scholarly journals Incidence and Risk Factors of Nosocomial Infections in Neonatal Unit Sanglah General Hospital, Denpasar

2017 ◽  
Vol 38 (3-4) ◽  
pp. 68
Author(s):  
Suartawan Suartawan ◽  
Hamid HA
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Nosocomial Infection ◽  
General Hospital ◽  
Nosocomial Infections ◽  
Mode Of Delivery ◽  
Neonatal Unit ◽  
Chi Square ◽  
Female Ratio ◽  
Chi Square Test

The rate of morbidity due to infection including nosocomial infection during neonatal period is higher than that due to other causes. The purpose of this study was to know the incidence and risk factors of nosocomial infection. This study was conducted on all babies treated at the neonatal unit, Sanglah General Hospital, Denpasar during the period of April-June 1995. Chi square test was used to compare nosocomial infection between birth weight groups and mode of deliveries. The incidence of nosocomial infections in this study was 6%, with male to female ratio of 1.6:1. Skin infections were found most frequently. This occurrence of nosocomial infection was significantly related to the birth weight and mode of delivery, in which the risk of nosocomial infection was greater in babies with low birth weight and delivered by cesarean section or other obstetric procedures.

scholarly journals Risk Factor Related to Mortality of Diabetic Ketoacidosis Patients in Dr. Soetomo General Hospital Surabaya

2020 ◽  
Vol 11 (1) ◽  
pp. 36
Author(s):  
Alviano Satria Wibawa ◽  
Hermina Novida ◽  
Muhammad Faizi ◽  
Deasy Ardiany
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Diabetic Ketoacidosis ◽  
General Hospital ◽  
Developed Countries ◽  
Chi Square ◽  
High Blood Glucose ◽  
Electrolyte Disturbances ◽  
Chi Square Test ◽  
History Of

Introduction: Diabetic ketoacidosis (DKA) is a complication of diabetes mellitus which has a high risk of mortality. Mortality in DKA patients in developed countries is less than 5%, some other sources mention 5-10%, 2-10%, or 9-10%. Mortality events at clinics with simple facilities and elderly patients can reach 25-50%. The mortality rate of DKA patients is generally higher in infection conditions, especially in developing countries and in septic patients. Several factors such as age, sex, and high blood glucose can increase mortality risk of DKA patients. Other risk factors such as history of discontinued insulin therapy, impaired bicarbonate levels, pH, and increased leukocytes of DKA patients due to infection, abnormal albumin levels, electrolyte disturbances, and Serum Creatinine (SK) were thought to affect mortality of DKA patients. The purpose of this study was to determine the risk factors associated with mortality of DKA patients in Dr. Soetomo General Hospital Surabaya. Methods: The method used in this study was observational analytic involving 63 adult patients diagnosed with DKA with analysis using Chi-Square test. Results: From 63 patients included in this study, 37 patients diagnosed with DKA died and 26 patients lived. In a multivariate analysis, DKA severity with p = 0.001 (p < 0.005) was identified as having a relationship with mortality of DKA patients Dr. Soetomo General Hospital Surabaya. Conclusion: Severity is the only risk factor associated with mortality of DKA patients in Dr. Soetomo General Hospital Surabaya.

scholarly journals Karakteristik Bayi Baru Lahir dari Ibu Terkait COVID-19 di RSUP Dr. Kariadi Semarang

2020 ◽  
Vol 7 (1A) ◽  
pp. 166-170
Author(s):  
Adhie Nur Radityo ◽  
Arsita Eka Rini ◽  
Moh Syarofil Anam ◽  
Gatot Irawan Sarosa
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Maternal Age ◽  
Mode Of Delivery ◽  
Secondary Data ◽  
Study Groups ◽  
Nasopharyngeal Swab ◽  
Chi Square ◽  
Formula Milk ◽  
Chi Square Test

