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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 7 Documents
Search results for , issue "Vol 39 No 1-2 (1999): January - February 1999" : 7 Documents clear
Underfive KMS utilizationin Marunda North Jakarta Titi Sunarwati Sularyo
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.1-2.1999.8-13

Abstract

A prospective study was carried out on 102 underfives by home visits in Marunda, North Jakarta to obtain data on identification, and the underfive mortality in the family. The KMSs were reviewed in terms of, among others, its utilization and the immunization state. It revealed that the KMSs were over distributed (in 70.6% of children), but underutilized (83.3%), in a sense that only in 16.7% were the growth curves (weight curve) graphically plotted on the growth charts, and only in 21.6% were the KMS kept by the child/family. A proper utilization of the KMS was considered crucial as it was significantly related to improvement of the underfive immunization coverage (p<O.05) and very significantly related (p<0.01) to reduction in underfive mortality.
Role of laboratory values in determining disease activity in juvenile rheumatoid arthritis Arwin A. P. Akib; Alan R. Tumbelaka; Titi S. Sularyo; Dina S. Daliyanti
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.1-2.1999.47-55

Abstract

Juvenile rheumatoid arthritis (JRA) is an autoimmune joint disease characterized by supression of disease activity. To confirm clinical criteria in determining disease activity, several laboratory parameters, such as haemoglobm level, leucocyte count, thrombocyte count, erythrocyte sedimentation rate (ESR), C reactive protein (CRP), serum concentration of immunoglobulin and complement are considered important. This retrospective study was undertaken to find out whether the same correlation was also existed our patients trend. Bivariate analysis was used to study 113 episodes of disease activity in 46 patients with JRA from October 1983-0ctober 1997. Each episode of disease activity was clinically classified as either active or inactive according to American Rheumatism Assocation (ARA). It was found that CRP and disease activity correlated significantly (p=O.04). The disease activity was not associated with anemia, leukocytosis, thrombocytosis, increased level of ESR, high serum immunoglobulin concentration, or increased level of complement. Heterogenous origin in 3 types of IRA and limited study subjects may affect these results. In conclusion, besides clinical judgment of disease activity, CRP can be added and used as an objective measure of disease activity.
Nosocomial septicemia in neonates Rachma F. Boedjang
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi39.1-2.1999.14-9

Abstract

This study reports the prevalence of nosocomial septicemia (NS) and the relative risk (RR) of NS in neonates with intravenous (IV) line as well as in low birth weight infant, and the role of C-reactive protein (CRP) in detecting septisemia. We evaluated a prospective cohort of 182 out of 541 neonates admitted to the Special Care Unit of Cipto Mangunkusumo General Hospital, Jakarta, during a 12 months period (October 1996 to September 1997). Information was recorded on each baby's indentity including primary diagnosis. On the basis of clinical evidence they were divided into two groups: neonates with IV line (92) and non IV line (90). Neonates in whom clinical was suspected when they were more than 72 hours of admittance were eligible for study. Clinical diagnosis of septicemia was confirmed by CRP and proven by blood culture. There were 182 newborn infants, 106 boys of them were boys. 66 out of 182 (36.3%) were diagnosed as septicemia clinically. Among them (81.8%) were CRP positive and 85.2% were proven by blood culture. The overall prevalence of septicemia was 25.3% of evaluation and was most common in IV line with a prevalence of 36.9%, while in non IV line was 13.3%. The RR of NS in IV line and low birth weight infants were 2,74 and 2.67 respectively. The etiologic agents were mostly gram negative: E. coli (49.1%), Pseudomonas sp. (16.4%), Enlorobacter sp. (19.1%). The only gram positive cocci was Staphylococcus aureus (12.7%). NS almost always occurs in Special Care Unit. CRP was a valuable adjunct for diagnosing septicemia. The RR was higher in IV line and low birth weight infants. The most common pathogens in this study was gram negative.
Varicella antibody in healthy children Sri Rezeki Hadinegoro
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (582.433 KB) | DOI: 10.14238/pi39.1-2.1999.1-7

