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Berkala Kedokteran
Published by Universitas Lambung Mangkurat
ISSN : 14120550     EISSN : 25485660     DOI : http://dx.doi.org/10.20527
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Berkala Kedokteran is a journal contains scientific articles from original research and literature review in medical and health scope. It is published twice in a year, on February and September.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 452 Documents
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Hubungan Aktivitas Pendonor dengan Kejadian Malaria Berdasarkan Hapusan Darah Pendonor di PT. Pama Kecamatan Kintap Prakoso, Barra Gerry; Al Audhah, Nelly; Istiana, Istiana
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.963

Abstract

ABSTRACT: Malaria is most disease caused by plasmodium in the bloodstreams. Plasmodium be carried in the bloodstreams from Anopheles mosquito bites. Transmission of malaria depending on the level of immunity. Malaria symptoms are high fever, anemia, and enlargement of the spleen. The incident of malaria determined by exposed of malaria as a carrier of disease. The aim of this research was to figure out the relationship activity donors with the incident of malaria at endemic areas and counting of the incident of malaria on donors by smear of blood transfusion. It was a descriptive analytic study with cross-sectional approach. All subjects were 46 persons at August 2013. The data were analyzed by chi-square test statistics with 95 % confidence interval. The result showed infected with malaria 4,34%, Most activity there daytime were 87%, indoor activities were 58,7%, long-time activity >6 hours 58,7%. Based on the uji fisher statistic analysis, it could be concluded that there is no relationship between kind of activity (p=0,165) and time of activity (p=0,246) about the incident of malaria based blood smear at PT. PAMA Kecamatan Kintap Key words: activity, incident of malaria, donors. ABSTRAK: Malaria adalah penyakit yang sebagian besar penyebabnya adalah Plasmodium yang berada di dalam aliran darah. Plasmodium dibawa ke aliran darah dari gigitan nyamuk Anopheles. Penularan malaria tergantung dari tingkat imunitas. Malaria ditandai dengan demam tinggi, anemia, dan pembesaran limpa. Terjadinya penyakit malaria ditentukan oleh seberapa besar kemungkinan kontak dengan nyamuk sebagai vektor pembawa penyakit. Penelitian ini bertujuan untuk mengetahui hubungan Aktivitas pendonor dengan kejadian Malaria di daerah endemis malaria dan menghitung angka kejadian malaria berdasarkan hapusan darah pendonor. Penelitian ini bersifat observasional analitik dengan pendekatan cross-sectional. Subyek penelitian sebanyak 46 orang pada periode Agustus 2013. Analisis data menggunakan uji statistik Chi-squere dengan tingkat kepercayaan 95 %. Hasil penelitian menunjukkan angka kejadian malaria sebanyak 4,34%. Aktivitas terbanyak terdapat pada siang hari 87%, aktivitas di luar ruangan 58,7%, lama aktivitas >6 jam 58,7%. Berdasarkan analisis statistik uji fischer dapat disimpulkan bahwa tidak ada hubungan bermakna untuk jenis aktivitas (p= 0,165) dan waktu aktivitas (p= 0,246) terhadap kejadian malaria berdasarkan hapusan darah pendonor di PT. PAMA Kecamatan Kintap. Kata-kata kunci: aktivitas, kejadian malaria, pendonor
POTENSI JUS BUAH PARE (Momordica charantia L.) SEBAGAI PENGHAMBAT HEMOGLOBIN TERGLIKASI IN VITRO Widyanto, Muhammad Topan; Suhartono, Eko; Biworo, Agung
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.194

Abstract

Bitter gourd  (Momordica charantia) is a fruit that is potentially has the ability to inhibit glycated hemoglobin thus can reduce blood sugar level. The aim of this study is to test the potency of bitter gourd juice as a glycated hemoglobin inhibitor. This is a quasi experimental study with non randomized posttest-only with control group design method, using a reaction model of diabetes consisted of two groups; bitter gourd juice as the test group and gliclazide as the standard group, divided into 10%, 20%, and 30% concentration. IC50 value is used to determine the potency as a glycated hemoglobin inhibitor. The result of this study shows that the value of r = 0,990 with an IC50 value of 69,239%, whereas for glikazid 17,268%. The positive value of r indicates a positive relation between concentration and its potency as a glycated hemoglobin inhibitor. The result thus indicates that bitter gourd juice has a potency as a glycated hemoglobin inhibitor Keywords: glycated hemoglobin, bitter gourd (Momordica charantia), gliclazide
Perbandingan Sensitivitas Bakteri Aerob Penyebab Otitis Media Supuratif Kronik Tipe Benigna Aktif Tahun 2008 Dan 2012 Hafizah, Hafizah; Qamariah, Nur; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 9, No 1 (2013): April 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i1.920

