Leptospirosis

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{\phpg\posx1795\pvpg\posy1783\absw9244\absh10793 \b \f20 \fs22 \cf0 \b \f20 \fs2
2 \cf0 ABSTRAK
\par}{\phpg\posx1795\pvpg\posy1783\absw9244\absh10793 \sl-266 \par\b \f20 \fs22
\cf0 {\fs20 Faktor-Faktor}{\fs20 Risiko}{\fs20 Yang}{\fs20 Berpengaruh}{\fs2
0 Terhadap}{\fs20 Kejadian}{\fs20 Leptospirosis }
\par}{\phpg\posx1795\pvpg\posy1783\absw9244\absh10793 \sl-254 \b \f20 \fs22 \cf0
{\fs20 (Studi}{\fs20 Kasus}{\fs20 di}{\fs20 Kabupaten}{\fs20 Demak) }
\cf0 {\fs20 Risk}{\fs20 Factors}{\fs20 Influence}{\fs20 the}{\fs20 Occurance
}{\fs20 of}{\fs20 Leptospirosis }
{\fs20 (Case}{\fs20 Study}{\fs20 in}{\fs20 Kabupaten}{\fs20 Demak) }
\cf0 {\fs20 Agus}{\fs20 Priyanto }{\up006 \fs12 1}{\fs20 ,}{\fs20 Soeharyo}{\
fs20 Hadisaputro }{\up006 \fs12 2}{\fs20 ,}{\fs20 Ludfi}{\fs20 Santoso }{\up
006 \fs12 3}{\fs20 ,Hussein}{\fs20 Gasem }{\up006 \fs12 4}{\fs20 ,}{\fs20 Sa
kundarno}{\fs20 Adi}{\up006 \fs12 5 }
\cf0 {\fs20 Program}{\fs20 Magister}{\fs20 Epidemiologi}{\fs20 Program}{\fs2
0 Pascasarjana}{\fs20 Universitas}{\fs20 Diponegoro }
\cf0 Latar belakang{\b0 :}{\b0 \fs20 Leptospirosis}{\b0 \fs20 adalah}{\b0
\fs20 penyakit}{\b0 \fs20 infeksi}{\b0 \fs20 akut}{\b0 \fs20 yang}{\b0 \
fs20 dapat}{\b0 \fs20 menyerang}{\b0 \fs20 manusia }
{\b0 \fs20 maupun}{\b0 \fs20 hewan}{\b0 \fs20 (zoonosis)}{\b0 \fs20 yang}{\
b0 \fs20 disebabkan}{\b0 \fs20 oleh}{\b0 \fs20 bakteri}{\b0 \fs20 leptospir
a.}{\b0 \fs20 Penyebaran}{\b0 \fs20 leptospirosis}{\b0 \fs20 di }
{\b0 \fs20 Indonesia}{\b0 \fs20
sudah}{\b0 \fs20
sangat}{\b0 \fs20 lu
as}{\b0 \fs20 di}{\b0 \fs20 sebagian}{\b0 \fs20 besar}{\b0 \fs20 Propins
i}{\b0 \fs20
dan}{\b0 \fs20 angka}{\b0 \fs20 kematian}{\b0 \fs20 cukup
}{\b0 \fs20 tinggi. }

{\b0 \fs20 Kabupaten}{\b0 \fs20 Demak}{\b0 \fs20 merupakan}{\b0 \fs20 dae
rah}{\b0 \fs20 endemis}{\b0 \fs20 leptospirosis}{\b0 \fs20 dengan}{\b0 \fs
20 insiden}{\b0 \fs20 2,9/100.000}{\b0 \fs20 dan }
{\b0 \fs20 mortalitas}{\b0 \fs20 20}{\b0 \fs20 %,}{\b0 \fs20 hal}{\b0 \fs2
0 ini}{\b0 \fs20 berkaitan}{\b0 \fs20 dengan}{\b0 \fs20 penataan}{\b0 \fs20
lingkungan}{\b0 \fs20 yang}{\b0 \fs20 kurang}{\b0 \fs20 memadai}{\b0 \fs20
(Adipura }
{\b0 \fs20 urutan}{\b0 \fs20 ke}{\b0 \fs20 33}{\b0 \fs20 dari}{\b0 \fs20 3
5}{\b0 \fs20 Kabupaten}{\b0 \fs20 kota),}{\b0 \fs20 cakupan}{\b0 \fs20 air}
{\b0 \fs20 bersih}{\b0 \fs20 yang}{\b0 \fs20 rendah}{\b0 \fs20 (42}{\b0 \fs
20 %),}{\b0 \fs20 status}{\b0 \fs20 ekonomi }
{\b0 \fs20 penduduk}{\b0 \fs20 yang}{\b0 \fs20 masih}{\b0 \fs20 rendah}{\b0
\fs20 (KK}{\b0 \fs20 miskin}{\b0 \fs20 48}{\b0 \fs20 %),}{\b0 \fs20 status}
{\b0 \fs20 gizi}{\b0 \fs20 kurang}{\b0 \fs20 (keluarga}{\b0 \fs20 sadar}{\b0
\fs20 gizi}{\b0 \fs20 11,7}{\b0 \fs20 %) }
{\b0 \fs20 dan}{\b0 \fs20 perilaku}{\b0 \fs20 masyarakat}{\b0 \fs20 yang}{\b
0 \fs20 kurang}{\b0 \fs20 mendukung}{\b0 \fs20 pola}{\b0 \fs20 hidup}{\b0 \f
s20 sehat}{\b0 \fs20 (PHBS}{\b0 \fs20 61,15}{\b0 \fs20 %) }
{\fs20 Tujuan}{\b0 \fs20 :}{\b0 \fs20 Penelitian}{\b0 \fs20 ini}{\b0 \fs20
untuk}{\b0 \fs20 mengetahui}{\b0 \fs20 faktor}{\b0 \fs20 risiko}{\b0 \fs20 l
ingkungan,}{\b0 \fs20 faktor}{\b0 \fs20 sosial}{\b0 \fs20 ekonomi,}{\b0 \fs20
faktor }
{\b0 \fs20 demografi,}{\b0 \fs20
faktor}{\b0 \fs20
perilaku}{\b0 \fs20
dan}{\b0 \fs20
faktor}{\b0 \fs20
pelayanan}{\b0 \fs20
kesehatan}{\b0 \
fs20
yang}{\b0 \fs20
mempengaruhi}{\b0 \fs20
kejadian }
{\b0 \fs20 leptospirosis. }
{\fs20 Metode}{\b0 \fs20 :}{\b0 \fs20 Jenis}{\b0 \fs20 penelitian}{\b0 \fs20
adalah}{\b0 \fs20 observasional}{\b0 \fs20 dengan}{\b0 \fs20 rancangan}{\b0
\fs20 kasus}{\b0 \fs20 kontrol.}{\b0 \fs20 Jumlah}{\b0 \fs20 sampel }
{\b0 \fs20 41}{\b0 \fs20 kasus}{\b0 \fs20 dan}{\b0 \fs20 82}{\b0 \fs20 kont
rol}{\b0 \fs20 dengan}{\b0 \fs20 perbandingan}{\b0 \fs20 1}{\b0 \fs20 :}{\b0
\fs20 2.}{\b0 \fs20 Kasus}{\b0 \fs20 adalah}{\b0 \fs20 pasien}{\b0 \fs20 y
ang}{\b0 \fs20 ditemukan}{\b0 \fs20 di}{\b0 \fs20 RS }
{\b0 \fs20 yang}{\b0 \fs20 di}{\b0 \fs20 diagnosis}{\b0 \fs20 secara}{\b0 \f
s20 klinis}{\b0 \fs20 dan}{\b0 \fs20
laboratorik}{\b0 \fs20 menderita}{\b0
\fs20 leptospirosis.}{\b0 \fs20 Kontrol}{\b0 \fs20 1}{\b0 \fs20 adalah}{\b0
\fs20 pasien }
{\b0 \fs20 yang}{\b0 \fs20 ditemukan}{\b0 \fs20 di}{\b0 \fs20 RS}{\b0 \fs20
yang}{\b0 \fs20 didiagnosis}{\b0 \fs20 secara}{\b0 \fs20 klinis}{\b0 \fs20
dan}{\b0 \fs20 laboratorik}{\b0 \fs20 tidak}{\b0 \fs20 menderita}{\b0 \fs20
leptospirosis }
{\b0 \fs20 dan}{\b0 \fs20 penyakit}{\b0 \fs20 infeksi}{\b0 \fs20 serta}{\b0
\fs20 dirawat}{\b0 \fs20 pada}{\b0 \fs20 hari}{\b0 \fs20 yang}{\b0 \fs20 sa
ma}{\b0 \fs20 dengan}{\b0 \fs20 kasus.}{\b0 \fs20 Kontrol}{\b0 \fs20 2}{\b0
\fs20 adalah}{\b0 KK}{\b0 atau }
{\b0 \fs20 anggotanya}{\b0 \fs20 melalui}{\b0 \fs20 pemeriksaan}{\b0 \fs20
laboratorik}{\b0 \fs20 tidak}{\b0 \fs20 menderita}{\b0 \fs20 leptospiros

