Faktor Risiko Diare Persisten pada Pasien yang Dirawat di Departemen Ilmu Kesehatan Anak RS Dr. Cipto Mangunkusumo Jakarta

Putra, Ign Sanjaya; Firmansyah, Agus; Hegar, Badriul; Boediarso, Aswitha; Kadim, Muzal; Alatas, Fatima Safira

doi:10.14238/sp10.1.2008.42-46

Cited by 3 publications

(4 citation statements)

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“…Based on the result of our study, children with malnutrition were 2.8 times more likely to developed into prolonged diarrhea. Similar finding was also reported by Putra et al[ 20 ] as well as Moore et al [ 7 ]. The relationship between malnutrition and diarrhea is bidirectional in which malnutrition impairs the mucosal barrier of the gastrointestinal tract and disrupts the immune system which will eventually prolong the duration of the immune system to effectively clear the infection associated with diarrhea.…”

Section: Discussionsupporting

confidence: 91%

Risk factors of prolonged diarrhea in children under 2 years old

Rahmat,

Firmansyah,

Timan

et al. 2023

Clin Exp Pediatr

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Background: Prolonged diarrhea, defined as diarrhea lasting longer than 7 days, is known to negatively impact children's growth and development. However, studies of the risk factors of prolonged diarrhea remain limited.Purpose: This study aimed to analyze the risk factors for prolonged diarrhea in children under 2 years of age with acute diarrhea.Methods: This 1-year nested case-control study was conducted at Fatmawati General Hospital in 2021–2022. Participants were selected using a consecutive sampling method from among children under 2 years of age with acute diarrhea within the previous 2–4 days. Children with diarrhea that lasted 7 days were considered positive for prolonged diarrhea, whereas those with acute diarrhea were considered negative. Children with comorbidities such as malnutrition were excluded. Clinical information including age, breastfeeding history, antibiotic exposure history, and nutritional status was recorded. Complete blood count, blood zinc levels, Rotavirus, adenovirus, and norovirus serology, alpha-1 antitrypsin (AAT) levels, and stool analysis were acquired as laboratory data.Results: There were 62 subjects in the study and control groups. Overall, the median age was 12 months (6–24 months); most patients were boys. A history of antibiotic use (odds ratio [OR], 15.860; 95% confidence interval [CI], 5.286–47.591; P<0.001), zinc deficiency (OR, 4.758; 95% CI, 1.711–13.229; P=0.003), and elevated fecal AAT levels (OR, 2.677; 95% CI, 1.046–6.850; P=0.040) were the main risk factors for prolonged diarrhea in children under 2 years of age with acute diarrhea.Conclusion: A history of antibiotic use, zinc deficiency, and elevated fecal AAT levels were the main risk factors for prolonged diarrhea in children under 2 years of age with acute diarrhea. Thorough testing and appropriate antibiotic use are required to prevent prolonged diarrhea in children under 2 years of age.

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Section: Discussionsupporting

confidence: 91%

Risk factors of prolonged diarrhea in children under 2 years old

Rahmat,

Firmansyah,

Timan

et al. 2023

Clin Exp Pediatr

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“…Persistent diarrhea is the cause of 23% -62% of deaths due to diarrhea. 16 Dehydration is the loss of body fluids consisting of water and mineral salts. When children suffer from diarrhea, they will get a lot of loss of body fluids, thus they can become dehydrated.…”

Section: Discussionmentioning

confidence: 99%

Profile of Diarrheal Patients Aged Less than Five Years Old Hospitalized in Dr. Soetomo General Hospital Surabaya in 2016-2018

Jordan

Ranuh

Sari

2020

Universitas Airlangga

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Introduction: Diarrhea is a collection of symptoms in the form of decreased stool consistency accompanied by more than normal frequency of defecation. Diarrhea is the second largest cause of death in children under five years old. In 2010, East Java was ranked first in the frequency of outbreaks in Indonesia. This study described the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018. Dr. Soetomo General Hospital Surabaya was chosen for data collection because it is one of the main referral hospitals in Indonesia, thus it has diverse cases. This study aimed to describe the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018.Methods: This study was a retrospective study by assessing the patient's medical record and analyzed descriptively.Results: There were 650 patients (425 male and 225 female), at most 6-11 months (34.6%). Most patients were classified as malnourished (45.4%). The type of diarrhea was dominated by acute watery diarrhea (94.8%). Mild-to-moderate dehydration (84.2%) was found in most patients. The comorbidities were found in 83.4% of patients, with malnutrition (45.4%) and febrile seizures (30.3%) as the most common contributors. The therapy used was intravenous rehydration (99.7%), antibiotics (45.7%), zinc (98.2%), and probiotics (96.3%).Conclusion: Most diarrhea patients in this study were male, aged 6-11 months, mild-to-moderate dehydration, malnourished, suffering from acute water diarrhea, accompanied by comorbidities, and treated with intravenous rehydration.