Abstract

ABSTRACT: Active benign chronic suppurative otitis media (ABCSOM) was a chronic infection of middle ear with the perforation of tympanic membrane and history of  drainage (otorrhea) for more than 2 months. The aim of this research is to compare the bacteria sensitivity to the antibiotic between 2008 and 2012. The antibiotics used for this research are ciprofloxacin, gentamicin, chlorampenicol and polymixyn B. This is an observational analytic research. The bacteria sensitivity was examined with Kirby-Bauer diffusion method and were converted using the standard of CLSI. The data were analyzed with Kolmogorov smirnov and Fisher test. The results has showed that in 2012 ciprofloxacin has 100% sensitivity, gentamicin has 98.2%,  chloramphenicol has 81,9% and polymyxin B has 30,8%, while the result in 2008 showed chloramphenicol has 86,1% sensitivity, gentamicin has 40,3% and polymyxin B has 13,8%. Data analysis using Kolmogorov smirnov and Fisher test with 95% confidence level showed that there is significant difference between the sensitivity of Pseudomonas aureginosa and Staphylococcus aureus to gentamicin and there is no significant difference in the other comparisons. It has been concluded that the most sensitive antibiotics in 2012 is ciprofloxacin and there is a significant difference in sensitivity of Staphylococcus aureus and Pseudomonas aureginosa to gentamicine in 2008 and 2012. Keywords : CSOMBA,  sensitivity of antibiotics, resistence of antibotics, sensitivity test of bacteria ABSTRAK: Otitis Media Supuratif Kronik tipe Benigna Aktif (OMSKBA) adalah infeksi kronis pada telinga dengan perforasi membran timpani dan riwayat keluarnya otorea lebih dari 2 bulan. Penelitian ini dilakukan untuk membandingkan sensitivitas bakteri penyebab OMSKBA terhadap beberapa antibiotik pada tahun 2008 dan 2012. Antibiotik yang digunakan adalah siprofloksasin, gentamisin, kloramfenikol dan polimiksin B. Penelitian ini bersifat observasional analitik. Sensitivitas bakteri diuji dengan metode Kirby Bauer dan hasilnya dikonversikan dengan standar CLSI. Hasil penelitian pada tahun 2012 didapatkan sensitivitas dari siprofloksasin 100%; gentamisin 98,2%; kloramfenikol 81,9%; dan Polimiksin B 30,8%. Hasil Penelitian pada tahun 2008 didapatkan sensitivitas dari kloramfenikol 86,1%; gentamisin 40,3%; dan polimiksin B 13,8%. Hasil analisis data menggunakan uji Kolmogorov-Smirnov dan Fisher dengan tingkat kepercayaan 95% memperlihatkan adanya perbedaan pada sensitivitas bakteri Staphylococcus aureus dan Pseudomonas aureginosa terhadap gentamisin, sedangkan pada hasil lainnya tidak didapatkan adanya perbedaan. Dapat simpulkan bahwa antibiotik yang paling sensitif pada tahun 2012 adalah siprofloksasin dan pada uji analisis terdapat perbedaan sensitivitas yang bermakna pada bakteri Staphylococcus aureus dan Pseudomonas aureginosa terhadap antibiotik gentamisin pada tahun 2008 dan 2012. Kata-kata Kunci : OMSKBA, resistensi antibiotik, sensitivitas antibiotik, uji sensitivitas bakteri
Hubungan Merokok dengan Kecenderungan Demensia pada Laki Laki Lanjut Usia di Kecamatan Banjarmasin Barat Periode Juni-September 2013 Fernanda, Ferina; Husein, Achyar Nawi; Bakhriansyah, Mohammad
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.954

