BACKGROUND: Tuberculosis remains an important issue of children health, particularly in developing countries. Body Weight is one of the tuberculosis symptoms and used to identified children tuberculosis scoring in Indonesia. AIM: The study aims to get an overview of body weight and body weight increment during oral anti-tuberculosis in Medan, Sumatra Utara. METHODS: Medical records of children with tuberculosis in the Haji Hospital of Sumatra Utara located in Medan during January 2018 till July 2018 were compiled for the children characteristic, body weight before and after oral anti-tuberculosis treatment. RESULTS: There were 99 children medical records included in the study, 42.4% children 1 to 5 years old treated as tuberculosis. At the early treatment, many children were in severe malnutrition (85%). However, after 6 months of tuberculosis treatment, there were many children (78%) got their body weight increment. CONCLUSION: Body weight is an important sign and symptom of children with tuberculosis.
To the editor Coronavirus disease 2019 (COVID-19) is a global pandemic that may elicit severe respiratory illnesses. 13% of the cases in Indonesia were paediatric cases, and only 32.7% of the children were symptomatic. 1,2) Of those, 68% of patients had either radiological or clinical evidence of pneumonia, but the result was with a limited number of chest x-ray (CXR). 2) World Health Organization in June 2020 advised CXR use as part of the diagnostic work-up for symptomatic COVID-19 when reverse transcription polymerase chain reaction (RT-PCR) results may not be as prompt. 3) Radiology complements history taking and physical examina tion--the cornerstones of COVID-19 diagnosis --in paediatric populations during the pandemic; nevertheless, it is frequently overlooked, and little is known of its diagnostic value in children. This study aims to evaluate CXR findings in COVID-19-positive children and assess their association with clinical findings.Medical records of hospitalised children with COVID-19 in 3 main COVID-19 referral hospitals in Medan City, North Sumatera, were reviewed. The inclusion criteria were children aged less than 18 years with COVID-19 infection confirmed by RT-PCR from April 1, 2020, to March 31, 2021. Patients without CXR were excluded. In total, 135 of 231 children were included in this analysis. Anteroposterior or posteroanterior positions of the paediatric CXR examination were performed at radiation doses suitable for children. A board-certified radiologist in each hospital analysed CXR readings, and the parameters evaluated were: (a) whether it is normal or abnormal, (b) the affected lung side (unilateral or bilateral), and (c) the radiological findings. Patient data such as age, sex, presenting symptoms, comorbidity, and outcome were also extracted. The COVID-19 severity classification was as per national guidelines. 4) Comorbidity was defined as any additional condition that has existed or may occur during the clinical course under study and might affect the disease course or outcome. 5) Numeric variables are presented as arithmetic means and categoric variables as frequencies and percentages. The strength of association between a predictor variable and an outcome variable (CXR findings) is measured using prevalence ratio (PR), that is, the ratio between the prevalence of outcome (abnormal CXR) among those with the factors divided by the prevalence rate among those without
COVID-19 has been declared a public health emergency of international concern by WHO on January 30, 2020. The number of cases of COVID-19 in the world is increasing every year. The COVID-19 virus, apart from attacking adults, can also attack children. Clinical manifestations that arise in infected children range from asymptomatic to severe symptoms. Laboratory examinations such as leukocytes and chest x-ray are important examinations and the first step that can be done in children with positive COVID-19 and suspected COVID-19. To determine the description of leukocytes and chest x-ray examination in children with COVID-19 at Bunda Thamrin Hospital, Medan from March 2020 to May 2021. The design of this study was a descriptive observational study with a cross sectional method. The samples used in this study amounted to 134 samples. Data collection was carried out with secondary data, where data was taken on the first day the child was treated for COVID-19, this data was obtained from the results of medical records at Bunda Thamrin Hospital in Medan, then the data was collected for data analysis. from 134 samples obtained normal leukocyte values were 120 people (89.6%), leukopenia were 8 people (6%) and leukocytosis was 6 people (4.5%).
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