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All Journal Jurnal Kedokteran Brawijaya The Indonesian Biomedical Journal Paediatrica Indonesiana Majalah Kesehatan FKUB Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Pediatric Sciences Journal
Eko Sulistijono
Department Of Pediactrics, Division Of Neonatology, Saiful Anwar General Hospital, Universitas Brawijaya, Jl. Veteran, Malang
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Good outcome of newborn septic arthritis with holistic treatment: a case report Muhammad Irvan Avandi; Brigitta Ida Resita Vebrianti Corebima; Eko Sulistijono; Talita Clarissa Sinatra
Pediatric Sciences Journal Vol. 2 No. 2 (2021): (Available online 1 December 2021)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (562.011 KB) | DOI: 10.51559/pedscij.v2i2.25

Abstract

Introduction: Septic arthritis (SA) is a serious joint infection associated with significant morbidity that can cause permanent damage with articular cartilage destruction, osteonecrosis, and lifelong deformities. Here we present a good outcome of newborn septic arthritis with prompt treatment. Case Presentation: A one-month-old boy was brought with swelling of both knee joints two weeks before admission. He has a history of preterm birth and was hospitalized in the Neonatal Intensive Care Unit (NICU) because of neonatal pneumonia and sepsis. Several days after treatment, he came with swollen on both knees, both knee joint synovial liquid and sputum culture showed Klebsiella pneumoniae. Magnetic Resonance Imaging (MRI) was found intra articular fluid and erosion of the epiphyseal cartilage suspect infection process. After establishing the diagnosis of SA, we initiated treatment with cloxacillin 60 mg/kgs body weight for 14 days. He underwent debridement and physiotherapist. One year after discharge, the physical examinations showed normal findings and had a normal gait. Conclusion: It can be concluded that prompt diagnosis and treatment of SA on the newborn will have a good outcome with no sequelae. An early diagnosis of SA can guide clinicians to initiate a standardized treatment and improve patient outcomes.
Risk factors of late onset sepsis caused by extended spectrum beta-lactamase (ESBL) - producing bacteria in preterm infants Irene Ratridewi; Savitri Laksmi Winaputri; Eko Sulistijono; Fireka Imsa Sastia Juniantika
Paediatrica Indonesiana Vol 63 No 1sup (2023): Supplementary Issue March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1sup.2023.21-28

Abstract

Background High incidence of late-onset sepsis (LOS) in preterm infants contributes to neonatal morbidity. Therapeutic outcomes of LOS have deteriorated as a result of increased antibiotic resistance problems, mainly from ESBL isolates. Controlling risk factors is important in reducing morbidity and mortality as well as providing guidance for antibiotic selection. Objectives To determine the risk factors of LOS due to ESBL-producing bacteria in preterm infants. Methods This is a retrospective study. The inclusion criteria was neonates diagnosed with late-onset neonatal sepsis by clinical signs and a positive blood culture. The blood culture result and characteristics patients as secondary data were extracted from medical records within the hospital facilities and the institutional database of the Neonatology Department of Universitas Brawijaya (January 2019 to March 2021). Statistical analysis was done to compare characteristics of the patients in the ESBL positive group to those in the ESBL negative group to assess the potential risk factors. Results Among 124 preterm infants with LOS, 62 of them were ESBL-positive case subjects and the other 62 were non-ESBL-producing control subjects. Gram-negative bacteria were the most common pathogens identified, with 96% (n=59) of them being the ESBL-producing strain, predominated by Klebsiella pneumoniae (n=56). Factors significantly correlated with the occurrence of LOS-ESBL included prior history of invasive procedures (OR 3.13; 95%CI 1.45 to 6.73; P=0.00), central access insertion (OR 9.54; 95%CI 3.7 to 24.2; P=0.00), and parenteral nutrition (OR 6.03; 95%CI 2.77 to 13.16; P=0.00). Central access insertion had the strongest influence (Exp(B) 6.98; P= 0.00). Conclusion Prior invasive procedures, central access insertion, and parenteral nutrition had significant correlations with the occurrence of LOS-ESBL in preterm infants. Central access insertion is a predictive factor for LOS-ESBL.
Combination of red cell distribution width and procalcitonin as diagnostic biomarkers of neonatal sepsis in preterm infants Irene Ratridewi; Savitri Laksmi Winaputri; Eko Sulistijono; Brigitta I. R. V. Corebima; Achmad Yunus
Paediatrica Indonesiana Vol 63 No 1sup (2023): Supplementary Issue March 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.1sup.2023.29-34

