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All Journal Jurnal Kedokteran Brawijaya Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Jurnal Respirologi Indonesia Jurnal Respirasi (JR) JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indian Journal of Forensic Medicine & Toxicology MEDICINUS
Retno Asih Setyoningrum
Departement Of Pediatric, Faculty Of Medicine, Universitas Airlangga, Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Other

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Journal : MEDICINUS

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Clinical and Epidemiological Characteristics of Severe and Very Severe Pneumonia in Infants Hedi Mustiko MD; Retno Asih Setyoningrum MD
MEDICINUS Vol 33 No 2 (2020): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (103.149 KB) | DOI: 10.56951/medicinus.v33i2.55

Abstract

Background: Childhood pneumonia is a leading cause of mortality and morbidity in developing countries. World Health Organization (WHO) stated that pneumonia is the cause of mortality of around 1.2 million children under 5 years per year. The high incidence of very severe pneumonia cases with preventable risk factors become the background of this study.Purpose: The aim of our study was to describe clinical and epidemiological characteristics of severe and very severe pneumonia in infants and children.Methods: This is a descriptive cross-sectional study. The study were conducted from January 2017 to December 2018. We obtained clinical and demographic data of each patient based on medical records.The diagnosis of pneumonia was made clinically based on the Indonesian Ministry of Health criteria. Prematurity was defined as babies born with gestational age less than 37 weeks, low birth weight was defined as babies with birth weight less than 2500 grams. The nutritional status of children is clinically and anthropometrically evaluated using 2006 WHO curve of weight-by-age. Results: A total of 465 patients were diagnosed with pneumonia during 48 months study. 212 patients were excluded and 253 pneumonia patients met the inclusion criteria, 140 patients with very severe pneumonia and 113 patients with severe pneumonia. Among 253 patients, 141 were boys. 125 patients were 2-5 months of age. 71 patients were born with low birth weight and 62 patients had history of preterm birth. There were 86 patients receiving exclusive breastfeeding and 138 patients with complete immunization status. There were 131 patients with moderate and severe malnutrition, and 127 patients with comorbidity factors. 94 patients developed pneumonia with suspected bacterial causative agents.Conclusion: Lower age, prematurity, low birth weight, poor nutritional status, exclusive breastfeeding, comorbidities, and suspected bacterial causative agents are common characteristics of severe and very severe pneumonia in infants and children in Dr. Soetomo Surabaya.
Analysis of Mortality Risk Factors in Children with Pneumonia in RSUD Dr Soetomo Surabaya Tutwuri Handayani; Retno Asih Setyoningrum
MEDICINUS Vol 35 No 1 (2022): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.573 KB) | DOI: 10.56951/medicinus.v35i1.91

Abstract

Background: Pneumonia is one of the leading causes of under-five morbidity and mortality. We carried out a comprehensive study to identify risk factors contributing to both mortality and morbidity rate in children less than 5 years of age that were hospitalized with pneumonia. Objective: To evaluate mortality risk factors in children with pneumonia in RSUD Dr. Soetomo Surabaya. Methods: This is an analytic observational study using secondary data that was taken from medical record of hospitalized children with pneumonia between 2015-2018. Data was analysed using Chi-square test or Fisher’s exact test and logistic regression (p<0.05). Results: A total of 817 children with pneumonia were enrolled in this study. In children aged 2–59 months, the risk factors significantly associated with death included age, low birth weight, prematurity, breastfeeding status, pleural effusion, atelectasis, and comorbidity. Logistic regression revealed status of breastfeeding, pleural effusion, and comorbidities, influenced the mortality outcome of pneumonia. Conclusion: Nonexclusive breastfeeding, pleural effusion and comorbidities are the independent predictors of mortality in children with pneumonia. Thus, early identification and prompt management of these simple clinically recognizable predictors of death may help reduce mortality rate in such population.
Co-Authors Abdul Latief Azis Agoes Boediono Ahmad Suryawan Aida Fahira Rachma Aldise Mareta Aldise Mareta, Aldise Alpha Fardah Athiyyah Anang Endaryanto Anang Endaryanto Andri Kurnia Wahyudhi Andy Darma Andy Darma Arina Setyaningtyas Berlian Beatrix Rarome Boerhan Hidajat Boerhan Hidajat Budi Utomo Budi Utomo Citrawati Dyah Kencono Wungu Clarissa Cita Magdalena Darto Saharso Deasy Fetarayani Deby Kusumaningrum Didik Didik Handijatmo Didik Didik Handijatmo, Didik Diska Hanifah Nurhayati Djoko Poetranto Djoko Poetranto, Djoko Dominicus Husada Dominicus Husada Dwi Putri Lestari Dwi Susanti Edith Frederika Edith Frederika, Edith Eka Sri Handayani Ergia Latifolia Far-Far, Imanuel Ferry Sandra Gatot Soegiarto Hapsari Widya Ningtiar Hedi Mustiko Hedi Mustiko MD Hubah Asyiroh I Dewa Gede Ugrasena I Gusti Made Reza Gunadi Ranuh I Gusti Ngurah Twi Adnyana Ira Dharmawati Ismoedijanto Laksmi Wulandari Litiya Parahita Putri Firnadi Lucia Landia Setyowati Lucia Landia Setyowati, Lucia Landia Maranatha, Daniel Masaoki Yamaoka Masaoki Yamaoka, Masaoki Mohammad Yamin Sunaryo Suwandi Neurinda Permata Kusumastuti Ni Made Mertaniasih Nurul Aisah Pudji Lestari Ranti Dewanti Oktaviani Rebekah Setiabudi, Rebekah Resti Yudhawati Rifah Zafarani Soumena Shofia Ihtasya Siti Nurul Hidayati Subijanto Marto Sudarmo Tia Harelina Tutwuri Handayani Umiastuti, Pirlina Utariani, Arie Vania Ayu Puspamaniar Widati Fatmaningrum Wigit Kristianto Wiharjo Hadisuwarno Wiweka Merbawani Yan Efrata Sembiring Yuli Astika