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INDONESIA
Paediatrica Indonesiana
Published by Ikatan Dokter Anak Indonesia
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 2,118 Documents
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Pediatric logistic organ dysfunction score as a predictive tool of dengue shock syndrome outcomes Lola Purnama Dewi; Eka Nurfitri
Paediatrica Indonesiana Vol 52 No 2 (2012): March 2012
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.895 KB) | DOI: 10.14238/pi52.2.2012.72-77

Abstract

Background The pediatric logistic organ dysfunction (PELOD)score is widely used as a predictive tool of patient outcomesin pediatrics intensive care unit (PICU) settings, includingfor dengue shock syndrome (DSS) patients. We evaluated thepredictive value of PELOD scores in DSS patients taken withinthe first hours after PICU admission.Objective To evaluate the usefulness of PELOD scores takenin day 1 of PICU admission for predicting outcomes in DSSpatients.Methods We included 81 DSS subjects admitted to the PICUbetween April 2006 - October 2009 by consecutive sampling.There were 12 children under 12 months of age, 48 children 1- 5years of age, and 21 children above 5 years of age enrolled in thestudy. PELOD calculations were performed as set out by originalarticles, using the published formula.Results0fthe81PICUpatients,15 (18.5%) died. The estimated,predicted mortality using PELOD scores were 43% for infantsunder 12 months, 12% for children 1 - 5 years, and 10% forchildren above 5 years. The actual mortality rates were 58.3%(7 subjects) for infants under 12 months, 10.4% (5 subjects) forchildren 1-5 years, and 14.3% (3 subjects) for children above 5years. In patients who died, PELOD indicated the most commonorgan problems to be hepatic disorders (SGOT/SGPT > 950 IU!L)and haematologic disorders (prothrombin time, INR > 1.65) in 8(53.3%) subjects and 9 (60%) subjects, respectively.Conclusion PELOD scores from subjects taken on day 1 of PICUadmission can be used to predict mortality outcome. [Paediatrlndones. 2012;5 2: 72-7].
Oral-dental hygiene and oral microorganisms in children with and without congenital heart disease Erniwaty P Panggabean; Lily Irsa; Rosihan Anwar; Munar Lubis; Rusdidjas Rusdidjas; Syahril Pasaribu
Paediatrica Indonesiana Vol 45 No 3 (2005): May 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.3.2005.127-31

Abstract

Objective This study was done to compare the dental and oralhygiene status of children with and without congenital heart dis-ease (CHD) by investigating oral microorganisms and dental andoral hygiene indices.Methods A cross-sectional study was done on children aged 2 to15 years from April 2002 to December 2003 at the Department ofChild Health, Haji Adam Malik Hospital, Medan. There were twosubject groups, the first consisting of children with CHD and thesecond of those without. The dental and oral hygiene status wasdetermined by determining caries index and oral hygiene index.Swabs from the subjects’ upper first molars were taken and cul-tured to determine the types of microorganisms present. Data wereanalyzed using the chi-square test, Fisher’s exact test, and t-test.Results There was a significant difference in mean oral hygieneindex between children with (mean 2.75; SD 1.85) and without(mean 1.45; SD 0.78) CHD (P<0.001). Positive bacterial cultureswere more frequent in children with CHD than in those without.The proportion of normal anaerobes was significantly higher in chil-dren with CHD (P=0.038). Such a significant difference was notfound for normal aerobes, pathogenic aerobes, and pathogenicanaerobes. In children with CHD, there was no significant asso-ciation between mean caries index and oral hygiene index withculture results. In those without CHD, a significant association wasfound between the caries index components of decayed tooth in-dex (P=0.003) and DMF-T (P=0.022) with culture results.Conclusions Oral-dental hygiene in children with CHD is poorrelative to that in children without CHD. Microorganism growth ap-pears more likely in children with CHD than in those without
Nutritional status of infants with cow's milk allergy who consume breast milk vs. hypoallergenic formula Mulya Safri; Aulia Rahman Putra; Vidya Chatmayani Mulya
Paediatrica Indonesiana Vol 56 No 5 (2016): September 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (446.642 KB) | DOI: 10.14238/pi56.5.2016.311-4

Abstract

Background Infants with CMA are prone to suffer malnutrition because of the inability to absorb nutrients due to bowel inflammation. Breast milk and hypoallergenic formula is the best nutritional intake in CMA infants.Objective To compare the nutritional status of CMA infants who were consumed breast milk and hypoallergenic milk.Methods We conducted a cross-sectional study included a total of 63 CMA infants aged 3-6 months collected by consecutive sampling. Infant’s nutritional status measured by anthropometric exam were divided into well-nourished (-2 to 2 SD) or malnourished (<-2 or >2 SD). Type of milk consumption were asked directly to parents/caregivers through interviews.Results Most of our subject are well-nourished (75%). The number of CMA infants who were consumed breast milk or hypoallergenik milk is not a lot of difference, 51% vs 49%, respectively. There is no significant difference between the nutritional status of CMA infants who consumed breast milk and hypoallergenic milk (P=0.61).Conclusion because there were no differences between the nutritional status of CMA infants who consumed breast milk and hypoallergenic milk. Therefore it is recommended giving breast milk or hypoallergenic milk for the first 6 months of life to reduce cow’s milk protein exposure.
Height and Weight of Preschool children of well-to-do Urban Families in Jakarta City Sri Rochani Sudjarwo; Sunarwati Sularyo; Sudiyanto Sudiyanto; Aliamran Rasjid
Paediatrica Indonesiana Vol 18 No 9-10 (1978): September - October 1978
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (481.007 KB) | DOI: 10.14238/pi18.9-10.1978.243-62