Latar belakang Kejadian kasus COVID-19 pada bayi belum banyak dilaporkan dan mekanisme penularan terhadap bayi baru lahir masih belum jelas. Tujuan Melaporkan perbedaan karakteristik bayi baru lahir dari ibu terkait COVID-19 di RSUP Dr. Kariadi Semarang Metode Penelitian retrospektif dengan data sekunder catatan medik bayi baru lahir dari ibu terkait COVID-19 di RSUP dr Kariadi Semarang pada periode April-Mei 2020 dengan kelompok pembanding bayi baru lahir dari ibu tidak terkait COVID-19. Kriteria inklusi semua bayi lahir dari ibu terkait COVID-19 dirawat di rumah sakit dan dilakukan pemeriksaan PCR dengan spesimen swab nasofaring. Data yang dikumpulkan adalah usia kehamilan, jenis kelamin, berat lahir, cara persalinan, usia ibu dan jenis minum yang diberikan pada bayi. Dilakukan uji beda menggunakan uji chi square dan shapiro wilk. Analisis data menggunakan program komputer SPSS. Hasil Dari 46 sampel penelitian terdiri dari 23 bayi lahir dari ibu terkait COVID-19 dan 23 bayi lahir dari ibu tidak terkait COVID-19 dilakukan analisis dengan hasil tidak terdapat perbedaan bermakna dari usia kehamilan, berat lahir, cara persalinan dan usia ibu. Pada kelompok bayi lahir terkait COVID-19 mayoritas lahir dengan jenis kelamin perempuan (74%) dan jenis minum yang diberikan sekitar 86% dengan susu formula. Tidak ada bayi yang mendapat ASI eksklusif pada bayi yang lahir dari ibu terkait COVID-19. Semua bayi yang lahir dari ibu terkait COVID-19 didapatkan hasil swab nasofaring negatif dan tidak menunjukkan gejala apapun sampai dengan pulang. Simpulan Tidak didapatkan perbedaan karakteristik usia kehamilan, berat lahir, cara persalinan dan usia ibu. Terdapat perbedaan karakteristik jenis kelamin dan jenis minum yang diberikan pada kedua kelompok penelitian. Keyword: bayi baru lahir, COVID-19   Background The incidence of COVID-19 cases in newborn has not been widely reported and the mechanism of transmission to the newborn is unclear. Objective To report the characteristics of newborns from mothers related to COVID-19 at Kariadi Hospital Semarang. Method Retrospective study with secondary data on medical records of newborns from mothers related to COVID-19 at Kariadi Hospital in the April-May 2020 period with a comparison group of newborns from mothers not related to COVID-19. Criteria for inclusion of all infants born to mothers associated with COVID-19 were hospitalized and PCR examination carried out with nasopharyngeal swab specimens. Data collected were gestational age, sex, birth weight, mode of delivery, maternal age and type of dietary given to the baby. Analysis tests were performed using chi square test and Shapiro Wilk. Data analysis using SPSS computer programs Result Of the 46 study samples consisting of 23 babies born to mothers related to COVID-19 and 23 babies born to mothers not related to COVID-19 were analyzed with the results that there were no significant differences in gestational age, birth weight, mode of delivery and maternal age. In the group of babies born with COVID-19 the majority were born with a female sex (74%) and the type of dietary given was around 86% with formula milk. No baby gets exclusive breastfeeding for babies born to mothers related to COVID-19. All babies born to mothers related to COVID-19 obtained negative nasopharyngeal swab results and did not show any symptoms until discharge. Conclusion There were no differences in the characteristics of gestational age, birth weight, mode of delivery and maternal age. There were differences in the characteristics of the sexes and types of dietary given in the two study groups. Keyword: newborn, COVID-19

CORRELATION OF SERUM ALBUMIN LEVELS WITH NOSOCOMIAL INFECTIONS IN PATIENTS UNDERGOING MAJOR ELECTIVE SURGERY

2021 ◽  
pp. 6-8
Author(s):  
Sahil Data ◽  
M.G. Vashist ◽  
Anil Kaushik ◽  
Kanika Sachdeva ◽  
Abhijit Kumar Singha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nosocomial Infection ◽  
Serum Albumin ◽  
Elective Surgery ◽  
Gastrointestinal Surgery ◽  
Medical Sciences ◽  
Postoperative Infections ◽  
Chi Square ◽  
Chi Square Test ◽  
Low Serum

It has been suggested that the low serum albumin levels are associated with the increased incidence of complications after gastrointestinal surgery. The aim of this study was to determine if preoperative total albumin levels are associated with a higher risk of postoperative infections. A total of 151 patients undergoing general surgical procedures between March 2018 to Feb 2019 presenting in the outpatient Department of surgery of Pt. B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak were studied. Serum albumin levels were done in all the patients preoperatively. Chi square test was used to look for association of nosocomial infection with albumin levels. Serum albumin <3.5 gm/dl was one of the strong risk factors for the development of nosocomial infection after surgery.

scholarly journals The relationship between the gender of newborn babies and weight gained during pregnancy, mode of delivery and some parameters for newbornYenidoğanın cinsiyetinin gebelikte kazanılan kilo, doğum şekli ve yenidoğanın bazı parametreleri ile ilişkisi

2017 ◽  
Vol 14 (3) ◽  
pp. 2364
Author(s):  
Saadet Boybay Koyuncu ◽  
Sermin Timur Taşhan
Keyword(s):  
Birth Weight ◽  
Mode Of Delivery ◽  
Close Attention ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Mean ◽  
The Relationship ◽  
Determinant Factor ◽  
Participant Information

