (66.7%). In the chi-square test, it was found that there was a significant association between pentavalent rotavirus vaccination and the incidence of diarrhea and the pentavalent rotavirus vaccine had a protective effect on pediatric diarrhea cases (OR = 0.318, 95% CI = 0.121-0.843, and p value = 0.018). Keywords: children, diarrhea, rotavirus, vaccine, pentavalent
Hubungan Kadar Trombosit, Hematokrit, dan Hemoglobin dengan Derajat Demam Berdarah Dengue pada Pasien Anak yang Rawat Inap di BRSU Tabanan Ni Made Dwinda Handayani; Desak Putu Citra Udiyani; Ni Putu Aniek Mahayani
AMJ (Aesculapius Medical Journal) Vol. 2 No. 2 (2022): August
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Dengue Hemorrhagic Fever (DHF) is the top ten causes of hospitalization in pediatrics. Indonesia is a country with the highest dengue cases in Southeast Asia and Bali is among the top five highest dengue cases in Indonesia. Tabanan Regency is the district with the highest Case Fatality Rate (CFR) in Bali, which is 0.6%. Early and accurate diagnosis can determine the patient's prognosis, but the WHO classification of DHF has not been able to provide a definite value for the degree of DHF based on the results of an examination of platelets, hematocrit, and hemoglobin. The existence of a definite value from the examination of platelets, hematocrit, and hemoglobin for each degree of DHF is expected to determine the prognosis of DHF. This type of research is an analytical research method with cross-sectional study design. The data collection method used secondary data from medical records. The research sample was all DHF pediatric patients aged 0-18 years at BRSU Tabanan who met the inclusion and exclusion criteria obtained using a consecutive sampling technique with a total sample of 84 children. Data analyses are univariate and bivariate. The results of this study showed that there was a significant relationship between platelet levels and the degree of DHF (p = 0.023 and r = 0.248), there was a significant relationship between hematocrit levels and the degree of DHF (p = 0.045 and r = 0.219), and there was no significant relationship between hemoglobin values. with the degree of DHF (p=0.073 and r=0.196).