Abstract

ABSTRACT: A cigarette contains about 4000 elements and with more than 200 of them are harmful. Smoking behaviour is a risk factor for declining in cognitive function, such as dementia. Dementia is defined as a clinical symptoms characterised by short-term memory loss and impaired of global mental functions including language function, the decrease in abstract thinking, the difficulty of taking care of themselves, behavioural changes, emotional labile and disorientation of time and places. Dementia is mostly experienced by the elderly, in particular those of aged by over 60 years old. This research aimed to find out the relationship between smoking behaviour and the tendency of dementia in elderly men at Kecamatan Banjamasin Barat over the period June-September 2013. It was an observational analytic study with cross-sectional approach involving 150 elderly men. Respondents were selected randomly by using simple random sampling method. The tendency of dementia was determined by Mini Mental State Examination (MMSE) questionnaire. The results showed that 53 (61.63%) of 86 smoking elderly had a tendency of dementia, and 30 (46.88%) of 64 non-smoking elderly also had it. The statistical analysis using Chi-Square test showed that the p value was 0.073 and the odd ratio was 1.82. It could be concluded that there is no significant relationship between smoking behaviour and the tendency of dementia in elderly men at Kecamatan Banjarmasin Barat June-September 2013.Keywords : dementia, men, elderly, smoking ABSTRAK: Rokok mengandung sekitar 4000 elemen dengan 200 di antaranya yang berbahaya bagi kesehatan. Merokok juga merupakan faktor risiko terhadap penurunan fungsi kognitif, seperti demensia. Demensia adalah kumpulan gejala klinik yang ditandai dengan hilangnya daya ingat jangka pendek dan gangguan global fungsi mental termasuk fungsi bahasa, penurunan cara berpikir abstrak, kesulitan merawat diri sendiri, perubahan perilaku, emosi labil dan disorientasi waktu dan tempat. Demensia sering dialami kaum lansia, khususnya yang berusia di atas 60 tahun. Penelitian ini bertujuan untuk untuk mengetahui hubungan merokok dengan kecenderungan demensia pada laki-laki lanjut usia di Kecamatan Banjarmasin Barat periode Juni-September 2013. Penelitian ini adalah penelitian observasional analitik dengan pendekatan cross-sectional. Pemilihan responden penelitian dilakukan dengan cara simple random sampling. Sampel penelitian adalah 150 laki-laki lanjut usia. Kecenderungan demensia ditentukan dengan kuesioner Mini Mental State Examination (MMSE). Hasil penelitian menunjukkan dari 86 lansia perokok yang mengalami kecenderungan demensia adalah 53 orang (61,63%), serta dari 64 lansia bukan perokok yang mengalami kecenderungan demensia adalah 30 orang (46,88%). Data kemudian dianalisis dengan uji statistik Chi-Square. Hasil  analisis data dengan tingkat kepercayaan 95% menunjukkan nilai p=0,073 dan nilai Odd Ratio (OR)= 1,82. Dari penelitian ini dapat disimpulkan bahwa tidak terdapat hubungan bermakna antara kebiasaan merokok dengan kecenderungan demensia pada laki-laki lanjut usia di Kecamatan Banjarmasin Barat periode Juni-September 2013.                                                  Kata-kata kunci: demnsia, laki-laki, lansia, merokok
UJI EFEKTIVITAS BEBERAPA LARVASIDA TERHADAP LARVA NYAMUK Aedes aegypti DARI BANJARMASIN BARAT Istiana, Istiana
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.185

Abstract

Dengue Haemorrhagic Fever (DHF) is a dangerous infectious disease caused by the dengue virus and is transmitted through the bite of the mosquito Aedes aegypti. DHF control depends on controlling mosquitoes and larvae. Currently larvicidal control still uses temefos, although some studies have reported the presence of resistance. Larvicides that WHO recommended as a substitute temefos is permethrin. In addition there are some new larvicides derived from the class of insect growth regulator (IGR) which contain active pyriproksifen and active ingredients methopren. This study aims to determine the effectiveness of larvicides and effective concentration to kill 50% of larvae of Aedes aegypti from the sub Banjarmasin West. This study is an experimental study design with Posttest-Only Control Group Design with permethrin dose group was 0.0015 g / l; 0.0018 g / l; 0.002 g / l; 0.0022 g / l; 0.0025 g / l; and 0.0030 g / l, for pryriproksifen use dose groups of 0.5 ppm, 0.1 ppm, 0.05 ppm, 0.01 ppm, 0.008 ppm, 0.005 ppm, and methopren with dosis0 group g / l, 0, 0063 g / l, 0.0025 g / l, 0.005 g / l, 0.01 g / l, and 0.1 g / l. Each treatment group was exposed to larvae of Aedes aegypti larvae and change shape as well as the deaths were followed for 10 days. The results showed that the effective dose of permethrin kills 50% of larvae (Lethal Concentration / LC50) 24 hours ranged from 24 hour LC50 0.01439 - 0.01829 mg / l, with an average of 0.01671 mg / l and 24-hour LC99 ranged from 0.02856 - 0.03852 mg / l with an average of 0.03196 mg / l. This study showed that the larvae of Aedes aegypti in the district of West Banjarmasin are resistant to permethrin. As for pyriproksifen larvicides effectively killed larvae by 70% after seven days of exposure, and for larvicidal with active methopren killed 50% of larvae on the eighth day. This study shows that larviciding of IGR group can be an alternative in the area that has been declared resistant to abate as in the sub-district of West Banjarmasin. Keywords: effectiveness, permethrin, pyriproksifen, methopren, Aedes aegypti
Kota Layak Anak Berbasis Kesehatan Arifin, Syamsul
Berkala Kedokteran Vol 12, No 1 (2016): Februari 2016
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i1.363

