The Analysis of Complications of Tuberculosis Sufferers Due to History of Drug Breakup in The Area of Puskesmas Puri Mojokerto Regency

2021 ◽  
Vol 8 (2) ◽  
pp. 166-170
Author(s):  
Lutfi Wahyuni ◽  
Inna Octavia ◽  
Norma Cindy Erlina

Pulmonary TB disease is one of the priorities of eradication of infectious diseases. Early-stage drug breakup occurs if the patient does not take medication 2 months in a row or more before the treatment period is complete. Drug breakups result in patients being resistant to OAT (Anti-Tuberculosis Drugs) and can lead to complications. This study aimed to analyze the occurrence of complications of tuberculosis sufferers due to a history of drug breakup. The design in this study was Correlation Analytics with Retrospective approach methods. The population in this study was all TB sufferers who had a history of drug breakups and complications. The sampling technique in this study was Non-Probability Sampling with purposive sampling type. The sample was 30 respondents. The instruments were interview for the history of drug breakup and patient treatment cards and observation and status of patient as the instruments of complications. Spearman Rho test results showed that value = 0.055 or more than α (0.05) which meant there was no correlation between the history of drug breakup with complications of tuberculosis. Based on this study, it could be concluded that the complications of tuberculosis that occur not only because of drug breakup factors but can be due to the spread of increasingly widespread germ infections, the immune system of the sufferers who are lacking, tuberculosis concomitant diseases, nutritional status of tuberculosis sufferers, and also knowledge from TB sufferers who lack the awareness to maintain health.

2015 ◽  
Vol 55 (1) ◽  
pp. 7
Author(s):  
Fadilah Harahap ◽  
Ridwan M. Daulay ◽  
Muhammad Ali ◽  
Wisman Dalimunthe ◽  
Rini Savitri Daulay

Background Tuberculosis (TB) infection is highly prevalent in Indonesia. The source of transmission of TB to a child is usually via an adult with sputum smear-positive pulmonary tuberculosis. The Mantoux test is a diagnostic tool for tuberculosis infection. The BCG vaccine has been used for the prevention of TB, but its efficacy is still debated. Objective To assess for an association between Mantoux test results and BCG vaccination in children who had contact with adult pulmonary tuberculosis and to assess for differences in Mantoux test induration with regards to nutritional status, age, type of TB contact, and time duration since BCG vaccination in BCG-vaccinated and BCG-unvaccinated children. Methods A cross-sectional study was conducted in FebruaryMarch 2011 on infants and children (aged 3 months to five years), who had household contact with adult pulmonary TB. We performed tuberculin (Mantoux) skin tests to detect TB infection in the children. Subjects were consisted of two groups: BCG-vaccinated and BCG-unvaccinated. Results Subjects were 100 children (50 BCG-vaccinated and 50 BCG-unvaccinated subjects). Positive Mantoux test results were observed in 9 vaccinated subjects and 33 unvaccinated subjects. The mean diameters of induration in the vaccinated and unvaccinated groups were 7.6 mm and 9.6 mm, respectively (95%CI of difference -4.25 to 0.20; P=0.074). In children who had household contact with sputum smear-positive adult pulmonary TB, BCG vaccination was a protective factor against TB infection, with an odds ratio (OR) of 0.113 (95%CI 0.045 to 0.286; P=0.0001). There were no significant differences in Mantoux test induration associated with nutritional status, age, type of TB contact, and duration since BCG vaccination, between the two groups. Conclusion BCG vaccination has a protective effect on TBexposed children, based on Mantoux test results. However, there are no differences in Mantoux test induration associated with nutritional status, age, type of TB contact, or duration since BCG vaccination, between the BCG-vaccinated and BCGunvaccinated groups.