The study aimed to examine the relationship between the gender of newborn with weight gained during pregnancy, mode of delivery and some parameters for newborn. This study used a descriptive and cross-sectional research design. A total of 632 women who gave birth in the postpartum service at a hospital were included in the study. The data were collected using a participant information form prepared by the researcher. Chi-square test and independent sample t-test were used to analyze the data. This study found that the mean pregnancy number and whether the current pregnancy was planned or not were higher for the women whose newborn babies were girls than for those whose newborn babies were boys, and that the mean birth weight of newborn girls was lower than that of newborn boys (p<0.05). No statistically significant relationship was found between the gender of newborn babies and the weight gained during pregnancy, mode of delivery, APGAR score, the time of beginning breastfeeding and giving supplementary food to the newborn babies (p>0.05). This study found that the gender of newborn affected their birth weight and is a determinant factor for the fertility rate of women. In these cases against girls, careful attention of health professionals is needed to ensure continuous and different victimization, close attention to risky couples, is recommended for the development of women's health.Extended English abstract is in the end of PDF (TURKISH) file. ÖzetAraştırma, yenidoğanın cinsiyetinin gebelikte kazanılan kilo, doğum şekli ve yenidoğanın bazı parametreleri ile ilişkisini incelemek amacıyla yapıldı. Araştırma tanımlayıcı ve kesitsel tiptedir. Araştırmaya bir hastanenin postpartum servisinde doğum yapan 632 kadın alındı. Veriler araştırmacı tarafından hazırlanan katılımcı bilgi formu aracılığıyla toplandı. İstatistiksel analizde ki-kare testi, independent sample t testi analizi kullanıldı. Araştırmada, kız yenidoğana sahip olan kadınların ortalama gebelik sayısı ve mevcut gebeliğin planlı olma durumu erkek yenidoğana sahip olanlara göre daha yüksek (p<0.05); kız yenidoğanların ortalama doğum kilosunun ise erkeklere oranla daha düşük olduğu saptandı (p<0.05). Araştırmada yenidoğanın cinsiyeti ile gebelikte kazanılan kilo, doğum şekli, APGAR skor, emzirmeye başlama zamanı ve yenidoğana ilk 24 saat içinde ek gıda verilmesi arasında istatistiksel olarak anlamlı bir ilişki saptanmamıştır (p>0.05). Araştırmada yenidoğan cinsiyetinin yenidoğanın doğum kilosunu etkilediği ve kadının doğurganlık hızında belirleyici bir faktör olduğu belirlenen çalışmada; kadın sağlığının geliştirilmesi için, kız çocuklar aleyhine olan bu durumlarda, sürekli ve farklı mağduriyetlerin yaşanmaması için sağlık profesyonellerinin dikkatli olması, riskli çiftlerin yakından ele alınması önerilmektedir.

scholarly journals Analysis of Risk Factors with the Degree of Pelvic Organs Prolapse at Dr. Mohammad Hoesin General Hospital Palembang

2021 ◽  
Vol 5 (4) ◽  
pp. 915-918
Author(s):  
Hadrians Kesuma Putra ◽  
Callista Zahra Aidi ◽  
M. Zulkarnain
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
General Hospital ◽  
Binary Logistic Regression ◽  
Pelvic Organ ◽  
Binary Logistic Regression Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Pelvic Organs ◽  
Chi Square Test

Background. Pelvic organ prolapse (POP) is a condition in which one or more pelvic organs (consisting of the uterus, vaginal cuff, bladder, intestines, and rectum) or more are still in or out of the vagina. Risk factors that influence the incidence of POP consist of obstetric risk factors (number of parity and birth method) and non-obstetric risk factors (age, menopause, BMI, comorbid disease, and hypertension). The purpose of this study was to analyze the risk factors associated with the degree of POP. Methods. This study is an observational study with a cross-sectional approach to 111 patients examined at the Department of Obstetrics and Gynecology, Dr. Mohammad Hoesin general hospital Palembang on January 2017 to December 2019, who was diagnosed with pelvic organ prolapse. Results. The results showed the effect of variables with the degree of POP using the chi-square test, consisting of parity (p=0.007), birth method (p=<0.001), age (p=0.016), menopause (p=0.001), BMI (p =0.005), indicates that there is a significant effect on the degree of POP. Meanwhile, comorbid factors (p=0.481) and hypertension (p=0.415) did not show a significant relationship with the degree of POP. The results of the binary logistic regression analysis of all risk factors, the number of parity >4, overweight, and age 40 years, will have a 99.85% chance of experiencing grade 3 or 4 prolapse. Conclusion. Age is the most dominant risk factor affecting the degree of pelvic organ prolapse, with 19 times the chance of developing POP 3 or 4 degrees.

