Status gizi dan hubungannya dengan kejadian diare pada anak diare akut di ruang rawat inap RSUP Dr. Sardjito Yogyakarta

Astya Palupi; Hamam Hadi; Sri Suparyati Soenarto

doi:10.22146/ijcn.17680

Status gizi dan hubungannya dengan kejadian diare pada anak diare akut di ruang rawat inap RSUP Dr. Sardjito Yogyakarta

https://doi.org/10.22146/ijcn.17680

Astya Palupi^(1*), Hamam Hadi⁽²⁾, Sri Suparyati Soenarto⁽³⁾

(1) RSUD Dr. Aloei Saboe Kota Gorontalo, Sulawesi Utara
(2) Magister Gizi Kesehatan Universitas Gadjah Mada
(3) Bagian Anak RSUP Dr. Sardjito Yogyakarta
(*) Corresponding Author

Abstract

Background: in Indonesia diarrhea is still a major cause of morbidity and mortality among children especially those under five years of age. The Household Health Survey 2000 and 2003 shows an increase of diarrhea morbidity rate from 300 to 374 per 1,000 people. At the inpatient ward of Dr. Sardjito Hospital in 2005, diarrhea was found as the major cause of patients being hospitalized. One of the causes of high diarrhea morbidity rate is poor nutritional status. In 2002, the prevalence of undernourished children in Indonesia was 27.3% and in the Province of Yogyakarta Special Territory was 11.39%. Ultimately, nutritional status and diarrhea are related to each other, which lead to very famous "vicious cycle", diarrhea causes malnutrition and malnutrition causes diarrhea.

Objective: To identify relationship between nutritional status and the duration of diarrhea.

Method: This observational study was conducted with retrospective cohort design using the data of medical records and surveillance of diarrhea at Dr. Sardjito Hospital from September 2005 to September 2006. Subject of the study were 138 children of 6 months to 5 years old suffering from acute diarrhea. Data analysis used Fisher's exact test and one way ANOVA.

Result: The average duration of diarrhea among undernourished children was 101.0 + 28.28 hours, wasted children was 96.31 + 16.69 hours, normal nourished children was 65.06 + 6.90 hours, and well nourished children was 64.52 + 11.70 hours. There was a significant relationship between nutritional status and the duration of diarrhea (p < 0.05).

Conclusion: There was a significant relationship between nutritional status and the duration of diarrhea. This means that children with poor nutritional status would likely suffer longer from diarrhea.

Keywords

nutritional status; acute diarrhea; duration of diarrhea

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References

WHO. The Treatment of Diarrhoea: A Manual for Physicians and Other Senior Health Workers. WHO [serial online] 2006 [cited 2006 August 6]. Available from: http/ /www.who.org.

Parashar UD, Hummelman EG, Bresee JS, Miller MA, Glass RI. Global Illness and Deaths Caused by Rotavirus Disease in Children. Emerg Infect Dis 2003;9(5):1-14.

Departemen Kesehatan RI. Profil Kesehatan Indonesia 2003. Jakarta: Departemen Kesehatan RI; 2005.

Krisnawan IKB, Supardi S. Faktor-Faktor Resiko yang Mempengaruhi Kejadian Diare Berdarah pada Usia Balita di Kabupaten Klaten. Berita Kedokteran Masyarakat 1996; XII(2):30-40.

Soenarto Y, Aman AT, Bakri A, Firmansyah A, Martiza I, Mulyani NS, et al. Extention for Hospital Based Surveillance and Strain Characterization of Rotavirus Diarrhea in Indonesia 2005-2007. In press 2007.

Brown KH. Diarrhea and Malnutrition. J Nutr 2003;133:S328-32.

Departemen Kesehatan RI Direktorat Jenderal Pemberantasan Penyakit Menular dan Penyehatan Lingkungan Pemukiman. Buku Ajar Diare. Jakarta: Departemen Kesehatan RI; 1999.

Sunoto. Penatalaksanaan Mutakhir Diare Akut. In: Bagian Ilmu Kesehatan Anak FK UI, editor. Penanganan Mutakhir Beberapa Penyakit Gas-trointestinal Anak. Jakarta: Bagian Ilmu Kesehatan Anak FK UI; 1988.

Hegar B. Tata Laksana Diare Akut pada Anak. In: Amanda Y, editor. Updates in Pediatric Emergencies. Jakarta: Balai Penerbit FK UI; 2004.

