Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days in 2012 at Bangkalan
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The government held a diphtheria sub-national immunization week in 2012 to overcome the problem of diphtheria outbreaks in East Java Province. Bangkalan District is the district with the high incidence of diphtheria in East Java Province. This study aims to analyze the determinants of diphtheria events in Bangkalan District after the diphtheria sub-national immunization week in 2012. This study uses a case-control study design. Case samples were taken from a total of 31 cases, and control samples were taken as many as 124 people spread in 25 case villages and25 control villages. The bivariate analysis a using chi-square test and simple logistic regression. Multivariate analysis using logistic regression. The results showed that based on the results of bivariate analysis, individual and household levels related to diphtheria events, namely the status of Diphtheria Pertussis Tetanus (DPT) immunization, sub-national immunization week status, age and mother's education. Multivariate analysis showed that factors related to the diphtheria incidence in Bangkalan District after the 2012 diphtheria sub-national immunization week were DPT immunization (p = 0.012; OR= 4.765), incomplete DPT immunization (p = 0.001; OR = 6.276), age 3- 7 years (p = 0.014; OR = 15.137), ages 7-15 years (p = 0.001; OR = 41.984), and are not immunized at the time of sub-national immunization week (p = 0.020; OR = 3.553). The conclusion of this study is the DPT immunization status, age and status of diphtheria sub-national immunization week were the dominant factors affecting the incidence of diphtheria in Bangkalan District.
Aswad, I.H.Al. dan Shubair, M.E., (2009). Efficacy of diphtheria and tetanus vaccination in Gaza, Palestine.Eastern Mediterranean Health Journal, Vol. 15, No. 2, 2009, p. 285-294.
Dinkes Kab. Bangkalan, (2013). Daftar kasus difteri tahun 2013 Kabupaten Bangkalan. Bangkalan: Dinkes Kab. Bangkalan.
Dinkes Provins Jatim,(2011a). Ayo rame-rame ikut imunisasi sub PIN difteri. Diakses dari http://dinkes.jatimprov.go.id/contentdetail/3
/1/234/ayo_rame-rame_ikut_imunisasi_sub_pin_difteri_.html[
sitasi Januari 2013].
Dinkes Provinsi Jatim, (2011b). Pedoman penanggulangan KLB diphteri di Jawa Timur. Surabaya: Dinkes Provinsi Jatim.
Dinkes Provinsi Jatim, (2013). Penyakit difteri per kab./kota di Jawa Timur per tanggal 11 Januari 2013. Surabaya: Dinkes Provinsi Jatim.
Fadlyana, E., Tanuwidjaja, S., Rusmil, K., Dhamayanti, M., Soemara, L., dan Dharmayanti R., (2002).Imunogenitas dan keamanan vaksin DPT setelah imunisasi dasar.Sari Pediatri. Vol. 4, no. 3, Desember 2002, p. 129 - 134
IDAI, (2011). Pedoman imunisasi nasional di indonesia edisi keempat tahun 2011. Jakarta: IDAI.
Kartono, B., Purwana, R., dan Djaja, I M., (2008).‘Hubungan lingkungan rumah dengan kejadian luar biasa (KLB) difteri di
Kabupaten Tasikmalaya (2005-2006) dan Garut Januari 2007, Jawa Barat’, Makara, Kesehatan.Vol. 12, no. 1, Juni 2008, p.8-12.
Keman, S., (2005). Kesehatan perumahan dan lingkungan pemukiman.Jurnal Kesehatan Lingkungan. Vol 2, no. 1, Juli 2005, p. 29-42 Kepmenkes RI No. 829/Menkes/SK/VII/1999 tentang persyaratan kesehatan perumahan.Jakarta: Depkes RI.
Kunarti, U., 2004. Titer imunoglobulin (IgG) difteri pada anak sekolah (Studi kasus di Kota Semarang),tesis. Program Studi Magister Epidemiologi Universitas Diponegoro.
Kusnoputranto, H., (2000). Kesehatan lingkungan. Jakarta: FKM Universitas Indonesia.
Lubis, (2004). Perumahan sehat, cetakan kedua. Jakarta: Pusat Pendidikan Tenaga Kesehatan Depkes RI.
Mukarami H., Phuong N.M., Thang H.V., Chau N.V., Giao P.N., dan Tho N.D., (2010). Epidemic diphtheria in Ho Chi Minh City Vietnam: a match case–control study to identify risk factors of incidence. Elvesier-Vaccine 28 (2010), p. 8141–8146.
Notoatmodjo, S.,(2003).Ilmu kesehatan masyarakat, prinsip-prinsip dasar. Jakarta: Rineka Cipta.
Patel, UV, (2004). A retrospective study of diphtheria cases, Rakjot, Gujarat.Indian Journal of Community Medicine, Vol. XXIX, no. 4, Oktober-Desember 2004. p. 161-163.
Permenkes RI nomor 1077/Menkes/Per/V/2011 tentang pedoman penyehatan udara dalam ruangan.
Sari, M.F., (2012). Indikator prediktif kejadian difteri di Kota Surabaya, tesis. Fakultas Kesehatan Masyarakat Universitas Airlangga, Program Studi Administrasi dan Kebijakan Kesehatan.
Setiasih, A.,(2011). Faktor risiko kejadian difteri di Kota Surabaya Provinsi Jawa Timur, tesis. Program Pascasarjana Fakultas Kedokteran Universitas Gadjah Mada.
Setiawan, I.M., (1992). Kadar antibodi bayi yang mendapat imunisasi DPT di RSCM, puskesmas dan posyandu, tesis. Program Studi Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Indonesia.
Sitohang, V., (2002). Hubungan kepadatan serumah dengan kejadian difteri padakejadian luar biasa (KLB) difteri di Kabupaten Cianjur Jawa Barat Tahun 2000 – 2001, tesis. Program Studi Epidemiologi Kekhususan Epidemiologi Lapangan Universitas Indonesia.
Sudoyo, A.W, Setiyohadi B., Alwi I., Simadibrata M., dan Setiati S., (2006). Ilmu penyakit dalam jilid II edisi IV. Jakarta: Departemen Ilmu Penyakit Dalam Fakultas Kesehatan Universitas Indonesia.
Utami, A.W., (2010). Faktor yang mempengaruhi kejadian penularan difteri di Kota Blitar Propinsi Jawa Timur, tesis. Fakultas Kesehatan Masyarakat Universita Airlangga, Program Studi Ilmu Kesehatan Masyarakat.
White, N.J., dan Hien, T.T., Diphtheria dalam Manson, Sir Patrick, (2009). Tropicaldiseases 21st ed. Saunders. London: Elvesier. p 1133-1137.
WHO, (2012).Incidence_series.Diakses dari http://apps.who.int/immunization_monitorin g/en/globalsummary/timeseries/tsincidenced ip.htm [sitasi 6 Desember 2012].
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