Hubungan Status Gizi Pasien Penyakit Hirschsprung dengan Infeksi Luka Operasi di RSPAL dr. Ramelan Surabaya Periode Waktu 2016-2020
Article Sidebar
Main Article Content
Abstract
Background: Hirschsprung's disease is a congenital intestinal motility disorder that causes functional intestinal obstruction due to the absence of enteric ganglion cells in the distal intestine. The management of each case of Hirschsprung's disease is surgery, where surgery on the digestive tract increases the occurrence of surgical site infections. Disturbances in the gut cause decreased resistance to infection, delayed cognitive development, and problems with nutritional status.
Methods: This study was a descriptive and analytical observational study, where the primary data were taken from the registration data of Hirschprung's disease patients at RSPAL dr. Ramelan Surabaya in 2016-2020. The nutritional status of the patient was determined by plotting the weight per age curve according to WHO for children aged 0-5 years.
Results: Observations of 38 patients who met the study requirements, obtained 4 patients who had poor nutritional status and 1 patient who had excess nutritional status, none of which experienced complications in the form of surgical wound infections. In 10 patients with poor nutritional status, 2 experienced complications in the form of surgical wound infection and 23 patients with good nutritional status, 1 experienced complications in the form of surgical wound infection. The results of the contingency coefficient correlation test showed P-value = 0.408 (p>α).
Conclusion: There was no relationship between the nutritional status of Hirschprung's disease patients with surgical wound infections at RSPAL dr. Ramelan Surabaya
Keywords: Hirschsprung's disease, nutritional status of children, surgical site infection.
Article Details
References
Andersen, B.M., 2019. Prevention of Postoperative Wound Infections. Prev. Control Infect. Hosp. 377–437. https://doi.org/10.1007/978-3-319-99921-0_33
Ariati, N.N., Fetria, A., Purnamawati, A.A.P., Suarni, N.N., Padmiari, I.A.E., Sugiani, P.P.S., 2018. Description of nutritional status and the incidence of stunting children in early childhood education programs in Bali-Indonesia. Bali Med. J. 7. https://doi.org/10.15562/bmj.v7i3.1219
Arndt, M.B., Walson, J.L., 2018. Enteric infection and dysfunction—A new target for PLOS Neglected Tropical Diseases. PLoS Negl. Trop. Dis. 12, e0006906. https://doi.org/10.1371/journal.pntd.0006906
Holcomb, G.W., Murphy, J.P., Peter, S.D.S., 2019. Holcomb and Ashcraft’s Pediatric Surgery E-Book. Elsevier Health Sciences.
HR H.S.C., 2018. Metodologi Penelitian Kesehatan dan Pendidikan, 1st ed. Penebar Media Pustaka, Yogyakarta.
Kyrklund, K., Sloots, C.E.J., de Blaauw, I., Bjørnland, K., Rolle, U., Cavalieri, D., Francalanci, P., Fusaro, F., Lemli, A., Schwarzer, N., Fascetti-Leon, F., Thapar, N., Johansen, L.S., Berrebi, D., Hugot, J.-P., Crétolle, C., Brooks, A.S., Hofstra, R.M., Wester, T., Pakarinen, M.P., 2020. ERNICA guidelines for the management of rectosigmoid Hirschsprung’s disease. Orphanet J. Rare Dis. 15. https://doi.org/10.1186/s13023-020-01362-3
Mangunsong, D.S.H., 2017. Gambaran Pasien Penyakit Hirschprung Pada Bayi Usia Usia 0-12 Bulan Di RSUP Haji Adam Malik Medan Tahun 2012-2016.
Péter, S., Saris, W.H.M., Mathers, J.C., Feskens, E., Schols, A., Navis, G., Kuipers, F., Weber, P., Eggersdorfer, M., 2015. Nutrient Status Assessment in Individuals and Populations for Healthy Aging—Statement from an Expert Workshop. Nutrients 7, 10491–10500. https://doi.org/10.3390/nu7125547
Sattar, F., Sattar, Z., Zaman, M., Akbar, S., 2019. Frequency of Post-operative Surgical Site Infections in a Tertiary Care Hospital in Abbottabad, Pakistan. Cureus undefined-undefined. https://doi.org/10.7759/cureus.4243
Surayya, R., 2018. Pendekatan Kualitatif Dalam Penelitian Kesehatan, in: Pendekatan Kualitatif Dalam Penelitian Kesehatan. pp. 75–83.