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All Journal Jurnal Berkala Epidemiologi Berkala Ilmu Kesehatan Kulit dan Kelamin Jurnal NERS Indonesian Journal of Tropical and Infectious Disease Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Gizi Klinik Indonesia Manuju : Malahayati Nursing Journal Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Gema Ngabdi Biomolecular and Health Science Journal JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Abdi Insani Majalah Biomorfologi (Biomorphology Journal) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science Basica Indonesian Journal on Medical Science (IJMS) Asian Journal of Health Research

Dwiyanti Puspitasari, Dwiyanti

Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Airlangga, Surabaya

Author-ID : 601996

Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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The Characteristics of Children with UTI Due to ESBL-producing Bacteria at Dr. Soetomo General Hospital, Surabaya Ida Fitriawati; Manik Retno Wahyunitisari; Risky Vitria Prasetyo; Dwiyanti Puspitasari; Tuksin Jearanaiwitayakul
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.25392

Introduction: Urinary tract infection (UTI) by extended-spectrum beta-lactamase-producing bacteria often results in a delay in obtaining appropriate antibiotics. The information on patients’ clinical characteristics is necessary for early recognition and the selection of empiric antibiotic therapy. This study aims to investigate the clinical characteristics and the length of therapy of patients with urinary tract infections by those resistant bacteria.Method: This study utilizes a cross-sectional design. Medical records of hospitalized children aged 1-18 months with UTI due to ESBL-producing bacteria at Dr. Soetomo general hospital between January 1, 2017 - July 20, 2020, were reviewed retrospectively. Variables of interest were the demographic data, underlying diseases, causative organism, clinical presentation, maximal body temperature, and length of antibiotic therapy.Results: Among 37 patients enrolled, 25 patients were female. The incidence of urinary tract infection in children was dominated by age 1-12 months old (37.8%). Urological abnormalities were presented in 62.2% of patients. ESBL-producing Escherichia coli was the most common isolated uropathogen (62.2%). High fever was found in 10/28 patients (35.7%). In 17 patients (45.9%), the total duration of antibiotic therapy was 8-14 days.Conclusion: In children with UTI, especially in the infant group, who had urological abnormality or present with a high fever, and who do not respond to empiric therapy should be suspected of developing UTI due to ESBL-producing bacteria.

Antihelmintic Treatment And Strategy To Eliminate Soil-Transmitted Helminth In Children Sacharissa Zerlina Tsarwah Thirafi; Zaky Firmawan El-Hakim; Lutfi Dewanda Nugroho; Ayush Khangai; Dwiyanti Puspitasari
Biomolecular and Health Science Journal Vol. 4 No. 1 (2021): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bhsj.v4i1.25947

Introduction: Soil-transmitted helminthiasis (STH) is one of the neglected tropical diseases. These worm infections contributed to global child health. Children suffer from chronic disease and fail to reach their full physical and intellectual capacity. Antihelmintic treatment or deworming is recommended for controlling STH. World Health Organization is focusing predominantly on deworming school-age children. Even antihelmintic treatment has to be repeated regularly, children can reinfect if their environment contaminated. It needs a strategy to control STH and treating adults as well as a child.Methods: We searched the literature for relevant clinical research and articles using Google Scholar and PubMed which were published between 2014 and 2018 with keywords “soil-transmitted helminths”, “soil-transmitted helminthiasis”, combined with “eradication” and “elimination”. We excluded research and article which were not written in English. Our study included a total number of ten publications.Results: The studies mentioned that antihelmintic requires the control of STH transmission and need for the treatment in different age groups.Conclusion: According to our findings, the mass drug administration is recommended as a control strategy in both low and middle-income countries to reduce helminthiasis and schistosomiasis. High STH reinfection rate requires an integrated approach including the use of safe pure water, improvement for personal hygiene and sanitation, proper toilets, and reducing the practice of defecation in nature. The previous studies showed that studies focused on deworming using antihelmintic

