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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 7 Documents
Search results for , issue " Vol 33 No 5-6 (1993): May 1993" : 7 Documents clear
The Effect of Citicoline Injections on Children with Organic Brain Syndrome Caused by Infection Warsiki, Endang
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.318 KB) | DOI: 10.14238/pi33.5-6.1993.87-94

Abstract

Forty children with organic brain syndrome caused by injections were given Citicoline intramuscular injections. Twenty of these children were within 3 months postencephalitis, the other 20 children were over 3 months postencephalitis. There were statistically significant negative correlations between the length of time from recovery from encephalitis to the initiation of administration of CDP choline and the improvement of many of the symptoms of OJ'8anic brain syndrome. In other words, these patients who began receiving Citicoline (CDP choline) within 3 months showed greater improvement than those who began receiving CDP choline over 3 months after recoveries from encephalitis.
Mantoux Test in Under-five Children Visiting the out~patient Child Clinic of Dr. Pirngadi Hospital, Medan Dalimunthe, A. Razak; Daulay, Ridwan M.; Lubis, Iskandar Z.; Lubis, Helmi Muchtar; Siregar, Zakaria
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.763 KB) | DOI: 10.14238/pi33.5-6.1993.95-9

Abstract

To assess the difference of Mantoux test result of under-five children who bad had BCG vaccination and those who bad not, a cross sectional study was conducted in the out patient child clinic of Dr. Pirngadi Hospital, Medan. This study was conducted from February 6, 1990 until March 3, 1990 comprising 328 under-five children (164 who bad received BCG vaccination and 164 who bad not). We found positive Mantoux tests in 86.0% of under-five children who bad BCG vaccination and 9.2% of under-five children who not bad (P<0.001). Tbe diameter of induration of Mantoux tests in the under-five children who bad received BCG at the age of 1 year or less was significantly different from those who bad received it at the age of older than 1 year (P<0.001). Positive Mantoux test with a diameter of ≥ 5 mm, done after 1 year or more was found in 21. 7% of children who bad BCG vaccination in the neonatal period.
The Etiology of Nosocomial Infections in Pediatric Patients at the Department of Child Health, School of Medicine Padjadjaran University Hasan Sadikin General Hospital, Bandung Garna, Herry
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (702.176 KB) | DOI: 10.14238/pi33.5-6.1993.100-7

Abstract

Tbe distribution of pathogens causing nosocomial gastroenteritis was E. coli (69.2%), Salmonella sp (23.1%), rotavirns (6.4%) and Shigella sp (1.3%) . Klebsiella pneumoniae seemed to be the pathogen most frequently associated with nosocomial skin infections (26. 7%), followed by Enterobacter aerogenes (20.0%), E. coli, Ps. Aeruginosa and S. aureus, each in 13.3% and others 03.4%). Salmonella sp was the pathogen most frequently associated with nosocomial bacteremia (20.2%), followed by Klebsiella sp 07.9%), S. a/bus 04.3%), Enterobacter sp 01.9%), Pseudomonas sp (9.5%), S. aureus (9.5%) and others (16. 7%). In nosocomial urinary tract infections, the result was E. coli (32.9%), Klebsiella pneumoniae (20.5%), Enterobacter sp 03. 7%), Citrobacter diversus (6.8%) and others (26.1%). In general, E. coli was the most frequently reported pathogens ( 42.0%), followed by Salmonella sp 07.1%), Klebsiella sp (10.2%), Citrobacter sp (7.2%), S. a/bus (4.5%), Pseudomonas sp (4.2%), S. aureus (3.6%) and others 01.2%), respectively.
Catheter Related Infections in Pediatric Patients Garna, Herry
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.188 KB) | DOI: 10.14238/pi33.5-6.1993.108-14

Abstract

During a 9-month prospective study, from August, 1988 to April, 1989, a total number of 4328 hospitalized pediatric patients at the Department of Child Health, Padjadjaran University, Hasan Sadikin General Hospital Bandung, were observed to identify skin and soft tissue nosocomial infections (not included postoperative), especially catheter related injections. The gastroentestinal tract was the most frequent site of nosocomial infections (44.3%), then subsequently followed by skin infection (22.6%), bacteremia (16.3%) and urinary tract infection (14.1%). The most frequent cause of nosocomial skin infections like phlebitis was IVFD occurring in 82 out of 93 patients (88.2%). The overall phlebitis attact rate was 4.2% . When the duration of infusion is devided into 3 groups of 0-36 hours, 37-72 hours and ≥ 73 hours, then it becomes clear that the longer the duration of infusion, the higher the attack rate (x2=8.07, p<0.05). Klebsiella pneumonia seemed to be the pathogen most frequently associated with nosocomial skin infections (26. 7%), followed by Enterobacter aerogenes (20.0%), and then E. coli, Ps. aeruginosa and S. aureus 13.3% each. It could be concluded that the risk of contracting phlebitis from JVFD with a duration  of ≥ 73 hours was. 1.9 times higher than that of less than 72 hours.
The Changing Pattern of Certain Pediatric Infectious Diseases Kaspan, M. Faried
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (523.896 KB) | DOI: 10.14238/pi33.5-6.1993.119-25

Abstract

In Indonesia results of efforts to attain a better quality of life in general, and the health development sector in particular are encouraging. Reduction of the number of cases admitted has been observed, and disease pattern seems to he changing. This article reviews the changing pattern of some infectious diseases in the Communicable Disease Ward, Department of Child Health dr Soetomo Hospital Surabaya. Further on it deals with the application of observations in respect of the Tridarma of the University e. i. Research, Education and Public/Medical seroice. Medical students, nowadays, have less practical experiences especially of the immunizable diseases. In the aspect of patient management, laboratory facilities seem to become more important, as the clinical manifestations of the diseases are less characteristic. Studies on the establisment of standard procedures for diseases that potentially become public health problems are needed.
Persistent Diarrhea: Possible Risk Factors in Indonesia Sunoto, Sunoto
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (697.47 KB) | DOI: 10.14238/pi33.5-6.1993.126-32

Abstract

From the management point of view, acute diarrhea in Indonesian children is not a big problem anymore. Persistent diarrhea, although the prevalence is less than 10% of acute diarrhea, hut the case fatality rate is about 5-7 times higher which is account for 30-50% of total diarrhea deaths. There are many factors which may contribute to the etiologies of persistent diarrheas. They are among others the specific agents mainly the invasive bacterias (Galmonella spp, Shigella spp, Campylobacter spp, Enteroinvasive E. coli, etc.), Giardia Lamblia and E. histolytica; malnutrition, malabsorption syndromes, systemic infections mainly measles; and last but not least the missmanagement of acute diarrhea, particularly the abundance use of antibiotics and antidiarrheal agents, the late of giving food to the patients and the too early giving semisolid food in normal young baby less than 4-6 month of age.
Conjunctival Diphtheria Pasaribu, Syahrir
Paediatrica Indonesiana Vol 33 No 5-6 (1993): May 1993
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (374.019 KB) | DOI: 10.14238/pi33.5-6.1993.115-8

Abstract

Three cases of conjunctival diphteria in 3 siblings of one family with the ages of 7 months, 6 and 8 years bad been reported. These children bad never obtained complete D1P immunization, one of them bad been once immunized with D1P. General signs encountered were conjunctival hyperemia, ocular secretion and palpebral edema. A relationship between length of ailment with appearance of clinical symptom and severity of the disease was noted. Myocarditis as a complication was found in one case. Treatment in this series consisted of intravenous anti diphtheria serum (ADS) and intramuscular procain penicillin.

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