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“…Hasil penelitian ini juga sesuai dengan penelitian Putra dkk. 15 (lakilaki:perempuan adalah 75,6%:24,4%).…”

Section: Pembahasanunclassified

“…Hasil penelitian ini tidak sejalan dengan penelitian yang dilakukan oleh Putra dkk. 15 bahwa penderita diare pada balita mayoritas memiliki status gizi buruk (26,6%) diikuti oleh oleh gizi kurang (41,4%). Namun, hasil penelitian ini sejalan dengan penelitian Iskandar dkk.…”

Section: Pembahasanunclassified

Gambaran Faktor Risiko Diare pada Balita (0 - 59 Bulan) di Wilayah Kerja Puskesmas Bojongsoang pada Tahun 2019

2021

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Diare merupakan penyakit endemis di Indonesia. Angka kematian diare paling banyak pada anak usia 5 tahun ke bawah. Jawa Barat menempati posisi pertama dalam penderita balita terbanyak. Berdasar atas data Dinas Kesehatan Kabupaten Bandung, kejadian diare banyak tersebar di Kabupaten Bandung. Wilayah kerja Puskesmas Bojongsoang mengalami peningkatan kasus diare balita pada tahun 2019. Diare disebakan oleh faktor lingkungan, faktor ibu, faktor anak, dan sosiodemografi. Studi ini bertujuan mengetahui gambaran faktor risiko diare pada balita berusia 0 - 59 bulan. Metode yang digunakan adalah deskriptif observasional dengan desain cross-sectional. Responden berjumlah 43 orang, dilakukan selama bulan september 2020 menggunakan rumus perkiraan proporsi, tingkat kepercayaan 90%, margin of error 1%, dan dipilih dengan teknik purposive. Terdapat hasil sebanyak 51% (22 orang) balita non ASI eksklusif dan 93% (40 orang) balita memiliki status gizi baik. Pada faktor sosiodemografi, sebanyak 49% (21 orang) ibu dengan pendidikan terakhir SLTP/MTS. Pada faktor ibu, sebanyak 95% (41 orang) ibu memiliki pengetahuan PHBS yang baik dan 77% (33 orang) ibu memiliki sikap PHBS yang baik. Pada faktor lingkungan, sebanyak 58% (25 orang) balita memiliki sarana air bersih yang baik dan 65% (28 orang) memiliki sarana jamban yang baik. Kesimpulan yang didapat adalah masih banyak balita non ASI eksklusif. Pengetahuan dan sikap PHBS baik, tetapi banyak ibu belum terbiasa melakukan PHBS. Masih banyak sarana air secara fisik tidak layak dan jamban yang kurang baik karena belum memiliki pembuangan kotoran sesuai aturan yang dapat menyebarkan bakteri penyebab diare. Disarankan pada institut terkait agar dapat mengajak para ibu menerapkan PHBS dan memberi ASI eksklusif.Diarrhea Risk Factors in Toddlers (0-59 Months) in Bojongsoang Primary Health Care Region in 2019Diarrhea is an endemic disease in Indonesia. Diarrhea mortality rates mostly occur in toddlers. West Java occupies the first position in most toddlers who experience diarrhea. Based on the Bandung District Public Health Office data, the incidence of diarrhea in toddlers spread in the Bandung district. In 2019, it has increased in Bojongsoang Primary Health Care region. Some of the risk factors are environmental factors, maternal factors, child factors, and sociodemography. This study was conducted to discover the risk factors for diarrhea in toddlers. During September 2020 the method used was a cross-sectional descriptive observational. A sample of 43 people was calculated by estimating proportions with a credibility level of 90%, a 1% margin of error, and were selected using purposive sampling. The results are 51% (22 people) toddlers were not exclusively breastfed and 93% (40 people) had a good nutritional status. In sociodemographic, 49% (21 people) mothers attended Junior High School. In the maternal factor, 95% (41 people) mothers had good PHBS knowledge and 77% (33 people) had a good attitude. In environmental factors, 58% (25 children) toddlers have good water facilities and 65% (28 people) have good latrine facilities. The conclusion is there are still many toddlers unexclusively breastfed. Good mother’s PHBS knowledge and attitude, but did not implement. Many poor water facilities physically and poor latrines due to unproper sewage disposal that can spread bacteria that causes diarrhea. It is suggested that the primary health care should be able to encourage mothers to apply PHBS and provide exclusive breastfeeding.

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Faktor Risiko Diare Persisten pada Pasien yang Dirawat di Departemen Ilmu Kesehatan Anak RS Dr. Cipto Mangunkusumo Jakarta

Cited by 3 publications

References 4 publications

Risk factors of prolonged diarrhea in children under 2 years old

Risk factors of prolonged diarrhea in children under 2 years old

Profile of Diarrheal Patients Aged Less than Five Years Old Hospitalized in Dr. Soetomo General Hospital Surabaya in 2016-2018

Gambaran Faktor Risiko Diare pada Balita (0 - 59 Bulan) di Wilayah Kerja Puskesmas Bojongsoang pada Tahun 2019

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