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Paediatrica Indonesiana

paediatrica-indonesiana
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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.

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Articles 2,118 Documents

155 156 157 158 159

Flavobacterium meningosepticum Colonization in Pediatric Intensive Care Unit Antonius H. Pudjiadi
Paediatrica Indonesiana Vol 39 No 9-10 (1999): September - October 1999
Publisher : Indonesian Pediatric Society

During a period of one month 2 infants was infected by Flavobacterium meningosepticum. The ages of the patients were 3 days and 5 months. The organisms were resistant to many antibiotics. The pathogens were isolated from the bronchial secretion and considered a nosocomial infection. The primary source of infection could not be identified. We suspect that the humidifiers or ventilators are the source of infections.

Knowledge, Attitude and Practice on Acute Respiratory Infections among Mothers in Two Rural Areas in Subang Subdistrict, West Java, Indonesia Cissy B. Kartasasmita; Mintardaningsih Mintardaningsih; Anna Alisjahbana; Oma Rosmayudi; S. Hadyana
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

A survey was conducted in 2 rural villages in Indonesia. This study was a part of a one-year intervention study on case management of acute respiratory infections (ARI) in infants of less than 12 months old in Cisalak (VI, intervention village) and Sagalaherang (V2, control village). The aim of the study is to know the knowledge, attitude and practice (KAP) on ARI among rural villages mothers. All pregnant women and mothers with child below five years resided in those villages were included in the study. Trained field interviewers visited and interviewed mothers on several questions related to ARI using pretested questionnaire. A total of 436 and 576 mothers, with a mean age of25.4 (SD=5.7) and 26.5 (SD=5.4) years from VI and V2 respectively, were included. Most mothers had traditional beliefs that the cause of ARI was bad wind (77.3% and 73.8%, respectively), only 1.8% and 9.2% mothers know that ARI is caused by microorganisms. However, they believe that the disease is infectious (59.9% and 79.7%). Therefore, most mothers were aware and gave medication (66.5% and 36.3%) or brought the child to village health center (23.6% and 57.1%). The problems for seeking a medical help are transportation, distance and ignorance. As conclusion, we found that the present knowledge on ARI was in adequate, thus more information are needed for mothers to solve the ARI problems in rural villages.

Clinical Features and Liver Biochemical Activity of Hepatitis A S. Zuraida Zulkarnain; Anna Tjandarjani; Arwin P. Akib
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

A descriptive, cross sectional study, was conducted between January 1st 1993 until June 30th 1998. The objective of the study is to describe clinical features and liver biochemical activity of hepatitis A. Ninety three cases of hepatitis A (55,0%) were colleed from hospitalized acute viral hepatitis. Only 92 cases were evaluated, becuse no initial data was found in one case. The highest number of cases (44.5%) was in the age group of 5-10 years, 53 cases (57.6%) were boys and 39 cases (42.4%) were girls. From the history of illness 82 cases (89: 1 %) with jaundice, 60-80% with fever, nausea, vomiting, and anorexia. Abdominal pain and weakness in 35%, less than 12% wlth headache, myalgia, diarrhea, common cold and cough. Fifty cases (54.3%) were underweight based on weight for age. From physical examination 89.1% of cases showed Jaundice, 68.5% hepatomegaly, 23.9% abdominal tenderness, 18.5% fever, 6.5% splenomegaly, 5% pale, and 1.1% unconscious. Test of biochemical activity showed wide range result, AST 22-2869 IU/L, ALT 22-2880 IU/L, conjugated bilirubin 0.07-20.27 mg/dL and unconjugated bilirubin 0.14-11.89 mg/dL. Prolonged cholestatic, fulminant hepatitis and anerma were found in less than 3.2% of cases.

Baby girl with pentalogy of Cantrell: a case report on an extremely rare condition Widiastuti Soewondo; Suyono Suyono; Johannes Berchmans Prasodjo; Sri Lilijanti Widjaja
Paediatrica Indonesiana Vol 59 No 1 (2019): January 2019
Publisher : Indonesian Pediatric Society

In 1958, Cantrell et al. described an extremely rare syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart malformation.1 The incidence of pentalogy of Cantrell (POC) is one in 65,000 live births.1,2,3 Only one case was reported in Dr. Moewardi Public Hospital between 1999 and 2016. The exact etiology of this condition is unknown, but developmental failure of mesoderm at 4 weeks of gestational age may contribute to the condition.4 The prognosis depends on the degree of heart failure and the malformations that occur. Heart failure, arrhythmia, cardiac rupture, cardiac tamponade, endocarditis, and peripheral emboli are described as the main complications and causes of death.5,6 The aim of this report was to add to reference data about complete POC and the prognostic outcome.

Blood urea nitrogen (BUN) in gastroenteritis with dehydration Sjauli S. Amin; Jusniar B.; Suharjono Suharjono
Paediatrica Indonesiana Vol 20 No 3-4 (1980): March - April 1980
Publisher : Indonesian Pediatric Society

The study on blood urea in 40 infants suffering from gastroenteritis and dehydration has been made with the following findings:Twenty two out of 40 cases (55%) showed blood urea content of more than40 mg%.Ten out of 40 cases (25%) still had blood urea content of more than 40mg % after rehydration.This high blood urea content after rehydration was more frequently found in neonates than in non-neonates infants (33.3% : 23.5%).