NICU Healthcare Workers Hand Hygiene Compliance during 6 Months of Direct Observation Inna Fairuuza Firdaus; Dwiyanti Puspitasari; Marijam Purwanta
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 11 No. 1 (2020): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V11I12020.41-44

Introduction: Hospitalized neonates are at risk of developing nosocomial sepsis, a systemic infection due to unhygienic healthcare, especially in Indonesia where healthcare-associated infection incidence rate is 5.9%-8.3%. Hand hygiene by healthcare workers is an effective measure to prevent it. This study aimed to understand the healthcare workers’ hand hygiene compliance towards WHO guidelines 2009 in Dr. Soetomo General Hospital NICU. Methods: This research was an observational study. The healthcare workers’ hand hygiene compliance was obtained through 6 months of direct observation, from November 2018 to April 2019, with doctors and nurses who agreed to be observed and present during the observation period as samples. The observation was recorded with WHO observation form, and processed with Microsoft Excel 2013 to obtain compliance rate. Results: Overall, the compliance of healthcare worker in NICU Dr. Soetomo General Hospital during the 6 months of study was 84%. Nurses’ compliance was higher (87%) than doctors’ (78%). Compliance to My 5 Moments of Hand Hygiene indications varied from 82% for moments before patient contact to 93% for moments after patient contact. Conclusion: In conclusion, hand hygiene compliance of healthcare workers in Dr. Soetomo General Hospital NICU varied between profession categories and each indication. To maintain and improve hand hygiene compliance, intervention in healthcare workers’ behavior is needed, so that healthcare-associated infection can be better prevented.

Persistent proteinuria as an indicator of renal disease in HIV-infected children Yuni Hisbiiyah; Risky Vitria Prasetyo; Dwiyanti Puspitasari; Ninik Asmaningsih Soemyarso; Ismoedijanto Moedjito; Mohammad Sjaifullah Noer
Paediatrica Indonesiana Vol 56 No 6 (2016): November 2016
Publisher : Indonesian Pediatric Society

Background Persistent proteinuria (microalbuminuria) has been reported to be a precursor of HIV-related renal disease. Screening allows for early management in order to prevent the progression of renal disease and decrease morbidity and mortality associated with chronic kidney disease in HIV. Several studies have been done on renal manifestation in HIV-infected children from American and African regions, but similar studies from Asia are lacking.Objective To determine the prevalence of persistent proteinuria in HIV-positive children on antiretroviral therapy (ARV) in Dr. Soetomo Hospital, Surabaya.Methods A cross-sectional study on children with HIV and treated with Â highly active antiretroviral therapy (HARRT) was done from August 2014 to February 2015. Microalbuminuria was measured by the ratio of urine albumin to creatinine (ACR), while proteinuria was measured by dipstick. Measurements were performed 3 times in 4-8 weeks. All subjects underwent complete evaluation of blood tests, serum creatinine, blood urea nitrogen (BUN), CD4 counts, and urinalysis. Data were analyzed using Chi-square and logistic regression tests.Results Of 38 children on HARRT enrolled in this study, 2 subjects developed acute kidney injury (AKI), 4 subjects were suspected to have urinary tract infection (UTI), and 1 subject was suspected to have urinary tract stones. The prevalence of persistent microalbuminuria was 2.6%. There was no correlation between immunological status, WHO clinical stage, or duration of ARV and the incidence of persistent proteinuria (P>0.05).Conclusion The prevalence of persistent proteinuria is Â lower in younger HIV-infected children at a non-advanced stage and HIV-infected children with normal immunological status who are on HAART. We provide baseline data on the renal conditions of HIV-infected children in the era of HAART, before tenovofir is Â increasingly used as an antiretroviral therapy regimen in Indonesia.