scholarly journals PROFILE OF EPILEPSY PATIENTS IN THE PEDIATRIC WARD AT DR. SOETOMO GENERAL HOSPITAL, SURABAYA IN THE PERIOD OF JANUARY-DECEMBER 2017

2020 ◽  
Vol 30 (2) ◽  
pp. 40
Author(s):  
Dewi Sekarsari ◽  
Viskasari P. Kalanjati ◽  
Abdulloh Machin ◽  
Prastiya I. Gunawan
Keyword(s):  
Risk Factors ◽  
General Hospital ◽  
Febrile Seizure ◽  
General Type ◽  
Secondary Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Pediatric Ward ◽  
Significant Difference ◽  
Chi Square Test

Background: Various risk factors of epilepsy in children had been reported although differences were found amongst regions. Objective: To determine the differences in risk factors and type of epilepsy patients with febrile seizure history in children aged 0-17 years old at the Pediatric Ward, Dr. Soetomo General Hospital, Surabaya in 2017. Material and method: This is a cross sectional retrospective study, using secondary data from medical records of epilepsy patients with febrile seizure history in children aged 0-17 years old at Pedicatric Ward, Dr. Soetomo General Hospital, Surabaya in the period of January-December 2017. Data analysis was done using t-test and the Chi-Square test (Microsoft Excel 2007 and SPSS 22); level of significance was p<0.05. Result: Seventy-four male and 38 female patients were included. Febrile seizure history is observed in 42 patients and there was no significant difference between febrile seizure history and prevalence of epilepsy. The general type of seizure was found in 79 patients; mostly from Surabaya and the parents’ occupation is private employee. The most observed type of seizure is general type. Conclusion: In this study, epilepsy was predominance in males than females; and significantly more patients without febrile seizure history. General type of seizure is the most common type amongst others. These patients were mostly from Surabaya, with parents' occupation was private employees.

scholarly journals Correlation between folic acid and sulfas ferrosus supplementation during antenatal care and low birth weight at General Hospital Jombang, Indonesia

2019 ◽  
Author(s):  
Mochamad Ma’roef ◽  
Bayu Hendrawan
Keyword(s):  
Folic Acid ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
General Hospital ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Significance Level ◽  
Chi Square Test ◽  
Analytic Design

Antenatal care is a service provided by healthcare professionals for identifying health conditions among pregnant mothers. This study aimed to identify the correlation between Supplementation Folic Acid and Sulfas Ferrosus during Antenatal Care and Low Birth Weight (LBW) at General Hospital Jombang, Jombang, East Java. Observational analytic design was used in this study with case control. Simple random sampling was chosen in this study. The data was analyzed using chi-square test if p (0.000) < (0.05). According to chi-square test, the results showed a significance level of p (0.000) < (0.05). Significant correlation was obtained from the result and depicted on contingency coefficient value reaching (0.626) with OR 0.11 (95%CI:0.02-0.65). It can be concluded that there is a significant correlation between supplementation Folic Acid and Ferrous Sulfas during Antenatal Care and Low Birth Weight (LBW).

STROKE

2016 ◽  
Vol 23 (05) ◽  
pp. 539-545
Author(s):  
Muhammad Imran Hasan Khan ◽  
Asim Hameed ◽  
Zohaib Abbas Khan ◽  
Sana Fatima
Keyword(s):  
Risk Factors ◽  
General Hospital ◽  
Cranial Nerves ◽  
Clinical Manifestations ◽  
Categorical Variables ◽  
Chi Square ◽  
Chi Square Test ◽  
Common Risk Factors ◽  
Different Characteristics ◽  
Study Setting

in the world. The aim of this study was to analyze different characteristics instroke patients in Medical Unit 1 of Lahore General Hospital, which is biggest referral hospital forNeurology patients in Punjab, to identify the risk factors and help in targeting prevention in ourpatients. Study Design: Descriptive study. Setting: Lahore General Hospital, Lahore. Period:January 2016, including data from January to November 2015. Methods: The demographicdata, clinical manifestations, risk factors, side of weakness, cranial nerves involved, neurologicalweakness and Glasgow Coma Scale, duration of stay in hospital and outcome were includedin the data. For the comparison between categorical variables Chi-square test was used. Forother variables, t-test was used. Results: A total of 235 patients with stroke, age 20 to 105(mean ±SD= 58±14.6) were included. 127 (54%) had Ischemic stroke (IS) and 100 (42.6%)had hemorrhagic stroke (HS). 127 (54%) were men and 108 (46%) were women. 17.9% of thepatients with IS and 21.7% of the patients with HS died (OR 0.65 95% CI 0.48-0.89). Hypertension,diabetes and dyslipidemia were the most common risk factors. Conclusion: Burden of stroke ishigh in Pakistan. Mean age of patients with stroke is less. Hypertension, diabetes, dyslipidemiaand smoking are highly prevalent and hypertension is the most common. Ischemic strokes aremore common, mortality of intra-cerebral hemorrhage is higher.

