Profil Tetanus Neonatorum Dalam Rangka Kebijakan Eliminasi Tetanus Maternal Dan Neonatal Di Kabupaten Bangkalan Provinsi Jawa Timur Tahun 2012–2014

Sugiharto, Mugeni; Ristrini, Ristrini

doi:10.22435/hsr.v19i2.5962.149-156

Cited by 8 publications

(5 citation statements)

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“…6 Indonesia has performed the Extended Program on Immunization (EPI) since 1979 to eradicate tetanus, through Tetanus Toxoid (TT) immunization among couples, pregnant women, and infants. 7 Elementary school students also become the population target of the tetanus vaccination program in Indonesia, with the vaccination scope has reach >90% since 1990. 8 This strategy gives protection to both women and men until young adult age.…”

Section: Introductionmentioning

confidence: 99%

Clinical Features and Outcomes of Patients with Tetanus at Dr. Hasan Sadikin General Hospital Bandung 2015–2019

Gunawan

Ganiem

Aminah

et al. 2022

AMJ

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Background: Tetanus is a disease characterized by painful muscle spasms all over the body, which still becomes an important health issue worldwide, particularly in developing countries due to the high mortality rate. The clinical features also affect the mortality rate of adult tetanus patients. Tetanus severity score (TSS) is a prognostic scoring system developed in Vietnam that uses clinical features to predict the mortality rate in adult tetanus patients. The aim of this study was to describe the clinical features and outcomes of adult tetanus patients using TSS.Methods: A descriptive, cross-sectional study with a total sampling method was conducted between 2015 and 2019. A total of 71 medical records of adult generalized tetanus patients in the Department of Neurology Dr. Hasan Sadikin General Hospital Bandung were collected to analyze the clinical features and outcomes using TSS. Statistical analysis was performed using SPSS software ver. 25.0.Results: Among seventy-one tetanus patients, 62 (87.3%) were male, and the average age was 55.2±11.2 years. More than half of the patients (71%) were having grade III or worse and experienced dysautonomia complications (57.7%). The mortality rate was 38% and those who survived at discharge, 88.64% had TSS score <8, whereas 37.04% who died had TSS score ≥8.Conclusions: Tetanus in Bandung has a high mortality rate. Those who have died have high TSS scores, while the survivors have low TSS scores, suggesting that the TSS is a prospective scoring to predict the mortality rate in patients with tetanus in Indonesia.

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Section: Introductionmentioning

confidence: 99%

Clinical Features and Outcomes of Patients with Tetanus at Dr. Hasan Sadikin General Hospital Bandung 2015–2019

Gunawan

Ganiem

Aminah

et al. 2022

AMJ

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“…In the study of Sugiharto & Kusumawati (2010) by conducting the Mann-Whitney test, it was proven that mothers with primigravida parity had differences with third parity and grandegravida (≥4). While the second parity was not different from the primigravida parity for infant mortality.…”

Section: Relationship Of Parity With Neonatal Deathmentioning

confidence: 99%

Analysis Determinants of Neonatal Death in Indonesia (2017 IDHS Data Analysis)

Finisa Balkis,

Fahmi Ichwansyah,

Nurjannah

et al. 2023

sjik

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The results of the Indonesian Health Demographic Survey show that AKN in Indonesia reached 15 per 1000 live births in 2017, this figure still has not reached the SDGs target of less than 12 per 1000 live births. The samples in this study were all samples of the 2017 IDHS that met the criteria totaling 79,710 samples. The results univariate analysis found that the proportion of infants experiencing neonatal death was 2.83%. In the bivariate analysis, it was found that the related variables were ANC (p 0.000 and OR = 3.91), place of delivery (p 0.000 and OR = 2.07), LBW (p 0.000 and OR = 4.20), low maternal education (p 0.000 and OR = 2.95), consuming iron (p 0.000 and OR = 3.61). It is hoped that health workers in Indonesia can invite pregnant women to do complete antenatal care, in order to avoid risk factors for neonatal death.

