Husein Albar, Husein
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Relationship between protein energy malnutrition and urinary tract infection in children Rosli, Arief Wijaya; Rauf, Syarifuddin; Lisal, J. S.; Albar, Husein; Daud, Dasril
Paediatrica Indonesiana Vol 48 No 3 (2008): May 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.975 KB) | DOI: 10.14238/pi48.3.2008.166-9

Abstract

Background Urinary tract infections (UTI) is a common healthproblem in children. Its occurrence depends on several predis-posing factors and individual immunocompetence. Childrenwith protein energy malnutrition (PEM) have impaired immunefunction. Thus early detection and prompt treatment of associatedinfections in children with PEM are very important.Objective To determine the relationship between PEM and theoccurrence of UTI in children.Methods This cross sectional study conducted in Dr. Wahidin Sud-irohusodo Hospital and Labuang Baji General Hospital, Makassarbetween March 1, 2007 and June 30, 2007. The target populationincluded PEM patients aged 2 to 5 years. Well-nourished patientsmatched for age and sex were selected for control group.Results Out of 220 patients, 25 had UTI consisted of 12 malesand 13 females. Eighteen of them had PEM and 7 were well-nourished subjects. There was a statistical significant difference(P=0.019) in the occurrence of UTI between children with PEMand in well- nourished children. The relationship between PEMand UTI as determined by prevalence ratio value (PR) was 2.6with 95% confidence interval (CI) of 1.1 to 5.9, suggested therisk of getting UTI was 2.6 times higher in children with PEM ascompared to normal controls.Conclusions The frequency of UTI in PEM was 16.4%. Chil-dren with PEM have the risk of getting UTI 2.6 times higheras compared to well-nourished children
TETRALOGY OF FALLOT AT TBE DEPARTMENT OF PAEDIATRICS, MEDICAL FACULTY, HASANUDDIN UNIVERSITY, UJUNG PANDANG Pelupessy, J. M. C. H.; Albar, Husein
Paediatrica Indonesiana Vol 28 No 7-8 (1988): July 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.96 KB) | DOI: 10.14238/pi28.7-8.1988.148-53

Abstract

A retrospective study was carried out on children with tetralogy of Fallot at the Department of Paediatrics, Medical Faculty, Hasanuddin University/Ujung Pandang General Hospital from January 1, 1982 to December 31, 1985 inclusive. The diagnosis of tetralogy of Fallot was based on the history, clinical and laboratory findings, chest radiograms and electrocardiograms. There were 10 children included consisting of 7 in- and 3 out- patients, ranging in age from 17 days to 10 years. All in-patients had protein energy malnutrition and or respiratory tract infection. Boy to girl ratio was 1 : 1,5. Cyanosis developed before the age of six months, clubbing of the fingers and toes manifested after one year of age while squatting became obvious after the age of two and a half years.
Tata laksana Sindrom Nefrotik Kelainan Minimal pada Anak Albar, Husein
Sari Pediatri Vol 8, No 1 (2006)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (120.251 KB) | DOI: 10.14238/sp8.1.2006.60-8

Abstract

Sindrom nefrotik kelainan minimal (SNKM) berdampak pada kesehatan fisik anak sertamental anak dan orang tua karena penyakit ini sering relaps, pengobatan lama, dantoksisitas obat yang serius. Pengobatan yang tidak adekuat potensial membahayakanhidup anak karena infeksi sekunder dan dapat menyebabkan tromboemboli, kelainanlipid, dan malnutrisi. Tata laksana SNKM meliputi tata laksana suportif, tata laksanakomplikasi, dan tata laksana spesifik dengan obat imunosupresif untuk induksi danmempertahankan remisi tanpa toksisitas obat yang serius. Sampai saat ini, kortikosteroidmasih merupakan pilihan pertama pada anak dengan SNKM dan obat imunosupresiflain digunakan bila tidak respons dengan pengobatan standar kortikosteroid atau padarelaps frekuen atau dependen steroid. Pemberian kortikosteroid sebaiknya tidak segeradimulai setelah onset gejala karena remisi spontan dapat terjadi pada 5% kasus SNKMkecuali kalau edema menetap atau gejala berat pada onset awal.
The profile of acute glomerulonephritis among Indonesian children Albar, Husein; Rauf, Syarifuddin
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.264-9