Abstract

Abstract: Health is one of most important point in building child – friendly city. A child needs to know the information about children health, so that they know about source of disease, kinds of disease, and the preventions. Through the given information, step by step a child learns about why a child can get sick and how to prevent it. The result in learning about of learning about children health, a child is going to have a perception about it. In order to create cil – friendly city / district by giving guarantee in continuity for children’s future, public and government are encouraged to fulfill all of children’s right, starting from the right of life, growth, safety, and participation. In a chil – friendly city / district, all of public service which is related to children should give  Keywords: child-friendly city, healthy based indicator, action plan Abstark: Kesehatan merupakan salah satu aspek penting dalam mewujudkan kota layak anak. Informasi mengenai kesehatan anak merupakan hal-hal yang perlu diketahui oleh seorang anak, supaya mereka mengetahui sumber penyakit, jenis penyakit dan upaya pencegahannya. Melalui pemberian informasi seorang anak secara bertahap belajar memahami mengapa seorang anak bisa sakit, dan bagaimana mencegahnya. Hasil belajar anak mengenai kesehatan anak, menghasilkan persepsi anak mengenai kesehatan anak. Dalam rangka mewujudkan Kota/Kabupaten Layak Anak dengan memberikan jaminan keberlangsungan masa depan anak, masyarakat dan pemerintah didorong untuk memenuhi seluruh Hak Anak, mulai dari hak hidup, tumbuh kembang, perlindungan dan partisipasi. Dalam Kota/Kabupaten Layak Anak semua pelayanan publik yang berkaiatan dengan anak mesti memberikan pelayanan yang Ramah Anak, sehingga anak-anak yang menerima pelayanan tersebut anak harus merasa aman, nyaman dan gembira.  Kata-kata kunci: kota layak anak, indicator berbasis kesehatan, rencana aksi
Hubungan Antara Adekuasi Hemodialisis Dan Kualitas Hidup Pasien Di Rsud Ulin Banjarmasin: Tinjauan Terhadap Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Rutin Rahman, Aditya Rizky Arief; Rudiansyah, Muhammad; Triawanti, Triawanti
Jurnal Berkala Kedokteran Vol 9, No 2 (2013): September 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i2.945

