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Jurnal Berkala Epidemiologi

JBE
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Published by Universitas Airlangga

ISSN : 23017171 EISSN : 2541092X DOI : -

Core Subject : Health, Science,

Immunology & microbiology Public Health

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of Cancer.

Arjuna Subject : -

Articles 417 Documents

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The Difference of Nosocomial Urinary Tract Infection Risk Based on Chateterization Urine, Age, and Diabetes Mellitus Sari, Edel Weisela Permata; Satyabakti, Prijono
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTNosocomial urinary tract infection is common occurs in patients with indwelling urinary chateter. Factors that caused nosocomial urinary tract infection are host, agent, and chateterization urine. The aim of this research was to analyze risk difference nosocomial urinary tract infection based on chateterization urine, age, and diabetes mellitus (DM). This study used case control with sample size 20 for each group. Case sample was patients who diagnosed urinary tract infection, while control sampel was patients who not diagnosed urinary tract infection in Haji Hospital Surabaya on 2013 until 2014. The independent variables were duration of chateterization, frequency of chateterization, age, and DM, while dependent variable was nosocomial urinary tract infection. Those variables was analyze with risk difference (RD) in Epi Info. The result showed that risk difference nosocomial urinary tract infection based on duration of chateterization is RD = 0,52 it means if changing chateter was done every seven days used, it can prevent 0,52 from 0,71 or 73,53% urinary tract infection cases, frequency of chateterization is RD = 0,43956 it means if decrease frequency of chateterization until one time used, it can prevent 0,44 from 0,79 or 55,94% urinary tract infection cases, age is RD = 0,40 it means if insertion of urine catheter as indicated and right procedure in patient with >55 old it can prevent 0,40 from 0,68 or 59,26% urinary tract infection cases, and DM is RD = 0,42 it means if preventing toward DM, it can prevent 0,42 from 0,75 or 55,56% urinary tract infection cases.Keyword: chateterization urine, age, diabetes mellitus, nosocomial urinary tract infection

The Effect of Referral Process and Complications to Maternal Mortality Handriani, Indah; Melaniani, Soenarnatalina
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTMaternal Mortality Rate (MMR) in East Java was still high. in 2013, MMR in sidoarjo district has readed 96.27 per 100,000 live birth. This aim of this study was to the effect of the referral process to maternal mortality in RSUD Sidoarjo. This research was analytic observational with case control design. The Samples of this study were 25 pregnant women who were referred to RSUD Sidoarjo and death. The case controls were 50 pregnant women who were referred to RSUD Sidoarjo who did not experience death. Techniques of data collection using secondary data from the register book maternal and neonatal Emergency (MNE) and medical records and interviews with the mother/family/husband of respondents. The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the referral process was poor (OR=9,783,95% CI: 2,275 to 42,072, p=0,002) and the complications (OR=0,005,95%CI: 0,001-0,057, p=0,000).thus, the incidence maternal mortality increased. The conclusion of this study is the referral process and the complications to maternal mortality affect the occurrence of maternal mortality. Midwives need to conduct health education should be given to women in their productive age, increase the participation of families, communities and cadres in the process of early detection of complications during pregnancy, childbirth and postpartum, the quality of antenatal care (ANC) and the quality of referrals should be improved by creating a close referral system in a region associated with a high risk pregnant women were detected inventoried and scheduled control/termination and monitored (follow-up) so that high risk always monitored.Keywords: maternal mortality, referral process, complications

Breast Cancer Risk Analysis by the Use of Hormonal Contraceptives and Age of Menarche Dewi, Gusti Ayu Triara; Hendrati, Lucia Yovita
Jurnal Berkala Epidemiologi Vol 3, No 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTThe number of cases of breast cancer is increasing every year and itâs a serious health problem in the world, including in Indonesia. Breast cancer is type of cancer that is most dominant in Indonesia. High estrogen exposure is one of factor that can increase the risk of breast cancer in women. This study was conducted to determine the relationship of estrogen exposure through the use of hormonal contraceptives and age of menarche with breast cancer incidence in women. Type of this study is observational analytic and use case control design. All of women breast cancer patients of Dr. Soetomo Hospital in 2013 were the population of case. All of woman non breast cancer patients who done breast examination at Dr Soetomo Hospital in 2013 were the population of control. The number of respondents in this study were 90 respondents were drawn from population using simple random sampling method. The variables studied were the use of hormonal contraceptives and age of menarche. The results of the analysis used binary logistic regression (Î± = 5%) indicated that the use of hormonal contraceptives (p = 0,028; OR = 3,266) and age of menarche (p =0,031; OR = 3,492) has an significant correlation with incidence of breast cancer in women at Dr. Soetomo Hospital in 2013. It is expected that the community can be more accurate in determining the duration of hormonal contraception usage and avoid lifestyle can accelerate the occurrence of menarche.Keywords: breast cancer, risk factor, hormonal contraceptives, age of Â Â Â Â Â Â Â Â Â Â Â Â Â Â menarche, estrogen