is}{\b0 \fs20 dan}{\b0 \fs20 penyakit}{\b0 \fs20 infeksi }
{\b0 \fs20 serta}{\b0 \fs20
bertempat}{\b0 \fs20 tinggal}{\b0 \fs20 dala
m}{\b0 \fs20 1}{\b0 \fs20
dasa}{\b0 \fs20
wisma}{\b0 \fs20
dengan}{\b
0 \fs20 kasus.Analisis}{\b0 \fs20 data}{\b0 \fs20
dilakukan}{\b0 \fs20
secara }
{\b0 \fs20 univariat,}{\b0 \fs20 bivariat}{\b0 \fs20 dan}{\b0 \fs20 multivar
iat}{\b0 \fs20 dengan}{\b0 \fs20 metode}{\b0 \fs20 regresi}{\b0 \fs20 logist
ik. }
{\fs20 Hasil}{\b0 \fs20 :}{\b0 \fs20 Faktor}{\b0 \fs20 risiko}{\b0 \fs20 y
ang}{\b0 \fs20 berpengaruh}{\b0 \fs20 terhadap}{\b0 \fs20 kejadian}{\b0 \fs20
leptospirosis}{\b0 \fs20 adalah}{\b0 \fs20 pekerjaan}{\b0 \fs20 berisiko }
{\b0 \fs20 p=0,001}{\b0 \fs20 OR=17,36;}{\b0 \fs20 95%}{\b0 \fs20 CI=3,21-93
,83,}{\b0 \fs20 kondisi}{\b0 \fs20 selokan}{\b0 \fs20 buruk}{\b0 \fs20 p=0,0
14}{\b0 \fs20 OR=5,71;}{\b0 \fs20 95%}{\b0 \fs20 CI=1,42- }
{\b0 \fs20 23,01,}{\b0 \fs20 keberadaan}{\b0 \fs20 sampah}{\b0 \fs20 di}{\b0
\fs20 dalam}{\b0 \fs20 rumah}{\b0 \fs20 p=0,008}{\b0 \fs20 OR=7,76;}{\b0 \f
s20 95}{\b0 \fs20 %}{\b0 \fs20 CI=1,69-35,51,}{\b0 \fs20 keberadaan }
{\b0 \fs20 tikus}{\b0 \fs20 di}{\b0 \fs20 dalam}{\b0 \fs20 dan}{\b0 \fs20
sekitar}{\b0 \fs20 rumah}{\b0 \fs20 p=0,004}{\b0 \fs20 OR=10,34;}{\b0 \
fs20 95}{\b0 \fs20 %}{\b0 \fs20 CI=2,09-}{\b0 \fs20 51,19}{\b0 \fs20
kebiasaan}{\b0 \fs20 tidak }
{\b0 \fs20 memakai}{\b0 \fs20 alas}{\b0 \fs20 kaki}{\b0 \fs20 p=}{\b0 \fs
20 0,001}{\b0 \fs20 OR=24,04;}{\b0 \fs20 95}{\b0 \fs20 %}{\b0 \fs20 CI
=3,81-151,64,}{\b0 \fs20 kebiasaan}{\b0 \fs20 mandi/mencuci}{\b0 \fs20 di
}
{\b0 \fs20 sungai}{\b0 \fs20 p=0,001}{\b0 \fs20 OR=12,24;}{\b0 \fs20 95}{\b0
\fs20 %}{\b0 \fs20 CI=2,86-52,28}{\b0 \fs20 dan}{\b0 \fs20 tidak}{\b0 \fs20
ada}{\b0 \fs20 penyuluhan}{\b0 \fs20 tentang}{\b0 \fs20 leptospirosis }
{\b0 \fs20 p=0,022}{\b0 \fs20 OR=4,94;}{\b0 \fs20 95}{\b0 \fs20 %}{\b0 \fs20
CI=1,26-19,39. }
{\fs20 Simpulan}{\b0 \fs20 :}{\b0 \fs20 Faktor-faktor}{\b0 \fs20 risiko}{\b0
\fs20 yang}{\b0 \fs20 berpengaruh}{\b0 \fs20 terhadap}{\b0 \fs20 kejadian}{
\b0 \fs20 leptospirosis}{\b0 \fs20 adalah}{\b0 \fs20 faktor }
{\b0 \fs20 risiko}{\b0 \fs20 lingkungan}{\b0 \fs20 fisik,}{\b0 \fs20 fakto
r}{\b0 \fs20 risiko}{\b0 \fs20 lingkungan}{\b0 \fs20 biologi,}{\b0 \fs20 f
aktor}{\b0 \fs20 perilaku,}{\b0 \fs20 faktor}{\b0 \fs20 sosial}{\b0 \fs20
ekonomi }
{\b0 \fs20 dan}{\b0 \fs20 faktor}{\b0 \fs20 pelayanan}{\b0 \fs20 kesehatan.
}
{\fs20 Saran}{\fs20 :}{\b0 \fs20 Upaya}{\b0 \fs20 yang}{\b0 \fs20 perlu}{\b
0 \fs20 dilakukan}{\b0 \fs20 untuk}{\b0 \fs20 mencegah}{\b0 \fs20 penularan}
{\b0 \fs20 leptospirosis}{\b0 \fs20 antara}{\b0 \fs20 lain}{\b0 \fs20 menjag
a }
{\b0 \fs20 kebersihan}{\b0 \fs20 rumah}{\b0 \fs20 dan}{\b0 \fs20 lingkung
an,}{\b0 \fs20 penanganan}{\b0 \fs20 sampah}{\b0 \fs20 di}{\b0 \fs20 rum
ah}{\b0 \fs20 secara}{\b0 \fs20 benar,}{\b0 \fs20 memberantas }

{\b0 \fs20 tikus,}{\b0 \fs20 memakai}{\b0 \fs20 alas}{\b0 \fs20 kaki}{\b0
\fs20 pada}{\b0 \fs20 waktu}{\b0 \fs20 bekerja}{\b0 \fs20 dan}{\b0 \fs2
0 menghindari}{\b0 \fs20 kontak}{\b0 \fs20 air}{\b0 \fs20 sungai/air}{\b0
\fs20 tergenang }
{\b0 \fs20 apalagi}{\b0 \fs20 kalau}{\b0 \fs20 punya}{\b0 \fs20 luka}{\b0 \f
s20 terbuka. }
\cf0 {\fs20 Kata}{\fs20 kunci}{\b0 \fs20
:}{\b0 \fs20 leptospirosis,}{\
b0 \fs20 faktor-faktor}{\b0 \fs20 risiko }\par
}
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69fec01ff886ff00b3afff003b9afbfe8a00f803fe1d3bff0004b2ff00a469fec01ff886ff00b3af
ff003b9a3fe1d3bff04b2ffa469fec01ff00886ffb3aff00f3b9afbfe8a00f803fe1d3bff04b2ffa
469fec01ff00886ffb3aff00f3b9a3fe1d3bff0004b2ff00a469fec01ff886ff00b3afff003b9afb
fe8a00f803fe1d3bff0004b2ff00a469fec01ff886ff00b3afff003b9af40f85bff04f6fd817e077
8ef42f8a5f053f61efd903e0ff00c4df0bff0069ff00c233f117e16fecd3f05fe1ff008efc3bfdb7
a3ea1e1dd67fb0bc5de13f05691e20d23fb5fc3fabeaba16a7fd9fa85bfdbf47d4f50d32ebcdb2bd
b9825fafe8a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a
28a0028a28a0028a28a0028a28a00fffd9
}}\par}{\phpg\posx1795\pvpg\posy2492\absw7104\absh932 \f20 \fs12 \cf0 \f20 \fs12
\cf0 1{\fs19 Mahasiswa}{\fs19 Magister}{\fs19 Epidemiologi}{\fs19 Program}{
\fs19 Pascasarjana}{\fs19 UNDIP}{\fs19 Semarang. }
\par}{\phpg\posx1795\pvpg\posy2492\absw7104\absh932 \sl-254 \f20 \fs12 \cf0 {\up
006 2}{\fs19 Magister}{\fs19 Epidemiologi}{\fs19 Program}{\fs19 Pascasarjana
}{\fs19 UNDIP}{\fs19 Semarang. }
006 3}{\fs19 Magister}{\fs19 Epidemiologi}{\fs19 Program}{\fs19 Pascasarjana
}{\fs19 UNDIP}{\fs19 Semarang. }
006 4}{\fs19 Fakultas}{\fs19 Kedokteran}{\fs19 UNDIP}{\fs19 Semarang. }\par
}
{\phpg\posx1795\pvpg\posy3505\absw91\absh138 \f20 \fs12 \cf0 \f20 \fs12 \cf0 5 \
par
}
{\phpg\posx1920\pvpg\posy3533\absw5833\absh219 \f20 \fs19 \cf0 \f20 \fs19 \cf0 M
agister Epidemiologi Program Pascasarjana UNDIP Semarang \par
}
\cf0 PENDAHULUAN
\fi647 {\b0 Leptospirosis}{\b0 merupakan}{\b0 penyakit }
{\b0 infeksi}{\b0 pada}{\b0 manusia}{\b0 dan}{\b0
binatang}{\b0 yang }
{\b0 disebabkan}{\b0 oleh}{\b0 bakteri}{\b0 leptospira}{\b0 yang }
{\b0 berbentuk}{\b0
spiral}{\b0
dan}{\b0
bergerak}{\b0
aktif. }

{\b0 Leptospirosis}{\b0 merupakan}{\b0 zoonosis}{\b0 yang }\par
}
{\phpg\posx1795\pvpg\posy5719\absw2884\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p
aling tersebar luas di dunia. \par
}
enyakit
ini \par
}
{\phpg\posx4598\pvpg\posy5682\absw188\absh157 \f20 \fs14 \cf0 \f20 \fs14 \cf0 (1
) \par
}
{\phpg\posx4262\pvpg\posy5998\absw877\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 pe
rtama \par
}
{\phpg\posx5390\pvpg\posy5998\absw420\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ka
li \par
}
{\phpg\posx6494\pvpg\posy4063\absw4067\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m
asuk
lewat
kulit
yang
luka
atau \par
}
embran mukosa.
\par}{\phpg\posx6494\pvpg\posy4361\absw1914\absh489 \sl-278 \f20 \fs21 \cf0 \fi6
57 Di
negara \par
}
{\phpg\posx8308\pvpg\posy4305\absw1279\absh539 \f20 \fs15 \cf0 \f20 \fs15 \cf0 (
6,7)
59 {\fs21 subtropik, }\par
}
{\phpg\posx9806\pvpg\posy4639\absw763\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 in
feksi \par
}
{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \f20 \fs21 \cf0 \f20 \fs21 \cf0
leptospira jarang ditemukan, iklim yang
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-273 \f20 \fs21 \cf0 ses
uai untuk perkembangan leptospira
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 ada
lah udara yang hangat, tanah yang
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-273 \f20 \fs21 \cf0 bas
ah dan pH alkalis. Keadaan yang
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 dem
ikian
dapat
dijumpai
di
negara
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-292 \f20 \fs21 \cf0 tro
pik sepanjang tahun.
Di negara
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 ber
iklim tropik, kejadian leptospirosis
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 leb
ih banyak 1000 kali dibandingkan
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-273 \f20 \fs21 \cf0 den
gan negara subtropik dengan risiko
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-297 \f20 \fs21 \cf0 pen
yakit lebih berat.
Angka insiden
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 lep
tospirosis di negara tropik basah 5\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-297 \f20 \fs21 \cf0 20/
100.000 penduduk per tahun.
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 \fi
720 Leptospirosis tersebar di seluruh
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 dun

