VALIDITAS BACTERIAL PNEUMONIA SCORE UNTUK MEMPREDIKSI BAKTEREMIA PADA ANAK DENGAN PENEMONIA

• Main Authors: , Rosalia Theodosia Daten Beyeng, , dr. Putu Siadi Purniti, Sp.A
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2011
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/88705/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=50439
• Institution: Universitas Gadjah Mada

Bacteremia in a child with pneumonia reflects a severe condition, with longer duration of hospital care and more complications, ranging from mild complications to death. Early detection of bacteremia in the presence of pneumonia is expected to reduce serious complications. This research aims to validity of bacterial pneumonia score �4 (BPS �4) for predicting bacteremia in pediatrics patiens with pneumonia. This diagnostic study was held in Sanglah General Hospital of Denpasar, Bali. The subjects were inpatients of pediatric ward, aged 1 to 60 months, from September 2009 to August 2010, who fulfilled the inclusion and exclusion criteria. From a total of 230 pneumonia patients, 119 presented with total Bacterial Pneumonia Score (BPS) �4, and 110 with total Bacterial Pneumonia Score <4. Bacteremia was proven in 13 patients, including one contaminant bacteremia, and 117 patients with no bacteremia. The prevalence of pneumonia was 5.2%. Sensitivity of total Bacterial Pneumonia Score �4 was 83.3% (95%CI 55.2%-95.3%) and specifity was 49.7% (95%CI 43.1%-56.3%). Positive predictive value was 8,4%, negative predictive value 98.1%, false positive 50,2% (IK 95% 43,6%-56,8%), false negative 16,6% (IK 95% 4,7%-44,8%), positive likelihood ratio was 1.66 (95%CI 1.25-2.21). In conclusion, total Bacterial Pneumonia Score �4 valid to prediction bacteremia in pediatric patients with pneumonia.