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Paediatrica Indonesiana
ISSN : 00309311     EISSN : 2338476X     DOI : -
Core Subject : Health,
Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of health practice throughout the world.
Arjuna Subject : -
Articles 5 Documents
Search results for , issue " Vol 15 No 11-12 (1975): November 1975" : 5 Documents clear
Diagnosis of Pulmonary Tuberculosis in Children Santosa, Gunadi
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November 1975
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.805 KB) | DOI: 10.14238/pi15.11-12.1975.286-96

Abstract

1. A definite diagnosis of tuberculosis can only be established on the basis of the finding of the tubercle bacilli.2. The isolation of the mycobacterium tuberculosis from a child is subject to difficulties:a. the necessity of gastric lavage for 3 consecutive days, which is difficult to perform ambulatory.b. the necessity of the proper facilities of a microbiologic laboratory.c. the outcome is often not sufficiently high.3. It is concluded that at the moment making of the bacteriological diagnosis of child tuberculosis is not practical, so that we are forced to depend on the clinical diagnosis.4. The tuberculin test is very important in establishing the diagnosis. It is recommended to perform this test routinely on every child once a year and also that every medical doctor as well as specialist performs this test to detect a case of TBC at the earliest possible moment.
Treatment of In-Patient Pulmonary Tuberculosis Rasjid, Rasmin
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November 1975
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.785 KB) | DOI: 10.14238/pi15.11-12.1975.297-302

Abstract

The progress of a tuberculous lesion was discussed. A treatment regimen of pulmonary tuberculosis in the wards mas layed out, especially for the "Persahabatan" Hospital, Jakarta. Rifampicin seems to be a potent drug. However, for developing countries like Indonesia it is still very expensive. Possibly a combinations of INH + RMP + EB will be most effective at present. Only a daily treatment is carried out in ”Persahabatan” Hospital.
Tuberculosis in Children and BCG Vaccination in North Sumatra Tjay, Jo Kian; Saragih, Robencius; Halim, Sahat; Irawati, Tjut; Harnopidjati, P.; Manoeroeng, S.M.; Sitompul, M.V.O.
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November 1975
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (607.583 KB) | DOI: 10.14238/pi15.11-12.1975.303-14

Abstract

Data of child tuberculosis, clinical visits and those who were treated in the three hospitals, visits to the 6 public health centers (Puskesmas) and figures of BCG immunization in the North Sumatra Province were presented.Although the tuberculin index in children in Medan (1965) was lower than that in Java (BCG Mass Campaign, 1954 - 1964), primary tuberculosis patients treated in the General Hospital (RSUPP) constituted 1.14% of the total patients admitted to the hospital in 1963 - 1972, whereas in the ”PNP IX” hospital it was 0.84%. From a survey of families (1962 - 1969) it revealed that infection in the families was ± 50%. While 76.1% of the meningitis patients were under the age of 4 years. From a survey of 6 public health centers we found through a Pilot Project that 1.02% patients had a positive sputum. The above mentioned figures gave the indication that BCG immunization had to be performed in children under the age of 4 years. However, the figures of the BCG campaign (1970 - 1973) at the above mentioned Pilot Project revealed that coverage in the under 5 - years - old age was 20.5%, whereas in the 5 - 14 years age group it was 49.2%.In practice the realization of massal BCG immunization was certainly the simplest with school age children who were already grouped and registered; nevertheless, partly of them hai already got infected and had been released from tuberculous meningitis complication. BCG immunization as mentioned above (probably it was also given mother areas in Indonesia) did obviously not reach its right target.
Tuberculosis and its Control in Indonesia Gunardi, A.S.
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November 1975
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (933.089 KB) | DOI: 10.14238/pi15.11-12.1975.315-32

Abstract

Based on a tuberculosis prevalence survey with the assistance of WHO in 1962 - 1965 in the areas fogyakarta and Malang where were found a prevalence of tuberculin sensitivity of 40,6% at the age 10-14 years, a prevalence of bac- teriologically confirmed cases of 0.6% and those with pulmonary shadows 3.6%, a workshop in Ciloto was hold (January 1969), with the following results :a. BCG vaccination without prior tuberculin test to children of 0-14 years of age.b. Case finding and treatment to those with sputum ”afb” positive.c. Health education to the people.In Pelita I priority was given to BCG vaccination with a target of 55 million of which a 75% coverage will be expected particularly in Java and Bali.For Pelita II BCG vaccination policy will be changed. To achieve a more realistic target and to have the most susceptible (high risk) ages vaccinated, every child should have a recent BCG vaccination before entering puberty and to vaccinate children early in life, 0-1 year. Only primary vaccination will be done during Pelita II while revaccination will be performed in Pelita III. As performers will be the smallpox vaccinators in a simultaneous vaccination programme with other vaccines.Case finding and treatment, and Health education will be improved in Pelita II because the health infra structure (organization) and community participation was below expectation in Pelita I; it will be integrated into the existig health activities. Treatment will only be given to patients with bacteriologically confirmed sputum, and free of charge.
Epidemiological Trends of Tuberculosis in Low and High Prevalence Countries Bleiker, M.A.
Paediatrica Indonesiana Vol 15 No 11-12 (1975): November 1975
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.373 KB) | DOI: 10.14238/pi15.11-12.1975.273-83

Abstract

The study of the epidemiology of tuberculosis and the need for a rational approach to the problem of tuberculosis control require a sound knowledge of the risk of transmission of tuberculosis infection from host to host. This knowledge is required today both in countries with a high prevalence and in those with a low prevalence of the disease. The risk of transmission of tuberculosis infection in a given community during a particular period of time is most reliably expressed numerically in terms of a series of average annual infection risks in successive calender years.The infection risk indicates the proportion of the population which will be primarily infected, or reinfected, with tubercle bacilli in the course of one year. The risk is usually expressed as a percentage or as a rate. The annual trend (decrease) in the risk of infection is even more important than the actual level of this risk.Tuberculin surveys in schoolchildren, which are repeated, say every five years, in the same area provide us with the necessary information to make estimates for the annual infection risk. In areas where infections with the socalled atypical mycobacteriae are frequent, simultaneous testing with two "Sensitins", one prepared from human tubercle bacilli and one from atypical mycobacteriae will be of value for estimating the proportion of those infected with virulent bacilli and those infected with other mycobacteriae.

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