ia
termasuk
Indonesia.
Angka
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-273 \f20 \fs21 \cf0 ins
idensi leptospirosis di New Zealand
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 ant
ara tahun 1990 sampai 1998 sebesar
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-273 \f20 \fs21 \cf0 44
per
100.000
penduduk{\f10 .}
Angka
\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 ins
iden tertinggi terjadi pada pekerja \par
}
) \par
}
) \par
}
0) \par
}
{\phpg\posx6494\pvpg\posy9953\absw3045\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 y
ang
berhubungan
dengan
\par}{\phpg\posx6494\pvpg\posy9953\absw3045\absh489 \sl-278 \f20 \fs21 \cf0 (163
/100.000
penduduk), \par
}
{\phpg\posx9633\pvpg\posy9953\absw934\absh489 \f20 \fs21 \cf0 \fi167 \f20 \fs21
\cf0 daging
\par}{\phpg\posx9633\pvpg\posy9953\absw934\absh489 \sl-278 \f20 \fs21 \cf0 peter
nak \par
}
dilaporkan pada tahun 1886 o1eh Adolf
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 Wei
l dengan gejala panas tinggi disertai
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-273 \f20 \fs21 \cf0 beb
erapa gejala saraf serta pembesaran
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 hat
i dan limpa. Penyakit dengan gejala
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-273 \f20 \fs21 \cf0 ter
sebut di atas oleh Goldsmith (1887)
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 dis
ebut sebagai{\i "Weil's}{\i Disease".} Pada
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-273 \f20 \fs21 \cf0 tah
un 1915 Inada berhasil membuktikan
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 bah
wa{\i
"Weil's}{\i
Disease"}
disebabkan
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-273 \f20 \fs21 \cf0 ole
h
bakteri
Leptospira
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 {\i
icterohemorrhagiae}{\i \f10 .}Sejak itu beberapa
\par}{\phpg\posx1795\pvpg\posy6271\absw4220\absh2727 \sl-278 \f20 \fs21 \cf0 jen
is leptospira dapat diisolasi dengan \par
}
{\phpg\posx1795\pvpg\posy9329\absw3349\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 b
aik dari manusia maupun hewan. \par
}
{\phpg\posx2510\pvpg\posy9607\absw2149\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 S
istem
klasifikasi \par
}
,3) \par
}
{\phpg\posx4958\pvpg\posy9607\absw909\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 me
nurut \par
}
patogenitas, bakteri Leptospira terbagi
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-273 \f20 \fs21 \cf0 dua
yaitu{\i L.Interrogans} (patogen) dan
L.biflexa}
(non
patogen).
Spesies
Leptos}{\i pira}{\i interrogans}
sendiri terdiri
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-278 \f20 \fs21 \cf0 dar
i 25{\i serogroups} dan lebih dari 200
2049 {\fs15 (4) }
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-403 \f20 \fs21 \cf0 ser
ing menimbulkan penyakit berat dan
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-273 \f20 \fs21 \cf0 fat
al
adalah{\i
serotype}{\i
Leptospira }
icterohemorrhagiae}.
Leptospira
bisa
dapat pada binatang peliharaan seperti
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-278 \f20 \fs21 \cf0 anj
ing,
sapi,
babi,
kerbau,
maupun
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-273 \f20 \fs21 \cf0 bin
atang liar seperti tikus, musang, tupai
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-278 \f20 \fs21 \cf0 dan
sebagainya. Di dalam tubuh hewan\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-273 \f20 \fs21 \cf0 hew
an ini leptospira hidup di ginjal dan
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-297 \f20 \fs21 \cf0 air
kemih.
Manusia terinfeksi bakteri
tospira karena kontak dengan air atau
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-273 \f20 \fs21 \cf0 tan
ah yang terkontaminasi oleh urin atau
\par}{\phpg\posx1795\pvpg\posy9886\absw4266\absh4749 \sl-278 \f20 \fs21 \cf0 cai
ran tubuh lainnya dari hewan yang
infeksi bakteri leptospira. Leptospira \par
}
{\phpg\posx1795\pvpg\posy11227\absw2524\absh289 \i \f20 \fs21 \cf0 \i \f20 \fs21
\cf0 serotypes (serovars){\i0
. }\par
}
Yang paling \par
}
5) \par
}
(91,7/100.000 penduduk) dan pekerja
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 ya
ng berhubungan dengan hutan sebesar
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-172 \f20 \fs21 \cf0 \f
i3153 {\fs15 (11) }
,1 per 100.000 penduduk .

Di
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 In
donesia dilaporkan di dalam risalah
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 Pa
rtoatmodjo (1964) bahwa sejak 1936
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-273 \f20 \fs21 \cf0 te
lah
diisolasi
berbagai
serovar
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 le
ptospira, baik dari hewan liar maupun
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-273 \f20 \fs21 \cf0 he
wan
peliharaan.
Di
Indonesia
ptospirosis
tersebar
antara
lain
di
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-273 \f20 \fs21 \cf0 Pr
opinsi
Jawa
Barat,
Jawa
Tengah,
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 Da
erah
Istimewa
Yogyakarta,
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-273 \f20 \fs21 \cf0 La
mpung, Sumatera Selatan, Bengkulu,
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 Ri
au, Sumatera Barat, Sumatera Utara,
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-273 \f20 \fs21 \cf0 Ba
li, NTB, Sulawesi Selatan, Sulawesi
\par}{\phpg\posx6494\pvpg\posy10505\absw4237\absh3738 \sl-278 \f20 \fs21 \cf0 Ut
ara,Kalimantan Timur dan Kalimantan \par
}
{\phpg\posx6494\pvpg\posy14686\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 B
arat. \par
}
(12)
i134 {\fs21 Angka}{\fs21 kematian}{\fs21 leptospirosis}{\fs21 di }
\par}{\phpg\posx7079\pvpg\posy14630\absw3537\absh1200 \sl-364 \par\f20 \fs15 \cf
0 \fi3268 {\fs21 2 }\par
}
}}}\par
}
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
0011080349025303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
00ffd9
1 \cf0 Indonesia
termasuk
tinggi,
mencapai
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-278 \f20 \fs21 \cf0 2,5
-16,45%. Pada usia lebih dari 50
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-273 \f20 \fs21 \cf0 tah
un
kematian
mencapai
56%.
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-278 \f20 \fs21 \cf0 Pen
derita
Leptospirosis
yang
disertai
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-273 \f20 \fs21 \cf0 sel
aput
mata
berwarna
kuning
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-278 \f20 \fs21 \cf0 (ke
rusakanjaringan hati), risiko kematian
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-292 \f20 \fs21 \cf0 aka
n
lebih
tinggi.
Di
beberapa
\par}{\phpg\posx1795\pvpg\posy1778\absw4211\absh2247 \sl-283 \f20 \fs21 \cf0 pub
likasi angka kematian di laporkan
ara 3 % - 54 % tergantung sistem \par
}
2) \par
}
{\phpg\posx1795\pvpg\posy4308\absw2205\absh735 \f20 \fs21 \cf0 \f20 \fs21 \cf0 o
rgan yang terinfeksi.
20 Leptospirosis
\par}{\phpg\posx1795\pvpg\posy4308\absw2205\absh735 \sl-273 \f20 \fs21 \cf0 meny
erang
para \par
}
3) \par
}
karena leptospirosis termasuk penyakit

\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 yan
g jarang terjadi.
652 Populasi studi untuk kasus pada
elitian ini
adalah semua penderita
tospirosis yang ditemukan di rumah
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 sak
it yang di diagnosis secara klinis dan
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-273 \f20 \fs21 \cf0 lab
oratorik dengan uji serologi penyaring
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 men
ggunakan leptotek dri dot atau lepto
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-273 \f20 \fs21 \cf0 tek
lateral flow menderita leptospirosis
tercatat
dalam
medical
record.
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-273 \f20 \fs21 \cf0 Dat
a diambil dari catatan rekam medik
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 bul
an Pebruari 2007 - Maret 2008.
595 Sedangkan kontrol 1 adalah semua
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 pas
ien yang ditemukan di rumah sakit
g di diagnosis
secara klinis dan
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 lab
oratorik dengan uji serologi penyaring
ggunakan leptotek dri dot atau lepto
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 tek
lateral
flow
tidak
menderita
tospirosis dan tercatat dalam medical
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 rec
ord periode bulan Pebruari 2007 \par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-273 \f20 \fs21 \cf0 Mar
et 2008. Untuk kontrol 2 adalah
\par}{\phpg\posx6494\pvpg\posy1778\absw4281\absh5457 \sl-278 \f20 \fs21 \cf0 sem
ua
KK
atau
anggotanya
melalui \par
}
6) \par
}
emeriksaan
\par}{\phpg\posx6494\pvpg\posy7850\absw1275\absh489 \sl-278 \f20 \fs21 \cf0 wawa
ncara \par
}
\cf0 laboratorik
\par}{\phpg\posx7963\pvpg\posy7850\absw1363\absh489 \sl-278 \f20 \fs21 \cf0 deng
an
uji \par
}
{\phpg\posx9667\pvpg\posy7850\absw942\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 se
belum
serologi \par
}
tani, \par
}
{\phpg\posx4795\pvpg\posy4586\absw1066\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 u
mumnya
54 pekerja \par
}
perkebunan,
pekerja
tambang/selokan,
\par}{\phpg\posx1795\pvpg\posy5138\absw4126\absh1232 \sl-273 \f20 \fs21 \cf0 pek
erja rumah potong hewan dan militer.
\par}{\phpg\posx1795\pvpg\posy5138\absw4126\absh1232 \sl-278 \f20 \fs21 \cf0 Anc
aman ini berlaku pula bagi mereka
g
mempunyai
hobi
melakukan
\par}{\phpg\posx1795\pvpg\posy5138\absw4126\absh1232 \sl-278 \f20 \fs21 \cf0 akt
ivitas di danau atau di sungai seperti \par
}
erenang. \par
}
,14) \par
}
\cf0 Penyakit
leptospirosis
\par}{\phpg\posx1795\pvpg\posy6818\absw3478\absh485 \sl-273 \f20 \fs21 \cf0 kabu
paten
Demak
masih \par
}
\cf0 di
\par}{\phpg\posx5352\pvpg\posy6818\absw497\absh485 \sl-273 \f20 \fs21 \cf0 sulit
\par
}
dikendalikan hal ini berkaitan dengan
ataan
lingkungan
yang
kurang
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-278 \f20 \fs21 \cf0 mem
adai (Adipura urutan ke 33 dari 35
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-273 \f20 \fs21 \cf0 Kab
upaten kota), cakupan air
bersih
g rendah (42 %), status ekonomi
duduk
yang
masih
rendah
(KK
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-278 \f20 \fs21 \cf0 mis
kin
48%)
,status
gizi
kurang
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-273 \f20 \fs21 \cf0 (ke
luarga sadar gizi 11,7%) dan perilaku
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-278 \f20 \fs21 \cf0 mas
yarakat
yang
kurang
mendukung
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-273 \f20 \fs21 \cf0 pol
a hidup sehat ( PHBS 61,15 %) .
720 Penelitian
ini
bertujuan
untuk
buktikan bahwa faktor lingkungan

