DESCRIPTIVE OVERVIEW OF MANAGEMENT PATTERN OF DENGUE HEMORRHAGIC FEVER (DHF) IN CHILDREN IN INPATIENT DEPARTMENT OF RUMAH SAKIT UMUM DAERAH (RSUD) KABUPATEN BULELENG 2013
By : I Wayan Adi Pranata
Faculties : Fakultas Kedokteran
Department : PS. PENDIDIKAN DOKTER
Dengue hemorrhagic fever (DHF) is an infectious disease that attacks the tropical areas with the majority affecting children under the age of 15 years in developing and low and middle income countries. Although there is a various standard guidelines related to the management of dengue viral infections, its appropriate application in the health care providers is relatively very low. This study was conducted to determine the pattern of management of dengue hemorrhagic fever in children in Inpatient Department of Rumah Sakit Umum Daerah (RSUD) Kabupaten Buleleng in 2013. The study used a descriptive observational with cross-sectional approach. The samples were all pediatric patients with DHF who have medical records from July to September 2013 in the Inpatient Department of RSUD Kabupaten Buleleng through total sampling. The types of management of patients were classified into 4 groups, namely intravenous rehydration, antipyretic-analgesic, antibiotic, and additional therapy (antiemetics, anti-inflammatory, immuno-modulatory drugs, and vitamins). According to the data of the 51 samples, the type of management given in the form of intravenous rehydration, antipyretic-analgesic, antibiotic, antiemetics, anti-inflammatory, immuno-modulatory drugs, and vitamins were 100%, 98%, 41.2%, 47.1%, 15.7%, 23.5%, and 47.1% respectively. The general pattern of the management of pediatric patients with DHF in Inpatient Department of Rumah Sakit Umum Daerah (RSUD) Kabupaten Buleleng include administration of intravenous rehydration and antipyretic. Antibiotics and additional therapy is still not routinely given.
Keyword : dengue hemorrhagic fever, intravenous rehydration, antipyretic, antibiotic, additional therapy