scholarly journals Tatalaksana demam berdarah dengue dalam kehamilan: A case series

2020 ◽  
Vol 20 (3) ◽  
Author(s):  
Cut Meurah Yeni ◽  
Dara Meutia Ayu

Abstrack. Demam berdarah dengue (DBD) adalah infeksi virus ditemukan pada negara-negara tropistermasuk Indonesia. Indonesia termasuk dalam katagori A dalam perkembangan penyakit virus tersebut yang mengindikasikan tingginya angka kematian. Angka insiden terus meningkat pada anak maupun dewasa dengan tingginya angka mortalitas. Tidak ada pencatatan lengkap untuk angka insidensi pada kehamilan, meskipun mortalitas cukup tinggi. Kami melaporkan empat kasus kehamilan dengan penyakit yang disebabkan oleh vektor Aedes aegypti. Pada keempat kasus tersebut kami telah diagnosis berdasarkan kriteria demam yang khas, trombositopenia, hemokonsentrasi dan pemeriksaan serologi. Terdapat penatalaksanaan yang berbeda dari berbagai kasus tersebut termasuk indikasi terminasi. Satu pasien kami rawat konservatif dan tiga pasien dilakukan terminasi berdasarkan indikasi obstetri. Pertimbangan cara terminasi sangat bergantung pula dengan indikasi obstetri. Seksio sesarea tidak secara mutlak dilakukan pada kehamilan dengan demam berdarah dengue. Kata kunci: Demam berdarah dengue, kehamilan, penatalaksanaan Abstract. Dengue hemorrhagic fever (DHF) is a viral infection found in tropical countries including Indonesia. Indonesia is included in category A in the development of viral diseases that's the high mortality rate. The numbers keep increasing on both adult children with high mortality rates. No complete logging for the incidence rate in pregnancy, although mortality is quite high. We reported four cases pregnancy with diseases caused by the Aedes aegypti vector. In four cases We had diagnosed based on criteria that met the specific criteria, thrombocytopenia, hemoconcentration and serology. There are different treatments for these cases includes the term indication. One patient was treated conservatively and three patients were admitted termination based on obstetric indications. The consideration on how to terminate is also very dependent with obstetric indications. Caesarean section is not absolutely necessary in pregnancy with dengue hemorrhagic fever. Keywords: Dengue hemorrhagic fever, pregnancy, management

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nazzirah A. Ammari ◽  
Greta J. P. Wahongan ◽  
Janno B. B. Bernadus

Abstract: Papaya leaf extract as a natural larvicide can be used as an alternative to control resistant Aedes aegypti populations. The benefits of controlling the dengue hemorrhagic fever (DHF) vektor are reducing the level of morbidity, mortality and suffering of individuals and their families. This research was conducted with a simple laboratory experimental method. Used papaya leaves extract and larvae of Aedes sp. instar III and IV taken in water float. This study used 100 larvae divided into 2 groups with positive groups, namely the concentration of 5gr, 10 gr, 15 gr and 20 gr and a control group that only used aquadesh which was repeated twice. This study aimed to determine the potential of papaya leaf extract (Carica Papaya Linn) as a larvicide against larvae of Aedes sp. in Manado. In conclusion, papaya leaf extract (Carica Papaya Linn) has potential as a larvicide against Aedes sp. Larvae. where the higher the extract concentration given, so the mortality rate of Aedes sp. larvae higher.Keyword :  Papaya Leaves (Carica Papaya Linn), Larvacides, Larvae Aedes sp.  Abstrak: Ekstrak daun pepaya sebagai larvasida alami dapat digunakan sebagai salah satu alternatif untuk mengendalikan populasi Aedes aegypti yang telah resisten. Manfaat dari pengendalian vektor penyakit demam berdarah dengue (DBD) adalah mengurangi tingkat kesakitan, kematian, dan penderitaan individu beserta keluarganya. Tujuan penelitian ini untuk mengetahui potensi ekstrak daun papaya (Carica Papaya Linn) sebagai larvasida terhadap larva Aedes sp. di Manado. Penelitian ini dilakukan dengan  metode eksperimental laboratoris sederhana.  Menggunakan ekstrak daun pepaya dan larva Aedes sp. instar III dan IV yang di ambil di penampungan air. Penelitian ini menggunakan 100 ekor larva yang terbagi atas 2 kelompok dengan kelompok uji yaitu konsentrasi 5gr, 10 gr, 15 gr dan 20 gr serta kelompok control yang hanya menggunakan aquadesh  yang diulangi sebanyak dua kali percobaan. Hasil nilai p yang didapat dari uji Kruskall Wallis memiliki nilai p < 0.05, hal ini menunjukkan bahwa terdapat perbedaan tingkat kematian larva Aedes sp. setelah 6 jam, 12 jam, 18 jam dan 24 jam pada berbagai konsentrasi perlakuan. Sebagai simpulan, ekstrak daun papaya (Carica Papaya Linn) memiliki potensi sebagai  larvasida terhadap larva Aedes sp. dimana semakin tinggi konsentrasi ekstrak yang diberikan maka semakin tinggi pula tingkat kematian larva Aedes sp. Kata Kunci : Daun Pepaya (Carica Papaya Linn), Larvasida, Larva Aedes sp.


Author(s):  
Nurul Qamila ◽  
Agel Vidian Krama

Dengue hemorrhagic fever (DHF) is a contagious disease caused by the dengue virus and is transmitted by the mosquito Aedes aegypti (Aa.aegypti). The population is still a public health problem that increases the number of sufferers and also widespread, with population and education. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the spatial pattern and the spread of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the descriptive method and spatial pattern of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. Keywords: DHF, Spatial Analysis


2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Eva koulaymi ◽  
◽  
Mayssaloun khairallah ◽  
Zeinab Haroun ◽  
Jihad Al Hassan ◽  
...  

