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All Journal Jurnal Kebidanan Midwiferia Paediatrica Indonesiana Journal of Issues in Midwifery Pediatric Sciences Journal

Saptadi Yuliarto

Child Health Department, Faculty Of Medicine, Universitas Brawijaya, Dr. Saiful Anwar General Hospital, Malang, Indonesia

Author-ID : 4379726

Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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The rationalization of personal protective equipment usage and the solution of its limitation during COVID-19 era Irene Ratridewi; Saptadi Yuliarto
Pediatric Sciences Journal Vol. 1 No. 1 (2020): (Supplementary)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Covid-19 pandemic is a global burden health problem caused by Coronavirus. The disease can be transmitted swiftly by droplets after sneezing, coughing, or holding stuff (droplet contaminated). The contagion is eased by bad habit like does not wash hand after touching others or stuff. To date, data says that The Covid-19 morbidity rate is still highest in a densely populated place. Even though several mechanisms in the community have been done to prevent the spreading of this disease, but the spread is still relatively high and needs medical treatment intervention in the health care system especially in the hospital.1 Moreover, the daily hospital treatment of Covid-19 patientsâ€™ needs appropriate personal protective equipment (PPE) to protect and to minimalize the risk of infection to health workers.

The Strategy to Encounter Limited Capacity of Critical Care for COVID-19 Children Saptadi Yuliarto
Pediatric Sciences Journal Vol. 1 No. 1 (2020): (Supplementary)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Coronavirus disease (COVID) â€“ 19 morbidity rates in Indonesia have exponentially increased since its first case in March 2020. To date, 15,438 (0.004%) Indonesian population have been confirmed with Covid-19. Although it is only 0.004% from all of Indonesian, the patient's enhancement is high, also, the patients who recover just only 21.3%, It would endanger the healthcare capacity in Indonesia.1 Recent data from the Indonesian Health Ministry revealed 1,065 (6.9%) confirmed COVID-19 are at young ages. Considering confirmed to suspected/ probable case ratio was 1:2.1, it is estimated that 2,236 children in Indonesia require treatment with COVID-19 protocols. According to the China dataâ€™s, the prevalence of moderate to critical illness in children was 44.5%.2Â If applied in Indonesia, to date, about 995 children need intensive care treatment, which it will rise around 10-40 patients in each day

Mechanical ventilation practice of pediatric patients with Covid-19 in Indonesian tertiary hospital Kurniawan Taufiq Kadafi; Erviani Maulidya; William Prayogo Susanto; Saptadi Yuliarto
Pediatric Sciences Journal Vol. 2 No. 1 (2021): (Available online 1 June 2021)
Publisher : Medical Faculty of Brawijaya University, Indonesia

Background: Coronavirus Disease-2019 (COVID-19) in children tend to have milder clinical manifestation. However, some develop critical conditions and require mechanical ventilation in the Pediatric Intensive Care Unit (PICU). Various modalities are recommended for mechanical ventilation, such as High Flow Nasal Cannula (HFNC), Continuous Positive Airway Pressure (CPAP), or invasive ventilation with intubation. This study aims to describe the clinical feature, ventilation modalities usage, and the outcome of children with critical COVID-19. Methods: This is a retrospective study in COVID-19 children with respiratory distress who were treated in the COVID-19 isolation PICU room of Saiful Anwar General Hospital for one year. The data was gained from the medical record and analyzed descriptively. Data were analyzed using Ms. Excel for Windows. Results: A total of 51 children with COVID-19 were admitted to Saiful Anwar general Hospital in one year period, with 12 of them in critical condition and 6 children require mechanical ventilation. The main signs developed were fever and dyspnea. Invasive mechanical ventilation applicated in 5 patients, and only 1 patient received Non-Invasive Ventilation (NIV). The mean of PEEP used in invasive ventilation is 7-9 cmH2O, lower than ESPNIC’s recommendation of 8-10 cmH2O. Length of ventilator usage is 2-21 days, with 2 patients passed away, both with a comorbid and organ system injury. Conclusion: The mechanical ventilation setting must be determined individually based on the patients’ condition, despite several guidelines providing the recommendation.

Comorbidities as risk factors for clinical outcomes in pediatric patients with COVID-19: a comprehensive literature review Saptadi Yuliarto; Kurniawan Taufiq Kadafi; Rakhman Tyas Perdana; Takhta Khalasha
Pediatric Sciences Journal Vol. 3 No. 2 (2022): Available online : 1 December 2022
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v3i2.40

Background: The population that in a high risk to have a svere COVID-19 infection is children. The difficulties can influence the risk of controlling their hygiene and be worsened by the immaturity immune system, especially in children with comorbidities. Moreover, this problem needs to be prioritized in children. Despite in worldwide spread of severe COVID-19 infection, there are limited data regarding severe COVID-19 disease in children. Thus, we investigated the effects of comorbidities as risk factors for clinical outcomes in paediatric patients with COVID-19. Methods: This comprehensive literature review was from the PubMed, Google Scholar, and Science Direct databases through January 2021. The keywords used to obtain the literature include “COVID-19”, “coronavirus”, ” pediatric”, ”children”, ”severity”, ”comorbidity”, ”mortality”, ”death,” and “intensive”. The article with the inclusion criteria was involved. The information about the COVID-19 severity and underlying comorbidities in children were the main criteria that were enrolled. Results: The severe clinical risk factors in paediatric patients with COVID-19 that are reported most often are chronic lung disease (including asthma) (4312 critical patients), obesity (1007 critical patients), diabetes mellitus (815 patients), cardiovascular disorders (677 patients) and neurological disorders (542), prematurity (183 patients) and immunosuppression conditions including malignancy (143 patients). Other conditions in the form of hematological disorders, airway abnormalities, malnutrition and gastrointestinal disorders can also contribute to the clinical severity of paediatric COVID-19 patients. Conclusion: Children with underlying diseases such as obesity, chronic lung disease, cardiovascular disease, and neurologic disease had a higher risk of severe COVID-19 than children without comorbidities.

Co-Authors Ayu Andani Dian Kusumaningtyas Dian Maharani Erviani Maulidya Irene Ratridewi Krisjentha Iffah Agustasari Kurniawan Taufiq Kadafi Nelly Pramita Septiani Pradita Tri Hapsari Rakhman Tyas Perdana Savitri Laksmi Winaputri Takhta Khalasha William Prayogo Susanto

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