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All Journal Paediatrica Indonesiana Syntax Literate: Jurnal Ilmiah Indonesia Babali Nursing Research
Clearesta, Kartika Eda
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Humanities Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Social Sciences Other

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Occurence and risk factors of tuberculosis infection in orphanage children in Bali Clearesta, Kartika Eda; Mayangsari, Ayu Setyorini Mestika; Wati, Dyah Kanya; Purniti, Ni Putu Siadi; Suwarba, I Gusti Ngurah Made; Artana, I Wayan Dharma
Paediatrica Indonesiana Vol. 64 No. 2 (2024): March 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.2.2024.152-9

Abstract

Background Tuberculosis (TB) is an infectious disease that is still a common threat worldwide, especially in pediatric populations. TB transmission occurs particularly when the transmitter has no obvious manifestation of the disease. There is a higher incidence of TB infection in children than in the general population, especially in high risk populations such as children in orphanages. However, the incidence of TB infection in orphaned children in Indonesia, including Bali, is unknown. Objective To describe the incidence and risk factors for TB infection in children in orphanages in Bali. Methods This case-control study was conducted in 12 orphanages in Bali. Subjects were divided into a case group comprised of children with TB infection, and a control group comprised of those without TB infection. TB infection was diagnosed by positive tuberculin test without clinically confirmed TB. Results A total of 175 children were recruited as subjects. There were 49 (28.0%) children with TB infection. Bivariate analysis revealed significant associations between density, humidity, ventilation/room area ratio, and area of ??origin with TB infection. Multivariate analysis showed that ventilation/room area ratio and room humidity of ?73% were independently positive correlated with TB infection. Natural lighting and BCG scar were not significantly different between groups. Conclusion The occurence of TB infection in children residing in orphanages in Bali is high (28%). The risk factors identified independently are lower ventilation and higher room humidity.
Time to Achieve Full Enteral Feeding in Very Low Birth Weight Infants and Associated Factors in Neonatology Unit Sukmawati, Made; Kardana, I Made; Artana, I Wayan Dharma; Putra, Putu Junara; Cempaka, Putu Mas Vina Paramitha; Clearesta, Kartika Eda
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43270

Abstract

Background: Enteral intolerance in premature infants is associated with several morbidities, especially in very low birth weight (VLBW). There are only a few dietary practices to provide better outcomes in newborns with VLBW. This study aimed to assess the factors associated with the time to achieve full enteral feeding (FEF) in infants with VLBW. Methods: This was a retrospective study on infants with VLBW in the Neonatology Unit of Sanglah Central General Hospital, Bali from November 2020 to January 2022. The infants started trophic feeding with breastmilk and or formula milk. The age of FEF was determined when the target of 150 ml/kgBW/day was reached. The association of risk factors was analyzed using the Mann-Whitney test, the Kruskal-Wallis test, and linear regression analysis. Results: A total of 79 VLBW infants with a median gestational age of 30 weeks (25-38) were recruited. The median age of FEF was achieved in 9(7-15) days. Late trophic feeding (more than 24 hours), severe asphyxia, culture positive-sepsis, and using a mechanical ventilator were associated with a longer timing of FEF. While in the multivariate analysis, small for gestational age (SGA), late trophic feeding, severe asphyxia, absence of prenatal dexamethasone, and culture-positive sepsis were independent factors for longer FEF in this population. Conclusion: In VLBW infants, the age of FEF in our population was reached in 2 weeks. Small for gestational age, late trophic feeding, severe asphyxia, prenatal dexamethasone coverage, and culture-positive sepsis were associated with delay in FEF. Further studies of multi-centers and analyzing the factors of delayed TF might be needed.
Foodborne Disease dan Vaksinasi untuk Anak Renata, Renata; Clearesta, Kartika Eda
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i4.58193

Abstract

Penyakit yang ditularkan melalui makanan (foodborne disease) merupakan masalah kesehatan global yang signifikan, terutama pada anak-anak di bawah 5 tahun. Vaksinasi terbukti efektif dalam mengurangi angka kejadian dan kematian akibat penyakit ini. Penelitian ini bertujuan untuk mengeksplorasi hubungan antara foodborne disease dan efektivitas vaksinasi dalam menurunkan tingkat mortalitas pada anak-anak. Metode penelitian yang digunakan adalah tinjauan pustaka, dengan mengumpulkan dan menganalisis berbagai sumber literatur, termasuk artikel jurnal dan laporan dari organisasi kesehatan dunia. Temuan menunjukkan bahwa vaksinasi dapat mengurangi risiko komplikasi dan koinfeksi terkait imunitas anak. Selain itu, vaksinasi foodborne disease dapat membantu menurunkan angka kejadian penyakit secara signifikan. Implikasi penelitian ini menyoroti pentingnya strategi vaksinasi sebagai langkah pencegahan yang proaktif, tidak hanya untuk melawan foodborne disease, tetapi juga untuk mengurangi resistensi antibiotik. Dengan demikian, penelitian ini memberikan kontribusi penting terhadap kebijakan kesehatan masyarakat dan perlunya peningkatan kesadaran mengenai vaksinasi di kalangan orang tua dan masyarakat luas.
Co-Authors Ayu Setyorini Mestika Mayangsari Cempaka, Putu Mas Vina Paramitha Dyah Kanya Wati I Gusti Ngurah Made Suwarba I Made Kardana I Wayan Dharma Artana, I Wayan Dharma Ni Putu Siadi Purniti Putu Junara Putra, Putu Junara Renata, Renata Sukmawati, Made