Beberapa Faktor yang Berhubungan dengan Episode Infeksi Saluran Pernapasan Akut pada Anak dengan Penyakit Jantung Bawaan

Wilar, Rocky; Wantania, Jhon

doi:10.14238/sp8.2.2006.154-8

Cited by 10 publications

(15 citation statements)

References 6 publications

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“…In the study generated by Wilar and Wantania 5 , acyanotic CHD (61.7%) has greater number of patients than cyanotic CHD (38.3%), and ALTRI occurs more frequent in children with CHD than in normal children, especially children with bronchopneumonia (86.6%). Cahyono and Rachman 4 reported that 50% of death case in children with CHD was underlined by pneumonia.…”

Section: Discussionmentioning

confidence: 99%

“…The lesion commonly found was left to right lesion, which caused low vascular resistance that would increase the vulnerability of infection in child with CHD. 5 Nutritional disturbances will affect immune system, therefore it will increase the risk of infection and slowing down the healing process. Study by Caulfield et al 8 in 2004 showed that 52.3% of death due to ALRTI was associated with malnutritions.…”

Section: Discussionmentioning

confidence: 99%

“…Considering that the children with CHD has an anatomy defect that causes hemodynamic disturbances of lung circulation, and it ultimately put them at higher risk to suffer from recurrent respiratory tract infection than those who has no history of CHD. [4][5][6] The objective of this study was to obtain the incidence, clinical characteristic, and outcome of ALRTI children with CHD. The benefit of this study is to provide an early diagnosis for children with CHD in order to have a proper management plan.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease

Gabriela¹,

Kuswiyanto²,

Dwiyatnaningrum³

2015

amj

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Background: Acute Lower Respiratory Tract Infection (ALRTI) is the leading cause of deaths in children under 5 years of age worldwide, and has high morbidity and mortality in children with Congenital Heart Disease (CHD). The objective of this study was to obtain the incidence, clinical characteristic, and outcome of ALRTI children with CHD. Methods: A retrospective hospital-based study was conducted from January 2007-December 2011 to medical record of child patients with ALRTI and CHD in the Department of Child Health of Dr. Hasan Sadikin General Hospital, Bandung. The diagnosis of CHD was determined by echocardiography. The collected data was analyzed and presented in percentage shown in tables. Results : From 3,897 children who had ALRTI, there were 149 children with CHD (3.8%), with 11.4% of whom founded with recurrent episodes. This happened often in girls than boys with quite similar ratio of 1.37: 1.The majority of children (80%) was under 1 year old of age, 72.5% with malnutrition, and 24.8% with severe malnutrition. Clinical symptoms mostly found were difficulty of breathing (98%), fever (85.2%), cough (75.2%), and runny nose (63.1%). The most common types of CHD were Patent Ductus Arteriosus (47.6%), followed by Ventricular Septal Defect (47%). Bronchopneumonia (86.6%) was the common type of ALRTI. The length of stay was mostly less than 10 days (70.5%). From all the children 43.7% had complications, and 6.7% died. Conclusions: The ALRTI in children with CHD is not common and has good outcome. The majority for CHD lesions are Patent Ductus Arteriosus and Ventricular Septal Defect while for ALRTI is Bronchopneumonia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease

Gabriela¹,

Kuswiyanto²,

Dwiyatnaningrum³

2015

amj

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“…8 Infeksi saluran napas akut (ISPA) berulang apabila terdapat riwayat ISPA lebih dari 4-6 kali per tahun. 9 Endokarditis infeksi ditegakkan berdasarkan kriteria Duke. 10,11 Data elektrokardiografi (EKG) meliputi gangguan irama jantung dan hipertrofi ruang jantung.…”

Section: Metodeunclassified

Manifestasi Klinis dan Fungsi Ventrikel pada Kardiomiopati Dilatasi

Rahayuningsih¹

2016

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K ardiomiopati dilatasi adalah kelainan miokardium yang ditandai dengan dilatasi dan kelainan fungsi sistolik ventrikel kiri atau kedua ventrikel tanpa penyakit arteri koroner, kelainan katup, penyakit perikardium, dan penyakit jantung bawaan. Angka harapan hidup pasien kardiomiopati dilatasi adalah 79% pada 1 tahun dan 61% pada 5 tahun. Kata kunci: kardiomiopati dilatasi, fungsi ventrikel, fraksi ejeksi, TAPSE

