scholarly journals CLINICAL CHARACTERISTIC OF ADULT PATIENTS WITH DENGUE HEMORRHAGIC FEVER AT PROF. DR. SULIANTI SAROSO SUNTER INFECTIOUS HOSPITAL 2018

2020 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ghina Rasyidah ◽  
Adinta Anandani

Background: Dengue is a viral disease transmitted by mosquito to humans and becomes a problem for the health of Indonesian people. Dengue Hemorrhagic Fever occurs due to several epidemiological factors. The purpose of this study is to determine the clinical characteristics of adult patients with Dengue Hemorrhagic Fever at Prof. dr. Sulianti Saroso Sunter Infectious Hospital 2018. Method: This Study was an observational descriptive study by taking medical record samples in 49 adult patients Dengue Hemorrhagic Fever in 2018. Results: From the 49 cases of Dengue Haemorrhagic Fever, the highest fender category was male (65,3%), occurred in the 18-25 year age category (38,8%), and the average patient worked as a Private Employee (55,1%). Most patients were hospitalized for the less than 7 days (83,7%). Clinical manifestations were fever (95,9%), nausea (85,7%) and headache (71,4%). Physical examination found was fever (100%) and hepatomegaly (12,2%). Laboratory tests showed normal hematocrit values (71,4%), thrombocytopenia values (87,8%), normal leukocyte values (49%), positive IgG serology tests (83,7%), IgM serology tests (71,4%), Positive IgM and IgG Serology test (69,3%), and NS1 Serology test (2%). Management provided is the administration of intravenous infus fluid drops (100%), PPI (87,8%), H2 Antagonist (4,1%), and Antipiretik (83,7%). The outcome patient is recovered and no complications were found. Conclusion: Dengue Hemorrhagic fever occurs in the age range of 18-25 years with dominant clinical characteristic of fever and thrombocytopenia. And, the most given treatment is Intravena Fluid therapy. 

2018 ◽  
Vol 24 (8) ◽  
pp. 6221-6224
Author(s):  
Hindra Irawan Satari ◽  
Rossy Agus Mardani ◽  
Hartono Gunardi

Various clinical manifestations, complex pathogenesis and different virus serotypes in diverse area make us difficult to predict course of disease, even the child admitted in early. Prognostic factors are very important to predict cases progressing to become DSS. Dengue shock syndrome (DSS) occurs in 15.53% of Dengue hemorrhagic fever (DHF) patients with 7.81% mortality rate. Aim: To explore the prognostic factors of shock in hospitalized DHF children regarding the new 2011 WHO dengue virus infection classification guideline. This was a retrospective study using medical records of children age below 18 years old with WHO fulfilled grade 1 and 2 DHF diagnosis from January 2013–December 2016 in Child Health Department of Dr. Cipto Mangunkusumo Hospital, Jakarta. Independent variables were sex, age, nutritional status, secondary dengue infection, leucopenia, abdominal tenderness, gastrointestinal bleeding, hepatomegaly and plasma leakage. Shock was dependent variable. Multivariate analysis was done by using logistic regresion analysis. There were 98 DHF subjects, 5 subjects became DSS during hospitalization. DSS subject characteristics were age of >5 years old, female, malnutrition, abdominal tenderness, hemoconcentration ≥20%, secondary dengue infection, leucocyte ≥5.000 mm3 and thrombocyte <50.000 mm3. Multivaryate analysis showed malnutrition and hepatomegaly were prognosis factors of DSS. Malnutrition and hepatomegaly were prognotic factors of dengue shock syndrome. Clinicians should be more aware with these factors when managed hospitalized DHF patients.


2017 ◽  
Vol 216 (9) ◽  
pp. 1112-1121 ◽  
Author(s):  
Hasitha Tissera ◽  
Abhay P S Rathore ◽  
Wei Yee Leong ◽  
Brian L Pike ◽  
Tyler E Warkentien ◽  
...  