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“…Menurut WHO pada tahun 1988 terdapat 787.000 bayi baru lahir yang meninggal akibat Tetanus Neonatorum (Departemen Kesehatan RI, 2000). Sehingga, pada akhir tahun 1980 perkiraan angka kematian tahunan global dari Tetanus Neonatorum adalah sekitar 6,7 kematian per 1000 kelahiran hidup sehingga hal ini merupakan masalah kesehatan masyarakat yang penting (Pusat Data dan Informasi, Kementerian Kesehatan RI, 2012 Sugiharto & Ristrini, 2017). Angka kematian bayi (AKB) di Indonesia pada tahun 2007 sebesar 34 kematian per 1000 kelahiran hidup (Mahmudah, Cahyati, & Wahyuningsih, 2011;Tantijati & Bantas, 2006 Sejumlah peneliti telah mendokumentasikan hasil penelitian mereka terkait pemodelan kasus Tetanus Neonatorum (Lestari & Wulandari, 2014;Rahayu, Devianto, & Yozza, 2016;Nusantara & Purhadi, 2015;Amaliana, Sa'adah, & Wardhani, 2018 Model logit menjelaskan peluang variabel respon Yi bernilai nol hanya dipengaruhi oleh cakupan imunisasi TT2+ sebagai variabel yang signifikan.…”

Section: Pendahuluanunclassified

Pemodelan Regresi Zero Inflated Poisson (ZIP) dan Hurdle Model Pada Kasus Penyakit Tetanus Neonatorum

Siregar

2019

Euclid

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Peristiwa terjadinya Tetanus Neonatorum sudah menjadi peristiwa yang langka (rare cases) karena dari 38 kabupaten kota di Jawa Timur pada tahun 2014 terdapat 68 persen wilayahnya sudah tidak terjadi kasus Tetanus Neonatorum. Pada penelitian ini variabel dependen yang digunakan adalah data count, yaitu jumlah kasus penyakit Tetanus Neonatorum yang terjadi di Jawa Timur menurut kabupaten/kota, sehingga analisis yang dapat digunakan adalah pengembangan dari regresi linier yaitu regresi Poisson. Namun permasalahan lain yang dihadapi adalah proporsi nilai nol pada variabel dependen diatas 50 persen. Overdispersi pada data dapat terjadi karena proporsi nilai nol yang berlebih pada variabel dependen (excess zeros). Jika data mengalami overdispersi, maka regresi Poisson tidak baik digunakan dalam menganalisis data. Untuk mengatasi masalah tersebut model yang dapat digunakan antara lain model regresi Zero Inflated Poisson (ZIP) dan Hurdle Model. Nilai AIC dari regresi Zero-Inflated Poisson (ZIP) menunjukan nilai terkecil dibandingkan nilai AIC yang dihasilkan oleh Hurdle Model yaitu sebesar 88,248, sehingga model ZIP dipilih namun akan dilakukan kembali pengujian overdispersi, dari hasil pengujian ternyata terdapat overdispersi sehingga dilakukan pemodelan lebih lanjut menggunakan ZINB.

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Profil Tetanus Neonatorum Dalam Rangka Kebijakan Eliminasi Tetanus Maternal Dan Neonatal Di Kabupaten Bangkalan Provinsi Jawa Timur Tahun 2012–2014

Cited by 8 publications

References 0 publications

Clinical Features and Outcomes of Patients with Tetanus at Dr. Hasan Sadikin General Hospital Bandung 2015–2019

Clinical Features and Outcomes of Patients with Tetanus at Dr. Hasan Sadikin General Hospital Bandung 2015–2019

Analysis Determinants of Neonatal Death in Indonesia (2017 IDHS Data Analysis)

Pemodelan Regresi Zero Inflated Poisson (ZIP) dan Hurdle Model Pada Kasus Penyakit Tetanus Neonatorum

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