Latar belakang. Adanya peningkatan insiden infeksi Acinetobacter baumannii yang disertai peningkatan kejadian resistensi antibiotik, peningkatan morbiditas dan mortalitas, dan terbatasnya laporan kejadian infeksi bakteri ini pada pasien anak.Tujuan. Mengetahui gambaran infeksi Acinetobacter baumannii dan pola sensitifitasnya terhadap antibiotik di Departemen Ilmu Kesehatan Anak RSUPN Dr Cipto Mangunkusumo.Metode. Merupakan penelitian deskriptif retrosfektif melalui penelusuran data hasil biakan darah di laboratorium dan rekam medis dari Januari-Desember 2012.Hasil. Didapatkan 47 isolat darah Acinetobacter baumannii dari 32 pasien. Penelusuran rekam medis mendapatkan 24 data pasien lengkap. Semuanya merupakan pasien ruang NICU, sebagian besar laki-laki (18/24) dan neonatus kurang bulan (18/24). Gambaran klinis menunjukkan rerata frekuensi denyut jantung 148 kali/menit, frekuensi napas 55 kali/menit, suhu aksila 37,10C, kadar leukosit 12767,8/mm3, kadar trombosit 58491,3/mm3, kadar procalcitonin 17,6 ng/mL, dan CRP 88,5 mg/L. Rerata lama perawatan sebelum terjadi infeksi 23,9 hari. Sebagian besar pasien menggunakan alat medis seperti ventilator, CPAP, jalur vena sentral, jalur vena perifir, dan pipa nasogastrik dengan rerata lama pemakaian masing-masing 17,9, 4,5, 20,9, 13,3, dan 17,3 hari. Semua pasien mendapat antibiotik sebelum infeksi dengan rerata lama pemberian 22,5 hari. Uji kepekaan antibiotik mendapatkan 23 isolat (23/24) merupakan MDR. Resistensi antibiotik didapatkan pada golongan aminoglikosida, carbapenem, quinolon, sefalosporin, penisilin-beta lactamase inhibitor, dan tigesiklin. Sebagian besar penderita meninggal dalam perawatan (18/24).Kesimpulan. Semua pasien yang menderita infeksi Acinetobacter baumannii dirawat di ruang NICU, sebagian besar pasien merupakan kasus MDR.
Dengue hemorrhagic fever is a disease caused by the dengue virus which is rapidly developing in countries with tropical climates such as Indonesia. This study aims to identify risk factors for dengue virus infection in children in the working area of Primary Health Care in the South of Denpasar. This research is an analytic observational study with a cross-sectional approach. Data were obtained from respondent's answers to previously validated questionnaires and then data were analyzed univariate and bivariate using statistical applications, namely SPSS. There were 75 respondents who participated in this study with an average age of 12 ± 3,094 years. The characteristics of the respondents were dominated by boys (73,3%) and domicile in urban areas (68%). Most children live in densely populated areas (66,6%) with adequate environmental sanitation, only 45,3% of the total respondents. In addition, children are at risk of being infected with the dengue virus and experiencing dengue fever in urban neighborhoods with dense population mobility (PR: 2,716; CI95%: 2,067; p: 0,011). Based on the results of this study, it can be concluded that the environment in which they live is a risk factor for dengue virus infection in children, so that it requires focused preventive efforts to prevent dengue virus infection.
Background: Dengue infection is a mosquito induced viral infection with the highest virility level in the world. This disease is an international emergency problem and creates economic and social burdens around the world. Therefore, this study aims to determine the characteristics of dengue virus infection in pediatric patients in 2016 based on several parameters. Methods: A cross-sectional study was conducted among 96 pediatric patients with dengue virus infection who were treated at Sanglah General Hospital, Bali in 2016 period. A secondary data obtained from the collection of medical records of patients were used in this study. Data were analyzed using Microsoft Excel 2010 for Windows software.Results: Most of patients were female (54.17%), aged 5-18 years (67.71%), and with normal BMI status (42.71%). Most subject comes with bleeding signs and have positive tourniquets tests (64.58%), followed by abdominal clinical symptoms with nausea (50.00%), and neurological status with headache (41.67%). The length of stay of patients were mostly 3-5 days (73.96%) and the results of the axial temperature examination at the time of hospital admission were dominant <37ºC (65.63%). Based on laboratory examination, most subject has hemoglobin examination of 11-13 g/dl (57.29%), platelet examination results 50,000-100,000 (65.63%), hematocrit examination results <41% (44.79%), and leukocyte examination results <5,000/µl (59.38%). Most subjects are patient with Grade I DHF (56.25%%).Conclusion: The most predominant characteristics of pediatric patients with dengue virus infection was female, bleeding signs, nausea, headache, 3-5 days length of stay, atypical hematological parameters such as on hematocrit, platelet, and leucocyte examination. Latar Belakang: Penyakit infeksi dengue merupakan penyakit infeksi virus vektor nyamuk dengan tingkat penyebaran tertinggi di dunia. Penyakit ini seringkali menjadi masalah darurat antarnegara serta menimbulkan beban ekonomi dan sosial di dunia. Oleh karena itu, penelitian ini bertujuan untuk mengetahui karakteristik infeksi virus dengue pada pasien anak tahun 2016 berdasarkan beberapa parameter.Metode: Sebuah studi potong lintang dilakukan pada 96 pasien anak-anak dengan infeksi virus dengue yang dirawat di Rumah Sakit Umum Pusat Sanglah, Bali pada periode tahun 2016. Data sekunder yang diperoleh dari rekam medis pasien digunakan dalam penelitian ini. Data dianalisis menggunakan piranti lunak Microsoft Excel 2010 untuk Windows.Hasil: Sebagian besar pasien adalah perempuan (54,17%), berusia 5-18 tahun (67,71%), dan dengan status BMI normal (42,71%). Sebagian besar subjek datang dengan tanda-tanda perdarahan dan memiliki tes tourniquets positif (64,58%), diikuti oleh gejala klinis perut mual (50,00%), dan status neurologis dengan sakit kepala (41,67%). Lama tinggal pasien sebagian besar 3-5 hari (73,96%) dan hasil pemeriksaan suhu aksial saat masuk rumah sakit didominasi <37ºC (65,63%). Berdasarkan pemeriksaan laboratorium, sebagian besar subjek memiliki pemeriksaan hemoglobin 11-13 g/dl (57,29%), hasil pemeriksaan trombosit 50.000-100.000 (65,63%), hasil pemeriksaan hematokrit <41% (44,79%), dan hasil pemeriksaan leukosit <5.000 / μl (59,38%). Sebagian besar subyek adalah pasien dengan DBD kelas I (56,25%%).Kesimpulan: Karakteristik yang paling dominan dari pasien anak dengan infeksi virus dengue adalah wanita, tanda-tanda perdarahan, mual, sakit kepala, 3-5 hari tinggal, parameter hematologis khusus seperti pada hematokrit, trombosit, dan pemeriksaan leukosit.
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