Impact of an antimicrobial resistance control program: pre- and post-training antibiotic use in children with typhoid fever Elfrida A. Rachmah; Maftuchah Rochmanti; Dwiyanti Puspitasari
Paediatrica Indonesiana Vol 56 No 4 (2016): July 2016
Publisher : Indonesian Pediatric Society

Inappropriate use of antibiotics may lead to antimicrobial resistance. In 2012, Dr. Soetomo Hospital conducted training for pediatric residents on the proper use of antibiotics to limit antimicrobial resistance.Objective To evaluate the impact of a rational, antibiotic-use training program for pediatric residents on their antibiotic prescriptions for patients with typhoid fever.Methods A cross-sectional, analytic study was conducted. We collected data from children with typhoid fever who were hospitalized in Dr. Soetomo Hospital, pre- and post-training on antibiotic prescriptions. Children with other known bacterial infections or who were discharged on request were excluded. Antibiotic prescriptions were evaluated using Gyssens algorithm based on the local protocol. Chi-square test was used to compare the quality of antibiotic prescriptions, before (year 2012) and after (year 2013) the training.Results Forty-nine patients with 67 prescriptions in 2012 and 34 patients with 48 prescriptions in 2013 fulfilled the inclusion criteria. Patientsâ€™ ages ranged from 1-18 years. Diagnoses of uncomplicated and complicated typhoid were found in 74% and 26% of subjects, respectively. First line (chloramphenicol, thiamphenicol, ampicillin, trimetroprim and sulfametoxazol) and second line (ceftriaxone and cefixime) use were 72% and 28%, respectively. All patients were discharged in good condition. Appropriate use of antibiotics was noted in 61% of subjects in 2012 and in 81% of subjects in 2013 (P=0.036). The most common type of error in 2012 and 2013 was dosage imprecision (25% and 17%, respectively).Conclusion Training on appropriate use of antibiotics significantly improved the quality of antibiotics prescribed in children with typhoid fever in Dr. Soetomo Hospital.

Correlation between immunization status and pediatric diphtheria patients outcomes in the Sampang District, 2011-2015 Kevin Sastra Dhinata; Atika Atika; Dominicus Husada; Dwiyanti Puspitasari
Paediatrica Indonesiana Vol 58 No 3 (2018): May 2018
Publisher : Indonesian Pediatric Society

Background The number of diphtheria cases recently increased, such that an outbreak was declared in East Java Province, which includes the Sampang District. Immunization completion status is a determining factor for diptheria infection. Objective To investigate for correlations between immunization status and outcomes (severity level, fatality, and complications) of diphtheria patients in the Sampang District. Methods This analytic, cross-sectional study used secondary data from the East Java Provincial Health Office on diphteria patients aged 0-20 years during the 2011-2015 outbreak in the Sampang District and interviews with diphtheria patients in that region. The Diphtheria Research Team of Soetomo Hospital collected data on immunization status, diphtheria severity (mild, moderate, or severe), case fatality (died or survived), and complications in the patients (with or without complications). Spearmanâ€™s, Chi-square, and Fisherâ€™s exact tests were used for data analyses, accordingly. Results Seventy-one patients with clinical diphtheria were identified, 17 of whom were confirmed with positive culture results. The case fatality rates were 7% in patients with clinical and 5.9% in confirmed diphtheria. There were no correlations between patient immunization status and severity (P=0.469 clinical, P=0.610 confirmed), or fatality (P=0.618 clinical, P=0.294 confirmed) of diphtheria in the clinical and confirmed diphtheria patients. However, there was a correlation between patient immunization status and the emergence of complications in clinical (P=0.013), but not in confirmed (P=0.620) diphtheria patients. Conclusion There is a correlation between immunization status and complications in clinical diphtheria patients. Such a correlation is not found in confirmed diphtheria cases because none of the patients had complete immunization status.

