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Sondang Tambunan
Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Health Professions Medicine & Pharmacology

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Neonatal meningitis at Dr. Pirngadi General Hospital Medan (1972 -1980) Rahayu Saat; Sondang Tambunan; Adi Sutjipto; Noersida Raid; Bistok Saing
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

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A retrospective study was done on 25 cases of Neonatal Meningitis from 1972 up to 1980 at Dr. Pimgadi Hospital Medan. Their age variation was from one day to one month. The early prominent symptoms were refusal of feeding in 23 cases (92%), decrease of consciousness in 21 cases (84%), fever in 16 cases (64%}, convulsion in 15 cases (60%) and vomiting/diarhea in 8 cases (32%). Diagnosis was based on clinical symptoms and Cerebrospinal fluid examination.
Tuberculous meningitis at the Department of Child Health Dr. Pirngadi Hospital Medan (1979) Sondang Tambunan; Adi Sutjipto; Rahayu Saat; A. J. Noeriman; Helena Siregar; Bistok Saing
Paediatrica Indonesiana Vol 24 No 7-8 (1984): July - August 1984
Publisher : Indonesian Pediatric Society

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A retrospective study on tuberculous meningitis had been carried out on 43 patients at the Department of Child Health, Dr. Pirngadi Hospital Medan during the year 1979. The peak incidence (55.81%) was found in the age group of less than 3 years of which 55.81% was in the second and 44,18% in the third stadium of the disease. Two of the cases were 4 months of age and 1 case was 14 years. None of the cases had got BCG immunization. Mortality rate was 37.21% of which 25% was in the second and 52.63% in the third stadium. Cerebrospinal fluid examination showed that 46.50% had cell counts between 101-500 cells/mm3. The symptoms were prolonged fever (62. 79%), convulsions (72.09%) and unconciousness (27.90%). Of these cases 83.72% had contact with tuberculous patients; 6.9% had positive tuberculin test and 48,83% showed pulmonary involvement on radiological examination. Nutritional status of these cases showed that 48.83% were undernourished and 34.82% were in poor nutritional status.
Studies On Amoebicides At The Child Health Department Dr. Pirngadi Hospital, Medan (1969 - 1979) Sondang Tambunan; Chairuddin P. Lubis; Helena Siregar
Paediatrica Indonesiana Vol 24 No 5-6 (1984): May - June 1984
Publisher : Indonesian Pediatric Society

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Since 1969-1979 trials with amoebicides had been done 9 times in OPD of the Child Health Department, Dr. Pirngadi Hospital, Medan. The children were treated ambulatorily. The tablets were administered under close supervision at the subdivision of Gastroenterology for 3 consecutive days. Stools examination had been done, with direct faecal film only, every day for the first 4 days and once a week for 3 weeks. Evaluation was done by assessing the parasitological and clinical cure rate. A clinical trial with metronidazole had been conducted in 3 groups of children. Each of the three groups consisted of 50 children, and were treated ambulatorily with a single daily dose for three days.The first group treated with a dose of 50 mg/kg bw/day had in a cure rate of 89% and 100%, the second group with a dose of 25 mg/kg bw/day 87% and 85%. The third group also with a dose of 25 mg/kg bw/day showed cure rate of 93% and 91%. These differences of results in group I, II and III proved to be not statistically significam. There were no side effects observed.Tinidazole and omidazole were indeed very effective for treating intestinal amoebiasis, the cure rate was 100%, and no side effects observed.
Co-Authors A. J. Noeriman Adi Sutjipto Bistok Saing Chairuddin P. Lubis Helena Siregar Noersida Raid Rahayu Saat