Abstract

ABSTRACT: Hemodialysis is one of the treatment method of chronic kidney disease. Patients with renal disease will lead to many other health problems, such as hypertension, anemia, osteoporosis and psychological disorders, that will cause a decline in the quality of life of patients. Hemodialysis therapy requires an adequate therapeutic dose. Adequacy of hemodialysis until now still have a question whether can improve the quality of life for the patient or not. The purpose of the research is to find out if there is any relation between adequacy of hemodilysis and the quality of life of the patient or not. This research use cross sectional method and invove patients with chronic kidney disease undergoing hemodialysis treatment that have categorized according to the inclusion criteria. The subjects were examined with a formula hemodialysis adequacy Kt / V, and a quality of life by questionnaire SF-36, and analyzed with the chi-square method.The All of the data was analyzed by Kolmogrov-Smirnov Test and it was found that p= 0,147 (p<= 0,050), that means there is no correlation between hemodialysis adequacy and quality of life among patients of Ulin General Hospital Banjarmasin. Keywords :  Chronic Kidney Disease (CKD), hemodialysis adequacy, quality of life ABSTRAK: Hemodialisis merupakan salah satu tindakan pengobatan gagal ginjal. Pada pasien gagal ginjal akan menimbulkan banyak masalah kesehatan lain, seperti hipertensi, anemia, osteoporosis dan gangguan psikologis, yang nantinya berakibat pada penurunan kualitas hidup pasien. Terapi hemodialisis membutuhkan dosis terapi yang adekuat. Adekuasi hemodialisis sampai sekrang masih menjadi pertanyaan apakah dapat meningkatkan kualitas hidup pasien atau tidak. Tujuan penelitian adalah untuk mengetahui apakah terdapat hubungan antara adekuasi hemodialisis dan kualitas hidup pasien di RSUD Ulin Banjarmasin. Penelitian menggunakan metode cross sectional dengan subjek penelitian yaitu pasien gagal ginjal kronik sebanyak 44 orang yang telah menjalani hemodialisis  sesuai dengan kriteria inklusi. Subjek diperiksa adekuasi hemodialisisnya dengan rumus Kt/V, dan kualitas hidup dengan kuesioner SF-36, dan dianalisa dengan metode chi-square. Hasil dari penelitian ini didapatkan perhitungan statistik  dengan uji Kolmogrov-Smirnov nilai  p=0,147 (p<= 0,050), yang berarti tidak terdapat hubungan antara adekuasi hemodialisis dan kualitas hidup pasien RSUD Ulin Banjarmasin. Kata kunci: Penyakit Ginjal Kronik (PGK), adekuasi hemodialisis, kualitas   hidup
MUTASI EGFR PADA PEMERIKSAAN SITOLOGI ADENOKARSINOMA PARU Oktaviyanti, Ika Kustiyah
Berkala Kedokteran Vol 11, No 2 (2015): September 2015
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i2.171

Abstract

The case of lung cancer increased lately. World Health Organization (WHO) include lung cancer as one of the major problems facing the world in this decade, as more than 1.1 million people died from the disease. In histopathology, lung cancer is divided into several types, one of which is Adenocarcinoma. Various therapies developed to improve survival in patients with lung cancer, and recently also developed a therapeutic gene targets, one of which is the anti-EGFR. However, this therapy needs to be examination of the EGFR gene mutation, because the anti-EGFR therapy would respond in patients with EGFR gene mutation. This study aims to see how the pattern of EGFR mutations, and their relation to age, sex, and smoking habits. Research samples taken from pleural fluid cytology or biopsy of the tumor with fine needle aspiration, then examined whether there is an EGFR mutation. In this study, obtained 38 samples of patients with Adenocarcinoma of the lung, where 34% of patients had mutations in the gene EGFR, which consisted of 7 patients had mutations deletion in exon 19, 1 patients with mutations in exon 21L86IQ, 4 patients experienced EGFR mutations in exons 21L858R, and contained 1 those patients who had mutations in two places, namely in exon 19 and exon 21L861Q. EGFR mutations are many in the age range 40-49 years, but there is no relationship between the age of the patient with the presence and absence of mutations in the EGFR gene. In this study there was no difference between men and women who have EGFR mutations, but women with lung adenocarcinoma more mutated in EGFR. On this study, patients who did not smoke more EGFR mutations (51%) compared to the active smoking (10%). Keywords: lung adenocarcinoma, EGFR mutations
Profil Perdarahan Intrakranial Pada Bayi di Rumah Sakit Umum Daerah Ulin Banjarmasin Tahun 2010-2012 Sari, Rina Purnama; Hidayah, Nurul; Wasilah, Siti
Jurnal Berkala Kedokteran Vol 10, No 1 (2014): Februari 2014
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i1.934