Medical Record RSUP Dr. Sardjito Yogyakarta. Pola Penyakit Pasien Rawat Inap Unit Anak Tahun 2005. Yogyakarta: RSUP Dr. Sardjito; 2005.

Lemeshow S, Hosmer D, Klar J. 1990. Adequacy of Sample Size in Health Studies. (Terjemahan) Pramono D. Yogyakarta: UGM Press; 1997.

Rahardjo E, Wuryadi S. Rotavirus pada Penderita Diare Anak-Anak Usia Balita di Jakarta Utara. Cermin Dunia Kedokteran 1990; 62: 41-5.

Gibson R. Principles of Nutritional Assessment. New York: Oxford University Press; 1990.

Wijana P, Aryasa IKN, Sudaryat S. Manfaat Probiotik pada Anak dengan Diare Akut: Uji Klinik Acak Terkontrol. Buletin Ilmu Kesehatan Anak FK Universitas Udayana/ RS Sanglah Denpasar 2001; VI(2):3-9.

Tjitra E, Budiarso R, Bakri Z, Naseh S. Faktor Risiko yang Mempengaruhi Kesakitan Diare pada Balita. Buletin Penelitian Kesehatan 1994; 22(2) :37-45.

Pudjiadi S. Ilmu Gizi Klinis pada Anak. Jakarta: Balai Penerbit FK UI; 2000.

Nendrosuwito D, Sanusi R. Penatalaksanaan Program Pemberantasan Diare dan Faktor-Faktor Resiko Terjadinya Diare pada Anak Balita di Puskesmas Kabupaten Wonogiri. Berita Kedokteran Masyarakat 1996; XII(2): 41-7.

Soenarto Y, Sebodo T, Suryantoro P, Krisnomurti, Haksohusodo S, Ilyas, et al. Bacteria, Parasitic Agents and Rotavirus Associated with Acute Diarrhea in Hospital in Patient Indonesian Children. In: Soenarto SY. Diarrhea Case Management Using Research Findings Directly for Case Management and Teaching in a Teaching Hospital in Yogyakarta, Indonesia [serial online] 1997 [cited Sep-tember 2007]. Available from: http://i-lib.ugm.ac.id/jurnal/ detail.php?dataId=1729.

Santoso NB, Hamid AA, Santoso S. Diare Rotavirus pada Anak Di bawah Usia 3 Tahun yang Dirawat di RSU Dr. Saiful Anwar Malang Tahun 2005. Jurnal Kedokteran Brawijaya 2004; XX(2): 75-7.

Guerrant RL, Lohr JA, Williams EK. Acute Infectious Diarrhea I: Epidemiology, Etiology and Pathogenesis. Pediatr Infect Dis J 1986; 5(3): 353-9.

Bukitwetan P, Suryawidjaja JE, Salim OCh, Aidifiltif M, Lesmana M. Diare Bakterial: Etiologi dan Pola Kepekaan Antibiotika di Dua Pusat Kesehatan Masyarakat di Jakarta. Jurnal Kedokteran Trisakti 2001; 20(2): 57-65.

Simanjuntak CH. Review Etiologi dan Aspek Laboratorium Diare. Berita Pusat Informasi Diare 1991; 3(1): 11-5.

Irwanto, Rohim A, Sudarmo SM. Diare Akut pada Anak. In: Ilmu Penyakit Anak Diagnosa dan Penatalaksanaan. Jakarta: Salemba Medika; 2002.

Kaur R, Rawat D, Kakkar M, Uppal B, Sharma VK. Intestinal Parasites in Children with Diarrhea in Delhi India. Southeast Asian J Trop Med Public Health 2002; 33(4): 725-9.

Warouw SMS. Evaluasi Klinis Sindrom Disentri Anak di RS Gunung Wenang Manado. Cermin Dunia Kedokteran 1996; 109: 5-9.

Harianto. Penyuluhan Penggunaan Oralit untuk Menanggulangi Diare di Masyarakat. Majalah Ilmu Kefarmasian 2004; I(1): 27-33.

Brunser O, Araya M, Espinoza J. The Gut in Malnutrition. In: Walker WA, Durie PR, Hamilton JR, et al., editors. Pe-diatric Gastrointestinal Disease. Philadelphia: BC Decker Inc; 1991.

DOI: https://doi.org/10.22146/ijcn.17680