Abstract

Background Acute glomerulonephritis (AGN) is a form of glom-erulonephritis characterized by sudden and explosive onset of glom-erular injury symptom. It usually occurs after recent infection bygroup A beta-hemolytic streptococcus. AGN among Indonesianchildren seems to be less frequently reported than that among othercountries.Objective To determine the current profile of AGN among Indo-nesian children hospitalized in eleven teaching centers.Methods This was a descriptive, cross-sectional study, based ona review of the standard medical records of 509 children with AGNhospitalized in 11 teaching centers in Indonesia over a five-yearperiod (1997-2002). Data extracted from the medical records con-sisted of history of illness, clinical and laboratory findings, and chestX-rays.Results Age of the patients at the onset of AGN ranged from 2.5 to15 years, with peak age of 8.5 years. The majority (76.4%) wasabove 6 years old with male predominance (58.3%). About 68.9%and 82% of the patients came from low socioeconomic and low edu-cational status families. Antecedent upper respiratory infections wereobserved in 45.8% cases and pyoderma in 31.6%. The diseaseseemed to be more commonly elicited by streptococcal infectionthan by other infections, as proved by an elevated anti-streptolisinO (ASO) titer (66.6%) and decreased C 3 concentrations (60.4%).The frequent clinical features included periorbital edema (76.3%),hypertension (61.8%), and gross hematuria (53.6%). The most preva-lent laboratory findings were microhematuria (99.3%), proteinuria(98.5%), raised erythrocyte sedimentation rate (85.3%). The initialchest X-rays showed pleural effusion (81.6%) and cardiomegaly(80.2%), whereas echocardiogram documented pericardial effusion(81.6%). Acute pulmonary edema (11.5%), hypertensive encepha-lopathy (9.2%), and acute renal failure (10.5%) were frequent com-plications noted in our study.Conclusion Despite no adequate data on throat or skin cul-tures, AGN among Indonesian children seems mostly to bepoststreptococcal AGN as proved by the elevated ASO titerand decrease in serum C 3 concentration
Prognostic factors for mortality in pediatric acute poststreptococcal glomerulonephritis Nur, Syamsul; Albar, Husein; Daud, Dasril
Paediatrica Indonesiana Vol 56 No 3 (2016): May 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.098 KB) | DOI: 10.14238/pi56.3.2016.166-70

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Background Acute post-streptococcal glomerulonephritis (APSGN) is one of the most common causes of glomerular disease in developing countries, including Indonesia. It can lead to end stage renal failure and higher mortality rates. To decrease morbidity and mortality, it is important to understand the prognostic factors affecting the disease.Objective To identify prognostic factors affecting outcomes in pediatric APSGN patients.Methods Study data were collected from medical records of patients with APSGN hospitalized in Wahidin Sudirohusodo Hospital, Makassar in 2009-2013. Possible prognotic factors analyzed were gender, age, nutritional status, level of consciousness, as well as proteinuria, hemoglobin, serum albumin, urea, and creatinine levels.Results Of 86 subjects, 82 (95.3%) survived and 4 (4.7%) died. Fifty-three (61.6%) patients were male and 33 (38.4%) were female. Subjects’ ages ranged from 3.42 to 14.67 years, with a mean age of 9.36 years. Multivariate analysis revealed serum creatinine level >1.5 mg/dL to be an independent prognostic factor for mortality in children with APSGN (AOR 15.43; 95%CI 1.31 to 181.7; P=0.03).Conclusion High serum creatinine level is an independent prognostic factor for poor outcomes in children with APSGN. [Paediatr Indones. 2016;56:166-70.].
Clinical Edema and Chest X-Ray Findings in Acute Poststreptococcal Glomerulonephritis Albar, Husein; Rauf, Syarifuddin; Daud, Dasril; Tanra, Azis; Kaspan, M. Faried
Paediatrica Indonesiana Vol 37, No 3-4 (1997): March-April 1997
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi37.3-4.1997.69-75

