Pemberian taburia (sprinkle) berpengaruh terhadap lama dan frekuensi diare akut anak
Sopiyandi Sopiyandi(1*), Muhammad Juffrie(2), Susetyowati Susetyowati(3)
(1) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Pontianak
(2) Bagian Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: Major causes of mortality in children are diarrhea and pneumonia (25.2% and 15.5%). “Five steps of diarrhea management” is an integrated approach in the management of diarrhea comprising the supplementation of oral rehydration, zinc within 10 days subsequently, breastfeeding and food, selective antibiotics and advice for the mother/family. Zinc supplementation combined with vitamin A and micronutrient on children with the diarrhea had been researchead that result can minimize morbidity, duration and frequency of diarrhea, and the incidence of recurrent diarrhea.
Objective: To find out the effect of taburia supplementation (sprinkle) on duration and frequency of diarrhea.
Method: The study was randomized controlled trial (RCT) with parallel design. Subject consisted of two groups, the first got therapy of taburia (sprinkle) 1 sachet/day and the second was the control group. Each group got standard diarrhea medication at the health center. Samples consisted of 30 children of 1-5 years old per group and they were obtained by using simple randomization technique. Statistical analysis was performed by using Chi-Square and t-test.
Results: Duration of diarrhea of the experiment group was 33.25 ± 18.08 hours (95% CI: 26.49 - 40.00) and the control group was 43.7 ± 19.25 hours (95% CI: 36,50 - 50,89). Frequency of diarrhea of the experiment group was 4.93 ± 3.41 times/day (95% CI: 3,41-3,65) and the control group was 6.33 ± 3.20 times/day (95% CI: 5.13-7.53). The result of statistic test showed that there was effect of taburia supplementation to duration and frequency of diarrhea (p<0.05).
Conclusion: Supplementation of taburia (sprinkle) in the standard therapy of diarrhea shortened the duration and minimized the frequency of diarrhea.
Keywords
Full Text:
PDFReferences
Departemen Kesehatan. Laporan hasil riset kesehatan dasar nasional 2007. Jakarta: Depkes; 2008.
Departemen Kesehatan. Buku saku petugas kesehatan, lima langkah tuntaskan diare. Jakarta: Depkes; 2011.
Chhagan MK, Paed FC, Broeck JV, Luabeya KKA, Mpontshane N, Tucker KL, Bennish ML. Effect of micronutrient supplementation on diarrhoeal disease among stunted children in rural South Africa. Eur J Clin Nutr 2009;63(7):850-7.
Lima AA, Soares AM, Lima NL, Mota RM, Maciel BL, Kvalsund MP, Barrett LJ, Fitzgerald RP, Blaner WS, Guerrant RL. Vitamin A supplementation effects on intestinal barrier function, growth, total parasitic and specific Giardia spp. infections in Brazilian children: a prospective randomized, double-blind, placebo-controlled trial. J Pediatr Gastroenterol Nutr 2010;50(3):309-15.
Sharieff W, Bhutta Z, Schauer C, Tomlinson G, Zlotkin S. Micronutrients (including zinc) reduce diarrhoea in children: the Pakistan sprinkles diarrhoea study. Canada: University of Toronto; 2006.
Sastroasmoro S, Ismael S. Dasar-dasar metode penelitian klinis edisi ke-2. Jakarta: Sagung Seto; 2006.
Lemeshow S, Hosmer Jr DW, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan. Pramono D. 1997 (Alih bahasa). Yogyakarta: UGM Press; 1997.
Wahyuni ES. Pengaruh penambahan multivitamin multimineral pada MP-ASI terhadap kejadian ISPA dan diare anak usia 12-24 bulan penderita gizi kurang di Kabupaten Lampung Utara [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2008.
Kemenkes RI. Panduan pemberian taburia (sprinkle) (bagi kader). Jakarta: Kemenkes; 2010.
Kartono, Sukarti. Angka kecukupan mineral: kalsium, fospor, magnesium, flour. Prosiding Widya Karya Nasional Pangan dan Gizi VIII ed. Soekirman dkk. Jakarta: LIPI; 2004.
WHO dan Depkes. Pelayanan kesehatan anak sakit di rumah sakit, rujukan pertama di rumah sakit kabupaten. Jakarta: WHO dan Depkes; 2009.
Gibney MJ, Margetts BM, Kearney JM, Arab L. Gizi kesehatan masyarakat. Hartono A. (Alih bahasa). Jakarta: Penerbit Buku Kedokteran EGC; 2009.
Fortaine O. Evidence for the safety and efficacy of zinc suplementation in the management of diarhea. Geneva: Department of Child and Adolescent Health and Development, WHO & UNICEF; 2008.
Almatsier S. Prinsip dasar ilmu gizi. Jakarta: PT. Gramedia Pustaka; 2004.
World Health Organization. Implementing the new recommendations on the clinical management of diarrhea: guidelines for policy makers and programme managers. Geneva: WHO; 2006.
Juffrie M. Zinc and probiotic for diarrhea. Suplemen Medika [series online] 2008 [cited 18 Okt 2011];11(XXXIV). Available from: URL: http://www.scribd.com/doc/.../POUZN-Zinc-Dr-Juffrie-Phd-Medika-Nov08
Weber M, Habil. Penerapan oralit dan zinc sebagai protokol terbaru penatalaksanaan diare pada anak. Medika 2011;XXXVII(5).
Muhilal, Sulaeman. Angka kecukupan vitamin larut lemak. Prosiding Widya Karya Nasional Pangan dan Gizi VIII, ed. Soekirman dkk. Jakarta: LIPI; 2004.
Dewan V, Patwari AK, Jain M, Dewan N. A randomized controlled trial of vitamin A supplementation in acute diarrhea. Indian Pediatr 1995;32(1):21-5.
Villamor E, Fawzi WW. Effects of vitamin A supplementation on immune responses and correlation with clinical outcomes. Clin Microbiol Rev 2005;18(3):446-64.
Marpaung M. Uji klinis manfaat vitamin A dalam pengobatan diare akut anak [Tesis]. Medan: Universitas Sumatera Utara; 2008.
Natsir M. Efek protektif vitamin A terhadap kejadian diare di Kota Palu [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2008.
Wahyuni ES, Hadi H, Julia M. Pengaruh penambahan multivitamin multimineral pada MP-ASI terhadap kejadian ISPA dan diare anak usia 12-24 bulan penderita gizi kurang di Kabupaten Lampung Utara [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2008.
Mursalim, Juffrie M, Mulyani NS. Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin. Jurnal Gizi Klinik Indonesia 2011;8(2):69-80.
Sampaio DL, de Mattos AP, Ribeiro TC, Leite ME, Cole CR, Costa-Ribeiro H Jr. Zinc and other micronutrients supplementation through the use of sprinkles: impact on the occurrence of diarrhea and respiratory infections in institutionalized children. J Pediatria (Rio J) 2013;89(3):286-93.
DOI: https://doi.org/10.22146/ijcn.15444
Article Metrics
Abstract views : 4787 | views : 7350Refbacks
- There are currently no refbacks.
Copyright (c) 2016 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.