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Ivan T. Sigarlaki ◽  
Victor D. Pijoh ◽  
Josef S.B. Tuda

Abstract: Dengue hemorrhagic fever (DHF) is a viral disease that can cause death within a very short time (a few days). The main vector of DHF is Aedes aegypti mosquito, whereas the potential vector is Aedes albopictus. In the context of prevention of DHF, environmental data associated with bionomics mosquito vector of DHF, the Maya Index, are needed. DHF is still a public health problem. And for the case that there is in the city of Manado in 2013, in this case in the district of Singkil, acquired as many as 43 cases of dengue hemorrhagic fever. This study aimed to describe the Maya Index at the houses of dengue hemorrhagic fever patients in the village of West Kombos, Singkil districts. Maya Index is based on hygiene risk index (HRI) and breeding risk index (BRI). This was a descriptive study. Samples were houses of patients with DHF in 2015 from January to December. The results showed that there were four patients during the year 2015. Observation of the four houses and calculation of the data indicated that two houses were in low category of Maya Index, one house in medium category of Maya Index, and one house in high category of Maya Index. Keywords: dengue hemorrhagic fever, Maya index Abstrak: Demam berdarah dengue (DBD) adalah penyakit virus yang berbahaya karena dapat menyebabkan kematian dalam waktu yang sangat singkat (beberapa hari). Vektor utama DBD ialah nyamuk Aedes aegypti, sedangkan vektor potensialnya ialah Aedes albopictus. Dalam konteks penanggulangan DBD, juga diperlukan data lingkungan terkait dengan segi bionomik nyamuk vektor DBD, yaitu Indeks Maya. DBD masih merupakan masalah kesehatan masyarakat di kota Manado. Pada tahun 2013, di Kecamatan Singkil didapatkan sebanyak 43 kasus DBD. Penelitian ini bertujuan untuk mengetahui gambaran Indeks Maya pada rumah penderita DBD di Kelurahan Kombos Barat Kecamatan Singkil. Indeks Maya didasarkan pada hygiene risk index (HRI) dan breeding risk index (BRI). Jenis penelitian ialah deskriptif. Sampel penelitian ialah rumah dari penderita DBD tahun 2015 sejak bulan Januari-Desember. Dari hasil penelitian didapatkan empat penderita sepanjang tahun 2015 dan setelah dilakukan observasi ke rumah penderita dan perhitungan data didapatkan dua rumah masuk pada kategori Indeks Maya rendah, satu rumah masuk pada kategori Indeks Maya sedang, dan satu rumah masuk kategori Indeks Maya tinggi.Kata kunci: demam berdarah dengue, indeks Maya


e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Ribka Wowor

Abstract: In Indonesia, dengue hemorrhagic fever (DHF) is a serious health problem. Infection of dengue has occurred in Indonesia for the last two decades. It is a self limiting disease, however, its clinical manifestations has become worsened since several years ago. Epidemiologic pattern of dengue infection changes every year, and there is a peak of new cases every 10 years. Nowadays, adolescence and adult individuals belong to the high risk population of this infection. This epidemiologic changing of DHF is influenced by several environmental factors, inter alia: 1) increasing of human population; 2) uncontrolled urbanization; 3) no effective control of mosquitoes in endemic areas; and 4) modernized public transportation.Keywords: environmental sanitation, epidemiology, dengue hemorrhagic fever Abstrak: Di Indonesia, demam berdarah dengue (DBD) masih merupakan masalah kesehatan masyarakat yang penting. Infeksi dengue terjadi secara endemis di Indonesia selama dua abad terakhir. Penyakit ini bersifat self limiting namun dalam beberapa tahun terakhir memperlihatkan manifestasi klinis yang semakin berat sebagai DBD dan frekuensi kejadian luar biasanya semakin meningkat. Pola epidemiologi infeksi dengue mengalami perubahan dari tahun ke tahun, jumlah kasus memuncak setiap siklus 10 tahunan. Kelompok usia yang terserang dengue berubah menjadi kelompok remaja dan dewasa. Perubahan epidemiologi DBD ini turut dipengaruhi oleh faktor kesehatan lingkungan. Faktor-faktor yang memengaruhi peningkatan dan penyebaran kasus DBD sangat kompleks yaitu, antara lain: 1) pertumbuhan penduduk yang tinggi dan cepat; 2) urbanisasi yang tidak terencana dan tidak terkendali; 3) tidak adanya kontrol vektor nyamuk yang efektif di daerah endemis; serta 4) peningkatan sarana transportasi.Kata kunci: kesehatan lingkungan, epidemiologi, demam berdarah dengue


