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All Journal Oto Rhino Laryngologica Indonesiana Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Putra, I Dewa Gede Arta Eka
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Education Health Professions Medicine & Pharmacology Public Health

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Retrieval of a spherical foreign body in the right bronchus of a small child Frasiska, Kadek Devi Ari; Dewantara, I Putu Santhi; Sucipta, I Wayan; Putra, I Dewa Gede Arta Eka; Asthuta, Agus Rudi; Saputra, Komang Andi Dwi; Wiranadha, I Made
Oto Rhino Laryngologica Indonesiana Vol. 55 No. 1 (2025): VOLUME 55, NO. 1 JANUARY - JUNE 2025
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v55i1.708

Abstract

Background: Bronchial foreign body aspiration can result in life-threatening obstruction of the airway, which makes it a serious emergency, particularly in children. Purpose: To report and discuss the challenges in extracting a spherical foreign body in right bronchus of a small child. Case report: A 3-year-old child, inadvertently inhaled a tiny, metallic ball, which resulted in respiratory distress. Diagnostic evaluation revealed high density opacity on chest X-ray, suggestive of a foreign body in the right main bronchus. The round metallic foreign body was successfully retrieved through bronchoscopy using optical forceps and magnetic forceps. Method: Literature search was conducted using keywords ”round foreign body in bronchus”, ”bronchial foreign body”, and ”bronchoscopy” in Medline and PubMed. Result: A total of 5 cases of round foreign bodies in the bronchus were published from 2003 to 2020. One case reported surgical removal of the foreign body, while 4 others were extracted via bronchoscopic intervention. Discussion: This case underscores the complexities in managing bronchial foreign body aspiration, particularly spherical shaped foreign body. The foreign body was round shaped and metallic, so it was difficult to be grasped, and the patient’s bronchus was very frail. Prompt diagnosis and appropriate interventions, guided by thorough clinical assessment and imaging, are crucial in ensuring favorable outcomes in such cases. Conclusion: In managing patients with foreign bodies in the bronchi, it is essential to select the appropriate instruments depending on the shape and type of foreign body, and surgical intervention should be considered as the last resort for foreign body extraction.
Rationality of Antibiotic Therapy in Patients with Acute Pharyngitis Based on the Centor Score at the First Level Health Facilities Raditya, I Gede Wahyu Adi; Putra, I Dewa Gede Arta Eka
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.103006

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Background: Pharyngitis is an inflammation of the pharyngeal wall caused by viruses, bacteria, allergies, trauma, irritants, and others. It is important to determine the cause of pharyngitis to ensure the need for antibiotic therapy, considering the high rate of antibiotic resistance. Objective: This study aims to determine the rationality of antibiotic therapy in patients with acute pharyngitis based on the Centor score at the primary health facility in Denpasar. Method: This study is a retrospective descriptive study by taking secondary data from medical records of patients with acute pharyngitis who received antibiotic therapy at Public Health Center A in East Denpasar and Clinic B in West Denpasar. From each primary health care, research samples were selected using systemic random sampling. The Centor score was assessed from the medical records of 32 patients at each primary health care. Rational antibiotic therapy is defined at a Centor score ≥4, while irrational <4. Results: The Centor score description in the sample shows that most samples have a Centor score of less than 4, where in the Public Health Center there were 23 (71.9%) samples and in the Clinic 22 (68.8%) samples. Overall, 45 (70.3%) samples had a Centor score <4, so in this study, only 29.7% of acute pharyngitis patients were rational to receive antibiotic therapy. Conclusions: The administration of antibiotics to patients with acute pharyngitis in primary health care in Denpasar is not rational. Socialization and education are needed for general practitioners in primary health care about the use of the Centor score in patients with acute pharyngitis to help clinicians determine whether or not antibiotic therapy is needed.
Co-Authors Asthuta, Agus Rudi Dewantara, I Putu Santhi Frasiska, Kadek Devi Ari I Wayan Sucipta, I Wayan Raditya, I Gede Wahyu Adi Saputra, Komang Andi Dwi Wiranadha, I Made