I Gede Peri Arista
Universitas Udayana

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Implementation of Dengue Hemorrahagic Fever (DHF) Case Reporting in Buleleng District I Gede Peri Arista; Anak Agung Sagung Sawitri; I Made Suganda Yatra
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.14025

Abstract

Background: Reporting cases of Dengue Hemorrhagic Fever (DHF) based on case definition the Ministry of Health of the Republic Indonesia is a strategy to increase the ability to predict positive cases. Our study aims to examine the implementation of case reporting so as to improve the predictive ability of positive cases.Methods: We conducted operational research at Kertha Usada General Hospital and Buleleng District Hospital. The sample is individuals diagnosed with DHF by a hospital having their address in Buleleng District and undergoing inpatient treatment at Kertha Usada General Hospital and Buleleng District Hospital in the first week of October 2021. We collected data through a review of medical record documents using a checklist.Result: We evaluated among 10 cases, 6 cases (60.0%) of whom were over 12 years old and 7 cases (70.0%) were men. Based on clinical indicators, among 10 cases, all cases (100%) actually had fever between 2-7 days, 5 cases (50%) really had headaches, 4 cases (40%) really had abdominal pain and 8 cases (80%) actually vomiting. Based on laboratory indicators, among all 10 cases (100%) there was a decrease in platelets <100,000 u/L and in 1 case (10%) there was an increase in hematocrit >52%.Conclusion : The positive predictive value obtained is 100% with very good positive predictive ability. Reporting cases based on the Ministry of Health of the Republic Indonesia case definition is expected to be carried out an ongoing basis because it can improve the ability to predict positive cases. Periodic training and technical guidance are required to equalize perceptions of case definitions so as to improve reporting quality.
Factors of Severity Dengue Hemorrhagic Fever during the Covid-19 Pandemic; A Case Control Study in Buleleng, Bali I Gede Peri Arista; Anak Agung Sagung Sawitri; I Made Suganda Yatra
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.16463

Abstract

Background: The incidence of severe Dengue Hemorrhagic Fever (DHF) in Buleleng District during the COVID-19 pandemic was very high. Our study aimed to analyze the relationship between age, sex, area of residence, type of hospital, season of occurrence and time period with the incidence of severe DHF.Methods: We conducted a case-control study. Our study sample was 135 with a ratio of cases to controls of 1:2. We collected secondary data obtained from the DHF register data of the Buleleng District Health Office in 2019 to 2020. We performed data processing and analysis using the SPSS version 22. Descriptive analysis using a cross-table distribution and inferential analysis using Chi-Square or Fisher-Exact tests with p values <0.05 or Confident Interval (CI) is 95%.Result: We found more severe cases of DHF in the group aged 1-12 years, male, living in rural areas, undergoing hospitalization in private hospitals, during the rainy season and during the COVID-19 pandemic period. Age group 1-12 years (OR: 4.3 95%CI: 1.9-9.4, p value=0,000) and rainy season (OR: 2.4 95%CI: 1.1-5.2, p value=0,025) were significantly associated with the severity of DHF.Conclusion: The age group of 1-12 years and the rainy season are risk factors for the severity of DHF during the COVID-19 pandemic. It is necessary to disseminate early awareness of DHF at the elementary school level and empower parents in maintaining the health condition of their children.