Escherichia coli and Klebsiella pneumonia as the Most Common Bacteria Causing Catheter Associated Urinary Tract Infection Dwiyanti Puspitasari; Edward Adijaya Rusli; Dominicus Husada; Leny Kartina
Molecular and Cellular Biomedical Sciences Vol 5, No 3 (2021)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v5i3.218

Background: Healthcare-Associated Infections (HAIs) are the result of a reaction between taint agents that infected the patient when the patient is hospitalized. A Study from The Center for Disease Control and Prevention shows that most HAIs in hospital are urinary tract infection, most of the infection incident in patient are caused by catheter. Catheter indwelling is notable in medical sphere. This study aimed to inquire case number of Catheter-Associated Urinary Tract Infection (CAUTI) in Dr. Soetomo General Hospital, the feature of CAUTI patients, the type of bacteria that cause CAUTI, and what is the relation among sex and bacteria colony.Materials and Methods: An analytic observational study with the population of pediatric hospitalized patients of Dr. Soetomo General Hospital was conducted in January-December 2017. Samples collected were positive urine culture from pediatric hospitalized patients. Information regarding the bacteria that cause CAUTI, gender, and length of catheter usage were collected.Results: There were total 140 samples of positive urine culture in pediatric patient, and 38.5% was diagnosed as CAUTI. Overall CAUTI was often found in male subjects (51.9 %), and similar with ≤1-year old patients which also often found in male subjects (60.8%). The highest length of catheter usage was 3-5 days (42.5%). All subjects had fever as a clinical sign and 83.3% had suprapubic pain. Escherichia coli and Klebsiella pneumoniae infections were highly discovered. There was an association between gender and urine culture colony count (p=0.02).Conclusion: CAUTI is commonnly found in Dr. Soetomo General Hospital, and two bacteria that cause the most infection were E. coli and K. pneumoniae.Keywords: catheter, urinary tract infection, healthcare associated infection

Status gizi dan gambaran klinis penyakit pada pasien HIV anak awal terdiagnosis Ratni Indrawanti; Egi Arguni; Ida Safitri Laksanawati; Dwiyanti Puspitasari; Dominicus Husada
Jurnal Gizi Klinik Indonesia Vol 17, No 3 (2021): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.62154

Nutritional status and clinical disease of HIV children patients when diagnosed for the first timeBackground: Human immunodeficiency virus (HIV) infection in children can cause nutritional problems. Currently, HIV-infected children are still diagnosed when the disease stage is advanced. Nutritional status is a marker of advanced stage conditions in HIV infection.Objective: To determine the clinical findings of disease and nutritional status of HIV children patients when diagnosed for the first time.Methods: We conducted a cross-sectional descriptive study. The data were taken from the medical record documents of child patients aged 0-18 years with the ICD 10 code B20, who was treated at the Dr. Sardjito Yogyakarta Hospital from 1 January 2004-31 December 2019. Results: There were 191 children diagnosed with HIV, 56% of them were boys. The median age was 34 months (IQR 25: 13 months, IQR 75: 69 months), and 95.5% among those were infected perinatally. There were 77 (40,3%) children who suffered from severe malnutrition and 55 (28.8%) children were moderate acute malnutrition. At the age of 0-60 months among them, there were 49 children (36.3%) suffered from severely underweight, 35 children (25.9%) underweight, 53 (39.3%) severely stunted, 38 (28.1%) stunted, 28 severely wasted (20.7%), and wasted as many as 24 (17.8%). At the age of 5-18 years old, there were 19 (33.9%) and 5 (8.9%) children who suffered from severely wasted and wasted respectively. World Health Organization (WHO) stages 3 and 4 were experienced by 62 (32.5%) and 68 (35.6%) children. As many as 41.3% of children had enlarged lymph nodes, thrush (40.8%), pneumonia (40.8%), and persistent or chronic diarrhea (21.5%). Conclusions: The nutritional status of HIV-infected children at baseline was dominated by underweight and stunted. The most clinical findings of the disease when the child was diagnosed with HIV infection were lymphadenopathy, oral thrush, pneumonia, and persistent or chronic diarrhea.