Abstract

From studies of the Indonesian children in good socio-economic condition a conclusion can be made, that they are all in a good nutritional status, so that this physical dimension can be used as indices of health of the Indonesian preschool children. But this so-called ethnic standard, using an ”optimum” group, must be kept up-to-date and reviewed every 5 years or so (Janes, 1975), remembering the probable existence of a secular trend. It is still a task to do for establishing the most effective methods to bring about an all-round improvement in the health and nutritional status of the children as great as possible, and to enable the children to get more benefit from the education which is available.
Confusions and dilemma around hepatic dysfunction associated falciparum malaria: A case report and brief review of the literature Eka Sianti; Jose Meky Mandei
Paediatrica Indonesiana Vol 49 No 4 (2009): July 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.415 KB) | DOI: 10.14238/pi49.4.2009.244-8

Abstract

Malaria remains a big burden in East Indonesia. Severe malaria assaults children in endemic area and leads toenormous morbidities and mortalities.According to the World Health Organization's criteria,recognition of one or more of the following clinicalfeatures should raise the suspicion of severe malariai.e, cerebral malaria (unrousable coma), severe anemia(hemoglobin <5 g/dl), renal failure (creatinine serum> 3 mg/dl), pulmonary edema or adult respiratory distresssyndrome (ARDS), hypoglycemia (glucose < 40 mg/dl),circulatory collapse or shock, disseminated intravascularcoagulation (DIC), repeated generalized convulsions,acidosis (pH < 7 .25), macroscopic hemoglobinuria,hyperparasitaemia ( > 5% of the erythrocytes infested byparasites), or jaundice (bilirubin> 3 mg/dl).l-3Jaundice in malaria due to hepatic dysfunction isa classical case, nevertheless, there are some confusionsand dilemmas in managing it.1 We report a case withjaundice due to hepatic dysfunction and hemolysisassociated falciparum malaria that we treated inGeneral Hospital of Fakfak, West Papua, and providea brief literature review on the matter.
Soy-based infant nutrition: a review Yvan Vandenplas; Badriul Hegar
Paediatrica Indonesiana Vol 54 No 1 (2014): January 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.179 KB) | DOI: 10.14238/pi54.1.2014.62-6

Abstract

Dietary consumption of soy varies worldwide.In Asia, people traditionally consume largequantities of soy, while in Europe, soy is notpart of the traditional or daily eating habits.The USA is a major soy producer. The mean intake ofisoflavones by an adult is 8 - 50 mg/day in Asia but only0.5 - 3.5 mg/day in the Western world.1 The soy intakeof a vegetarian is 3 - 12 mg/day and a vegan achievesan intake of 15-60 mg/day.2In the early 1900s, soy-protein preparationswere the only option for the treatment of cow's milkprotein allergy (CMPA) . The first report of the use ofa soybean -based formula for infants dates from 1909.3Most soy drinks are not enriched with zinc, iron,calcium, phosphorous, methionine, or carnitine. Soydrinks also do not contain soy isolate. Soy productsthat do not fulfill the criteria to be an infant formulaare not adapted for infant feeding.
Epidemiology of Rotavirus diarrhea in children under five: A hospital-based surveillance in Jakarta Muzal Kadim; Yati Soenarto; Badriul Hegar; Agus Firmansyah
Paediatrica Indonesiana Vol 51 No 3 (2011): May 2011
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (166.865 KB) | DOI: 10.14238/pi51.3.2011.138-43

