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Tetanus HUBUNGAN ANTARA STATUS VAKSINASI DENGAN TINGKAT KEPARAHAN TETANUS DI RSUD BANTEN: Studi Retrospektif di Rumah Sakit Umum Daerah Banten Tahun 2022–2024 Pradyaharini, Zahra Adinda; Irwan Rusmana, Ahmad; Ivana Utami, Louisa
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 4 (2025): Volume 41 Nomor 4, September 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i4.791

Abstract

Introduction: Tetanus is an acute toxemia disease caused by tetanospasmin of Clostridium tetani. The Clinical symptoms of tetanus can be assessed using Phillips score, Dakar Score, and Ablett’s Score. Tetanus is still a public health problem in developed countries due to poor access to immunization. Aim: To analyze the association vaccination status and the severity of tetanus in patients. Method: The study used a retrospective cross-sectional design. Using secondary data from medical records of tetanus patients treated at Banten Regional Hospital during the period 2022 - 2024. Tetanus severity was assessed based on Ablett's Score. The study subjects consisted of a total sampling of all 73 tetanus patients of the year who met the inclusion and exclusion criteria, which were taken using the total sampling technique. Analysis of the relationship between vaccination status and severity was carried out using the Spearman correlation statistical test. Result: A total of 94.5% of patients had no history of tetanus vaccination. In the group of patients without vaccination, 55.1% had severe severity. All vaccinated patients (5.5%) experienced mild symptoms. Statistical test results showed no significant relationship between vaccination status and severity in tetanus patients at Banten Regional Hospital (p – value = 0,079; r = 0,207). Disscussion: There is no statistically significant association between vaccination status and the severity of tetanus (p = 0,079). However, the weak positive correlation (r =0,207) indicates a tendency for more severe symptoms among patients without a complete tetanus vaccination history. Keywords: Tetanus, Tetanus Vaccination, Tetanus Severity, Ablett’s Score
Pelaksanaan Kegiatan Sunatan Massal Sebagai Upaya Peningkatan Kesehatan Reproduksi Anak Di Kecamatan Cipare Naldi, Revi; Cantika Abadi, Kenny; Hermawati, Luluk; Abdullah, Rukman; Ivana Utami, Louisa; Rini Wulansari, Ekawati
KOMUNITA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol 5 No 2 (2026): Mei
Publisher : PELITA NUSA TENGGARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60004/komunita.v5i2.653

Abstract

Implementation Of A Mass Circumcision Program As An Effort To Improve Children’s Reproductive Health In Cipare District. Mass circumcision is a promotive and preventive intervention that plays an important role in maintaining boys’ health, particularly in relation to reproductive health. Limited access to healthcare services and socioeconomic factors in certain regions contribute to the low coverage of early-age circumcision, thereby increasing the risk of conditions such as phimosis, balanitis, and urinary tract infections. This community service activity aimed to improve children’s health through the implementation of a mass circumcision program in Cipare District, Serang City, Banten Province. The activity involved 23 boys aged 3–8 years, with the majority of participants in the 6–8-year age group. The implementation included initial health screening, parental education, circumcision procedures performed by medical personnel, and post-procedure monitoring. The results showed that all procedures were carried out safely and effectively without serious complications. Several medical indications were identified among participants, including phimosis, balanitis, and a history of urinary tract infections. This program provided direct benefits in preventing children’s health problems and increasing parental awareness of the importance of early reproductive health. It has the potential to serve as a sustainable promotive and preventive strategy to improve children’s health status at the community level.