\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-278 \f20 \fs21 \cf0 (li
ngkungan fisik, biologi dan kimia),
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-273 \f20 \fs21 \cf0 fak
tor sosial ekonomi, faktor demografi,
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-278 \f20 \fs21 \cf0 fak
tor perilaku dan faktor pelayanan
\par}{\phpg\posx1795\pvpg\posy7370\absw4242\absh4213 \sl-273 \f20 \fs21 \cf0 kes
ehatan sebagai fakor risiko terjadinya
tospirosis. \par
}
5) \par
}
penyaring menggunakan leptotek dri dot
\par}{\phpg\posx6494\pvpg\posy8402\absw4339\absh3470 \sl-278 \f20 \fs21 \cf0 ata
u leptotek lateral flow tidak menderita
tospirosis
dan
bertempat
tinggal
\par}{\phpg\posx6494\pvpg\posy8402\absw4339\absh3470 \sl-278 \f20 \fs21 \cf0 dal
am 1 dasa wisma dengan kasus..
720 Rumus yang digunakan untuk
entukan
besar
sampel
minimal
lah hipoteis satu arah uji hipotesis
hadap kasus kontrol.
besar sampel
g digunakan sebanyak 41 kasus dan
kontrol.
715 Pengolahan
data
meliputi
\par}{\phpg\posx6494\pvpg\posy8402\absw4339\absh3470 \sl-278 \f20 \fs21 \cf0 C{\
i leaning,}{\i Editing,}{\i Coding,}{\i Tabulating, }
Entry}{\i Data.} Analisis data hasil penelitian
ggunakan program SPSS versi 11.5 \par
}
17) \par
}
disajikan
gatahui \par
}
{\phpg\posx7728\pvpg\posy12266\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 s
ecara \par
}
nivariat \par
}
ntuk \par
}
roporsi \par
}
masing-masing \par
}
1 \cf0 METODE PENELITIAN
\fi657 {\b0 Jenis}{\b0
penelitian}{\b0
yang}{\b0
digunakan }
{\b0 adalah}{\b0 penelitian}{\b0\i
explanatory}{\b0\i
research }
{\b0 dengan}{\b0
metode}{\b0
observasional}{\b0
serta }
{\b0 rancangan}{\b0
kasus}{\b0
kontrol,}{\b0
studi}{\b0
ini }
{\b0 menawarkan}{\b0 sejumlah}{\b0 keuntungan}{\b0 untuk }
{\b0 menilai}{\b0
hubungan}{\b0
antara}{\b0
paparan}{\b0
dan }
{\b0 penyakit}{\b0 dan}{\b0 relatif}{\b0 sangat}{\b0 efisien}{\b0 waktu
}
{\b0 dan}{\b0
biaya}{\b0
untuk}{\b0
kasus}{\b0
leptospirosis }\
par
}
variabel,
analisis
biavariat
digunakan
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-278 \f20 \fs21 \cf0 un
tuk mengetahui besar risiko ({\i Odds }
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-273 \f20 \fs21 \cf0 {\
i Ratio}) variabel bebas dengan terikat
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-278 \f20 \fs21 \cf0 se
cara
sendiri-sendiri
dengan
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-273 \f20 \fs21 \cf0 me
nggunakan uji{\i
Chi}{\i
Square} dengan
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-278 \f20 \fs21 \cf0 ti
ngkat
kemaknaan
{\field{\*\fldinst SYMBOL 97 \\f Symbol }}=0,05
dan
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-273 \f20 \fs21 \cf0 {\
i Confidence}{\i Interval} (CI)=95 . Analisis
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-278 \f20 \fs21 \cf0 mu
ltivariat digunakan untuk mengetahui
\par}{\phpg\posx6494\pvpg\posy12818\absw4266\absh2831 \sl-273 \f20 \fs21 \cf0 pe
ngaruh paparan secara bersama-sama
0 \fi3854 3 \par
}
}}}\par
}

ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
0011080349025303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
00ffd9
1 \cf0 dari beberapa faktor yang berpengaruh
hadap kejadian Leptospirosis.
Uji
\par}{\phpg\posx1795\pvpg\posy1778\absw4205\absh1729 \sl-273 \f20 \fs21 \cf0 sta
tistic yang digunakan adalah Regresi
\par}{\phpg\posx1795\pvpg\posy1778\absw4205\absh1729 \sl-278 \f20 \fs21 \cf0 Log
istik
Ganda
dengan
metode
backward}{\i
stepwise.}
Semua
variabel
\par}{\phpg\posx1795\pvpg\posy1778\absw4205\absh1729 \sl-278 \f20 \fs21 \cf0 beb
as
yang
telah
terpilih
(p<0,25)
\par}{\phpg\posx1795\pvpg\posy1778\absw4205\absh1729 \sl-273 \f20 \fs21 \cf0 dim
asukkan
secara
bersama-sama
ke \par
}
8) \par
}
{\phpg\posx1795\pvpg\posy3713\absw3349\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 d
alam
analisis
regresi,
dan \par
}
enunjukkan
\par}{\phpg\posx1795\pvpg\posy3986\absw1577\absh489 \sl-278 \f20 \fs21 \cf0 menj
adi model. \par
}
\cf0 nilai
\par}{\phpg\posx3283\pvpg\posy3986\absw627\absh374 \sl-167 \f20 \fs21 \cf0 {\fs1
4 (18) }\par
}
{\phpg\posx4152\pvpg\posy3986\absw803\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 p<
0,05 \par
}
\cf0 yang
\par}{\phpg\posx5140\pvpg\posy3713\absw714\absh485 \sl-273 \f20 \fs21 \cf0 dipil
ih \par
}
responden di sekitar rumahnya terdapat
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-278 \f20 \fs21 \cf0 gen
angan air.
720 Adanya
sampah dalam rumah
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-278 \f20 \fs21 \cf0 pad
a kelompok kasus sebanyak (73,2%)
pada kelompok kontrol sebanyak
,4%).
Hasil
analisis
menunjukkan
wa
ada
hubungan
antara
adanya
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-278 \f20 \fs21 \cf0 sam
pah dalam rumah dengan kejadian
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-273 \f20 \fs21 \cf0 Lep
tospirosis
(p=0,000).
Dengan
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-278 \f20 \fs21 \cf0 dem
ikian
responden
yang
di
dalam
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-273 \f20 \fs21 \cf0 rum
ahnya terdapat sampah akan berisiko
kena
Leptospirosis
8,46
kali
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-273 \f20 \fs21 \cf0 dib
andingkan dengan responden yang di
am rumahnya tidak ada sampah. (OR
\par}{\phpg\posx6494\pvpg\posy1778\absw4206\absh3716 \sl-273 \f20 \fs21 \cf0 : 8
,46; 95% CI : 3,59 - 19,88). \par
}
{\phpg\posx7214\pvpg\posy5921\absw1564\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 H
asil
analisis
84 selokan \par
}
{\phpg\posx6494\pvpg\posy6194\absw812\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ko
ndisi \par
}
\cf0 HASIL
\fi720 {\b0 Data}{\b0
di}{\b0
catatan}{\b0
rekam}{\b0
medis }
{\b0 Rumah}{\b0
sakit}{\b0
dan}{\b0
Dinas}{\b0
Kesehatan }
{\b0 Kabupaten}{\b0
Demak}{\b0
pada}{\b0
tahun}{\b0
2007 }
{\b0 menunjukkan}{\b0
kasus}{\b0
Leptospirosis }
{\b0 sebanyak}{\b0
30}{\b0
dan}{\b0
tahun}{\b0
2008}{\b0
sampai }
{\b0 dengan}{\b0 bulan}{\b0 Maret}{\b0 sebanyak}{\b0 40}{\b0 kasus. }\par
}
enunjukkan \par
}
{\phpg\posx8054\pvpg\posy6473\absw680\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ba
hwa \par
}
{\phpg\posx8932\pvpg\posy5921\absw543\absh735 \f20 \fs21 \cf0 \fi38 \f20 \fs21 \
cf0 pada
\par}{\phpg\posx8932\pvpg\posy5921\absw543\absh735 \sl-273 \f20 \fs21 \cf0 yang
\par}{\phpg\posx8932\pvpg\posy5921\absw543\absh735 \sl-278 \f20 \fs21 \cf0 ada \
par
}
\cf0 variabel
84 buruk
\par}{\phpg\posx9523\pvpg\posy5921\absw1026\absh735 \sl-278 \f20 \fs21 \cf0 hubu
ngan \par
}
antara
kondisi
selokan
yang
buruk
gan
kejadian
Leptospirosis
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 (p=
0,002). Dengan demikian responden
gan kondisi selokan yang buruk akan
isiko terkena Leptospirosis 3,28 kali
andingkan dengan responden yang
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 kon
disi selokannya baik. (OR : 3,28;
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 95%
CI : 1,49 - 7,17).
720 Untuk
variabel
jarak
rumah
gan selokan < 2 m hasil analisis
tistik menunjukkan bahwa tidak ada
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 hub
ungan antara jarak rumah dengan
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 sel
okan
<
2m
dengan
kejadian
tospirosis (p=0,789) (OR=0,89 95%

