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All Journal Cermin Dunia Kedokteran Journal of General-Procedural Dermatology & Venereology Indonesia
Widhiati, Suci
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Health Professions Medicine & Pharmacology Public Health

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Profil Flebitis pada Anak: Studi di Instalasi Rawat Inap RSUD Dr. Moewardi Surakarta Bunga, Gita Hening; Widhiati, Suci
Cermin Dunia Kedokteran Vol 45, No 8 (2018): Alopesia
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (109.945 KB) | DOI: 10.55175/cdk.v45i8.622

Abstract

Pendahuluan. Penggunaan kateter vena perifer bertujuan memasukkan cairan, obat, dan produk darah ke dalam tubuh. Komplikasi yang paling sering adalah tromboflebitis dan lebih sering terjadi pada anak. Beberapa faktor yang dapat mempengaruhi terjadinya flebitis pada anak perlu diketahui. Metode. Penelitian deskriptif menggunakan data rekam medis pasien anak di instalasi rawat inap RSUD dr. Moewardi Surakarta bulan Januari 2014-Desember 2016. Hasil. Dari 3037 pasien, 30 terdiagnosis flebitis (0,98%). Lama rawat inap terutama lebih dari 14 hari (10 pasien - 33,33%). Diagnosis terbanyak adalah keganasan hematologi (9 - 30%). Terapi intravena terbanyak adalah antibiotik sejumlah 22 (73,33%). Sebanyak 12 pasien (54,54%) mendapat 2 macam antibiotik intravena. Sebagian besar pasien mendapat 3-4 obat intravena pada saat bersamaan (56,67%). Diskusi. Beberapa faktor berkaitan dengan terjadinya flebitis. Penggunaan antibiotik multipel dan beberapa jenis obat pada saat bersamaan diperkirakan mempengaruhi risiko flebitis. Diduga sebagian kasus flebitis tidak dilaporkan ataupun tidak terdiagnosis. Diperlukan penelitian lebih lanjut kejadian flebitis anak agar dapat menjadi masukan untuk langkah pencegahan.Introduction. Peripheral venous catheter is used to administer fluids, drugs and blood products into the body. The most common complication is thrombophlebitis, more common in children. Several factors can affect the occurrence of phlebitis in children. Methods. This study is descriptive study using pediatric medical records in Dr. Moewardi General Hospital Surakarta during January 2014-December 2016. Results. Among 3037 children inpatients, 30 diagnosed with phlebitis (0.98%). Most hospitalization period was more than 14 days (10 children - 33.33%). Most common diagnosis was haematological malignancy (9 children - 30%). The most common intravenous therapy is antibiotics (22 children - 73,33%). Twelve patients (54.54%) received 2 intravenous antibiotics. Most patients (56.67%) received 3-4 intravenous medications simultaneously. Discussion. Several factors related to the occurrence of phlebitis were length of hospitalization, patient’s hematological condition, type and amount of drugs, especially antibiotics. Multiple antibiotics, also multiple drugs, given simultaneously may have a role in phlebitis’ incidence. Many phlebitis cases may not be reported or properly diagnosed. Further researches are needed to obtain the incidence of phlebitis in children for appropriate measures to prevent phlebitis.
Manifestasi Kulit Terkait Defisiensi Nutrisi pada Anak Dewi, Putti Fatiharani; Aliwardani, Ambar; Rosita, Fiska; Widhiati, Suci
Cermin Dunia Kedokteran Vol 48, No 10 (2021): CME - Continuing Medical Education
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.241 KB) | DOI: 10.55175/cdk.v48i10.1513

Abstract

Manifestasi kulit dapat menjadi gejala dan tanda awal defisiensi nutrisi pada anak. Defisiensi nutrisi tersebut antara lain malnutrisi protein energi, defisiensi asam lemak esensial, defisiensi vitamin A, pelagra, defisiensi kobalamin, scurvy dan defisiensi zink. Beberapa malnutrisi dapat memberikan gejala kulit cukup khas dan terkadang tumpang tindih. Gejala kulit awal pada defisiensi nutrisi anak dapat didiagnosis dini sehingga dapat segera diberi tatalaksana suplementasi yang tepat untuk mencegah komplikasi yang lebih berat.Skin manifestations can be an early symptom and sign of nutritional deficiency in children. Such nutritional deficiencies include energy protein malnutrition, essential fatty acid deficiency, vitamin A deficiency, pellagra, cobalamin deficiency, scurvy, and zinc deficiency. Some malnutritions can provide quite typical and sometimes overlapping skin symptoms. Early skin symptoms in a child's nutritional deficiency can be diagnosed early and immediately given appropriate supplementation procedures to prevent more severe complications.
Clinical diagnostic matrix (CDM) as a tool to diagnose subtypes of epidermolysis bullosa cases in children Widhiati, Suci; Marcella, Benazier; Dewi, Susanti Rosmala; Paramitasari, Anggana Rafika; Ellistari, Endra Yustin; Julianto, Indah
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Abstract

