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Faktor-Faktor Risiko yang Mempengaruhi Berkembangnya Kejadian DHF Menjadi DSS pada Anak di RSUD Temanggung

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Backgrounds: Dengue hemorrhagic fever (DHF) was still become a major health problem over many provinces, because of large amount of endemic area in Indonesia. DHF endemic areas were commonly spread through to the other area fast, and often be fatal. Many children dead because of late from early detection and management, something that actually could be prevented well. Meanwhile, dengue shock syndrome (DSS), the most severe spectrum of dengue infection, was a bad condition with circulation failure signed by narrowing pulse pressure (" 20 mmHg), weak and fast pulse, hypotension, clammy and cold acral, and if progress the patient ¥,ill be restless. In clinical practice, it is a usual that, a patient, was
iagnosed as dengue fever (OF) when first admitted to hospital, but in the course of disease, it have been proven that some plasma leakage occurred. It was also happened if patients were diagnosed as DHF at first, sometimes becoming shock. Early detection was very important to prevent shock, and appropriate treatment was timely needed as soon aspossible to reduce mortality. So it is very important that doctors who work at the first line public health services should understand clearly the pathophysiology of the disease.
Aim: The aim of this study was to recognize risk factors of OHS for becoming DSS conducted at Temanggung District Hospital.
Method: This was an retrospective observational study, analytic drescriptive using case control as study design. All children diagnosed as DHF and DSS in the medical record from January 2007 to December 2009 which were eligible as in the inclusion criteria, was included in the stUdy.
Results: Clinical manifestations studied in this study were headache, abdominal pain, hepatomegaly, bleeding, flushing, pleural effusion and ascites. Headache resulting p-value (0,592), abdominal pain (0,093), hepatomegaly (1,000), bleeding (0,491), flushing (0,537), and pleura efusion(1,000) respectively, but there were no ascites found in our study. Laboratory examination on this study were hematocrit, leukocyte count and platelet count. The p-value of each variables were: hematocrit level (0,001), leukocyte count (0,050), and platelet count (0,000), respectively. It was inferred that these variables were the risk factors for developing shock, but there was none of the clinical symptoms could predict the shock.
Conclusions: Hematocrit level, platelet count and leukocyte count were laboratory findings which can predict
Keywords: dengue hemorrhagic fever, dengue shock syndrome, clinical & laboratory findings, risk factors, early detection.

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Series Title

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Call Number

Jurnal Kedokteran dan Kesehatan Indonesia:1(4)2010

Publisher

Yogyakarta : FK. Universitas Islam Indonesia., 2010

Collation

8p.

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ISBN/ISSN

2085-4145

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Edition

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Subject(s)

RISKFACTORS
DENGUE HOMORRHAGIC FEVER

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