Skripsi

HUBUNGAN JENIS PROFILAKSIS SEKUNDER TERHADAP KEJADIAN REKURENSI PASIEN DEMAM REMATIK AKUT DAN PENYAKIT JANTUNG REMATIK DI RSUP DR. MOHAMMAD HOESIN PALEMBANG

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Penilaian

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Background: Acute rheumatic fever is an advanced complication of tonsilopharynigitis caused by Group A Streptococus β haemolyticus (GAS) bacterial infection. If not treated properly, re-infection can occur that can cause progressive valvular heart damage which can eventually develop into rheumatic heart disease. The most effective way to prevent recurrent infection is by giving long-term antibiotics in the form of secondary prophylaxis. The objective of this study is to investigate the relationship between the type of secondary prophylaxis given with the incidence of recurrent attacks in patients with acute rheumatic fever and rheumatic heart disease at Dr Mohammad Hoesin Hospital Palembang. Method: This study used analytical observational method with cross-sectional study design. Samples were taken by means of total sampling determined and in accordance with the inclusion and exclusion criteria. The data taken were primary data in the form of telephone interviews and secondary data in the form of patient medical records. Results: Among the 92 samples, most patients with acute rheumatic fever and rheumatic heart disease were found to be female (53.3%), school-aged children (5-15 years old) (93.5%), diagnosed for 1-2 years (67.4%), residing outside Palembang City (63%), having moderate economic level (39.1%), having parents with high school education level both father (56.5%) and mother (70.7%), and having high occupancy density (57.6%). In bivariate analysis, there was a significant association between occupancy density (P = 0.008), compliance level (P < 0.001), and type of secondary prophylaxis (P = 0.038) with the incidence of recurrence, but there was no significant association between gender (P = 0, 951), address (P = 0.112), economic level (P = 0.948), parental education (P = 0.55 and P = 0.486) age at diagnosis (P = 0.876), and length of time diagnosed (P = 0.322) with recurrence. The results of multivariate analysis showed that the level of compliance was the most dominant factor causing the incidence of recurrence in this study with an OR value = 0.151 (95% CI 0.051-0.449) and an AOR value = 4.890 (95% CI 1.469-16.282). Conclusion: There is an association between the type of secondary prophylaxis and the incidence of recurrence in patients with acute rheumatic fever and rheumatic heart disease at Dr Mohammad Hoesin Hospital Palembang. Keywords: Acute Rheumatic Fever, Rheumatic Heart Disease, Recurrence, Secondary Prophylaxis

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Availability

Inventory Code	Barcode	Call Number	Location	Status
2407000306	T137674	T1376742023	Central Library (Referens)	Available but not for loan - Not for Loan

Detail Information

Series Title

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Call Number

T1376742023

Publisher

Inderalaya : Prodi Pendidikan Dokter, Fakultas Kedokteran Universitas Sriwijaya., 2023

Collation

xviii, 73 hlm.; Ilus.; 29 cm

Language

Indonesia

ISBN/ISSN

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Classification

616.120 7

Content Type

Text

Media Type

unmediated

Carrier Type

-

Edition

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Subject(s)

Penyakit jantung
Prodi Pendidikan Dokter

Specific Detail Info

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Statement of Responsibility

SEPTA

Other version/related

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