System Analysis of Dengue Virus Surveillance in BBTKL PP Surabaya Year 2012â2014 Husnayain, Atina; Artanti, Kurnia Dwi; Zaenal, Acub
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTChanging the distribution of dengue virus serotypes has occurred in Indonesia. This condition should be monitored continuously through the Dengue Virus Surveillance. Implementation of Dengue Virus Surveillance also conducted by BBTKL PP Surabaya. The purpose of this study was to determine the workflow, identify problems, set priority problem, find the cause of the problem, and provide the alternative solution related to problems of Dengue Virus Surveillance in BBTKL PP Surabaya. This is a operational research and the informants are officers of Dengue Virus Surveillance in BBTKL PP Surabaya. Data in this study was analyzed descriptive and presented narrative. Results showed that the workflow of Dengue Virus Surveillance in BBTKL PP Surabaya are collecting of patientâs blood and vector specimen, vector survey and collecting the supporting data, Rapid Diagnostic Test (RDT) and Polymerase Chain Reaction (PCR), processing and data analysis, and dissemination the information. The main problems of Dengue Virus Surveillance in BBTKL PP Surabaya is the low quality of the information. Tree problem analysis showed that the cause of problem that can be intervene are incomplete supporting data and data storage. Alternative solution related to problems of Dengue Virus Surveillance in BBTKL PP Surabaya is use of Epi Info.Keyword: surveillance, dengue virus, data management

Application Database of Comprehensive Emergency Neonatal and Obstetric Service in Sampang Hospita Andarini, Yenik Dyah; Hargono, Arief
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTServices Comprehensive Emergency Obstetric and Neonatal Care (PONEK) is essential maternal and neonatal care/ emergency comprehensively which aims to save mothers and newborns. Activities PONEK in Hospital involving several service units where data maternal and neonatal services are sourced from each service unit, database shall be integrated data and information wich is needed. The purpose of this study was to develope database model PONEK. The scope includes the development of database PONEK include maternal and neonatal care int he Hospital. This research was conducted through qualitative approach to the type of research was action research that the development of database model. Development of database model PONEK system approached includes input, process and output. Subjects in this study was the Hospital Management Team and Officers PONEK Recording and Reporting Hospital Sampang. Analysis of recording and reporting system PONEK Sampang Hospital found some problems that the registers were not uniform formats, duplication of records, which is still manual data storage, process inautomation as well asa report that has not produced informationis still limited. Results of this study are prototype Database PONEK based on the information needs of maternal and neonatal care. PONEK database developed can generate the information needed by the team so that it can be used to PONEK performance monitoring and evaluation in the Hospital. Implementation of the database PONEK should be supported by the availability of appropriate computer specifications, human resources that qualified, maintenance management system and training toimprove reporting officers PONEK.Keywords: database, comprehensive emergency obstetrics and neonatal care, recording and reporting system

The Effect of Training to the Screening of Tuberculosis Suspected Children by Health Centers Officer Ã¢Â€Â˜AÃ¯Â¬Âfatussalamah, Rizka; Isfandiari, Muhammad Atoillah
Jurnal Berkala Epidemiologi Vol 2, No 3 (2014): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTChildren are the ones who are at risk of contracting tuberculosis (TB), but so far it has not been a priority. The proportion of tuberculosis in children case detection remains low among all tuberculosis cases. Bojonegoro is one among regencies in East Java which was appointed as the operational trial tuberculin test. The case detection begins with screening of tuberculosis suspects. Screening of tuberculosis suspected children by health centers officer will determine how much the cases of tuberculosis in children are found in health centers. Health officers at the health centers became the most dominant factor in screening of tuberculosis suspected children. Training about tuberculosis in children was done in 16 health centers among 36 health centers in Bojonegoro. This study aimed to analyze the effect of training to the screening of tuberculosis suspected children by health center officers in Bojonegoro. This study is observational analytic with cross-sectional design. The sampling technique is simple random sampling with respondents consisting of 29 doctors and 29 nurses who are responsible for tuberculosis programs in 29 health centers in Bojonegoro. The variables studied were the training and screening of tuberculosis suspected children. The results showed that screening of tuberculosis suspected children was inappropriate from the target (75.9%) and officers who have not attended the training of tuberculosis in children were 58.6%. Logistic regression test showed that there was effect of training to the screening of tuberculosis suspected children (p = 0.019) and prevalence ratio showed that health officers who was attended the training of tuberculosis in children were able to do the screening of tuberculosis suspected children well 8,50 times greater than those who didnât. The training for the officers who have not attended the training of tuberculosis in children needs to be done, so that screening of tuberculosis suspected children in Bojonegoro can be optimally implemented.Keywords: screening, suspected, training, tuberculosis, tuberculosis in children

Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance Kurniawati, Ajeng FS; Satyabakti, Prijono; Arbianti, Novita
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTNosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didnât infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so canât became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

ANGGAPAN KESEHATAN YANG DIRASAKAN WANITA USIA SUBUR DALAM MEMERIKSAKAN PAYUDARA SEJAK DINIPerceived Health Beliefs of Fertile Age Women upon Early Breast Examination Rahmatari, Aida
Jurnal Berkala Epidemiologi Vol 2, No 3 (2014): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTBreast cancer remains a problem in Indonesia because 68.6% of patients see a doctor at an advanced stage, while in the early stages are only 22.4%. One of precaution can be done by early detection of breast cancer with breast examination. This study was conducted to analyze the relationship between perceived health beliefs of fertile age women with practice of early breast examination. This study is an observational analytic study using a case-control design. Samples were taken from the population by simple random sampling. Total sample are 24 case groups and 24 control groups. The independent variables were perceived threat, perceived benefits, perceived barriers. The dependent variables were practice of early breast examination. The results of the study were analyzed by using Chi Square test. The results of bivariat analyze are known that the variables are related to the practice of early breast examination are perceived threat (p = 0,013), and perceived barriers (p = 0,021). Variables that are not related to the practice of early breast examination are perceived benefit (p = 0,348). The conclusion is perceived threat, and perceived barriers in fertile age women are significantly related to practice of early breast examination. Advised for women to be able to be a savior for himself and the booster and motivator to the other women in the neighborhood for the early detection of breast cancer.Keywords: breast cancer, breast examination, early detection, fertile age Â Â Â Â Â Â Â Â Â Â Â woman, perceived

Evaluation of surveillance of dengue fever cases in the public health centre of Putat Jaya based on attribute surveillance Zumaroh, Zumaroh
Jurnal Berkala Epidemiologi Vol 3, No 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTDengue Hemorrhagic Fever (DHF) is a public health problem in the village of Putat Jaya which is an endemic area. Surveilans activity in DHF control program is the most important activity in controlling and monitoring disease progression. The program is expected to achieve incidence rate 55/100.000 population. Ths study aimed to evaluate the implementation of case surveilans in health centre of putat jaya based on attribute surveillance. Attribute surveillance is an indicator that describes the characteristics of the surveillance system. This research was an evaluation research with descriptive study design. As informants were clinic staff who deal specifically with cases of dengue hemorrhagic fever and laboratory workers. The techniques of data collection by interviews and document study. The variables of this study were simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality and data stability. It could be seen from Incidence Rate in 2013 has reached 133/100.00 population. The activity of surveilance in the village of Putat Jaya reviewed from disease contol program management was not succeed into decrease incidence rate of DHF. Therefore, dengue control programs in health centers Putat Jaya need to do cross-sector cooperation and cross-program cooperation, strengthening the case reporting system by way increasing in the utilization of information and communication technology electromedia.Keywords: case surveillance, dengue hemorrhagic fever, evaluation, attribute surveillance, Putat Jaya

Factors That Effect The Nosokomial Phlebitis Infections in Hospital Bhayangkara TK II. H.S. Samsoeri Mertojoso Surabaya Fitriyanti, Sepvi
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTNosokomial phlebitis infections, the cause of it about 60% of patients treated receiving invasive procedures, and the incidence of phlebitis nearly 4%. This research aims to learn the factors that effect the nosokomial phlebitis infections, in recognition of these factors is expected to be the input for Samsoeri Mertojoso Hospital in Surabaya. To reduce the incidence of nosokomial phlebitis infections in order to improve the better quality of care in hospital. This researce use cross-sectional method, this research take sample consisted of 68 respondents, and 22 respondents exposed with pblebitis, while 46 respondents are not exposed with phlebitis. In this research, the factors observed were internal factors, such aa: age, gender and disease. And the external factors, such as the size of the needle, the type of fluid infusion, the location of the stabbing infusion, intravena treatment (infusion), the duration of intravena (infusion) installation and infusion installation techniques. From the analysis of the table obtained proportion of the risk of phlebitis incidence in patients based upon age (OR = 59.5), gender (OR = 2.487), disease (OR = 6.249), needle size (OR = 0.019), the type of fluid administered (OR = 18,943), the location of the stabbing infusion (OR = 2.4), infusion treatment (OR = 6.818), duration of infusion installation (OR = 14.286) and infusion installation techniques (OR = 4.048). The conclusion of this research is that the type of fluid variables have a greater effect on the incidence of phlebitis at Bhayangkara hospital in Surabaya. dan based on these results, it is suggested attention of the hospital officers, especially standard procedures of infusion installation againts factors that influence the phlebitis. and the need for surveillance and nosokomial teams of infection control in hospital.Keywords: nosokomial infections, phlebitis infection

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