2021 ◽  
Vol 5 (2) ◽  
pp. 1336-1344
Author(s):  
Astuti Rofida ◽  
Resmi Pangaribuan ◽  
Khairunnisa Batubara

Dengue Hemorrhagic Fever is a viral disease carried by mosquitoes and usually occurs in tropical and subtropical areas. A person infected with this virus for the second time has a much greater risk of severe illness. Symptoms can include fever, rash, and muscles and joints. In severe cases, bleeding and shock can be life-threatening. Handling can be done by giving adequate fluids and pain relievers. Severe cases must be hospitalized. Tanjung Rejo village is one of the dengue endemic villages in Medan Sunggal sub-district. One of the most appropriate efforts in preventing and eradicating mosquitoes is by eradicating mosquito nests. The purpose of this study was to determine the factors that influence the practice of eradicating mosquito nests in the Tanjung Rejo Village, Medan Sunggal District. This type of research is Explantory Research with research population of 451 people and the number of samples is 82 people. This research instrument using a questionnaire with analysis using the chi-sguare statistical test with a degree of significance (α) = 0.01. The results showed that there was a relationship between knowledge (p = 0.000), attitude (p = 0.000) education (p = 0.275), occupation (p = 0.572), support from health workers (p = 0.000), and family support (p = 0.000), the results of the multivariate show that the p-value is 0.00 <0.01 then there is an influence on the practice of eradicating mosquito nests in the Tanjung Rejo environment, Medan Sunggal. Suggestions for the community to further improve the practice of eradicating dengue mosquito nests, and for health workers to send information continuously and continuously.


2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Miftah Apriani ◽  
Tridamayanti Tridamayanti

Background: Dengue Hemorrhagic Fever (DHF) or Dengue Hemorrhagic Fever (DHF) is currently one of the public health problems in Indonesia which tends to increase the number of patients and the wider spread. Dengue hemorrhagic fever is an infectious disease caused by dengue virus with clinical manifestations of fever, muscle pain / joint pain accompanied by rashes, thrombocytopenia and hemorrhagic thesis. The data obtained amounted to 81 people. Objective: The objective is to determine the relationship of knowledge, habits of hanging clothes and frequency of draining tubs with the prevention of Dengue Hemorrhagic Fever (DHF). Method: This research was conducted at the Puskesmas Service conducted on May 14 until May 25, 2019. Data analysis used univariate and bivariate analyzes. This research method uses analytical survey method with cross sectional approach. The sample in this study amounted to 81 people using systematic random sampling techniques. Results: From the analysis it was found that there was a relationship of knowledge (ρ-value 0.001), habit of hanging clothes (ρ-value 0.001), and frequency of draining tub (p-value 0,000), with the prevention of DHF. Suggestion: in order to increase counseling about the dangers of dengue fever to the public. Keywords: Dengue Hemorrhagic Fever, Behavior


Author(s):  
Kiren George Koshy ◽  
Moothezhathu Kesavadas Suresh ◽  
Meenu Maheswari Suresh ◽  
Deepak Iype Koshy

Background: An understanding of factors predictive of severe forms of dengue fever would be helpful in risk stratification. The objective of the study was to determine incidence of and the factors associated with the development of dengue hemorrhagic fever (DHF) among patients admitted with dengue fever.Methods: Consenting patients were consecutively enrolled in the study and were followed forward in time to establish if they had DHF rather than milder dengue. Several factors were studied to ascertain their relation to conversion to DHF.Results: Cases included were 160 (103 males), with a mean age of 39.4 years (age range: 13-78). Fifty one (32%) developed DHF. On multivariate analysis; hepatomegaly, high alanine transaminase, low serum albumin and systolic blood pressure ≤100 mm Hg were independent predictors for the development of DHF.Conclusions: Nearly a third of patients with dengue fever develop DHF. The predictors identified, should alert the physician to this impending complication. 


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