IKG Suandi
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NUTRISI PARENTERAL TOTAL PADA BAYI KURANG BULAN Gustawan, I W; Kardana, M; Retayasa, W; Suandi, IKG; Sidiartha, IGL
Medicina Vol 39 No 1 (2008): Januari 2008
Publisher : Medicina

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Abstract

Pemberian nutrisi pada penatalaksanaan bayi kurang bulan (BKB) merupakan hal yang sangat penting untuk tercapainya pertumbuhan dan perkembangan bayi yang optimal dengan pemberian semua komponen nutrisi secara adekuat. Dewasa ini nutrisi parenteral telah menjadi sarana penunjang utama perawatan bayi sakit berat maupun berat lahir sangat rendah (BBLSR) di Unit Perawatan Intensif Neonatus. Tujuan nutrisi parenteral adalah menyediakan energi dan nitrogen yang cukup untuk mencegah katabolisme dan mencapai keseimbangan nitrogen positif, mencegah defisiensi asam lemak esensial dan menyediakan komposisi nutrisi yang tepat untuk mencapai pertumbuhan normal seperti saat di dalam kandungan. Nutrisi parenteral total menyediakan semua nutrien untuk metabolisme basal dan pertumbuhan, mengandung cairan, energi, makronutrien dan mikronutrien.
The role of bovine colostrum on recovery time and length of hospital stay of acute diarrhea in infants and children: a double-blind randomized controlled trial IGN Suwarba; Sudaryat S; Hendra S; IKG Suandi; Raka Widiana
Paediatrica Indonesiana Vol 46 No 3 (2006): May 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.3.2006.127-33

Abstract

Background WHO standard treatment for acute diarrhea remainsunsatisfying to the parents of acute diarrhea patients, particularlythe need of medical treatment. Bovine colostrum contains immuneand growth factors that is thought able to neutralize some agentscausing acute diarrhea in infants and children.Objective To evaluate the efficacy of bovine colostrum as adju-vant therapy on recovery time and length of hospital stay for acutediarrhea in infants and children.Methods A double-blind randomized controlled trial was conductedon infants and children with acute diarrhea admitted to SanglahHospital. Treatment group received standard therapy with bovinecolostrums and control group received standard therapy plus pla-cebo. The primary outcomes were achievement of recovery timeand length of hospital stay. Recovery time was determined by thenumber of days needed to achieve defecation frequency <3 times/day and needed to achieve normal stool consistency.Results Seventy infants and children were enrolled. The treatmentgroup significantly achieved recovery time earlier than the control groupin regard to the time of achieving defecation frequency to <3 times/day [2.31 (0.76) vs 3.34 (1.45); mean difference of -1.03; P= 0.001; CI95% -1.58;-0.48] and normal stool consistency [2.40 (0.77) vs 3.43(1.48); mean difference of -1.03; P = 0.001; CI 95% -1.59;-0.46]. Lengthof hospital stay was shorter in the treatment group than the controlgroup [2.89 (0.78) vs 3.94 (1.53); mean difference of -1.05; P= 0.001;CI 95% (-1.3;-0.7)]. No significant difference was found in mean ofbody weight recovery in two groups [0.47 (0.16) vs 0.49 (0.20); meandifference of -0.03; P=0.556; CI 95%: -0.11;0.06]. Age, nutritionalstatus, breastfeeding, and diarrhea before admission did not influ-ence the study outcome.Conclusion Bovine colostrums as an adjuvant in standard therapyfor acute diarrhea in infants and children is effective in regard toachieve earlier recovery time and shorter length of hospital stay