\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 CI=
0,41-1,96).
720 Curah hujan dalam analisa data
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 dik
ategorikan menjadi dua, yaitu curah
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 huj
an tinggi bila {\field{\*\fldinst SYMBOL 179 \\f Symbol }} 177,5 mm dan rendah
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 bil
a < 177,5 mm. Curah hujan
pada
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 kel
ompok kasus sebagian besar tinggi
,7%), dan pada kelompok kontrol
gan curah hujan tinggi sebesar 43,9
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-273 \f20 \fs21 \cf0 %.
Hasil analisis menunjukkan bahwa
hubungan antara curah hujan tinggi
gan kejadian Leptospirosis (p=0,005)
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 (OR
: 3,09; 95% CI: 1,39 - 6,88).
720 Untuk
variabel
kondisi TPS
\par}{\phpg\posx6494\pvpg\posy6746\absw4312\absh7194 \sl-278 \f20 \fs21 \cf0 bur
uk
dari
hasil
analisis
statistik
unjukkan bahwa tidak ada hubungan \par
}
{\phpg\posx6494\pvpg\posy14753\absw902\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 a
ntara
\par}{\phpg\posx6494\pvpg\posy14753\absw902\absh485 \sl-273 \f20 \fs21 \cf0 keja
dian \par
}
kondisi
TPS \par
}
uruk \par
}
engan \par
}
leptospirosis. \par
}
(p=0,781)
\par}{\phpg\posx9508\pvpg\posy15026\absw1119\absh843 \sl-336 \par\f20 \fs21 \cf0
\fi840 4 \par
}
\cf0 Analisis Bivariat
\fi657 {\b0 Faktor}{\b0
lingkungan}{\b0
fisik}{\b0
yang }
{\b0 diteliti}{\b0 meliputi}{\b0 :}{\b0
kondisi}{\b0
jalan}{\b0
bur
uk, }
{\b0 keberadaan}{\b0
genangan}{\b0
air,}{\b0
keberadaan }
{\b0 sampah}{\b0 dalam}{\b0 rumah,}{\b0
kondisi}{\b0 selokan }
{\b0 buruk,}{\b0 jarak}{\b0 rumah}{\b0 dengan}{\b0 selokan}{\b0 <}{\b0
2 }
{\b0 m,}{\b0 curah}{\b0 hujan}{\b0 {\field{\*\fldinst SYMBOL 179 \\f Symbol }
}}{\b0 177,5}{\b0 mm,}{\b0 kondisi}{\b0 TPS }
{\b0 buruk,}{\b0
dan}{\b0 ketinggian}{\b0 dari}{\b0 permukaan }
{\b0 laut}{\b0 <}{\b0 3,5}{\b0 m. }
\fi720 {\b0 Untuk}{\b0
variabel}{\b0
kondisi}{\b0
jalan }
{\b0 buruk}{\b0
hasil}{\b0
analisis}{\b0
statistik }
{\b0 menunjukkan}{\b0 bahwa}{\b0 tidak}{\b0 ada}{\b0 hubungan }
{\b0 antara}{\b0
kondisi}{\b0
jalan}{\b0
buruk}{\b0
dengan }\par
}
kejadian
Leptospirosis
=0,94 95% CI=0,42-2,09 \par
}
1 \cf0 Hasil
unjukkan \par
}
1 \cf0 analisis
wa
ada \par
}
(p=0,892)
\fi211 statistik
\par}{\phpg\posx4809\pvpg\posy11162\absw1119\absh986 \sl-278 \f20 \fs21 \cf0 hub
ungan \par
}
antara
adanya
genangan
air
dengan
\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-278 \f20 \fs21 \cf0 ke
jadian
Leptospirosis
(p=0,038).
\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-273 \f20 \fs21 \cf0 De
ngan demikian responden yang ada
\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-278 \f20 \fs21 \cf0 ge
nangan
air
disekitar
rumah
akan
\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-273 \f20 \fs21 \cf0 be
risiko terkena Leptospirosis 2,23 kali
\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-278 \f20 \fs21 \cf0 di
bandingkan dengan responden yang
dak ada genangan air

i720 Genangan air merupakan faktor \par
}
risko
Leptospirosis
jadinya
kasus \par
}
1 \cf0 karena
\par}{\phpg\posx4041\pvpg\posy14474\absw1038\absh489 \sl-278 \f20 \fs21 \cf0 seb
agian \par
}
\cf0 saat
\par}{\phpg\posx5265\pvpg\posy14474\absw597\absh489 \sl-278 \f20 \fs21 \cf0 besa
r \par
}
}}}\par
}
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
0011080349025303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
00ffd9
1 \cf0 (OR=0,89 95%CI=0,40-2,01). Demikian
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-278 \f20 \fs21 \cf0 jug
a
untuk
variabel
ketinggian
dari
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-273 \f20 \fs21 \cf0 per
mukaan laut < 3,5 m dari hasil
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-278 \f20 \fs21 \cf0 ana
lisis
statistik
menunjukkan
bahwa
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-273 \f20 \fs21 \cf0 tid
ak ada hubungan antara ketinggian
i permukaan laut < 3,5 m dengan
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-273 \f20 \fs21 \cf0 kej
adian
leptospirosis.
(p=0,702)
=1,16 95% CI=0,55-2,45).
720 Faktor lingkungan biologi yang
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-278 \f20 \fs21 \cf0 dit
eliti meliputi keberadaan tikus dalam
ah dan keberadaan binatang piaraan.
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-278 \f20 \fs21 \cf0 Has
il
analisis
statistik
menunjukkan
wa ada hubungan antara keberadaan
\par}{\phpg\posx1795\pvpg\posy1778\absw4264\absh3470 \sl-278 \f20 \fs21 \cf0 tik
us
dalam
rumah
dengan
kejadian \par
}
{\phpg\posx1795\pvpg\posy5642\absw3006\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 l
eptospirosis
(p=0,000).
\par}{\phpg\posx1795\pvpg\posy5642\absw3006\absh489 \sl-278 \f20 \fs21 \cf0 demi
kian
responden
yang \par
}
cf0 Dengan
\par}{\phpg\posx4992\pvpg\posy5642\absw869\absh489 \sl-278 \f20 \fs21 \cf0 didal
am \par
}
{\phpg\posx6494\pvpg\posy1778\absw4262\absh986 \f20 \fs21 \cf0 \f20 \fs21 \cf0 h
ubungan antara pendidikan rendah pada
\par}{\phpg\posx6494\pvpg\posy1778\absw4262\absh986 \sl-278 \f20 \fs21 \cf0 resp
onden dengan kejadian leptospirosis.
\par}{\phpg\posx6494\pvpg\posy1778\absw4262\absh986 \sl-273 \f20 \fs21 \cf0 (p=1
,000)
(OR=0,89
95%
CI=0,40\par}{\phpg\posx6494\pvpg\posy1778\absw4262\absh986 \sl-278 \f20 \fs21 \cf0 2,00
). \par
}
\cf0 Pekerjaan
\par}{\phpg\posx6494\pvpg\posy2882\absw1791\absh489 \sl-278 \f20 \fs21 \cf0 dika
tegorikan \par
}
\cf0 responden
\par}{\phpg\posx9287\pvpg\posy2882\absw1311\absh489 \sl-278 \f20 \fs21 \cf0 dua
yaitu \par
}
{\phpg\posx8164\pvpg\posy3161\absw877\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 me
njadi \par
}
pekerjaan berisiko (berhubungan dengan
/badan
air)
dan
pekerjaan
tidak
isiko
(tidak
berhubungan
dengan
/badan air). Hasil analisis statistik
unjukkan
ada
hubungan
antara
\par}{\phpg\posx6494\pvpg\posy3434\absw4310\absh4464 \sl-278 \f20 \fs21 \cf0 pek
erjaan
berisiko
dengan
kejadian
\par}{\phpg\posx6494\pvpg\posy3434\absw4310\absh4464 \sl-273 \f20 \fs21 \cf0 Lep
tospirosis (p= 0,000) (OR : 4,66 ;
CI : 2,09 - 10,39).
720 Penghasilan
responden
ategorikan
menjadi
dua
yaitu
<
\par}{\phpg\posx6494\pvpg\posy3434\absw4310\absh4464 \sl-273 \f20 \fs21 \cf0 Rp.
500.000,- dan {\field{\*\fldinst SYMBOL 179 \\f Symbol }} Rp.500.000,-. Dari
\par}{\phpg\posx6494\pvpg\posy3434\absw4310\absh4464 \sl-278 \f20 \fs21 \cf0 has
il analisis statistik menunjukkan tidak
hubungan
antara
penghasilan
<
\par}{\phpg\posx6494\pvpg\posy3434\absw4310\absh4464 \sl-278 \f20 \fs21 \cf0 Rp.
500.000,dengan
kejadian
tospirosis. (p=1,000) (OR=1,00 95%
0,47-2,12).
720 Variabel pada faktor demografi
g diteliti adalah jenis kelamin laki- \par
}
aki.
Dari
\par}{\phpg\posx6494\pvpg\posy8402\absw1335\absh489 \sl-278 \f20 \fs21 \cf0 menu
njukkan \par
}
{\phpg\posx7944\pvpg\posy8402\absw790\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ha
sil
0 bahwa \par
}
{\phpg\posx8697\pvpg\posy8402\absw821\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 an
alisis