Liver disease affects nearly 3% of pregnancies. It is a challenging topic for obstetricians as it can be fatal for both, the mother and the fetus. They carry a high mortality rate reaching 25%. Sex-specific effect on the expression of pregnancy-related liver diseases is largely unknown. We present several cases of familial pregnancy-related liver diseases that were expressed solely when the mothers had male fetuses, ending with deleterious outcomes. Liver disease was not expressed when they had female fetuses. These cases provide a novel insight into the diversity of pregnancy-related liver disease complications expression among sex.


2017 ◽  
Vol 58 ◽  
pp. 58-64 ◽  
Author(s):  
Natalia Yurievna Pshenichnaya ◽  
Hakan Leblebicioglu ◽  
Ilkay Bozkurt ◽  
Irina Viktorovna Sannikova ◽  
Gulzhan Narkenovna Abuova ◽  
...  

2020 ◽  
Vol 19 (2) ◽  
pp. 112-118
Author(s):  
Muhammad Rasyid Ridha ◽  
Budi Hairani ◽  
Gusti Meliyanie ◽  
Wulan Rasna Giri Sembiring ◽  
Abdullah Fadilly ◽  
...  

ABSTRACT Dengue hemorrhagic fever is a global health problem and can be transmitted through vectors, namely Aedes aegypti. One of the controls can be through lethal ovitrap combined with attractant. This study aims to compare the percentage of trapped eggs, the number of eggs hatched, and larval mortality in the lethal ovitrap that were given two additional types of attractants. The insecticides used were temephos, while the attractants used were 20% straw soaking water, and water that Ae. aegypti have used to lay eggs. The type of research is an experiment with a completely randomized design. The sample used was female mosquito of Ae. aegypti that is full of blood from laboratory colonization. The results showed that straw soaking water was more influential attractant than the former Ae. aegypti colonization water in attracting Ae. aegypti mosquitoes to lay eggs. The highest larval mortality was found in a combination of lethal ovitrap with straw soaking water. Statistically there is an influence of the type of attractant on hatchability and the development of Ae. aegypti into adult mosquitoes. The combination of lethal ovitrap and attractant of straw soaking water can be an alternative control strategy for DHF program managers to reduce the density of Ae. aegypti mosquitoes and minimize transmission of dengue hemorrhagic fever in an area. Keywords: Aedes aegypti, attractant, lethal ovitrap, straw soaking water   ABSTRAK Demam berdarah dengue merupakan masalah kesehatan global dan dapat ditularkan melalui vektor yaitu Aedes aegypti. Salah satu pengendaliannya dapat melalui lethal ovitrap yang dipadukan dengan atraktan. Penelitian ini bertujuan untuk membandingkan persentase jumlah telur terperangkap, jumlah telur menetas, dan mortalitas larva pada lethal ovitrap yang diberi tambahan dua jenis atraktan. Insektisida yang digunakan adalah temefos, sedangkan atraktan yang digunakan adalah air rendaman jerami dengan konsentrasi 20%, dan air bekas kolonisasi/telur larva Ae. aegypti. Jenis penelitian ini adalah eksperimen dengan rancangan acak lengkap. Sampel yang digunakan adalah nyamuk Ae. aegypti betina yang kenyang darah hasil kolonisasi di laboratorium. Hasil penelitian menunjukkan bahwa air rendaman jerami merupakan atraktan yang lebih berpengaruh dibandingkan air bekas kolonisasi Ae. aegypti dalam menarik nyamuk Ae. aegypti untuk bertelur. Mortalitas larva tertinggi terdapat pada kombinasi lethal ovitrap dengan air rendaman jerami. Secara statistik ada pengaruh jenis atraktan terhadap daya tetas dan perkembangan Ae. aegypti menjadi nyamuk dewasa. Kombinasi lethal ovitrap dengan atraktan air rendaman jerami dapat menjadi strategi pengendalian alternatif bagi pengelola program DBD untuk mengurangi kepadatan nyamuk Ae. aegypti dan meminimalisasi transmisi penyakit demam berdarah dengue di suatu wilayah. Kata kunci: Aedes aegypti, atraktan, lethal ovitrap, rendaman jerami


Author(s):  
Bobby Fahmi Muldan Pahlevi ◽  
Tri Wulandari Kesetyaningsih

Dengue Hemorrhagic Fever (DHF) is transmitted by Aedes aegypti and Ae. albopictus. Aedes aegypti chooses to live indoors and Ae. albopictus in outdoors. Aedes aegypti has been proven to play a role in dengue transmission in urban areas. It is assumed that suburbs dominated by gardens, so it is possible that Ae. albopictus acts as a vector. The study aimed to analyze the relationship between Ae. albopictus and DHF incidence in suburban area. The study was conducted in Godean, Sleman Regency. 280 ovitrap were placed indoors and outdoors at across seven villages. Each village was represented by one hamlet, so there were 40 ovitrap of each hamlet. The proportion of ovitrap containing Ae. aegypti and Ae. albopictus larvae was calculated. The results showed that Ae. aegypti larvae was more indoors (78.50%) than outdoors (21.45%) in all villages and negatively correlates with DHF (p=0.036; r=-0.776). Aedes albopictus larvae is more commonly found in gardens (80.64%) than in homes (19.36%) and does not correlate with DHF (p = 0.702). It was concluded that in suburban endemic area of ​​Sleman Regency, Ae. aegypti larvae was more indoors and negatively correlated with DHF. Aedes albopictus larva was more in the garden and did not correlate with DHF incidence.


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