CLINICAL CHARACTERISTICS OF PAEDIATRIC MEASLES PATIENTS AT MOJOWARNO CHRISTIAN HOSPITAL, JOMBANG, IN 2015-2016

Yuda Pradana

Abstract


Background: Measles is one of the main causes of child mortality. In 2016 there were 6,890 cases of measles with 4 patients died in Indonesia. There were 122 cases in Jombang, East Java in 2009.
Aim: To describe the clinical characteristics of measles in children patients at Mojowarno Christian Hospital, Jombang, East Java.
Methods: A cross sectional study using secondary data from medical records at Mojowarno Christian Hospital, Jombang, East Java, in 2015-2015. Demographic and clinical characteristics were described using tables.
Results: There are 22 cases of measles in children, 3 of them had not taken measles vaccination. Most cases occurred in between 0 to 5 years old (59.1%). The proportion of measles were equal between male and female. There is a higher proportion of patients with normal nutrition status (59.1%) compared to other with malnutrition (40.9%). The most common symptoms and signs are fever (95.5%), cough (23.7%), and coryza (22.3%). The leukocyte examination mostly shows normal results for leukocyte (63.6%) and lymphocyte (50%).
Conclusion: Most of the cases were presented with milder symptoms, signs and laboratory examination. There is a high prevalence of undernutrition among the subjects, which need further attention from local governments. In addition, there is a concerning high proportion of vaccinated children contracting the disease.

Keywords


measles, nutritional status, Jombang, child, adolescent

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References


Effendy BSD. Pengaruh reaksi imunisasi campak terhadap sikap dan perilaku ibu dalam pelaksanaan imunisasi campak di Kota Semarang [Undergraduate Thesis]. Universitas Diponegoro; 2013.

Marcdante KJ, Kliegman R, editors. Nelson Essentials of Pediatrics. 7th ed. Philadelphia: Elsevier; 2015.

Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan. Profil Pengendalian Penyakit dan Penyehatan Lingkungan Tahun 2014. Jakarta; 2015.

World Health Organisation. Measles [Internet]. 2017 [cited 2017 Sep 28]. Available from: http://www.who.int/mediacentre/factsheets/fs286/en/

Papadakis MA, McPhee SJ, Rabow MW. Current Medical Diagnosis and Treatment 2014. 53rd ed. Papadakis MA, McPhee SJ, Rabow MW, editors. New York: McGraw-Hill Education; 2013.

Pusat Data dan Informasi Kemenkes RI. Profil Kesehatan Indonesia tahun 2016. Jakarta; 2016.

Dinas Kesehatan Kabupaten Jombang. Profil Kesehatan Kabupaten Jombang 2016. Jombang; 2017.

Nurani DS, Ginanjar P, Saraswati LD. Gambaran Epidemiologi Kasus Campak di Kota Cirebon tahun 2004-2011. J Kesehat Masy. 2012;1(2):293–304.

Liwu TS, Rampengan NH, Tatura SNN. Hubungan status gizi dengan berat ringannya campak pada anak. J E-Clin. 2016;4(1):237–42.

Ingridara N, Garna H, Budiman B. Hubungan Usia, Status Gizi, dan Status Imunisasi dengan Kejadian Campak pada Anak Usia 0–5 Tahun di Rumah Sakit Umum Daerah Al-Ihsan Periode Januari 2016–Mei 2017. In: Bandung Meeting on Global Medicine & Health. Bandung; 2017. p. 49–54.

Junawanto I, Goutama IL, Sylvani. Diagnosis dan Penanganan Terkini Bronkiolitis pada Anak. Cermin Dunia Kedokt. 2016;43(6):427–30.

Debi N. Karakteristik Balita Penderita Gastroenteritis yang Dirawat Inap di Rumah Sakit Umum Daerah DR. R.M. Djoelham Binjai Tahun 2006. Universitas Sumatera Utara; 2007.

Adriani L. Relationship Between Children Under Five Years Characteristics, Age While Measles Immunization, History of Exclusive Breastfeeding with Clinical Measles. J Berk Epidemiol. 2017;5(2):265–75.

Dinas Kesehatan Provinsi Jawa Barat. Profil Kesehatan 2016. Bandung; 2017.

Dinas Kesehatan Daerah Provinsi Sulawesi Utara. Profil Kesehatan Provinsi Sulawesi Utara 2016. Manado; 2017.

Brown KH. Diarrhea and Malnutrition. J Nutr. 2003 Jan 1;133(1):328S-332S.

Lestari CSW, Tjitra E, Sandjaja. Dampak Status Imunisasi Anak Balita di Indonesia terhadap Kejadian Penyakit. Media Penelit Dan Pengemb Kesehat. 2009;19(Supplemen 2):S5–12.

Hadinegoro SRS, Moedjito I, Hapsari MMDEAH, Alam A. Buku Ajar Infeksi dan Penyakit Tropis. 2nd ed. Jakart: Ikatan Dokter Anak Indonesia; 2008.

Carazo S, Billard M-N, Boutin A, De Serres G. Effect of age at vaccination on the measles vaccine effectiveness and immunogenicity: systematic review and meta-analysis. BMC Infect Dis. 2020;20(1):251.

Farahdina S, Wulan AJ. Morbili pada anak laki-laki usia 31 bulan dengan riwayat imunisasi campak pada usia 10 bulan. J Medula Unila. 2017;7(1):60–7.

Halim RG. Campak pada anak. Cermin Dunia Kedokt. 2016;43(3):186–9.

Atmadja AS, Kusuma R, Dinata F. Pemeriksaan Laboratorium untuk Membedakan Infeksi Bakteri dan Infeksi Virus. Cermin Dunia Kedokt. 2016;43(6):457–61.




DOI: http://dx.doi.org/10.21460/bikdw.v5i1.139

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