Latar belakang. Pandemi Coronavirus disease 2019 (COVID-19) merupakan kegawatan internasional di bidang kesehatan masyarakat yang membebani sistem kesehatan dan mengganggu kelangsungan layanan kesehatan rutin termasuk imunisasi dasar. Akibatnya, jumlah anak yang diimunisasi menurun, berisiko terjangkit penyakit yang dapat dicegah dengan imunisasi, dan terjadi kejadian luar biasa di tengah pandemi. Tujuan. Mengetahui kondisi layanan imunisasi dasar pada bayi <12 bulan selama masa pandemi COVID-19 dan faktor yang memengaruhi.Metode. Studi potong lintang ini melibatkan bayi <12 bulan yang mendapat imunisasi dasar di Poliklinik Anak RSUD Wangaya pada Januari-Juli 2019 dan 2020. Data diperoleh dari buku registrasi imunisasi poliklinik anak.Hasil. Kunjungan imunisasi dasar pada Januari-Juli 2020 dan 2019 adalah 123 dan 368 pasien. Dibandingkan dengan kunjungan keseluruhan poliklinik anak, persentasenya 13,1% dan 21,9% (p<0,001). Tren kunjungan per bulan berbeda bermakna pada Mei (p<0,001), Juni (p=0,026), dan Juli (p=0,036). Terjadi penurunan kunjungan pasien sehat, sedangkan pasien dengan kelainan penyerta (bayi dari ibu HIV/AIDS, berat badan lahir rendah, dst) relatif tetap (p<0,001). Kesimpulan. Masa pandemi COVID-19 memengaruhi pelayanan imunisasi dasar di rumah sakit berupa penurunan jumlah kunjungan dibandingkan tahun sebelumnya periode yang sama. Faktor yang berpengaruh adalah alasan kunjungan pasien imunisasi.

<p>Coronavirus Disease 2019 (COVID-19) merupakan penyakit infeksi baru dengan tingkat penyebaran sangat cepat dan saat ini menjadi pandemi. Sampai Juni 2020, tercatat sekitar 8 juta kasus positif COVID-19 di dunia. Penyakit ini disebabkan oleh spesies coronavirus, SARS-CoV-2. COVID-19 ditularkan dari manusia ke manusia dan dapat menginfeksi seluruh kalangan usia. Sebagian besar kasus COVID-19 anak asimptomatik atau bergejala ringan sehingga status infeksi COVID-19 anggota keluarga penting untuk deteksi infeksi COVID-19 pada anak. Konfirmasi kasus pada anak sama halnya pada kasus dewasa dengan pemeriksaan RT-PCR. Prinsip tatalaksana adalah isolasi, terapi suportif, dan simptomatik sesuai kondisi pasien.</p><p>Coronavirus Disease 2019 (COVID-19) is a new communicable disease that has spread rapidly around the world and causing a global pandemic. As of June 2020, approximately 8 million confirmed cases of COVID-19 have been reported worldwide. This disease is caused by coronavirus species, the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 spreads through human-to-human transmission and affected every age group. Most cases of COVID-19 in children were asymptomatic or mild; family clustering is a strong epidemiological link in pediatric COVID-19. Preferred diagnostic test in children is similar to adult, with RT-PCR test. Management is based on clinical conditions, which include self-isolation, supportive therapy, and symptomatic therapy.</p>

BackgroundFerritin has been recognized as a predictor of severity among Coronavirus-19 disease (COVID-19) patients. Studies have shown higher levels of ferritin in patients with COVID-19 than in healthy children. Patients with transfusion-dependent thalassemia (TDT) basically have high ferritin level due to iron overload. It is uncertain whether serum ferritin level in these patients is associated with COVID-19 infection.ObjectiveTo evaluate ferritin levels in TDT with COVID-19 before, during, and after the course of infection.MethodsThis retrospective study enrolled all TDT children with COVID-19 infection that were hospitalized in Ulin General Hospital Banjarmasin during the COVID-19 pandemic (March 2020 to June 2022). Data were collected from medical records.ResultsThere were 14 patients included in this study, 5 patients had mild symptoms and 9 patients were asymptomatic. The mean of hemoglobin level upon admission was 8.1 ± 3 g/dL and serum ferritin level were 5148.5 ± 2651.8 ng/mL. The average serum ferritin level during COVID-19 infection was 2373.2 ng/mL higher than before infection and then decreased by 952.4 ng/mL after infection. We found no association of increasing serum ferritin with patients’ symptoms (p = 0.27). The severity of anemia also was not correlated with the presentation of COVID-19 infection (p = 0.902).ConclusionSerum ferritin levels in TDT children may not reflect disease severity or predict poor outcomes during COVID-19 infection. However, the presence of other co-morbid conditions/confounders warrants cautious interpretation.

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<p>Pandemi infeksi severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) sudah terbukti dapat menyerang seluruh kelompok masyarakat termasuk ibu hamil dan neonatus. Angka kejadian anak di bawah usia 10 tahun &lt;1% kasus. Neonatus dengan coronavirus disease 2019 (COVID-19) kebanyakan asimtomatik atau klinis ringan. Hingga saat ini, risiko transmisi infeksi SARS-CoV-2 melalui air susu ibu (ASI) masih belum jelas dan belum dapat disingkirkan. Hal ini menyebabkan munculnya keraguan terhadap praktik pemberian ASI. WHO merekomendasikan ibu suspek atau terkonfirmasi COVID-19 untuk tetap menyusui. Manfaat ASI dibandingkan dengan potensi risiko infeksi COVID-19 pada neonatus perlu diketahui, sehingga dapat mendukung berlangsungnya praktik menyusui di masa pandemi ini.</p><p>Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection pandemic has affected all populations including pregnant women and neonates. Clinical features of neonates with coronavirus disease (COVID-19) are generally mild or asymptomatic. Cases of COVID-19 in children younger than 10 years old were &lt;1 %. To date, the possibility of COVID-19 virus transmission from mothers to their newborns through breastmilk still cannot be ruled out. WHO recommends every mother with confirmed or suspected SARS-CoV-2 infection should be supported to continue or initiate breastfeeding. Mothers should know the advantages of breastfeeding compared to potential risks of COVID-19 transmission, so that continuation of breastfeeding practice could be maintained during pandemic.</p>