scholarly journals Incidence and risk factors for retinopathy of prematurity in a Brazilian reference service

2014 ◽  
Vol 132 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Eduardo Gonçalves ◽  
Luciano Sólia Násser ◽  
Daniella Reis Martelli ◽  
Isadora Ramos Alkmim ◽  
Thalita Veloso Mourão ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Gestational Age ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care ◽  
Independent Effect ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
Reference Service

CONTEXT AND OBJECTIVE: Retinopathy of prematurity (ROP) is a known cause of blindness in which diagnosis and timely treatment can prevent serious harm to the child. This study aimed to evaluate the incidence of ROP and its association with known risk factors. DESIGN AND SETTING: Longitudinal incidence study in the neonatal intensive care unit (NICU) of Universidade Estadual de Montes Claros. METHODS: Newborns admitted to the NICU with gestational age less than 32 weeks and/or birth weight less than 1,500 grams, were followed up over a two-year period. The assessment and diagnosis of ROP were defined in accordance with a national protocol. The chi-square test or Fisher's exact test were used to determine associations between independent variables and ROP. Analysis on the independent effect of the variables on the results was performed using multiple logistic regression. RESULTS: The incidence of ROP was 44.5% (95% confidence interval, CI = 35.6-46.1) in the study population. The risk factors associated with the risk of developing the disease were: birth weight less than 1,000 grams (odds ratio, OR = 4.14; 95% CI = 1.34-12.77); gestational age less than 30 weeks (OR = 6.69; 95% CI = 2.10-21.31); use of blood derivatives (OR = 4.14; 95% CI = 2.99-8.99); and presence of sepsis (OR = 1.99; 95% CI = 1.45-2.40). CONCLUSIONS: The incidence of ROP was higher than that found in the literature. The main risk factors were related to extreme prematurity. CONTEXTO E OBJETIVO: A retinopatia da prematuridade (ROP) é causa conhecida de cegueira e diagnóstico e tratamento oportunos podem evitar graves danos à criança. Este estudo objetivou avaliar a incidência da ROP e sua associação com fatores de risco conhecidos.

scholarly journals Analysis of Risk Factors with the Degree of Pelvic Organs Prolapse at Dr. Mohammad Hoesin General Hospital Palembang

2021 ◽  
Vol 5 (11) ◽  
pp. 1005-1008
Author(s):  
Hadrians Kesuma Putra ◽  
Callista Zahra Aidi ◽  
M. Zulkarnain
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
General Hospital ◽  
Binary Logistic Regression ◽  
Pelvic Organ ◽  
Binary Logistic Regression Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Pelvic Organs ◽  
Chi Square Test

Background. Pelvic organ prolapse (POP) is a condition in which one or more pelvic organs (consisting of the uterus, vaginal cuff, bladder, intestines, and rectum) or more are still in or out of the vagina. Risk factors that influence the incidence of POP consist of obstetric risk factors (number of parity and birth method) and non-obstetric risk factors (age, menopause, BMI, comorbid disease, and hypertension). The purpose of this study was to analyze the risk factors associated with the degree of POP. Methods. This study is an observational study with a cross-sectional approach to 111 patients examined at the Department of Obstetrics and Gynecology, Dr. Mohammad Hoesin general hospital Palembang on January 2017 to December 2019, who was diagnosed with pelvic organ prolapse. Results. The results showed the effect of variables with the degree of POP using the chi-square test, consisting of parity (p=0.007), birth method (p=<0.001), age (p=0.016), menopause (p=0.001), BMI (p =0.005), indicates that there is a significant effect on the degree of POP. Meanwhile, comorbid factors (p=0.481) and hypertension (p=0.415) did not show a significant relationship with the degree of POP. The results of the binary logistic regression analysis of all risk factors, the number of parity >4, overweight, and age 40 years, will have a 99.85% chance of experiencing grade 3 or 4 prolapse. Conclusion. Age is the most dominant risk factor affecting the degree of pelvic organ prolapse, with 19 times the chance of developing POP 3 or 4 degrees.

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