Some aspects of tuberculous meningitis Taslim S. Soetomenggolo
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

Tuberculous meningitis remains a serious pediatric problem in Indonesia; the morbidity, mortality, and sequelae are still high. During January 1994 and December 1998 had been hospitalized 85 patients of tuberculous meningitis. The diagnosis was based on the clinical signs & symptoms, the abnormalities of cerebrospinal fluid, the tuberculin skin test, and the imaging of chest & brain. The sex distribution was male patients more than female patients. The age distribution was between 5 months and 11 years, and most of the patients were at the age of less than 5 years old (77.6%). Most of the patients (65.9%) suffered from undernutrition. On admission only 7 patients (8.2%) were in the stage I, and most of the patients (91.8%) were in the stage U and m. The most frequent clinical signs & symptoms of the patients were fever, unconsciousness, paresis of extremities, nuchal rigidity, convulsions, and cranial nerve palsies. The cerebrospinal fluid showed pleocytosis, and most of the cells were lymphocytic type. Only 36.5% of the patients showed positive tuberculin skin test, and 16.5% of the 85 patients had received BCG vaccination. The chest X-ray examination showed miliary tuberculosis in 24.7% of the patients, and other abnormalities in 36.5%. Head CT-scan examination showed ventriculomegaly in 75.9%, tuberculomas in 6.9%, brain infarcts in 3.4%, meningoencephalitis in 3.4%, and brain atrophy in 5.2% of the patients. The mortality of this study was 14.1%.

Injuries in children and adolescents Soetjiningsih Soetjiningsih
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

Morbidity and mortality caused by injuries in children increasing from year to year. The objective of this study was to investigate the incidence of injuries among children and adolescents who required inpatient or outpatient care in the Emergency Unit Sanglah Hospital. This study was carried out by using restrospective method, by taking the data from the medical records of children under 18-yr-old who required inpatient or outpatient care caused by injuries, at the Emergency Unit Sanglah Hospital, during the period of January 1 - December 31 , 1996. The data were presented descriptively in the form of table, classified based on age, sex, and type of injuries. Statistically analysed by using chi-square test, it was considered significance if p<0.05. During the 1996 period, it was found 4,801 injuries on children, averagely 400 injuries per month. The highest number of incidence found in children aged 13-18 years (45%), boys were 3 times higher than girls, mostly (75.8%) due to the traffic injuries and 24.2% domestic injuries. The highest number of domestic injuries was found in children aged 1-5 years (57.5%) and the most frequent cause of domestic injuries was due to falling down, foreign bodies, animal bites, and bum. lt was really needed an injury control in a wider scope.

Clinical manifestation of drug allergy in children Ariyanto Harsono; Anang Endaryanto
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

In the period of January-December 18 cases of Drug Allergy were recognized, 4 cases from the allergy clinic, 8 cases were referred from outpatient clinic, 6 cases were referred from inpatient ward. The clinical manifestation varied from urticaria 5 cases (30%), Steven Johnson Syndrome 2 cases ( 12%), maculopapular rash 2 cases (12%), Drug fever 2 cases (12%), Fixed drug eruption 1 case (6%), exanthem 1 case (6%), Quinke's edema 5 cases (30%) consisted of 2 cases Quinke's edema only, 2 cases with urticaria, 1 case with drug fever. The underlying disease of these cases were upper respiratory tract infection 5 cases, chronic cough 2 cases, Asthma 5 cases, diarrhea 1 case cerebral abscess 1 case, Dengue Haemorrhagic Fever 1 case and Epilepsi 1 case. The mainstay of treatment was discontinuation of the offending drug. Drug substitution were given to patients nescessitated continuation of drugs, antihistamines were given to patients with urticaria and Quinke's edema. Two cases with Steven Johnson syndrome received supportive treatment and hydrocortisone intravenously.

Tuberculous empyema in children Nastiti N. Rahajoe; IGAN Partiwi; I. Boediman; Noenoeng Rahajoe; Bambang Supriyatno
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

We present a case of tuberculous empyema in a 14 month old girl. The diagnosis was primarily based on the history of the course of disease and a highly suspected contagious person. On physical examination, she was undernourished with enlargement of the lymph nodes prominently at the lateral of the neck. Aspiration of pleural fluid showed pus. Other findings were high blood sedimentation rate and a positive Mantoux test. The evidence of Mycobacterium tuberculosis from the pus culture confirmed the diagnosis. Before the diagnosis of pulmonary tuberculosis was established, cefuroxime was administered as the antibiotic of choice for eradicating any susceptible bacteria. Specific anti-tuberculosis therapy was then administered. In addition, water sealed drainage was performed in order to expand the lungs. However, this approach was insufficient due to abundant production of pus, therefore, surgical drainage was done with a good result. In order to avoid any further complications in the treatment of tuberculous empyema such as bronchopleural fistulas or drug resistancy, this child still requires a long-time follow up after discharged from hospital.

Neonatal Tetanus: Risk Factors and Prognosis Rachma F. Boedjang
Paediatrica Indonesiana Vol 35 No 1-2 (1995): January - February 1995
Publisher : Indonesian Pediatric Society

Neonatal tetanus (NT) remains a common cause of morbidity among neonates in Indonesia. A retrospective study was made on 83 cases on NT seen in Cipto Mangunkusumo Hospital, Jakarta over the period of 1991 -1993. The purpose of this study was to know the factors which might contributed to NT. The number of cases on NT admitted per year was almost the same; 91.6%-of cases were residents inside Jakarta and came from low socioeconomic level with low educational level. Almost 3/4 of cases were delivered by traditional birth attendants who cut the umbilical cord with uncleaned instruments or dressed it with herbal mixtures, ashes, etc. Non'e of the mothers had had tetanus immunization when they were pregnant The ratio of male to female was 1.24 : 1. All cases presented the symptoms within the first 14 days of life,Â mostly at 5-8 days of life. The overall mortality was 63.8%. The most frequently found complications were omphalitis (36%) and sepsis (24%). It is concluded that low socioeconomic level, low educational level, absence of tetanus immunization during pregnancy and poor umbilical cord dressing may contribute to the development of NT.

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