Abstract

Background Rotavirus is still a major cause of acute diarrhea in children around the world, both in developed and developingcountries. WHO Surveillance from 2001 to 2008 showed that in children under five years of age treated for acute diarrhea, on average 40% of cases were caused by rotavirus. A previous study in Indonesia showed that the incidence of rotavirus diarrhea in children ranged from 20%􀁑60% of diarrhea cases. However, there have been few studies identifying the genotypes of rotavirus strains in Indonesia. This infonnation is indispensable for manufacturing vaccines.Objective To examine the epidemiology of rotavirus diarrhea, including genotypes and clinical characteristics, in children under five years who were hospitalized in Jakarta.Methods This study was a prospective surveillance conducted at Cipto Mangunkusumo Hospital, Jakarta from January to December 2007 investigating hospitalized children under five years of age who suffered from acute diarrhea.Results Ninety􀁑nine patients joined the study. The incidence of rotavirus infection in this study was 67%. The youngest was 2months of age and the oldest 54 months of age, Mth an average age of 13.6 months. As much as 92% of rota virus diarrhea was found in subjects aged 3􀁑23 months, Mth a peak age of 12􀁑23 months. Nutritional status, degree of dehydration, bloating, fever, blood in stool, and mucus in the feces were not significantly different between rotavirus and non􀁑rotavirus diarrhea. Vomiting tended to be more frequently experienced by children Mth rotavirus diarrhea than those with non􀁑rotavirus (88% vs. 67%). There was no clear, seasonal pattern for rotavirus diarrhea. Most G genotypes in this study were G1 (35%), G9 (12.5%), G2 (7.5%) and the majority of P genotypes were P6 (52.5%), P8 (17.5%) and P4 (10%).Conclusions The incidence of rotavirus diarrhea in hospitalized children under five years of age in Jakarta was 67%, with apredominance ofG1, G9 and G2 genotypes. 
Influence of Hepatitis B immunization to prevent vertical transmission of Hep-B virus in infants bam from Hep-B positive mother Liza Fitria; Hartono Gunardi; Arwin A. P. Akib
Paediatrica Indonesiana Vol 50 No 6 (2010): November 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.709 KB) | DOI: 10.14238/pi50.6.2010.321-5

Abstract

Background Hepatitis B is one of the most common infectious diseases worldv.ide. Indonesia has moderate-high endemicity for hepatitis B infection. Perinatal transmission increases the risk for chronic hepatitis B. Infants from HBsAg-positive mothers should receive hepatitis B immunoglobulin (HBIG) and vaccination within 12 hours of birth, but this practice is not routinely done in Indonesia due to financial constraints.Objectives To detennine the influence of Hep-B immunization on preventing Hepatitis B vertical transmission. Methods A descriptive cohort study was conducted from May 2009 - January 2010. Subjects were term infants born from HBsAg-positive mothers v.ith no history of HBIG administration. They had received complete hepatitis B immunization and 1 month after the last dose were evaluated for HBsAg and anti-HBs. Cord blood was also taken during labor to measure HBsAg.Results There were 22 infants born from HBsAg-positive mother who met the inclusion criteria. HBsAgwas positive in 6 of22 cord blood specimens. There were 15 infants who completed this study. One of 15 infants had positive HBsAg after completed hepatitis B immunization and 12 of 15 infants had protective level of anti-HBs. Effectiveness of hepatitis B immunization to prevent vertical transmission in this study was 70-90%.Conclusion Hepatitis B immunization can prevent vertical transmission of hepatitis B in infants born to mothers who are HBsAg-positive even without administration of HBIG.
A new oral amoebicid (RO 7-0207) in the treatment of intestinal amoebiasis S. H. Pudjiadi; Sunoto Sunoto; Suharjono Suharjono; Nartono Kadri
Paediatrica Indonesiana Vol 13 No 4 (1973): April 1973
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi13.4.1973.113-9

Abstract

Amoebiasis is a widespread disease with the diffusion of the parasitevarying more with hygienic than geopraphic conditions. The incidencevaries from country to country. Soysa (1971) has estimated that ten per cent of the world-population suffers from amoebiasis. Udani et al. (1971) said that "it will not he an exaggaration to state that everyhody in a developing country either had, has or will have amoebic infection". InIndonesia, the incidence varies according to environmental, socia-economic, hygienic and sanitary conditions (Pudjiadi, 1971).
Nocturnal enuresis in children in the mountain and coastal area T. Erna Lisma; Ani Ariani; Tiangsa Sembiring; Rafita Ramayati; Rusdidjas Rusdidjas
Paediatrica Indonesiana Vol 39 No 3-4 (1999): March - April 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.3-4.1999.76-82

Abstract

This study was designed to asses whether there is the difference ofprevalence nocturnal enuresis of children living m the moun tam and coastal area, the role of socioeconomic status and nocturnal enuresis and attitude of parent concerning to enuretic children. The cross sectional study was conducted from September to October 1995 in Brastagi (mountain area) and Pantai Cermin (coastal area). Sample was taken by simple random sampling method from children with age of 5 to 15 year.Data were collected by filling the questionnaires, physical and urine examination. Nocturnal enuresis were found 19.27% of 578 children in Brastagi and 18.46% of 547 children in Pantai Cermin, it was not significant difference statistically (p>O.OS). In age group of 5 to 6 years enuresis were the highest percentage namely 30.26% in Brastagi and 30.01% in Pantai Cermin. Poor social economic status of nocturnal enuretic children family 57.02% in Brastagi and 50.50% in Pantai Cermin, it was notsignificant difference (p>O.OS). Only 55.36% of the parents concern with enuresis on their children, while in Pantai Cermin 23.95%. In this study, we did not find the correlation between geography, poor social economic status with nocturnal enuresis and mostly of the parents considered that enuresis was not a problem.

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