Abstract

ABSTRACT: Intracranial hemorrhage in infants is a condition that cause permanent morbidity and mortality rate was 41%. In developing country like Indonesia, intracranial hemorrhage in infants often have relation with vitamin K deficiency. That happens because vitamin K prophylaxis is not routinely administered in newborns. There is no data about intracranial hemorrhage in South Borneo. This research was a descriptive study using secondary data from medical record, to describe the profile of intracranial hemorrhage in infants at Ulin General Hospital Banjarmasin in 2010-2012. There were 15 data of infants with intracranial hemorrhage. The commonest age group was 1-6 month-old (73,33%), the mean age of patients was 2,2 month-old. Most of infants with intacranial hemorrhage were male (73,33%) and ratio between male and female was 2,7:1. The main symptom of infants in this research was seizure (60%). The most common bleeding type was subdural hemorrhage (46,67%). Among them required conventional and operative therapy when hospitalization (60%). There were 60% of infants with intracranial hemorrhage did not receive vitamin K prophylaxis at birth. Patient’s outcomes were normal (86,67%) and no infant died after hospitalization. Socialization about the importance vitamin K prophylaxis for all newborns is really important to prevent the intracranial hemorrhage in infants. Keywords: infants, intracranial hemorrhage, Ulin General Hospital Banjarmasin ABSTRAK: Perdarahan intrakranial pada bayi merupakan salah satu kondisi yang menyebabkan morbiditas yang menetap ataupun mortalitas sebesar 41%. Perdarahan intrakranial pada bayi di negara berkembang seperti Indonesia sering dihubungkan dengan defisiensi vitamin K. Hal tersebut dikarenakan pemberian profilaksis vitamin K pada bayi baru lahir belum rutin dilakukan. Data mengenai perdarahan intrakranial pada bayi di Kalimantan Selatan masih terbatas. Penelitian ini merupakan penelitian deskriptif yang menggunakan data sekunder dari rekam medik pasien, bertujuan untuk mengetahui profil perdarahan intrakranial pada bayi di Rumah Sakit Umum Daerah Ulin Banjarmasin tahun 2010-2012. Data yang diperoleh sebanyak 15 data pasien yang didiagnosis perdarahan intrakranial. Kelompok umur yang terbanyak yaitu kelompok umur 1-6 bulan (73,33%), dengan rata-rata umur 2,2 bulan. Sebagian besar bayi berjenis kelamin laki-laki (73,33%) dengan perbandingan antara laki-laki dan perempuan 2,7:1. Keluhan utama yang paling sering ditemukan pada penelitian ini adalah kejang (60%). Jenis perdarahan terbanyak adalah perdarahan subdural (46,67%). Sebagian besar jenis intervensi yang diberikan adalah terapi konvensional dan operatif (60%). Sebanyak 60% bayi yang mengalami perdarahan intrakranial tidak mendapatkan profilaksis vitamin K sebelumnya. Status pasien ketika pulang 86,67% membaik dan tidak ada pasien yang meninggal. Sosialisasi mengenai pentingnya pemberian vitamin K pada seluruh bayi baru lahir sangat penting dilakukan untuk mencegah perdarahan intrakranial pada bayi. Kata-kata Kunci: bayi, perdarahan intrakranial, RSUD Ulin Banjarmasin.
Ensefalitis Herves Simplex pada Anak Hidayah, Nurul; Muhyi, Ruslan
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.968

Abstract

Abstract: Herpes simplex virus is a cause of encephalitis in human whose high fatality rate. Herpes Simplex Encephalitis (EHS) can occured in all range of ages  without sex predilection with case incidence about 1 in 250.000-500.000 populatation/years. About 40% patients hospitalized in coma state. Coma is a very poor prognostic factors, because patients with coma often died or recovered with severe sequelae. Mortality usually occured in first 2 weeks. In children, this disease has an unspesified clinical manifestation therefore in order to diagnose EHS, a strong clinical suspicion is needeed. In a simple way, we can suspect a children with EHS possibility  if a child suffer from febrile, seizure (especially focal seizure) dan other focal neurological symptoms such as hemiparesis or disphasia with progrressive lost of consciousness.Key words: encephalitis, herpes simplex, child Abstrak: Virus Herpes simplex adalah penyebab ensefalitis pada manusia yang seringkali berakibat fatal. Ensefalitis  herpes simplex dapat menyerang semua umur, tanpa predileksi jenis kelamin. Angka kejadian adalah 1 dalam 250.000-500.000 populasi per tahun. Empat puluh persen pasien datang di rumah sakit dalam keadaan koma.  Koma merupakan faktor prognosis yang sangat buruk, pasien yang mengalami koma seringkali meninggal atau sembuh dengan gejala sisa yang berat. Kematian biasanya terjadi dalam 2 minggu pertama. Manifestasi klinis sangat tidak spesifik terutama pada anak dan diagnosis EHS sangat memerlukan kecurigaan klinis yang kuat. Secara praktis, fikirkan kemungkinan EHS bila menjumpai seorang anak dengan demam, kejang terutama kejang fokal dan gejala neurologis fokal lain seperti hemiparesis atau disfasia dengan penurunan kesadaran yang progresif. Kata-kata kunci : ensefalitis, herpes simplex, anak Ensefalitis Herves Simplex pada Anak

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