Gastroenteritis in Patients Hospitalized at the Pediatric Ward of Dr. Pirngadi Hospital Medan

Abstract

In 1989, oj2350 patients hospitalized in the paediatric ward of Dr. Pirngadi Hospital, Medan, 829 (35.3%) were gastroenteritis cases, with male more than female. Most of the patients with gastroenteritis were found in the age group of under 1 years (521 cases = 62.8%). The highest prevalence was found in january, February and March.
 Mild, moderate and severe dehydration were encountered in 2. 7%, 83.1% and 14.2% cases respectively.
 Eighty for (10.1%) cases had been treated with oralit before admission. Only 49. 1% of those patients with gastroenteritis under two years of age were breastfed. The patients of under five year old were 791 (95. 4%) cases; 259 (32. 7%) cases were malnourished.
 The overall mortality rate of these patients with gastroenteritis was 5.9% ( 49 cases). The age specific mortality rate was highest in the age group of 6- 12 months. Usually patients died with gastroenteritis had complications or associated diseases.

Intussusception in a Tropical Country: Comparison Among Patient Populations in Jakarta, Jogyakarta, and Amsterdam

“…In Indonesia, which is a country with a medium development index (14), two articles on intussusception have been published in the past 15 years. Both showed a mortality rate that was strikingly high (6,7). Although Lubis et al (6) did not find a significant relationship between outcome and delayed referral, Santoso and Kartono (7) considered that late presentation was responsible for the deaths in their series.…”

“…This may reflect a hidden mortality rate in these areas, resulting in fewer patients reaching the hospital. Few reports exist regarding the management of this disease in developing countries (6‐10), and high mortality rates have been recorded in these studies.…”

“…Both showed a mortality rate that was strikingly high (6,7). Although Lubis et al (6) did not find a significant relationship between outcome and delayed referral, Santoso and Kartono (7) considered that late presentation was responsible for the deaths in their series.…”

“…Review of the literature shows that most studies concern various non‐operative means of reducing intussusception, using either air or liquid contrast agents, guided by different imaging techniques (1,4,5). In contrast, the few studied performed in developing countries have shown the considerable mortality rates that still occur among children with intussusception in these circumstances (6‐10). This mortality cannot be understood without comparing the clinical status of children with intussusception in their respective countries.…”