Atika Atika
Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

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Clinical Profile of Children with Pyelonephritis and Cystitis in Dr. Soetomo General Academic Hospital, Surabaya Lutifta Hilwana; Ninik Asmaningsih Soemyarso; Atika Atika
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 14 No. 1 (2023): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V14I12023.1-5

Abstract

Highlights:1. In patients younger than one year old, cystitis was more frequent in boys. Meanwhile, in patients aged 1-5, girls were more frequent in pyelonephritis and cystitis.2. In pyelonephritis, all patients had fever, followed by diarrhea and lethargy.3. Urinary symptoms, such as dysuria and hematuria, were more frequent in cystitis than in pyelonephritis. AbstractIntroduction: Urinary tract infection (UTI) is a common infection in children. Prompt diagnosis and treatment of this infection are important to prevent further damage to the kidney. This study aimed to examine the clinical profile of children with pyelonephritis and cystitis in Dr. Soetomo General Academic Hospital, Surabaya.Methods: This was a descriptive study conducted in Dr. Soetomo General Academic Hospital, Surabaya, from June 2013 until December 2015, using secondary data and presented by percentage. Samples included in this study were children aged two months to five years old with UTI as a primary or secondary diagnosis of diarrhea and had urine culture results ≥ 105 CFU/ml.Results: There were 30 patients with pyelonephritis and 27 patients with cystitis. The prevalence of pyelonephritis was 0.285% and of cystitis was 0.247%. In pyelonephritis patients younger than one-year-old, boys and girls were equal. However, boys (60%) were more frequent in cystitis patients. In both pyelonephritis and cystitis patients aged 1-5, girls were more frequent (56.3%; 64.7%).  In pyelonephritis patients, all patients were found with fever, followed by diarrhea (60%) and lethargy (56.7%) as the two most common symptoms. The two most common symptoms in cystitis patients were lethargy (44.4%) and irritability (33.3%). Urinary symptoms, such as dysuria and hematuria, were more frequent in cystitis (11.1%; 7.4%) patients than in pyelonephritis patients.Conclusion: Boys were more frequent to suffer urinary tract infections. Systemic symptoms were frequently found in pyelonephritis patients, while urinary symptoms were more frequent in cystitis patients.
High Risk of Adolescents with Prolonged Menstruation for Vulvovaginitis Pruritus Alivia Zahraturahma; Bambang Purwanto; Atika Atika
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 17 No. 2 (2026): IN-PROGRESS ISSUE (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V17I22026.160-164

Abstract

Highlights: Prolonged menstruation was associated with an increased risk of pruritus vulvae in adolescents. The highest percentage of respondents were those with prolonged menstruation who experienced pruritus vulvae.   Abstract Introduction: Pruritus vulvae, defined as itching of the vulva, is a common complaint among adolescent girls and can be influenced by various factors, including menstrual duration. Prolonged menstruation or menorrhagia, defined as menstrual bleeding lasting more than seven days or occurring in excessive volume, is suspected to increase the risk of pruritus vulvae due to excessive moisture in the genital area. This study examined the association between prolonged menstruation and vulvar pruritus among adolescent girls at Muhammadiyah 2 Senior High School in Surabaya, Indonesia. Methods: This study employed an analytical observational design with a cross-sectional approach. Data collection was conducted using a structured questionnaire in July 2024 at Muhammadiyah 2 Senior High School, Surabaya, Indonesia. A total of 131 female students from grade 10 and 11 were recruited through total sampling, in accordance with predefined inclusion and exclusion criteria. The independent variable was menstrual duration, while the dependent variable was the presence of pruritus vulvae. Statistical analysis was conducted using the Chi-square test, applying a significance threshold of 0.05 and a 95% confidence interval. The data were analyzed statistically using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 29.0. Results: The majority of respondents experienced normal menstrual duration (64.1%), while 35.9% had prolonged menstruation. A total of 48.1% reported experiencing pruritus vulvae. The statistical analysis demonstrated a significant association between prolonged menstruation and pruritus vulvae (p<0.05). Conclusion: Prolonged menstruation was associated with pruritus vulvae in adolescent girls at Muhammadiyah 2 Senior High School, Surabaya, Indonesia.