5 ada \par
}
\cf0 statistik
ngan \par
}
rumahnya terdapat tikus akan berisiko
kena leptospirosis sebanyak 5,87 kali
anding
responden
yang
di
dalam
ahnya
tidak
ditemukan
us.(OR=5,87, 95% CI=2,59-13,33).
720 Untuk
variabel
keberadaan
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-273 \f20 \fs21 \cf0 bin
atang piaraan hasil analisis statistik
unjukkan bahwa tidak ada hubungan
ara
keberadaan
binatang
piaraan
gan kejadian leptospirosis. (p=0,687)
=1,18 95%CI=0,54-2,58).
720 Faktor lingkungan kimia yang
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-273 \f20 \fs21 \cf0 dit
eliti adalah pH tanah netral. Dari hasil
elitian menunjukkan bahwa kondisi
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-273 \f20 \fs21 \cf0 pH
tanah netral pada kasus sebesar 56,1
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-278 \f20 \fs21 \cf0 %
lebih tinggi dibanding pada kontrol
,0%),
hasil
analisis
statistik
unjukkan bahwa tidak ada hubungan
ara pH tanah netral dengan kejadian
tospirosis. (p=0,523) (OR=1,28 95%
0,60-2,72).
Hal
ini
mungkin
arenakan jumlah kasus terbesar ada di
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-273 \f20 \fs21 \cf0 Kec
amatan Bonang dengan ketinggian
ara 1-3 meter di atas permukaan laut,
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-273 \f20 \fs21 \cf0 seh
ingga
kemungkinan
masuknya
air
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187 \sl-278 \f20 \fs21 \cf0 lau
t ke darat sangat besar akibatnya pH
\par}{\phpg\posx1795\pvpg\posy6194\absw4310\absh8187
ah di daerah dekat laut menjadi basa.
720 Faktor
sosial
ekonomi
yang
eliti
meliputi
pendidikan
rendah,
erjaan berisiko dan penghasilan <
500.000,-. Untuk variabel pendidikan
dah (tidak lulus SMP) hasil analisis
tistik menunjukkan bahwa tidak ada \par
}
{\phpg\posx6494\pvpg\posy8954\absw4312\absh6308 \f20
antara jenis kelamin laki-laki dengan
adian
leptospirosis.
(p=0,002)
=3,59 95% CI=1,56-8,27). Dengan
ikian
responden
dengan
jenis
amin laki-laki memiliki risiko terkena
tospirosis
sebesar
3,59
kali
andingkan perempuan.
720 Untuk faktor perilaku variabel
g diteliti meliputi kebiasaan tidak
akai
alas
kaki
dan
kebiasaan
di/mencuci di sungai. Dari hasil
lisis statistik menunjukkan bahwa ada
ungan antara kebiasan tidak memakai
s
kaki
dengan
kejadian
tospirosis.(p=0,000) (OR=4,66 95%
2,07-10,51).
Dengan
demikian
ponden yang tidak memakai alas kaki
t bekerja mempunyai risiko terkena
tospirosis
4,66
kali
dibandingkan
gan yang memakai alas kaki saat
erja.
720 Untuk
variabel
kebiasaan
\sl-273 \f20 \fs21 \cf0 tan

\sl-278 \f20 \fs21 \cf0 \fi
\sl-273 \f20 \fs21 \cf0 dit
\sl-278 \f20 \fs21 \cf0 pek
\sl-273 \f20 \fs21 \cf0 Rp.
\sl-278 \f20 \fs21 \cf0 ren
\sl-273 \f20 \fs21 \cf0 sta
\fs21 \cf0 \f20 \fs21 \cf0
\sl-278 \f20 \fs21 \cf0 kej
\sl-273 \f20 \fs21 \cf0 (OR
\sl-278 \f20 \fs21 \cf0 dem
\sl-273 \f20 \fs21 \cf0 kel
\sl-278 \f20 \fs21 \cf0 lep
\sl-273 \f20 \fs21 \cf0 dib
\sl-278 \f20 \fs21 \cf0 \fi
\sl-273 \f20 \fs21 \cf0 yan
\sl-278 \f20 \fs21 \cf0 mem
\sl-273 \f20 \fs21 \cf0 man
\sl-278 \f20 \fs21 \cf0 ana
\sl-273 \f20 \fs21 \cf0 hub
\sl-278 \f20 \fs21 \cf0 ala
\sl-273 \f20 \fs21 \cf0 lep
\sl-278 \f20 \fs21 \cf0 CI=
\sl-273 \f20 \fs21 \cf0 res
\sl-278 \f20 \fs21 \cf0 saa
\sl-273 \f20 \fs21 \cf0 lep
\sl-278 \f20 \fs21 \cf0 den
\sl-273 \f20 \fs21 \cf0 bek
\sl-278 \f20 \fs21 \cf0 \fi
\sl-273 \f20 \fs21 \cf0 man
di/mencuci di sungai dari analisis

\fi3854 5 \par
}
}}}\par
}
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51451400514514005145140051451400514514005145140051451400514514005145140051451400
51451400514514005145140051451401ffd9
\cf0 statistik
ngan \par
}
enunjukkan
19 antara \par
}
hwa \par
}
{\phpg\posx5433\pvpg\posy1778\absw376\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ad
a \par
}
{\phpg\posx6494\pvpg\posy1778\absw795\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 te
ntang \par
}
eptospirosis \par
}
enyebabkan \par
}
andi/mencuci
dian \par
}
{\phpg\posx3600\pvpg\posy2330\absw228\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 di
\par
}
{\phpg\posx4118\pvpg\posy2330\absw705\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 su
ngai \par
}
{\phpg\posx4824\pvpg\posy2057\absw1039\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 k
ebiasaan
49 dengan \par
}
terjadinya leptospirosis sebesar 4,95 kali
anding
apabila
ada
penyuluhan.
\par}{\phpg\posx6494\pvpg\posy2057\absw4262\absh1232 \sl-278 \f20 \fs21 \cf0 (p=
0,000)
(OR=4,95
95%
CI=2,21\par}{\phpg\posx6494\pvpg\posy2057\absw4262\absh1232 \sl-273 \f20 \fs21 \cf0 11,
07). Hasil lengkap dapat dilihat pada
\par}{\phpg\posx6494\pvpg\posy2057\absw4262\absh1232 \sl-278 \f20 \fs21 \cf0 tab
el 1 berikut ini : \par
}
eptospirosis.(p=0,000) \par
}
OR=5,21 95% CI=2,31-11,72). Dengan
\par}{\phpg\posx1795\pvpg\posy2882\absw4253\absh489 \sl-278 \f20 \fs21 \cf0 demi
kian kebiasaan mandi/mencuci di \par
}
ungai
memiliki
risiko \par
}
eptospirosis
\par}{\phpg\posx1795\pvpg\posy3713\absw1335\absh485 \sl-273 \f20 \fs21 \cf0 diba
ndingkan \par
}
{\phpg\posx3432\pvpg\posy3713\absw828\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 se
besar
\par}{\phpg\posx3432\pvpg\posy3713\absw828\absh485 \sl-273 \f20 \fs21 \cf0 denga
n \par
}
cf0 5,21
\par
}
rkena
0 kali
0 tidak \par
}
emiliki kebiasaan mandi/mencuci di
\par}{\phpg\posx1795\pvpg\posy4265\absw4140\absh485 \sl-273 \f20 \fs21 \cf0 sung
ai. \par
}
{\phpg\posx4224\pvpg\posy5479\absw3939\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 T
abel 1. Ringkasan hasil uji{\i chi}{\i square }\par

}
{\phpg\posx3292\pvpg\posy6070\absw3608\absh6071 \b \f20 \fs21 \cf125 \fi1348 \b
\f20 \fs21 \cf125 Variabel
5 {\b0 \cf0 Kondisi}{\b0 \cf0 jalan}{\b0 \cf0 buruk }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 genangan}{\b0 \cf0 air }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 sampah}{\b0 \cf0 dalam}{\b0 \cf0 rumah }
5 {\b0 \cf0 Kondisi}{\b0 \cf0 selokan}{\b0 \cf0 buruk }
5 {\b0 \cf0 Jarak}{\b0 \cf0 rumah}{\b0 \cf0 dgn}{\b0 \cf0 selokan}{\b0 \cf0
<}{\b0 \cf0 2}{\b0 \cf0 m }
5 {\b0 \cf0 Curah}{\b0 \cf0 hujan}{\b0 \cf0 {\field{\*\fldinst SYMBOL 179 \\f
Symbol }}}{\b0 \cf0 177,5}{\b0 \cf0 mm }
5 {\b0 \cf0 Kondisi}{\b0 \cf0 TPS}{\b0 \cf0 Buruk }
5 {\b0 \cf0 Ketinggian}{\b0 \cf0 DPL}{\b0 \cf0 <}{\b0 \cf0 3,5}{\b0 \cf0 m }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 tikus }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 binatang}{\b0 \cf0 piaraan }
5 {\b0 \cf0 pH}{\b0 \cf0 tanah}{\b0 \cf0 netral }
5 {\b0 \cf0 Pendidikan}{\b0 \cf0 rendah }
5 {\b0 \cf0 Pekerjaan}{\b0 \cf0 berisiko }
5 {\b0 \cf0 Penghasilan}{\b0 \cf0 <}{\b0 \cf0 Rp.500.000,- }
5 {\b0 \cf0 Jenis}{\b0 \cf0 kelamin}{\b0 \cf0 laki-laki }
5 {\b0 \cf0 Kebiasaan}{\b0 \cf0 tidak}{\b0 \cf0 memakai}{\b0 \cf0 alas}{\b0 \
cf0 kaki }
5 {\b0 \cf0 Kebiasaan}{\b0 \cf0 mandi/mencuci}{\b0 \cf0 di}{\b0 \cf0 sungai }
5 {\b0 \cf0 Tidak}{\b0 \cf0 ada}{\b0 \cf0 penyuluhan }\par
}
{\phpg\posx7161\pvpg\posy6070\absw803\absh6114 \b \f20 \fs21 \cf125 \fi254 \b \f
20 \fs21 \cf125 P
\fi57 {\cf0 0,892 }
{\cf0 0,038* }
{\cf0 0,000* }
{\cf0 0,002* }
\fi57 {\cf0 0,789 }
{\cf0 0,005* }
\fi57 {\cf0 0,781 }
\par}{\phpg\posx7161\pvpg\posy6070\absw803\absh6114 \sl-364 \b \f20

\fi57 {\cf0 0,702 }
{\cf0 0,000* }
\fi57 {\cf0 0,687 }
\fi57 {\cf0 0,523 }
\fi57 {\cf0 1,000 }
{\cf0 0,000* }
\fi57 {\cf0 1,000 }
{\cf0 0,001* }
{\cf0 0,004* }
{\cf0 0,002* }
{\cf0 0,000* }\par
}
{\phpg\posx2716\pvpg\posy6070\absw368\absh6071 \b \f20 \fs21 \cf125
1 \cf125 No
\fi86 {\b0 \cf0 1 }
\fi86 {\b0 \cf0 2 }
\fi86 {\b0 \cf0 3 }
\fi86 {\b0 \cf0 4 }
\fi86 {\b0 \cf0 5 }
\fi86 {\b0 \cf0 6 }
\fi86 {\b0 \cf0 7 }
\fi86 {\b0 \cf0 8 }
\fi86 {\b0 \cf0 9 }
\fi28 {\b0 \cf0 10 }
\fi28 {\b0 \cf0 11 }
\fi28 {\b0 \cf0 12 }
\fi28 {\b0 \cf0 13 }
\fi28 {\b0 \cf0 14 }
\fi28 {\b0 \cf0 15 }
\fi28 {\b0 \cf0 16 }
\fi28 {\b0 \cf0 17 }
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\b \f20 \fs2
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fs21 \cf125
\fi28 {\b0 \cf0 18 }\par