Author(s):  
Meghit Boumediene Khaled ◽  
Nada Benajiba

The immune system is involved in the protection of host against environmental agents such as pathogenic micro-organisms (bacteria, fungi, and viruses) and chemicals, thereby preserving the integrity of the body. To preserve organism defense mechanisms, adequate nutritional status should be maintained with appropriate intakes of calories, vitamins, minerals and water that should be continuously provided by a healthy diet. The emergence of new infectious diseases with new pathogenic properties constitutes a serious health issue worldwide. Severe acute respiratory syndrome (SARS) represents one of the most recent emerging infectious diseases, caused by a novel coronavirus member called (SARS-CoV-2), identified in Wuhan, Hubei, China in December 2019, and recognized as pandemic by the World Health Organization (WHO). The nutritional status of each COVID-19-infected patient should be assessed prior undertaking treatments. Nutritional support should be the basis of management of any infected individual. However, prevention measures remain the first priority and strategy to develop throughout proper hygiene, healthy diet and staying home. Keywords: Nutrition, Immune system, Viral diseases, SARS-CoV-2.


2018 ◽  
Vol 5 (1) ◽  
pp. 88-97
Author(s):  
Anak Agung Ayu Sudilestari ◽  
I Gusti Ayu Putu Satya Laksmi ◽  
Ika Setya Purwanti

Pendahuluan: Kekurangan gizi merupakan masalah kesehatan utama di negara yang sedang berkembang, dan melatarbelakangi lebih dari 50% kematian balita. Pemberian ASI paling sedikit 6 bulan direkomendasikan untuk menurunkan kesakitan dan kematian anak akibat gangguan gizi. Metode: Desain penelitian ini menggunakan metode penelitian non eksperimental dengan desain penelitian cross sectional. jumlah sampel pada menelitian ini sebanyak 83 responden dengan Teknik purposive sampling. Hasil: uji analitik menggunakan uji korelasi Rank Spearman didapatkan nilai signifikan p = 0,002 (p < 0,05) dan r = -0,333, sehingga dapat disimpulkan ada hubungan antara riwayat pemberian ASI eksklusif dengan status gizi balita usia 7-24 bulan. Diskusi: Pemberian ASI secara eksklusif sampai bayi berumur 6 bulan sangat penting untuk menunjang status gizi balita sehingga pertumbuhan dan perkembangannya menjadi optimal.   Kata Kunci: ASI eksklusif, gizi, balita   ABSTARCT Introduction: Malnutrition is a major health problem in developing countries, and underlies more than 50% of under-five mortality. Breast feeding of at least 6 months is recommended to reduce morbidity and mortality of children due to nutritional disorders. Method: This research design using non experimental research method with cross sectional research design. the number of samples in this research as many as 83 respondents with purposive sampling technique. Result: analytic test using Rank Spearman correlation test got significant value p = 0,002 (p <0,05) and r = -0,333, so it can be concluded there is correlation between history of exclusive breastfeeding with nutritional status of children aged 7-24 months. Discussion: Breastfeeding exclusively until 6 months old baby is very important to support the nutritional status of toddlers so that growth and development become optimal.   Keywords: Exclusive breastfeeding, nutrition, toddlers


2021 ◽  
Vol 10 (4) ◽  
pp. 335-342
Author(s):  
Ami Monika Sari ◽  
Demsa Simbolon ◽  
Tetes Wahyu

Background: The direct causes of nutritional status problems are infectious diseases and inadequate intake. The prevalence of infectious diseases can be caused by children not getting complete basic immunization and not getting exclusive breastfeeding. Objective: The study aims to determine the relationship between complete basic immunization and exclusive breastfeeding with the nutritional status of underfive children in Indonesia. Methods: This study uses secondary data from Primary health research of Indonesia (Riskesdas 2018). It is an analytical study using a cross sectional study design. The sample in this study is toddlers spread across 34 provinces of Indonesia. The sampling technique in this study is the total population. The independent variables were complete basic immunization coverage and exclusive breastfeeding coverage. The dependent variable is the prevalence of nutritional status based on the index of Weight by age, body length according to age and body weight by length.Results: The results of the analysis found that the complete basic immunization coverage for underfive children in Indonesia was 56.18%, exclusive breastfeeding coverage was 39.59%, and the prevalence of underweight and severely underweight children under five (WHZ) was 16.67%, the prevalence of short and very short toddlers short (WHZ 29.68% and the prevalence of malnutrition and very poor (HAZ)  12.44%. using correlation test and linear regression with a significance degree of p≤0.05. Complete basic immunization coverage was associated with the prevalence of very underweight and underweight (p=0.005), short and very short (p=0.043), very undernourished and undernourished (p=0.000). Conclusion: There is a significant relationship between complete basic immunization and the nutritional status of children under five in Indonesia. There is no significant relationship between exclusive breastfeeding and the nutritional status of children under five in Indonesia.Key words: Complete basic Immunization; Exclusive breastfeeding;  Nutritional status; Underfive years old


