Herlina
Sulianti Saroso Infectious Disease Hospital, Indonesia
Title: Surveillance of diphtheria cases, inpatient in Sulianti Saroso Infectious Diseases Hospital from 2015-2018 Herlina, Sulianti
Biography
Biography: Herlina
Abstract
Diphtheria is caused by Corynebacterium diphtheriae and almost all over the world causes an outbreak. This disease mainly attacks children aged 1-12 years. Easy to spread and transmitted by direct contact with droplet. Diphtheria prevention is conducting an immunization program. The objective of the study is to obtain an overview of the epidemiological surveillance of diphtheria inpatients period 2015-2018 at Sulianti Saroso Infectious Diseases Hospital based on person, place and time. The method of this study includes passive surveillance by taking patient data from medical record status. The results showed that the there was an increase in cases of hospitalized diphtheria period 2015-2018. Diphtheria cases in patient based on sex and age from 2015-2018 were children (408 cases) bigger than adult (203 cases) and male (318 cases) bigger than female (293 cases). Based on the origin of referrals were hospital 247 cases; health center 171 cases; come alone 06 cases and clinic 87 cases. Based on domicile, the biggest from outside Jakarta with 236 cases and North Jakarta with 126 cases. Based on laboratory culture confirmation were 2 (2015); 5 (2016); 7 (2017) and 45 (2018). Based on life status (death) were 2 (2016); 3 (2017) and 10 (2018). Diphtheria cases based on epidemiology criteria: Total patients come with suspected diphtheria (sign and symptoms like diphtheria) from 2015-2018 were 611 cases, consist of 211 patients were non-diphtheria (sign and symptoms like diphtheria but final diagnosed not diphtheria) and 400 patient’s diagnosed to probable diphtheria (clinical diphtheria). From probable diphtheria, 69 patients diagnosed to confirmed diphtheria (clinical diphtheria and positive laboratory diphtheria). This study concluded that the diphtheria hospitalized at SSIDH was increased. National preparedness of diphtheria is needed, especially case finding in community to break the chain transmission of diphtheria, strengthening surveillance networking regarding follow-up of the diphtheria patients.