}
{\phpg\posx8160\pvpg\posy6070\absw521\absh6114 \b \f20 \fs21 \cf125 \fi28 \b \f2
0 \fs21 \cf125 OR
{\cf0 0,94 }
{\cf0 2,23 }
{\cf0 8,46 }
{\cf0 3,28 }
{\cf0 0,89 }
{\cf0 3,09 }
{\cf0 0,89 }
{\cf0 1,16 }
{\cf0 5,87 }
{\cf0 1,18 }
{\cf0 1,28 }
{\cf0 0,89 }
{\cf0 4,66 }
{\cf0 1,00 }
{\cf0 3,59 }
{\cf0 4,66 }
{\cf0 5,21 }
{\cf0 4,95 }\par
}
{\phpg\posx8995\pvpg\posy6070\absw1155\absh6114 \b \f20 \fs21 \cf125 \fi148 \b \
f20 \fs21 \cf125 95%CI
5 \fi62 {\cf0 0,42-2,09 }
5 \fi62 {\cf0 1,04-4,80 }
5 {\cf0 3,59-19,88 }
5 \fi62 {\cf0 1,49-7,17 }
5 \fi62 {\cf0 0,41-1,96 }
5 \fi62 {\cf0 1,39-6,88 }
5 \fi62 {\cf0 0,40-2,01 }
5 \fi62 {\cf0 0,55-2,45 }
5 {\cf0 2,59-13,33 }
5 \fi62 {\cf0 0,54-2,58 }
5 \fi62 {\cf0 0,60-2,72 }
5 \fi62 {\cf0 0,40-2,00 }
5 {\cf0 2,09-10,39 }
5 \fi62 {\cf0 0,47-2,12 }
5 \fi62 {\cf0 1,56-8,27 }
5 {\cf0 2,07-10,51 }
5 {\cf0 2,31-11,72 }
5 {\cf0 2,21-11,07 }\par
}
Keterangan : * nilai p < 0,05 dari hasil Uji{\i Chi}{\i Square }\par
}
{\phpg\posx2515\pvpg\posy13922\absw680\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 U
ntuk \par
}
{\phpg\posx3672\pvpg\posy13922\absw672\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 f
aktor \par
}
pelayanan \par
}
kesehatan variabel yang diteliti adalah
ak
adanya
penyuluhan
tentang
tospirosis. Dari hasil analisis statistik
etahui bahwa tidak ada penyuluhan \par
}
Hasil analisis multivariat menunjukkan
\par}{\phpg\posx6494\pvpg\posy13922\absw4345\absh1837 \sl-278 \f20 \fs21 \cf0 ad
a 7 variabel independen yang dinilai
\par}{\phpg\posx6494\pvpg\posy13922\absw4345\absh1837 \sl-273 \f20 \fs21 \cf0 sa
ngat berpengaruh terhadap kejadian
ptospirosis
yaitu
pekerjaan
berisiko
\par}{\phpg\posx6494\pvpg\posy13922\absw4345\absh1837 \sl-273 \f20 \fs21 \cf0 (O
R:17,36;95%CI : 3,21-93,83), kondisi
0 \fi3854 6 \par
}
}}}\par
}
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97f8a5f9b0a28a2bb490a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a
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225ff82a6ffd2b2dfb7fff00e067ed15ff00d00b47fc43ce30ff00a147fe6432bffe6d0fad50ff00
9f9ff92cff00f913fb0fb7ff008f783feb8c5ffa02d4d5e79f08b5ff001df8afe147c31f14fc52f8
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bd1b0a28a2ba890a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a
28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803fffd9
1 \cf0 selokan
buruk
(OR:5,71;95%CI:1,42\par}{\phpg\posx1795\pvpg\posy1778\absw4313\absh2476 \sl-278 \f20 \fs21 \cf0 23,
01),
keberadaan
sampah
dalam
ah(OR :7,76; 95% CI : 1,69 - 35,51),
\par}{\phpg\posx1795\pvpg\posy1778\absw4313\absh2476 \sl-278 \f20 \fs21 \cf0 keb
eradaan tikus dalam rumah (OR:
\par}{\phpg\posx1795\pvpg\posy1778\absw4313\absh2476 \sl-273 \f20 \fs21 \cf0 10,
34; 95% CI : 2,09-51,19), kebiasaan
ak
memakai
alas
kaki
(OR:
04;95%CI:3,81-151,64),
kebiasaan
\par}{\phpg\posx1795\pvpg\posy1778\absw4313\absh2476 \sl-278 \f20 \fs21 \cf0 man
di/mencuci
di
sungai
(OR:12,24;
CI:2,86-52,28)
dan
tidak
ada
yuluhan
tentang
leptospirosis \par
}
yang buruk mempunyai risiko 5,7 kali
ih besar untuk terjadi leptospirosis
% CI 1,42-23,01). Kondisi selokan
g
buruk
di
lokasi
penelitian
\par}{\phpg\posx6494\pvpg\posy1778\absw4244\absh2226 \sl-273 \f20 \fs21 \cf0 dis
ebabkan karena rata-rata ketinggian
i
permukaan
laut
relatif
sama,
ingga prosentase kemiringin saluran
sangat kecil sehingga berpengaruh
hadap aliran air selokan. \par
}
(OR=4,94;95%CI:1,26-19,39).
\par}{\phpg\posx1795\pvpg\posy4538\absw6884\absh1375 \sl-278 \f20 \fs21 \cf0 Sel
engkapnya seperti tertera pada tabel 2
ikut ini :
\fi1627 Tabel 2. Ringkasan hasil uji statistik regresi logistik \par
}
1 \cf125 No
\fi86 {\b0 \cf0 1 }
\fi86 {\b0 \cf0 2 }
\fi86 {\b0 \cf0 3 }
\fi86 {\b0 \cf0 4 }

\fi86 {\b0 \cf0 5 }
\fi57 {\b0 \cf0 6 }
\fi86 {\b0 \cf0 7 }\par
}
{\phpg\posx2572\pvpg\posy6358\absw3608\absh2796 \b \f20 \fs21 \cf125 \fi1113 \b
\f20 \fs21 \cf125 Faktor Risiko
5 {\b0 \cf0 Pekerjaan}{\b0 \cf0 berisiko }
5 {\b0 \cf0 Kondisi}{\b0 \cf0 selokan}{\b0 \cf0 buruk }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 sampah}{\b0 \cf0 dalam}{\b0 \cf0 rumah }
5 {\b0 \cf0 Keberadaan}{\b0 \cf0 tikus}{\b0 \cf0 dalam}{\b0 \cf0 rumah }
5 {\b0 \cf0 Kebiasaan}{\b0 \cf0 tidak}{\b0 \cf0 memakai}{\b0 \cf0 alas}{\b0 \
cf0 kaki }
5 {\b0 \cf0 Kebiasaan}{\b0 \cf0 mandi/mencuci}{\b0 \cf0 di}{\b0 \cf0 sungai }
5 {\b0 \cf0 Tidak}{\b0 \cf0 ada}{\b0 \cf0 penyuluhan}{\b0 \cf0 tentang }
5 {\b0 \cf0 leptospirosis }
5 {\b0 \cf0 Konstanta }\par
}
20 \fs21 \cf125 B
\fi38 {\b0 \cf0 2,854 }
\fi38 {\b0 \cf0 1,743 }
\fi38 {\b0 \cf0 2,049 }
\fi38 {\b0 \cf0 2,336 }
\fi38 {\b0 \cf0 3,180 }
\fi38 {\b0 \cf0 2,504 }
\fi38 {\b0 \cf0 1,597 }
\par}{\phpg\posx6441\pvpg\posy6358\absw754\absh2796 \sl-275 \par\b \f20 \fs21 \c
f125 {\b0 \cf0 -6,687 }\par
}
{\phpg\posx7339\pvpg\posy6358\absw663\absh2299 \b \f20 \fs21 \cf125 \fi86 \b \f2
0 \fs21 \cf125 OR
{\b0 \cf0 17,36 }
\fi57 {\b0 \cf0 5,71 }
\fi57 {\b0 \cf0 7,76 }
{\b0 \cf0 10,34 }
{\b0 \cf0 24,04 }

{\b0 \cf0 12,24 }
\fi57 {\b0 \cf0 4,94 }\par
}
{\phpg\posx8184\pvpg\posy6358\absw1515\absh2299 \b \f20 \fs21 \cf125 \fi259 \b \
f20 \fs21 \cf125 95% CI
5 \fi62 {\b0 \cf0 3,21}{\b0 \cf0 -}{\b0 \cf0 93,83 }
5 \fi96 {\b0 \cf0 1,42}{\b0 \cf0 -}{\b0 \cf0 23,01 }
5 \fi62 {\b0 \cf0 1,69}{\b0 \cf0 -}{\b0 \cf0 35,51 }
5 \fi62 {\b0 \cf0 2,09}{\b0 \cf0 -}{\b0 \cf0 51,19 }
5 {\b0 \cf0 3,81}{\b0 \cf0 -}{\b0 \cf0 151,64 }
5 \fi62 {\b0 \cf0 2,86}{\b0 \cf0 -}{\b0 \cf0 52,28 }
5 \fi62 {\b0 \cf0 1,26}{\b0 \cf0 -}{\b0 \cf0 19,39 }\par
}
20 \fs21 \cf125 P
{\b0 \cf0 0,001* }
{\b0 \cf0 0,014* }
{\b0 \cf0 0,008* }
{\b0 \cf0 0,004* }
{\b0 \cf0 0,001* }
{\b0 \cf0 0,001* }
{\b0 \cf0 0,022* }\par
}
{\phpg\posx1833\pvpg\posy9555\absw4728\absh200 \f20 \fs18 \cf0 \f20 \fs18 \cf0 K
eterangan : * nilai p < 0,05 dari hasil Uji Regresi logistik \par
}
\cf0 PEMBAHASAN
\par}{\phpg\posx1795\pvpg\posy10342\absw1755\absh731 \sl-273 \par\b \f20 \fs21 \
cf0 \fi720 {\b0 Hasil }\par
}
{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \f20 \fs21 \cf0 \fi537 \f20 \fs
21 \cf0 Hasil penelitian ini sesuai dengan
nelitian
Soeharyo
(1997)
yang
nyatakan bahwa aliran selokan yang
\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-278 \f20 \fs21 \cf0 bu
ruk mempunyai risiko 3 kali lebih
sar
terjadi
leptospirosis.
\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-278 \f20 \fs21 \cf0 Ko
ndisi
sanitasi
yang
jelek
seperti
\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-273 \f20 \fs21 \cf0 ad