2020 ◽  
Vol 9 (2) ◽  
pp. 107
Author(s):  
Cek Masnah ◽  
Indah Maria Saputri

Abstrak   LatarBelakang : Keadaan status gizi kurang pada umumnya terjadi di negara berkembang, antara lain di Indonesia. Data hasil Riskesdas 2018 angka status gizi buruk dan gizi kurang secara Nasional mencapai 17,7%, di Provinsi Jambi keadaan ini mencapai 15,74 % dan di Kota Jambi 12,99%. Keadaan status gizi dipengaruhi oleh banya faktor, antara lain kejadian penyakit infeksi, pola konsumsi yang kurang baik, ASI eksklusif, keadaan jamban dan kondisi sarana penyediaan air bersih..Tujuan penelitian ini adalah untuk mengetahui hubungan antara riwayat kejadian penyakit infeksi,  kondisi sarana air bersih, kondisi jamban, pemberian ASI ekslusif, dan  pola konsumsi dengan status gizi balita. Metode : Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan kasus-kontrol. Penelitian dilaksanakan di wilayah kerja Puskesmas Paal V Kota Jambi tahun 2019. Populasi dalam penelitian ini semua ibu yang memiliki balita dengan status gizi kurang dalam rentang bulan Mei hingga Juli 2019 yaitu 27 balita sebagai kasus dan 27 balita (gizi baik) sebagai kontrol. Hasil : Dari hasil penelitian, didapat hasil ada hubungan antara riwayat penyakit infeksi dengan status gizi balita dengan  p-value = 0,039 dan OR =4,286, ada hubungan antara kondisi sarana air bersih dengan status gizi balita dengan p-value = 0,037 dan OR = 4,407, tidak terdapat hubungan antara kondisi jamban dengan status gizi dengan p-value = 0,074, tidak terdapat hubungan antara pemberian ASI eksklusif dengan status gizi balita dengan p-value = 0,768 dan tidak terdapat hubungan antara pola konsumsi dengan status gizi balita dengan p-value = 0,763. Kesimpulan : Kesimpulan, riwayat penyakit infeksi dan kondisi sarana air bersih merupakan faktor risiko status gizi balita.   Kata kunci: Status Gizi dan Faktor Risiko Abstract   Background : Malnutrition occurs mostly in developing countries, including Indonesia. Based on Riskesdas 2018 the number of malnutrition and undernourished people nationally reached 17.7% while in Jambi city it reached 15.74%. Many factors affect the decline in nutritional status including the presence of infectious diseases, poor consumptions patterns, exclusive breastfeeding, poor latrine conditions and lack of clean water facilities. The purpose of this study was to determine the connection between the history of infecttious diseases, the condition of clean water facilities, the condition of latrines, exclusive breastfeeding, and consumption patterns with the nutritional status of toddlers Method : This research is a quantitative study with a case control design. This research was conducted in the work area of Public Health Center (Puskesmas) at Paal V Jambi City in 2019. The population in this study were all mothers who had toddlers with malnutrition problems within May to July 2019 with the following results: 27 toddlers as cases and 27 toddlers (with good nutrition) as controls. Results : From the research, it is concluded that there was a connection between the history of infectious diseases and nutritional status of toddlers with p-value = 0,039 and OR = 4,286, a connection between the condition of clean water facilities and the nutritional status of toddlers with p-value = 0,037 and OR = 4,407, no connection between latrine conditions and nutritional status with p-value = 0,074, no connection between exclusive breastfeeding and nutritional status for toddlers with p-value = 0,768 and no connection between consumption patterns and nutritional status for toddlers with p-value = 0,763. Conclusion : The conclusion is, the history of infectious diseases and the condition of clean water facilities are the main factor affecting nutritional status for toddlers Key words: Status Gizi dan Faktor Risiko