PERBEDAAN FREKUENSI SAKIT BAYI USIA 6-12 BULAN YANG DIBERIKAN ASI EKSKLUSIF DAN NON ASI EKSKLUSIF Nadya Khuswatun Khasanani; Ninik Darsini; Dwiyanti Puspitasari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.293-304

Abstrak Latar belakang : Angka Kematian Bayi (AKB) yang tinggi masih menjadi permasalahan di Indonesia. Berbagai upaya telah dilakukan untuk menurunkan angka morbiditas dan mortalitas. Salah satunya dengan pemberian ASI eksklusif. Namun, cakupan ASI eksklusif di Indonesia masih belum mencapai angka yang diharapkan. Pada tahun 2017 cakupan pemberian ASI eksklusif di Surabaya terendah berada di Kelurahan Sidotopo Wetan, yaitu sebesar 51,94%. Penelitian ini bertujuan untuk mengetahui perbedaan frekuensi sakit bayi usia 6 – 12 bulan yang diberikan ASI eksklusif dan non ASI eksklusif. Metode : Jenis penelitian analitik observasional dengan rancangan penelitian cross-sectional. Sampel sejumlah 102 ibu yang memiliki bayi usia 6 – 12 bulan ( 53 bayi ASI eksklusif dan 49 bayi non ASI eksklusif). Sampling dengan cluster sampling. Variabel dependen adalah frekuensi sakit, variabel independen adalah bayi usia 6 – 12 bulan yang diberikan ASI eksklusif dan non ASI eksklusif. Instrumen yang digunakan adalah kuesioner. Analisis data menggunakan chi square(α = 0,05). Hasil : Bayi dengan ASI eksklusif sebagian besar memiliki frekuensi sakit yang jarang (79,2%), sedangkan bayi non ASI eksklusif sebagian besar memiliki frekuensi sakit yang sering (85,7%). Hasil uji chi square( p<0,001, OR=22,9), yang berarti bahwa terdapat perbedaan frekuensi sakit pada bayi usia 6 – 12 bulan yang diberikan ASI eksklusif dan non ASI eksklusif di Kelurahan Sidotopo Wetan, Surabaya. Kesimpulan : Bayi yang diberikan ASI eksklusif memiliki frekuensi sakit lebih jarang daripada bayi yang tidak diberikan ASI eksklusif.Abstract Background: High Infant Mortality Rate (IMR) is still a problem in Indonesia. Various efforts have been made to reduce morbidity and mortality. One of them is exclusive breastfeeding. However, the coverage of exclusive breastfeeding in Indonesia still has not reached the expected rate. In 2017 the lowest coverage of exclusive breastfeeding in Surabaya was in Sidotopo Wetan Village, which was 51.94%. This study aims to determine the difference frequency of illness in infants aged 6 - 12 months are given exclusive breastfeeding and non-exclusive breastfeeding. Method: Type of observational analytic study with cross-sectional study design. A sample of 102 mothers who had infants aged 6 - 12 months ( 53 infants exclusively breastfeeding and 49 infants non-exclusive breastfeeding). Sampling with cluster sampling. The dependent variable is the frequency of illness, the independent variable is infants aged 6 - 12 months are given exclusive breastfeeding and non-exclusive breastfeeding. The instrument used was a questionnaire. Data analysis using chi square (α = 0.05). Results: Most infants with exclusive breastfeeding had a rare frequency of illness (79.2%), while most non-exclusive breastfeeding infants had frequent frequency of illness (85.7%). Result of chi square test (p<0.001, OR=22,9), which means that there were differences frequency of illness in infants aged 6-12 months were given exclusive breastfeeding and non-exclusive breastfeeding in Sidotopo Wetan Village.Surabaya. Conclusion: Infants are given exclusive breastfeeding have a less frequency of illness than infants are not given exclusive breastfeeding.