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We report the results of a retrospective study evaluating clinical edema and chest X-ray findings in 17b patients with acute poststreptococcal glomeru¬lonephritis (APSGN), hospitalized in the Pediatric Nephrology Unit of Ujung Pandang General Hospital, from January 1, 1980 through December 31, 1990. Of the total 194 patients, only 176 fulfilled the criteria and could be evaluated. There were 98 boys (55,7%) and 78 girls (44.3%) aged between 1 year 9 months and 14 years, mostly be¬tween 6-12 years (72.8%). We found that edema of the palpebra was more frequently noted (98.9%) than that of the pretibia (71.6%), face (64.2%) and ascites (21.0%). This study showed evidence of cardiomegaly (84.1%), pulmonary vascular congestion (68.2%), pleural effusion (65.9%) and pulmonary edema (48.9%). Our study results documented that roentgenographic abnormality of the chest of patients with APSGN, included each of the following findings, e.g., cardiomegaly, pleural effusion, pulmonary vascular congestion, and pulmonary edema, was significantly more frequent in patients with clinical evidence of severe edema than those with moderate and mild edema (p < 0.01).
Hypertension due to renal artery stenosis Albar, Husein; Rahman, Haeriah; Rauf, Syarifuddin
Paediatrica Indonesiana Vol 41 No 1-2 (2001): January 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (413.376 KB) | DOI: 10.14238/pi41.1.2001.60-3

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A case of a 12-year-old boy with renal artery stenosis as a cause of hypertension is presented. The diagnosis of renal artery stenosis was established based on the bruit heard over costovertebral angle and the increased plasma rennin secretion, and further confirmed by angiogram finding. The detection of bruit, either on the abdomen or costovertebral angle, in association Indones with hypertension should initially lead to the consideration of the presence of renal artery stenosis.
SPECTRUM AND OUTCOME OF PEDIATRIC RENAL DISEASES IN DR. WAHIDIN SUDIROHUSODO HOSPITAL MAKASSAR Albar, Husein
Nusantara Medical Science Journal Volume 1 No. 2 April - Juni 2016
Publisher : Fakultas Kedokteran Universitas Hasanuddin

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Abstract

ABSTRACT Objectives: To find out thespectrum and outcome of renal diseases in children hospitalized in the pediatric ward of dr. Wahidin Sudirohusodo Hospital Makassar. Methods: We carried out a retrospective review of standard medial recordof all childrenhospitalizedinthe pediatric ward of the dr.Wahidin Sudirohusodo Hospital Makassar. Review was based on the final diagnosis on their medical records to investigate the spectrum and outcome of the pediatric renal diseasesfrom January 2009 to December 2013. Results: A total number of 9573 children were admitted during the study period, out of which 580 had renal diseases accounting for 16.5% of all pediatric admission. Age of the patients ranged from 10 months to 16.7 years with mean age of 7.39 years and majority of the cases aged 5-10 years (37.2%). Boys (55.3%)were more encountered than girls(44.7%) with a boy to girl ratio of 1.2:1 and most of the patients were in good nutritional status (48.6%). According to their final diagnosis, the commonness pediatric renal diseases in this hospital was Acute Post Streptococcal Glomerulonephritis (27.6%), followed by Nephrotic Syndrome (25.2%), Urinary Tract Infection (19.1%), and  Others are Acute Glomerulonephritis (8.3%), Acute Kidney Injury(5.1%), Chronic Kidney Injury(5.0%), Wilm’s Tumor(4.7%), Hydronephrosis (3.4%), Henoch-Schoenlein Nephritis (0.9%), and Lupus Nephritis (0.7%).  Length of stay of the patients was mostly in 7-14 days (46.0%) and varying from 3 up to 28 days. Mortality in pediatric patients of renal diseases in this study was 11.2% and usually in those entering the hospital with late deteriorating conditionand die before getting optimal treatment. Conclusions: In conclusion, our study shows that pediatric renal disease in the pediatric ward of dr. Wahidin Sudirohusodo Teaching Hospital Makassar accounts for 16.5%of all pediatric admission and APSGN was the commonest pediatric renal disease, followed by NS and UTI. It seems that spectrum of pediatric renal diseases in dr. Wahidin Sudirohusodo Hospital Makassar was relatively similar to that reported from other developing countries. Mortality in patients with pediatric renal diseases in our study was 11.2% and usually in those entering the hospital with late deteriorating condition and die before getting optimal treatment.  Key words: Spectrum, Outcome, Renal Disease, Children, Makassar.
Use of Chest X-Ray Examination as a Diagnostic Aid for Detection of Dengue Haemorrhagic Fever Albar, Husein; Tanra, Azis; Daud, Dasril; Farid, M.
Paediatrica Indonesiana Vol 35 No 9-10 (1995): September 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.875 KB) | DOI: 10.14238/pi35.9-10.1995.216-21