2019 ◽  
Vol 7 (2) ◽  
pp. 114-123
Author(s):  
Haifa Wahyu ◽  
Henni Febriawati ◽  
Martika Yosi ◽  
Liza Fitri Lina

Placenta previa is one of the risks in pregnancy. The purpose of this study was to determine the factors associated with the incidence of placenta previa in Dr. M. Yunus Bengkulu. The research design used was an observational analytic study with a case control approach (case and control). The population in this study were all patients of placenta previa during 2018 in Dr. M. Yunus Bengkulu, as many as 135 people and as many as 74 people were divided into 37 case groups and 37 control groups by purposive sampling technique. Chi Square statistical test results showed the value of ρ for age (p 0,000), parity (p 0,000), history of Caesarean Sectio (p 0.016), history of curettage (p 0.033), and pregnancy distance (p 0.005). In conclusion, based on statistical tests, there is a significant relationship between the factors of maternal age, parity, history of Caesarean Sectio, history of curettage, distance of pregnancy to the incidence of placenta previa. It is recommended to nurses RSUD Dr. M. Yunus Bengkulu to be able to provide education in preventing the occurrence of placenta previa by conducting interviews and discussions with risk patients at RSUD Dr. M. Yunus Bengkulu.Keywords       : Pregnancy distance, Curettage, Parity, Placenta previa, Sectio Caesarea, Age


2020 ◽  
Vol 4 (1) ◽  
pp. 64-69
Author(s):  
Santa Betty ◽  
Indasah Indasah ◽  
Yenny Puspitasari

Preeclampsia is a hypertension caused by pregnancy that is characterized by hypertension, edema,and proteinuria after the 20 week. One of the causes of maternal death is preeclampsia. The purpose of this study was to determine the factors that influence the incidence of preeclampsia at Sultan Imanuddin Pangkalan Bun The population is 236 respondents and the sample is 148 respondents with a random sampling technique. Data collection is observation. Data analysis using logistic regression test . Based on the logistic regression test results obtained a history  of  significance hypertensi  (0,000)., Gemelly significance (0.999)., Obesity significance (0.000). Simultaneously influenced the incidence of preeclampsia. The most influential variable was a history of hypertension with values (Exp.B: 131,238). History of hypertension (X1) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted. Gemelly (X2) obtained p value 0.999> 0.05 so there is no influence with the incidence of preeclampsia (Y) means H1 is rejected. Obesity (X3) obtained p value 0.000 <0.05 so there is a influence with the incidence of preeclampsia (Y) means H1 is accepted The most dominant factor influenced the incidence of preeclampsia is a history of hypertension with a significance value of 0.000 <0.05 with (ExpB 131.238).


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anastasia Putu Martha ◽  
Raditya Kurniawan Djoar

Objective:  To analyzed the relationship  of nutritional status with the balance of children aged 4-5 years at PG/TK Lumen Christi School SurabayaMethods:  This research design is analytic observational with cross sectional approach.Results:  Involving 22  children aged 4-5 years at PG/TK Lumen Christi School Surabay . Sampling technique using total sampling method. Existing data were analyzed using  Pearson’s Test with significant level of 0.05.  Statistical test results obtained that nutritional status did not had a relationship with balance because p> 0.05Conclusion:   Nutritional status did not related to the balance of children aged 4-5 years


2021 ◽  
Vol 7 (1) ◽  
pp. 81-94
Author(s):  
Dewi Taurisiawati Rahayu

The nutritional status and health of the mother during pre-pregnancy, pregnancy, and during breastfeeding was very critical periods for children's growth and development. The aim of this research was to determine the relationship between anemia during pregnancy and the incidence of stunting. The method used in this research was observational correlational analytic, which looking for the relationship between two independent and dependent variables used a cohort-retrospective approach, with the independent variable anemia during pregnancy and the dependent variable the incidence of stunting. The research was conducted from 2 July – 29 August  2020 in Gayam  Village, Kediri Distric used MCH book instrument. Total population was 512 toddlers with judgement sampling technique as many as 88 toddlers consisted of 38 stunting and 50 non-stunting toddlers. Analysis used the Spearman Rho with the results of the Spearman value showed that total of 66 toddlers, 4 (6.1%) of stunting toddlers were found with no history of anemia, 13 (19.7%) of stunting toddlers with a history of mild anemia and 5 (7.6%) of stunting toddlers with a history of moderate anemia. Spearman rho test results p value = 0.000. This mean that the p value <α = 0.05, because the p-value <α, H1 accepted, that there was a relationship between a history of anemia during pregnancy and the incidence of stunting on toddlers. Anemia during pregnancy was very risky for the development of fetus and the development of baby that will beb born can caused stunting.  


