Etiology Based on Clinical Manifestation of Acute Diarrhea Incidence of Children Hospitalized in Dr. Soetomo General Hospital Surabaya Period 2011-2013

Ashfahani Imanadhia, IGM Reza Gunadi Ranuh, Djohar Nuswantoro

= http://dx.doi.org/10.20473/bhsj.v2i1.12744
Abstract views = 1015 times | downloads = 5292 times

Abstract


Introduction: Diarrhea is one of the most common causes of morbidity and mortality of children worldwide, especially in developing countries. Acute diarrhea can occur from a large number of causes. We aim to describe the clinical manifestation characteristics of acute diarrhea on pediatric patients that are presented to the hospital.

Methods: A cross-sectional study from all pediatric patients treated in Dr. Soetomo General Hospital Surabaya in 2011-2013.Age, gender, nutritional status, length of hospital stay, duration of breastfeeding, clinical signs and symptoms, as well as laboratory results collected and analyzed descriptively.

Results: One hundred and fifty patients were included with characteristics of male(54%), infant (55.3%)with a mean age of 6-7 month. History of being exclusively breastfed(54%) and lack of nutrition(48%). Vomiting is mostly present (72.7%) and commonly come with a combination of two symptoms (42%) which were vomiting and fever. Mild to severe dehydration degree could be found on the patient who had vomiting, seizure, and fever. The most length of stay was frequently >72 hours. The occurrence of acute diarrhea on a child who was treated in Dr. Soetomo General Hospital Surabaya is dominated by vomiting and it could be inferred that the most acute diarrhea has a tendency of being caused by a virus, where liquid acute diarrhea without blood, mucus, or fever is found.

Conclusion: The etiology of acute diarrhea is mostly caused by viruses and symptoms dominated by a combination of vomiting, fever, and diarrhea without blood caused by villi damage.


Keywords


Acute diarrhea, etiology; symptomps; infection; clinical manifestation

Full Text:

PDF

References


Subagyo B, Santoso NB. Diare Akut. Jakarta: Balai Penerbit IDAI, 2012.

Farthing M, Salam MA, Lindberg G, et al. Acute Diarrhea in Adults and Children: a Global Perspective. J Clin Gastroenterol. 2013; 47: 12-20.

Vila J, Vargas M, Ruiz J, Corachan M, de Anta MTJ and Gascon J. Quinolone resistance in Enterotoxigenic Escherichia coli Causing Diarrhea in Travelers to India in Comparison with Other Geographical areas. Antimicrobial Agents and Chemotherapy. 2000; 44: 1731-3.

Cook G and Zumla A. Manson’s Tropical Diseases, 22. Aufl[Edinburgh]: Saunders. 2009.

Iskandar WJ S. Manifestasi Klinis Diare Akut pada Anak di RSU

Provinsi NTB Mataram Serta Korelasinya dengan Derajat Dehidrasi. Cermin Dunia Kedokteran. 2015; 42: 567-70.

Karyana I. Virus atau Bakteri. PGHNAI. 2006.

Thielman NM and Guerrant RL. Acute Infectious Diarrhea. New England Journal of Medicine. 2004; 350: 38-47.

Wahyuni. Prediksi Gejala Klinis Terhadap Penyebab Diare Akut di Kota Mataram Tahun 2009. FKM UI. 2012.

Kementerian Kesehatan R. Buletin Jendela Data dan Informasi Kesehatan: Situasi Diare di Indonesia. Jakarta: Pusdatin. 2011.

Juffrie M MN. Modul Pelatihan Diare. Jakarta: UKK Gastro-Hepatologi IDAI, 2009.

Dewey KG and Mayers DR. Early Child Growth: How Do Nutrition and Infection Interact? Maternal & Child Nutrition. 2011; 7: 129-42.

Organization WH. Diarrhoea: Why Children are Still Dying and What Can be Done. 2009.

Amin MR, Hartoyo E and Marisa D. Hubungan Status Gizi Dengan Lama Hari Rawat Inap Pasien Anak Diare Akut. Berkala Kedokteran Unlam. 2016; 12: 143-52.

Primayani D. Status Gizi pada Pasien Diare Akut di Ruang Rawat Inap Anak RSUD Soe, Kabupaten Timor Tengah Selatan, NTT. Sari Pediatri. 2016; 11: 90-3.

Walker WA. Pediatric Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. PMPH-USA, 2004.

Horta B and Victora C. A Systematic Review on the Benefits of Breastfeeding on Diarrhoea and Pneumonia Mortality. World Health Organization. 2013.

Wanke C and Sears CL. Escherichia coli. In: Heggenhougen HK, (ed.). International Encyclopedia of Public Health. Oxford: Academic Press, 2008, p. 452-9.

Eppy. Diare Akut. MEDICINUS (Scientific Journal of Pharmaceutical Development and Medical Application). 2009; 02: 91-100.

Navaneethan U and Giannella RA. Mechanisms of Infectious Diarrhea. Nature Reviews Gastroenterology & Hepatology. 2008; 5: 637.

Finberg L. Dehydration in Infancy and Childhood. Pediatrics in review. 2002; 23: 277-82.

Farthing M, Salam MA, Lindberg G, et al. Acute Diarrhea in Adults and Children: a Global Perspective. Journal of clinical Gastroenterology. 2013; 47: 12-20.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 Biomolecular and Health Science Journal

INDEXING BY:

Creative Commons License

This Journal (E-ISSN:2620-8636) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View BHSJ Stats