THE EVALUATION OF DIARRHEA TREATMENT IN TODDLER PATIENTS IN PUSKESMAS IBRAHIM ADJIE AND JAYAGIRI

• Main Author: Pujiastuti, Rosalia
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/45524
• Institution: Institut Teknologi Bandung

Diarrhea is the second disease that can cause death in toddler about 760.000 children every year. Based on recent data from Indonesian Republic Health Department, diarrhea is the second disease that can cause death in children after pneumonia disease. Based on west java health data in 2012, diarrhea is common handled after acute respiratory tract infections in outpatients from Puskesmas with an age range of 0 to 4 years old. This study aimed to assess the accuracy of the treatment of diarrhea in toddler patients and it’s influence on patient’s therapeutic outcomes. This research is a descriptive and observational study which has done restrospective and concurrently in Puskesmas Ibrahim Adjie and Jayagiri from November 2014 until May 2015. The results from this study showed that the prescribing of zinc and ors for patients in Puskesmas Ibrahim Adjie and Jayagiri were not in accordance with the guidelines therapy of diarrhea in toddler, because there were found patients who were not treated with zinc and/or ors when diarrhea occur. Furthermore, there were a possibility of irrational antibiotic prescribing for patients, there were found 29,90% patients who indicate symptomps of fever did not receive prescription for antibiotic, otherwise 20,62% patients who did not indicate symptomps of fever receive prescription for antibiotic. After all patient received treatment of diarrhea from Puskesmas, the evaluation related to the treatment of diarrhea has done. From this evaluation, as many as 92,54% patients were recovered from diarrhea and 7,46% patients were not recovered from diarrhea after one week patients received treatment of diarrhea from Puskesmas. Patients were recovered from diarrhea when they had no symptomps of stool with the consistency liquid with or without the presence of mucus or blood and frequency of defecation has returned to normal. In other hand, patients were not recovered from diarrhea when they were still showed symptoms of stool with consistency liquid with or without presence of mucus or blood and frequency of defecation has not returned to normal. During the period of February to April 2015 there were 8,96% who experienced a relapse of diarrhea. Statistically, there were no significant relationship between history of breastfeeding, history of the use of milk bottles, environmental conditions and patients nutritional status with patient’s therapeutic outcomes (p>0,1). From this study can be concluded that the treatment of diarrhea for toddler in Puskesmas Ibrahim Adjie and Jayagiri were not in accordance with the guideline therapy of diarrhea in toddler. At Puskesmas Ibrahim Adjie and Jayagiri, there were a possibility of irrational antibiotic prescribing for patients. Furthermore, there were no significant relationship between history of breastfeeding, history of the use of milk bottles, environmental conditions and patients nutritional status with patient’s therapeutic outcomes.