HUBUNGAN POLA PEMBERIAN MAKAN, SOSIAL EKONOMI DAN RIWAYAT BBLR TERHADAP STATUS GIZI BALITA Ferisca Maya Kurnia Wardhani; Sri Utami; Dwiyanti Puspitasari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.349-358

Abstrak Latar Belakang : Gizi kurang dan buruk pada balita dapat mengakibatkan terganggunya pertumbuhan jasmani dan kecerdasan anak. Angka kejadian gizi buruk tertinggi terjadi di Puskesmas Simomulyo Surabaya sebanyak 35 balita pada tahun 2016. Tujuan penelitian ini adalah menentukan hubungan Pola Pemberian Makan, Sosial Ekonomi dan Riwayat BBLR dengan Status Gizi Balita. Metode: Penelitian cross sectional ini dilakukan di Kelurahan Simomulyo Baru Surabaya. Populasi dalam penelitian ini seluruh balita usia 12-59 bulan di Kelurahan Simomulyo Baru Kota Surabaya sebanyak 3036 balita. Sampel yang digunakan sebanyak 130 balita pada RW 5 dan RW 6 dengan teknik pengambilan sampel secara simple random sampling. Pengambilan data dengan kuesioner. Data dianalisis secara statistik menggunakan uji Chi-Square. Hasil: Status Gizi Bermasalah sebagian besar terjadi pada balita dengan pola pemberian makan yang kurang yaitu 34 balita (97,1%). Pendidikan terakhir ibu balita status gizi bermasalah sebagian besar berpendidikan tinggi yaitu sebanyak 47 orang (49,0%). Pekerjaan ibu balita status gizi bermasalah sebagian besar tidak bekerja sebanyak 52 orang (49,5%). Balita status gizi bermasalah hampir setengahnya terjadi pada keluarga dengan pendapatan rendah yaitu sebanyak 41 keluarga (58,6%). Balita yang mengalami status gizi bermasalah sebagian besar terjadi pada balita dengan riwayat BBLR cukup bulan saat lahir yaitu sebanyak 23 balita (88,5%). Berdasarkan hasil uji Chi-Square didapatkan hasil pemberian makan (p-value =0,001), pendidikan ibu (p-value=0,561), pekerjaan ibu (p-value=0,320), pendapatan keluarga (p-value =0,005), dan riwayat BBLR (p-value =0,001) dengan α=0,05. Kesimpulan: Pola pemberian makan, pendapatan dan riwayat BBLR berhubungan dengan status gizi balita. Sedangkan pendidikan ibu dan pekerjaan ibu tidak berhubungan dengan status gizi balita.Abstract Background: Underweight and malnutrition of children can result in disruption of physical growth and intelligence of children. The highest incidence of malnutrition occurred in Simomulyo Health Center Surabaya as many as 35 children in 2016. The aim of the research was determine the relationship between Feeding Patterns, Social Economy and LBW History with Nutritional Status Toddlers. Method : This cross-sectional study was conducted in Simomulyo Baru Village Surabaya. The population in this study were all toddlers aged 12-59 months in Simomulyo Baru Village, Surabaya, as many as 3036 toddlers. The sample used was 130 toddlers in RW 5 and RW 6 with the sampling technique using simple random sampling. Retrieving data with a questionnaire. Data were analyzed statistically using the Chi-Square test . Results : Troubled Nutritional Status mostly occurred in children under five with poor feeding patterns, namely 34 toddlers (97.1%). The last education of mothers of children under five with a problematic nutritional status was mostly highly educated as many as 47 people (49.0%). The work of mothers of children under five with problematic nutritional status mostly did not work as many as 52 people (49.5%). Toddlers with problematic nutritional status almost half occur in families with low income as many as 41 families (58.6%). Most toddlers who have problematic nutritional status occur in infants with a history of LBW enough months at birth as many as 23 children (88.5%). Based on the Chi-Square test results obtained feeding results ( p-value = 0.001), mother’s education (p-value = 0.561), mother’s work ( p-value = 0.320), family income ( p-value = 0.005), and history LBW ( p-value = 0.001 ) with α=0,05. Conclusion : The pattern of feeding, income and history of LBW is related to the nutritional status of children. While mother’s education and mother’s work is not related to the nutritional status of children.

Co-Authors A.A.W., I Wayan Putra Abu Rohiman Alifadiningrat, Dianira Hanum Febia Alpha Fardah Athiyyah Amanah Fatmadani Suwarno Amor Peraten Ginting Andy Darma Annisa Fira Salsabila Arguni, Egi Arina Setyaningtyas Aris Wiji Utami Aryati Aryati Atika Atika Auliya, Arsya Ayu Citra Gestari AYU WULANSARI Ayuningtyas, Jayanti Febry Ayush Khangai Baiduri, Senja Bangkit Putrawan Basuki, Setio Catarina Rani Desy Primayani Devi Maya Arista Dewi, Maharani Sita Dharmawati, Ira Dhasih Afiat Dwi Pawestri Dominicus Husada Edward Adijaya Rusli Egi Arguni Elfrida A. Rachmah Erna Supatmini Ernawati Ernawati Esti Yunitasari Eveline Irawan Ferisca Maya Kurnia Wardhani Firdaus, Hema Rizkyana Hammam Izza Rofiqi Hanik, Elya Umi Haq, Arini Hartono Kahar, Hartono Hilwana, Lutifta Husada, Dominicius I Gusti Made Reza Gunadi Ranuh Ida Fitriawati Ida Safitri Laksanawati Inna Fairuuza Firdaus Innayah, Reza Nidaul Irwanto Irwanto Ismoedijanto Januarti, Catur Ifda Juniastuti Juniastuti Jusak Nugraha Kartina, Leny Kevin Sastra Dhinata Khadijah Rizky Sumitro Khadijah Rizky Sumitro Kristina Marbun Kuntaman Kuntaman Linda Astari, Linda Lutfi Dewanda Nugroho Maesarah Maesarah ManikRetno Wahyunitisari Medhi Denisa Alinda, Medhi Denisa Mohammad Sjaifullah Noer Muhammad Faizi Muhammad Faizi, Muhammad Muhammad Miftahussurur Mustikasari, Rahma Ira Mutahhar, Alif Nadya Khuswatun Khasanani Nesa, Ni Nyoman Metriani Ni Nyoman Metriani Nesa Ni Nyoman Metriani Nesa Ningrum, Astika Gita Ninik Asmaningsih Soemyarso Ninik Darsini Parwati S. Basuki Parwati Setiono Basuki Perwitasari, Yulinda Ayu Prastiya Indra Gunawan Pratiwi, Maurin Pudji Lestari Purwanta, Marijam Puspa Wardhani Putri, Ardelia Savinka Anandrian Raissa Manika Purwaningtias Ratni Indrawanti Rebekah Setiabudi, Rebekah Regitha Adit Pramesty Reza Gunadi Ranuh Reza Gunadi Ranuh Risa Etika, Risa Risky Vitria Prasetyo Riza Noviandi Rizkiya Candra Sari Rochmanti, Maftuchah Rochmanti Rokhmah Ayu Suliasih Rusli, Musofa Sacharissa Zerlina Tsarwah Thirafi Safitri, Emilia Samira - Assegaf Saraswati Dewi Sari, Gadis Meinar Sri Utami Sri Utami Steven Christian Susianto Steven Christian Susianto Sudarmo, Subijanto Marto Sulistiawati Sulistiawati Sumitro, Khadijah Rizky Sunny Mariana Samosir Susianto, Steven Christian Tirthaningsih, Ni Wajan Tuksin Jearanaiwitayakul Wahyu, Agung Dwi Wahyul Anis Wahyuni Mahmud Date Widati Fatmaningrum Widodo Darmowandowo Winni Aprillia Putri Woro Setia Ningtyas Yetti Hernaningsih Yuni Hisbiiyah Zaky Firmawan El-Hakim

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