HUBUNGAN ASFIKSIA NEONATORUM DAN BBLR DENGAN KEJADIAN SEPSIS NEONATORUM DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

Nazla Farah Nazhifa; Agustina Rahayu Magdaleni; Hendra

Nazla Fakultas Kedokteran Universitas Mulawarman
Agustina Laboratorium Ilmu Fisiologi, Fakultas Kedokteran Universitas Mulawarman
Hendra Laboratorium Ilmu Kesehatan Anak, RSUD Abdul Wahab Sjahranie

Keywords: Asfiksia Neonatorum, BBLR, Sepsis Neonatorum

Abstract

Neonatal sepsis is a clinical syndrome characterized by systemic infection occurring in the first 28 days of neonatal life. One of the risk factors that cause neonatal sepsis in newborns includes factors from the neonate such as neonatal asphyxia, bblr, and prematurity. The research objective was to determine the relationship between neonatal asphyxia and neonatal sepsis at Abdul Wahab Sjahranie Hospital, Samarinda. This study used a retrospective analytical method with a case control approach. Sampling used patient medical record data during January 2018 - December 2019 at the medical record installation using non random purposive sampling technique. The number of samples was 70 infants consisting of 35 infants in the case group and 35 infants in the control group. The results showed that babies in the case group, as many as 20 babies (57.1%) had asphyxia and 26 babies (74.3%) had a birth weight. Meanwhile, in the control group, it was found that 11 babies (31.4%) had asphyxia and 17 babies (48.6%) had a birth weight. Bivariate analysis using the chi square test showed that the bblr value obtained p = 0.049, so it can be concluded that there is a relationship between bblr and the incidence of neonatal sepsis. However, the results of the chi square test on neonatal asphyxia showed no relationship between neonatal asphyxia and neonatal sepsis with p value = 0.054.

Keywords : Neonatal Sepsis, Neonatal Asphyxia, Low Birth Weight

References

Arawosegbe, A. O., Ojo, D. A., Dedeke, I. O., Shittu, O. B., & Akingbade, O. A. (2017). Neonatal Sepsis in a Nigerian Tertiary Hospital: Clinical features, clinical outcome, aetiology, and antibiotic susceptibility pattern. Southern African Journal of Infectious Diseases, 32(4), 127-131.
Carolus, W., Rompis, J., & Wilar, R. (2013). Hubungan Apgar Skor dan Berat Badan Lahir Dengan Sepsis Neonatoum. Jurnal E-Unsrat.
Damanik, S. M. (2014). Klasifikasi Bayi Menurut Berat Lahir dan Masa Gestasi. Dalam S. M. Kosim, A. Yunanto, R. Dewi, G. I. Sarosa, & A. Usman, Buku Aja Idai Neonatalogi. Jakarta: Ikatan Dokter Anak Indonesia.
Gebremedhin, D., Berhe, H., & Gebrekirstos, K. (2016, Mei). Risk Factor of Neonatal Sepsis in Public Hospitals of Mekelle City, North Ethiopia, 2015: Unmatched Case Control Study. Plos One Journal.
Getabelew, A., Aman, M., Fantaye, E., & Yeheyis, T. (2018). Prevalence of neonatal sepsis and associated factors among neonates in neonatal intensive care unit at selected government hospitals in sashemene town, oromia regional state, ethiopia,2017. Hindawi International Journal of Pediatrics.
Giofani, R., Oyong, N., & Inayah. (2016, Oktober). Evaluation Usage of Antibiotic to Sepsis Neonatus Patient in RSUD Arifin Achmad Provience Riau. Jom FK, 3.
Haryani, S., & Apriyanti, Y. F. (2016). Evaluasi Terapi Obat pada Pasien Sepsis Neonatal di Ruang Perinatalogi RSUP Fatmawati Januari-Februari tahun 2016. Journal of Fatmawati Hospital.
Kumalakannan, S. K. (2018). Neonatal Sepsis Past to Prevent. Biomedical Journal of Scientific and Technical Research, 3(3).
Prawesti, A., Adistie, F., & Angeli, C. U. (2018, Agustus). Gambaran Faktor Risiko Sepsis Neonatorum Berdasarkan Waktu Kejadian di Ruang NICU RSUP Dr. Hasan Sadikin. Jurnal Asuhan Ibu dan Anak, 3, 39-46.
Rahmawati, P., Mayetti, & Rahmah, S. (2018). Hubungan Sepsis Neonatorum dengan Berat Badan Lahir Rendah pada Bayi di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas .
Shane, A. L., Sanchez, P. J., & Stoll, B. J. (2017, April). Neonatal Sepsis. The Lancet.
Silva, N., Menezes, R., Brito, M., Alves, P., Pedroso, R., & Roder, D. (2017). Sepsis Neonatal: Epidemiology, Etiology and Risk Factor. Advances in Biotechnology and Microbiology, 4(2).
Sulistijono, E., Ida, B., Lintang, S., & Kristina, A. (2013). Risk Factors of Early Onset Sepsis of the Newborn. Jurnal Kedokteran Brawijaya, 27.
Survei Demografi dan Kesehatan Indonesia. (2017). Survei Demografi dan Kesehatan Indonesia 2017. Diambil kembali dari https://e-koren.bkkbn.go.id/wp-content/uploads/2018/10/Laporan-SDKI-2017-WUS.pdf
United Nations International Children's Fund. (2015). Maternal and Newborn Health Disparities Indonesia. United Nations International Children's Fund.
Widayati, K., Kurniati, D., & Windiani, G. (2016). Risk Factors of Neonatal Sepsis at Perinatalogy Unit Sanglah General Public Hospital Denpasar. Public Health and Preventive Medicine Archive, 67-73.
World Health Organization. (2019, September 19). Newborns: reducing mortality. Diambil kembali dari https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality