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Analisis Faktor Risiko Lingkungan dan Perilaku yang Berpengaruh terhadap Kejadian Leptospirosis Berat di Kota Semarang (Studdi Kasus Leptospirosis yang Dirawat di Rumah Sakit Dr. Kariadi Semarang)
Leptospirosis is one of the emerging enfectious diseases caused by the pathogenic bacteria (leptospires) and transmitted by animal to human (zoonosis). Case Fatality Rate of Leptospirosis in Indonesia is very high. Average of Case Fatality in Semarang is higher than average of Case Fatality Rate in national level. The Purpose of the research to analyse conditions of an environmental sanitation and a behavior and the accurrence of severe leptospirosis. Observational research using case control approach. Number of samples was 57 cases and 57 controls. Cases were severe leptospirosis sufferer who were admitted to Dr. Kariadi Hospital from 7 January 2000 to 10 December 2005, clinically diagnosed, and confirmed by laboratory. Controls were neighbor of severe leptospirosis sufferer who never clinically or confirmed by laboratory severe leptospirosis. Data was analyzed using method of univariate, and multivariate regression logistic. Physical environments that influence the accurrence of severe leptospirosis are had sewer condition (OR=5.58: 95%CI: 1.55-20.01; p=0.008) and availability of rats inside and outside a house (OR=4.52; 95%CI: 1.27-16,6; p=0.020). Behavioral factorshat influence the accurrence of sever e leptospirosis are wound history (OR=12,16; 95%CI: 2,99-49,37; p
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