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“…Perubahan dalam sirkulasi paru menyebabkan perubahan sistem pernafasan disertai penurunan kekebalan seluler lokal setempat yang memudahkan pasien terserang infeksi saluran pernafasan. 4 Pada anak di bawah 5 tahun, infeksi saluran pernafasan bawah merupakan penyebab kematian terbanyak dan menempati porsi terbesar perawatan di rumah sakit (30,1%-60,7%) dengan case fatality rate 2,7%-12,3%. Angka mortalitas diperkirakan 1500 per 100.000 anak di bawah 5 tahun dan 500 per 100.000 anak usia 1-4 tahun.…”

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Pengaruh Suplementasi Seng Terhadap Kejadian Pneumonia pada Penyakit Jantung Bawaan Pirau Kiri ke Kanan

Suryati

Priyatno

Wijayahadi

2016

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Latar belakang. Anak dengan penyakit jantung bawaan (PJB) pirau kiri ke kanan lebih mudah menderita pneumonia. Seng merupakan trace element yang berperan dalam sistem imunitas tubuh. Tujuan. Membuktikan pengaruh suplementasi seng dalam mencegah kejadian pneumonia pada anak PJB pirau kiri ke kanan. Metode. Dilakukan double blind randomized controlled trial pada anak PJB pirau kiri ke kanan usia 12-60 bulan di Poliklinik Kardiologi Anak RS dr Kariadi. Subjek penelitian dibagi 2 kelompok yang mendapat suplementasi seng 20 mg/hari dan plasebo, pemberian selama 2 minggu, selanjutnya dipantau selama 3 bulan. Data kejadian pneumonia dikumpulkan melalui wawancara saat kontrol atau melalui telepon setiap 2 minggu selama 3 bulan. Pemeriksaan antropometri dan laboratorium dilakukan sebelum dan sesudah suplementasi. Analisis statistik dilakukan dengan uji chi-square dan Mann-Whitney. Hasil. Subjek 40 anak dengan PJB pirau kiri ke kanan didapatkan kejadian pneumonia pada kelompok seng (5%) lebih rendah dibanding plasebo (30%), perbedaan ini tidak berbeda bermakna. Episode pneumonia lebih rendah pada kelompok seng 1 kali dibandingkan plasebo 1-2 kali selama 3 bulan pengamatan, tidak berbeda bermakna. Terdapat peningkatan kadar seng secara bermakna pada kelompok perlakuan dari median 57,55 menjadi 72,42 mcg/dL dibandingkan plasebo 42,40 menjadi 52,85 mcg/dL (p=0,002). Terdapat perbedaan bermakna selisih peningkatan kadar seng pada kelompok seng 20 mcg/dL dibanding plasebo 7,25 mcg/dL (p=0,004). Didapatkan manfaat suplementasi seng terhadap pencegahan pneumonia dengan relative risk reduction (RRR) 83%. Kesimpulan. Suplementasi seng menurunkan kejadian pneumonia pada anak PJB pirau kiri ke kanan. Sari Pediatri 2014;16(4):221-8.Kata kunci: penyakit jantung bawaan (PJB) pirau kiri ke kanan, suplementasi seng, kejadian pneumonia

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Beberapa Faktor yang Berhubungan dengan Episode Infeksi Saluran Pernapasan Akut pada Anak dengan Penyakit Jantung Bawaan

Cited by 10 publications

References 6 publications

Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease

Clinical Characteristic and Outcome of Acute Lower Respiratory Tract Infection in Children with Congenital Heart Disease

Manifestasi Klinis dan Fungsi Ventrikel pada Kardiomiopati Dilatasi

Pengaruh Suplementasi Seng Terhadap Kejadian Pneumonia pada Penyakit Jantung Bawaan Pirau Kiri ke Kanan

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