ANALISIS PENYEBARAN CARRIER DIFTERI PASCA KEJADIAN LUAR BIASA DI KOTA SAMARINDA TAHUN 2018

Abstract

Diphtheria is an infectious disease caused by infection with Corynebacterium diphtheria, which mainly infects the throat and upper airway, producee toxins that can affect other organs. In severe cases, the toxins can cause myocarditis and peripheral neuropathy. This disease is transmitted through direct physical contact or aerosol secretion. In Indonesia, diphtheria has been endemic and has decreased in cases. The government promoted immunization program, it succeededd eliminating diphtheria cases in 1990, but then re-emerging disease started happening in 2009. According to the Kementrian Kesehatan Indonesia, the return of diphtheria and became outbreak due to immunity gap. This happens because of the accumulation of people who are susceptible to diphtheria because they do not get immunizations or complete immunizations. The purpose of this study is to find the spread pattern of diphtheria carriers in the community after outbreak in Samarinda City in 2018. The study is conducted by examining the patients’ oral mucosal swab with data obtained from the Medical Record and Clinical Pathology Laboratory of Abdul Wahab Syahranie Samarinda Hospital Dinas Kesehatan Samarinda, which fulfills the inclusion and exclusion criteria, obtained 43 samples that were carried out laboratory tests using the PCR technique. Based on the results of the examination obtained 2 samples that showed positive results containing Corynebacterium diphtheriae from 43 samples examined. All samples were female and lived in Samarinda Ulu District, Air Hitam and Gunung Kelua Subdistricts. The spatial analysis result of patients' location using SatScan TM Software did not indicate clustering