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The advantage of a chest X-ray in the RLD position in 15 children with DHF hospitalized at the paediatric ward of the Ternate General Hospital within the period of May-June-July 1990 and June-July 1991 were evaluated. Besides clinical and laboratory assessment to establish the diagnosis of DHF according to the WHO guidelines (1975), child and a haemaglutination-inhibition test was also done to confirm the diagnosis. Chest X-rays in the RLD position found a pleural effusion in 11 out of 15 patients with DHF especially in those with dengue shock syndrome. A positive serological test was always associated with the presence of PE (100%), while this could be shown in only 2 patients with negative test results. It may be concluded that the WHO criteria for the clinical diagnosis of DHF may be confirmed not only by the serological test but also by the presence of PE on chest film in the RLD position and therefore this examination may play an important role in establishing a diagnosis of DHF in a regency hospital.
Plasma lipids as risk factors in relapsing nephrotic syndrome Lawang, Sitti Aizah; Rauf, Syarifuddin; Lisal, J. S.; Albar, Husein; Daud, Dasril
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.504 KB) | DOI: 10.14238/pi48.6.2008.322-6

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Background Nephrotic syndrome is primarily a pediatric disorderand is 15 times more common in children than in adults.Relapse rate after corticosteroid discontinuation is 39 - 59%.Hyperlipidemia is an important characteristic of nephroticsyndrome. The plasma concentrations of cholesterol, triglyceride,LDL, and VLDL are increased. Persistent hyperlipidemia afterremission can be found in frequent relapse nephrotic syndrome.Objective To determine plasma lipids as risk factor for relapsingnephrotic syndrome.Methods Thirty children with nephrotic syndrome were includedin this cohort study from March 2005 until June 2007 at WahidinSudirohusodo Hospital, Makassar. Thirty children without renal diseasewere enrolled as control. Blood specimens were collected to determineplasma lipids (cholesterol, triglyceride, LDL, and HDL) levels and LDUHDL ratio. Plasma lipids were examined in the acute and remissionphases. Follow up was carried out six months after remission todetermine the occurrence of relapsing nephrotic syndrome.Results Of 30 nephrotic syndrome patients, 12 had relapsed.There were highly significant differences in total cholesterol, HDL,LDL, triglyceride, and LDL/HDL ratio between acute nephroticsyndrome and nephrotic syndrome in remission. There were nosignificant differences in cholesterol, LDL, triglyceride, LDL!HDL ratio between nephrotic syndrome in remission and control.There was also no significant difference in the incidence in relapsebetween first attack and nephrotic syndrome with more than twoattacks. Acute lipid fraction levels were not risk factors in relapsingmephrotic syndrome. Remission triglyceride level was a risk factorin relapsing nephrotic syndrome with the prevalence risk of 5.2 andCI 95% of 1.06 to 25.3.Conclusion Persistent hypertriglyceride in remission phase isassociated with an increased risk of relapse in children withnephrotic syndrome.