Background: Epidermolysis bullosa (EB) is a rare genetic skin disease characterized by trauma-induced blisters, which appear shortly after birth. Immunofluorescence antigen mapping and mutational analysis are essential for establishing an accurate diagnosis of EB. However, in limited resource settings like in Indonesia, such techniques are not always readily available, forcing many clinicians to diagnose EB based on clinical features alone that is often inaccurate. Recently, a novel clinical diagnostic matrix (CDM) tool has been developed to improve the diagnostic accuracy of EB in such settings. Case Illustration: We examined clinical photographs and medical records of patients registered at the Dr. Moewardi hospital with a provisional diagnosis of EB since 2013 to 2017 and completed the 19 clinical manifestations required for the CDM’s electronic version. Discussion: CDM provides a diagnosis of the EB subtypes, which cannot be concluded in advance from the previous three cases, although histopathological examination have been carried out. Since immunofluorescence examination and genetic mapping are inaccessible in Indonesia, the CDM gave a brief possibility of diagnosing EB subtypes. Completing the CDM took less than five minutes and the result was available immediately after clinical features data input. Conclusion: CDM appears to be practical, easy to be used and helpful in characterizing EB, especially in limited resource settings. Moreover, it helps in clear documentation of clinical features in an EB patient that could be useful for accurate phenotype-genotype correlations in the future.
The differences of blood type in relation to psoriasis and its onset: Cross sectional study Dharmawan, Nugrohoaji; Widhiati, Suci; Oktavriana, Triasari; Harahap, Irene Jessica Pinarsinta
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Abstract

Background: Psoriasis is a chronic skin disease caused by inflammatory response and attacks 2% of population, with the prevalence influenced by age, geographical location, and genetic background. Until this day, there are several studies that discuss about the relationship between blood type with disease. However, discussion about the difference between blood type and the relationship with skin disease remains limited. The objective of this study is to know the relationship between blood type, psoriasis, and onset of psoriasis.Methods: This study adopted cross-sectional design of analytic observational study. The subjects of this study were patients in Department of Dermatology and Venereology at Dr. Moewardi General Hospital and UNS Hopital in Surakarta. The blood types were determined by two methods; by using ABD-Pad measurement tools that able to see the reaction of antigen and antibody in short time and by using the hospital’s laboratory facility where sample was taken. Anamnesis were done to collect data about the onset of psoriasis. Chi-square (X2) statistical test was used to analyze the data.Results: Total sample of this study were 62 people with 31 subjects (50%) were psoriasis patients and 31 others (50%) are non-psoriasis patients. Chi-square test (X2) between blood type with psoriasis and blood type with the onset of psoriasis are p = 0.269 and p = 0.188 respectively. Conclusion: The significance level used was p < 0.05, therefore there’s no significant correlation between blood type with psoriasis and the onset of psoriasis.
The relationship between increased body mass index with transepidermal water loss: a comparative study Yudhistira, Muhammad Yurizar; Kusumawardani, Arie; Widhiati, Suci; Mulianto, Nurachmat
Journal of General - Procedural Dermatology & Venereology Indonesia
Publisher : UI Scholars Hub

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Abstract

Background: Obesity affect significant populations on all ages. The relationship between obesity and metabolic diseases is known but a dermatological link is rarely explained. Transepidermal water loss (TEWL) is one of the measurement tools used to define the skin’s barrier function by measuring the amount of water that evaporates through the skin in aspecific amount of time. Although several studies on TEWL are available but discussion about the correlation between TEWL and body mass index (BMI) is still limited. This study aims to evaluate the correlation between TEWL and BMI. Methods: This research is a single-center study with analytical cross-sectional design that includes healthy subjects among medical students aged 18 to 23 years old in Universitas Sebelas Maret. A questionnaire was used to ensure that all subjects met the criteria. Chi-square and Pearson were used to analyze the observed variables.Results: The total sample in this study was 62 participants, with a majority of female (59.7%) and ranged from 21 to 23 years (74.2%). The ratio of normoweight and overweight/obese was 1:1. The results demonstrated significant difference and positive correlation between increased BMI with TEWL (pConclusion: This study showed a significant correlation between increased body mass index and transepidermal water loss. Overweight participants tend to develop high values of TEWL which reflect a disruption of skin barrier. Further research on other influencing factors with larger samples and more study centers are needed.
Co-Authors Aliwardani, Ambar Bunga, Gita Hening Dewi, Putti Fatiharani Dewi, Susanti Rosmala Dharmawan, Nugrohoaji Ellistari, Endra Yustin Harahap, Irene Jessica Pinarsinta Indah Julianto, Indah Kusumawardani, Arie Marcella, Benazier Mulianto, Nurachmat Oktavriana, Triasari Paramitasari, Anggana Rafika Rosita, Fiska Yudhistira, Muhammad Yurizar