2021 ◽  
Vol 7 (1) ◽  
pp. 131-138
Author(s):  
Syarifa Amalia Alhamid ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: A STUDY OF THE NUTRITIONAL STATUS OF TODDLERS  Background: Nutrition is a very important part of the growth and development of toddlers which is related to health and intelligence. In 2019, the prevalence of malnutrition in Bula District Seram was 10.2%, malnutrition was 4.3% and over nutrition was 5.1%, where the incidence rate was increased from the previous year.Objective: To determine the factors related to the nutritional status of toddlers in the Bula Health Center, East Seram District, Maluku Province.Methodology: This study is a cross sectional correlation study. The samples in the study were all women who had children aged 1-5 years who visited the Bula Health Center, East Seram Regency, Maluku Province in 2020 which consisted 76 toddlers. The research instrument was a questionnaire, data analysis using the chi square test.Results: the results showed that malnourished toddlers were 59.2%, women with poor knowledge were 76.3%, women who had low level education were 63.2%, women with low family income were 72.4%, women who did not work were 55.3%, women who did not provide breast feeding was 71.1% and toddlers who had the history of infectious diseases were 71.1%. The bivariate results obtained knowledge (p=0,022), education (p=0,048), income (p=0,002), occupation (p=0,088), history of breastfeeding (p=0,001) and a history of infectious diseases (p=0,020).Conclusions: There is a relationship between knowledge, education, family income, history of breastfeeding, and a history of infectious diseases with the nutritional status of toddlers.Suggestions: It is hoped that health workers can provide education about nutrition to mothers, so that they could pay more attention to the nutritional status of their toddlers.Keywords: Toddler, Bula Health Centre, Nutritional Status ABSTRAK Latar belakang: Gizi menjadi bagian sangat penting dalam pertumbuhan dan perkembangan balita yang didalamnya memiliki keterkaitan yang erat hubungannya dengan kesehatan dan kecerdasan. Pada tahun 2019 di Puskesmas Bula Kabupaten Seram prevelnsi gizi  kurang sebesar 10,2%, Gizi Buruk 4,3% dan gizi lebih 5,1% dimana angka kejadian ini menigkat dari tahun sebelumnya.Tujuan: Mengetahui faktor yang berhubungan dengan status gizi balita di Wilayah Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku.Metodologi: Penelitian ini adalah penelitian korelasi dengan cross sectional. Sampel dalam penelitian adalah semua ibu yang mempunyai balita usia 1-5 tahun yang berkunjung ke Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku tahun 2020 berjumlah 76 balita. Instrumen penelitian adalah kuesioner, analisis data menggunakan uji chi square.Hasil penelitian: Pada hasil didapatkan balita gizi kurang (59,2%), ibu berpengetahuan kurang baik (76,3%), ibu berpendidikan rendah (63,2%). pendapatan keluarga rendah (72,4%), ibu yang tidak berkerja (55,3%), ibu yang tidak memberikan ASI (71,1%) dan balita yang memiliki riwayat penyakit infeksi (71,1%). Hasil bivariat didapatkan pengetahuan (p=0,022), pendidikan (p=0,048), pendapatan (p=0,002), pekerjaan (p=0,088), riwayat ASI (p=0,001) dan riwayat penyakit infeksi (p=0,020).Kesimpulan: Terdapat hubungan antara pengetahuan, pendidikan, pendapatan keluarga, riwayat ASI, dan riwayat penyakit infeksi dengan status gizi balita.Saran: Diharapkan kepada petugas kesehatan dapat memberikan edukasi mengenai gizi kepada ibu agar lebih memperhatikan status gizi balitanya. Kata Kunci: Balita, Puskesmas Bula, Status gizi


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