Abstract

Background Diagnosis of neonatal sepsis is still challenging. Several diagnostics test have been developed to help diagnose of neonatal sepsis, but sometimes it could not be done routinely in limited facilities. Procalcitonin (PCT) and red cell distribution width (RDW) have been reported to have correlations with the risk of developing sepsis. Objective To evaluate the diagnostic value of combined of PCT and RDW as markers for neonatal sepsis in preterm infants. Methods A cross sectional study was conducted in the neonatal ward, Syaiful Anwar hospital, Malang, East Java. The subjects were preterm infants with neonatal sepsis. Blood culture were taken as the gold standard and RDW and PCT levels were assessed as the comparison. All of the test were performed at the begining of the study. The incidence of sepsis was reported as the main outcome. The data obtained were processed and analyzed using the receiver operating characteristic (ROC) method to obtain the area under curve (AUC) value. Results Fifty-five preterm infants presenting neonatal sepsis were enrolled in this study. The combination of RDW and PCT showed AUC 0.814 (P=0.199) with sensitivity and specificity 78.9% and 80.6%, respectively in diagnosing neonatal sepsis compared to blood culture. Conclusion Combination of RDW and PCT as markers of sepsis in preterm infants have good sensitivity and specificity.
The correlation between levels of vitamin D (25(HD)D) and the occurrence of necrotizing enterocolitis (NEC) in preterm infants Eko Sulistijono; Brigitta Ida Resita Vebrianti Corebima; Yesi Adisti Pramitasari
Pediatric Sciences Journal Vol. 4 No. 1 (2023): (Available online: 1 June 2023)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v4i1.48

Abstract

Introduction: One of the causes of gastrointestinal emergencies in newborns is necrotizing enterocolitis (NEC). A fetus is fully dependent on transfer from the mother as it lacks endogenous 25(OH)D production. Transplacental vitamin D transmission mainly occurs due to the elevated risk of vitamin D insufficiency in preterm newborns during the third trimester of pregnancy. This research is important to raise awareness about the importance of early initial screening of vitamin D levels in preterm infants in Indonesia. Methods: This study used an observational research design which is a cohort study, taking place during March–May 2020 in the neonatology inpatient ward of dr. Saiful Anwar General Hospital Malang. The enzyme-linked immunosorbent assay (ELISA) technique was used to measure the amount of vitamin D in the blood. The Kolmogorov-Smirnov test and the Levene test were used to determine whether the data were normal and homogeneous, respectively. Result: It was found that vitamin D levels in preterm infants with NEC were lower (10.18 ± 4.07 ng/mL) than in preterm infants without NEC (16.95 ± 4.45 ng/mL). The bivariate analysis result showed that vitamin D deficiency increased the risk of NEC by 10.7 times with p-value = 0.033 (95% CI 1.2-24.9). Furthermore, multivariate analysis found that vitamin D deficiency increased the occurrence of NEC by 19.4 times with a p-value = 0.043 (95%CI 0.7-21.7) and respiratory distress could increase the incidence of NEC by 9.4 times with a p-value =0.02 (95%CI 1.2-70). Conclusion: Vitamin D (25(OH)D) levels were lower in preterm infants with necrotizing enterocolitis compared to preterm infants without necrotizing enterocolitis. This study showed a significant correlation between vitamin D(25(OH)D) levels and the case of necrotizing enterocolitis in preterm infants.
Co-Authors Achmad Yunus Agustin Iskandar Arief Fadillah Aryati Aryati Astrid Kristina K Atiek Wulandari Brigitta Corebima Brigitta I. R. V. Corebima Brigitta Ida Resita Vebrianti Corebima Brigitta Ida RVC Choirul Anam AM Diponegoro Ervin Monica Evalina Fajriani Fireka Imsa Sastia Juniantika Harjoedi Adji Tjahjono, Harjoedi Adji Hidayat Sujuti HMS Chandra Kusuma Ingga Gebyarani Irene Ratridewi M Fahrul Udin Masroer, Muchamad Muhammad Irvan Avandi Muhammad Rivai Ningsih, Rusdian Niati Nisak Humairoh Pranidya, Nada Putri Primawardani, Putri Primayuni Dhia Hasanah Rara Aulia Satrio Wibowo Savitri Laksmi Winaputri Setya Mithra Hartiastuti Setya Trista Kusumawahyuni Siti Lintang K Talita Clarissa Sinatra Vanisia Hayu Firdayanti Yesi Adisti Pramitasari