Abstract

Varicella is the most contagious viral exanthematous disease, which has a variable clinical course. We studied a seroepiderniologicaJ study on varicella antibody in 350 healthy children at Department of Child Health, Medical School, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta; from May to July 1998. The aim of this study was to get figures of varicella antibody in healthy chiJdren which can be used as a baseline data in the decision of recommendation in varicella vaccination. Subjects were 1-12 years old children with no history of varicella infection or immunization. The varicella antibody was determined by using Etisa assay (Enzygnost lest). Among 350 healthy children, 42.9% were males; they were divided into 3 age groups: 1-3, 4-7 and 8-12 years. Fourty two children (11.1 %) had seropositive varicella antibody (above protective level 0.2 mIU/ml). The prevalence of subclinical valicella significance increased with increasing age. Subjects with clinical or subclinical varicella had the same figure of age specific prevalence. The mean varicella antibody in each age group was almost similar. The minimum varicella antibody titer was quite similar between 1-3 and 4-7 age group, but not in 8-12 age group. Forty one percent had history of varicella contact, older chiildren had more history of contact.
Risk factors of upper gasterointestinal tract bleeding caused by stress ulcer Abdul Latief; Alan Roland Tumbelaka; Rulina Suradi; WEnny Lazdya Taifur
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.571 KB) | DOI: 10.14238/pi39.1-2.1999.20-8

Abstract

During the period of December 1st 1997 until April 30th 1998, an observational study with cross sectional design was conducted at the Pediatric Intensive Care Unit (PICU). Risk factors of the occurrence of upper gastrointestinal tract bleeding (VGTB) on patients admitted to the PICU Medical School University of Indonesia/ Cipto Mangunkusumo Hospital were described analysed. Upper gastrointestinal tract bleeding was confirmed if there was evidence of brown or coffee ground material of the gastric fluid in the nasogastric or gastrotomy tube, hematemesis or melena, which was subsequently proved by benzidin test.  The risk factors in this study was defined based on the risk factors found from previous studies i.e. shock, sepsis. severe head injury, multiple complication, liver insufficiency, pneumonia, respiratory failure, intervention during treatment (operation >3 hours, ventilator, corticosteroid >3 days). From 26 patients with UGTB risk factors in this study, 19 persons (73%) developed UGTB. The proportion of UGTS was not different on the patient's characteristic (age, sex, nutritional status). UGTB found were bleeding through nasogastric tube (58%) and occult bleeding 37%, hematemesis only one person (II %).The majority of VGTB occurred on the 3rd  day of hospitalization (84%) and after ventilator usage of >48 hours (58%). Patient who underwent >3 hours operations were craniotomies. All the patients who received >3 days of corticosteroid (4 persons) developed VGTS.
Benefits of infant calendar action poster to improve the compliance of growth and development monitoring Sudiyanto Darmosubroto; Sudigdo Sastroasmoro; Rini Sekartini
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (775.326 KB) | DOI: 10.14238/pi39.1-2.1999.29-37

Abstract

A community based study was conducted among infants between 0-12 months old about the compliance of growth and development monitoring, with the provision of infant calendar action postern. The subjects of study residing at Cipinang Cempedak areas,Mere fonowed-up from March 1997 until March 1998. One hundred infants provided· with the action postern comprised the intervention group, and 100 infants not provided with the action posters comprised the non intervention or the control group. Twenty infants of the control group and 18 infants of the intervention group dropped out because they moved out areas or didn't show up at the subsequent visit. More than half of the parents has middle income with Rp 134,832.35 – Rp 1,664,733.75 per month, 75.3% the fathers were employees of private enterprises. Eighty two of the intervention group (36 male infants or 43.9% and 46 female infants or 56.1 %) and 80 of the non intervention group d (39 male infants or 48.8 % and 41 female infants or 51.2%) participated in this study. The results showed that the compliance of periodical visits of growth and development monitoring of the intervention group was significantly better than that of the control group. Other results show that the intervention group got proper feeding, had adequate nutritional status, and had complete immunizations as recommended. And sustained contraceptive practice by the mothers.
Clinical aspects and white blood cell count in children with urinary tract infection Hendrik B. Tokan; Komang Kari
Paediatrica Indonesiana Vol 39 No 1-2 (1999): January - February 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (719.654 KB) | DOI: 10.14238/pi39.1-2.1999.38-46

Abstract

The purpose of this study was to evaluate the clinical aspects and to count white blood cells in attempt to flnd simple parameters to predict urinary tract infection (UTI) prospectivecaly. Twenty four children with pyuria were studied, the history of clinical symptoms of urinary tract infection and blood leucocyte count were obtained. Local symptoms was the commonest symptom found in this study (87.5%), followed by fever (75.0%). If urine culture was taken as the gold standard, the predictive value of positive local symptoms with pyuria to urinary tract infection was 76.19%, sensitivity 88.88% and specificity 16.66%. The predictive value of history of fever with pyuria ti urinary tract infection was 76.47"10, sensitivity 72.22% and specificity 33.33%. The predictive value of leucocytosis with pyuria to urinary tract infection was 76.47%, sensitivity 72.22% and specivicity 33.33%. Meaning that the local symptoms, fever or leucocytosis with pyuria were not a good tool for the diagnosis of urinary tract infection, but probably useful as a screening procedure to distinguish the posibility of urinary treat infection.

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