anya kumpulan sampah dan kehadiran
kus
merupakan
variabel determinan
\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-273 \f20 \fs21 \cf0 ka
sus leptospirosis. Adanya kumpulan
\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-278 \f20 \fs21 \cf0 sa
mpah dijadikan indikator kehadiran \par
}
(20) \par
}
{\phpg\posx6494\pvpg\posy13126\absw606\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 t
ikus. \par
}
21)
\par}{\phpg\posx7017\pvpg\posy13088\absw611\absh523 \sl-388 \f20 \fs14 \cf0 {\fs
21 Hasil }\par
}
nalisis \par
}
tatistik \par
}
nalisis \par
}
tatistik \par
}
menunjukkan bahwa pekerjaan berisiko
mpunyai risiko 17,36 kali (95% CI
211-93,829). Hal ini disebabkan pada
sus
dari
41
responden
65,9
%
antaranya memiliki pekerjaan sebagai
tani
dan
nelayan
sehingga
selalu
\par}{\phpg\posx1795\pvpg\posy11162\absw4264\absh2973 \sl-273 \f20 \fs21 \cf0 ko
ntak
dengan
air/badan
air.Hasil
nelitian ini sesuai dengan penelitian
\par}{\phpg\posx1795\pvpg\posy11162\absw4264\absh2973 \sl-273 \f20 \fs21 \cf0 Ag
ung
Prasetyo
(2006)
yang
nyatakan bahwa ada pengaruh antara
\par}{\phpg\posx1795\pvpg\posy11162\absw4264\absh2973 \sl-273 \f20 \fs21 \cf0 ak
tivitas
di
tempat
berair
dengan
jadian leptospirosis.(OR=14,20 95% \par
}
CI 5,18-38,94)
720 Hasil \par

}
50) \par
}
nalisis \par
}
tatistik \par
}
menunjukkan bahwa keberadaan sampah
dalam rumah pada kontrol 1 memiliki
\par}{\phpg\posx6494\pvpg\posy13678\absw4223\absh2057 \sl-273 \f20 \fs21 \cf0 ri
siko 10,9 kali lebih besar untuk terkena
ptospirosis
dibandingkan
dengan
\par}{\phpg\posx6494\pvpg\posy13678\absw4223\absh2057 \sl-273 \f20 \fs21 \cf0 ko
ndisi tidak ada sampah (OR=10,908
% CI 1,76-67,8 p=0,010), sedangkan
0 \fi3854 7 \par
}
menunjukkan
bahwa
kondisi
selokan \par
}
}}}\par
}
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
0011080349025303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
00ffd9
\cf0 pada \par
}
{\phpg\posx2505\pvpg\posy1778\absw998\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ga
bungan \par
}
ontrol
1 \par
}
{\phpg\posx4046\pvpg\posy2057\absw281\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 CI
\par
}
{\phpg\posx5030\pvpg\posy1778\absw393\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 da
n \par
}
{\phpg\posx5640\pvpg\posy1778\absw165\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 2
\par
}
OR=7,758 \par
}
% \par
}
,69-35,51) \par
}
penting untuk menghindari masuknya
\par}{\phpg\posx6494\pvpg\posy1778\absw4242\absh8935 \sl-278 \f20 \fs21 \cf0 bak
teri leptospira ke dalam tubuh.
657 Hasil
analisis
statistik
unjukkan
bahwa
kebiasaan
tidak
akai alas kaki saat bekerja pada
trol 1 mempunyai risiko 25,85
kali

% CI 3,19-209,03), pada kontrol 2
punyai risiko
8,1 kali (95 % CI
7-47,15) sedangkan pada gabungan
trol 1 dan 2 mempunyai risiko 24,04
i (95% CI 3,812-151,640). Hal ini
kait juga dengan pekerjaan responden
susnya pada kasus yang 65,9 %
ntaranya
berprofesi sebagai petani
nelayan yang jarang bahkan tidak
yang memakai pelindung/alas kaki
g kedap air.
777 Hasil penelitian ini bertentangan
gan penelitian Dwi Sarwani (2005)
g menyatakan bahwa
tidak ada
garuh antara aktivitas tidak memakai
s kaki di rumah atau tempat kerja
gan kejadian leptospirosis.
720 Kegiatan mencuci dan mandi di
gai dan danau akan berisiko terpapar
teri leptospira karena kemungkinan
jadi
kontak
dengan
urin
yang
kontaminasi bakteri leptospira akan
ih
besar.
Kontak
dengan
bakteri
tospira melalui pori-pori kulit yang
ak, selaput lendir, kulit kaki, tangan
tubuh yang
lecet. Selain
faktor
erjaan,
aktivitas
rekreasi
juga
pengaruh termasuk kontak dengan air
erti berenang, berkano dan aktivitas \par
}
\sl-278 \f20 \fs21 \cf0 (95

\sl-273 \f20 \fs21 \cf0 mem
\sl-278 \f20 \fs21 \cf0 1,3
\sl-273 \f20 \fs21 \cf0 kon
\sl-278 \f20 \fs21 \cf0 kal
\sl-273 \f20 \fs21 \cf0 ter
\sl-278 \f20 \fs21 \cf0 khu
\sl-273 \f20 \fs21 \cf0 dia
\sl-278 \f20 \fs21 \cf0 dan
\sl-273 \f20 \fs21 \cf0 ada
\sl-278 \f20 \fs21 \cf0 yan
\sl-273 \f20 \fs21 \cf0 \fi
\sl-278 \f20 \fs21 \cf0 den
\sl-273 \f20 \fs21 \cf0 yan
\sl-278 \f20 \fs21 \cf0 pen
\sl-273 \f20 \fs21 \cf0 ala
\sl-278 \f20 \fs21 \cf0 den
\sl-273 \f20 \fs21 \cf0 \fi
\sl-278 \f20 \fs21 \cf0 sun
\sl-273 \f20 \fs21 \cf0 bak
\sl-278 \f20 \fs21 \cf0 ter
\sl-273 \f20 \fs21 \cf0 ter
\sl-278 \f20 \fs21 \cf0 leb
\sl-273 \f20 \fs21 \cf0 lep
\sl-278 \f20 \fs21 \cf0 lun
\sl-273 \f20 \fs21 \cf0 dan
\sl-278 \f20 \fs21 \cf0 pek
\sl-273 \f20 \fs21 \cf0 ber
\sl-278 \f20 \fs21 \cf0 sep

3) \par
}
di sungai menjadi lebih signifikan. \par
}
1 \cf0 Hasil
unjukkan \par
}
\cf0 analisis
\par}{\phpg\posx8347\pvpg\posy11993\absw859\absh485 \sl-273 \f20 \fs21 \cf0 bahw
a \par
}
24) \par
}
1 \cf0 statistik
\par}{\phpg\posx9518\pvpg\posy11993\absw1065\absh485 \sl-273 \f20 \fs21 \cf0 keb
iasaan \par
}
ehingga hipotesis tentang keberadaan \par
}
ampah
merupakan
faktor
dian leptospirosis terbukti.
35 Hasil
penelitian
ini \par
}
cf0 risiko
\par}{\phpg\posx5174\pvpg\posy2609\absw703\absh735 \sl-275 \par\f20 \fs21 \cf0 s
esuai \par
}
engan penelitian terdahulu oleh Sarkar
0) di Salvador Brasil menyebutkan
\par}{\phpg\posx1795\pvpg\posy3434\absw4152\absh986 \sl-273 \f20 \fs21 \cf0 bahw
a kondisi sanitasi tempat tinggal
buruk
yaitu
adanya
kumpulan \par
}
ampah
merupakan
faktor \par
}
ejadian leptospirosis. \par
}
{\phpg\posx2515\pvpg\posy5090\absw613\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 Ti
kus \par
}
4) \par
}

empunyai \par
}
\cf0 risiko
\par}{\phpg\posx5006\pvpg\posy4538\absw871\absh735 \sl-275 \par\f20 \fs21 \cf0 p
eranan \par
}
penting pada saat Kejadian Luar
Biasa
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 (KL
B)
leptospirosis di DKI
Jakarta.
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 Tik
us
terutama{\i
Rattus}{\i
Norvegicus }
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 mer
upakan
reservoir
penting
dalam
ularan leptospirosis. Hasil
analisis
tistik
menunjukkan
bahwa
adanya
us di dalam dan sekitar rumah pada
trol 1 mempunyai risiko 7,62 kali
% CI 1,27-45,83), sedangkan pada
trol 2 mempunyai risiko 6,6 kali (95
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 %
CI 1,40-31,20) dan pada gabungan
trol 1 dan 2 mempunyai risiko 10,34
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 kal
i (95% CI 2,089-51,194).
777 Hasil penelitian ini mendukung
elitian
terdahulu
oleh
Agung
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 Pra
setyo(2006) bahwa adanya populasi
us di dalam rumah mempunyai risiko
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 5,1
7
kali
lebih
besar
untuk
terjadi
tospirosis.
Penelitian oleh Sarkar
00) menyebutkan melihat tikus di
am rumah mempunyai risiko 4,5 kali
oleh Bovet dkk (1998) di Seychelles
gan risiko 2,0 kali dengan adanya
us di dalam rumah.
Penelitian oleh
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 Mur

tiningsih (2003) di Yogyakarta dan
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 sek
itarnya
menyimpulkan
bahwa
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 dij
umpainya
tikus
di
dalam
rumah
ingkatkan risiko 7,4 kali kejadian
tospirosis.
657 Bakteri Leptospira bisa masuk ke
am tubuh melalui pori-pori kaki dan
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-273 \f20 \fs21 \cf0 tan
gan yang lama terendam air. Oleh
\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 seb
ab itu penggunaan alas kaki sangat \par
}
19) \par
}
14) \par
}
9) \par
}
22) \par
}
mandi/mencuci di sungai pada kontrol 1
mpunyai risiko 16,39 kali lebih besar
\par}{\phpg\posx6494\pvpg\posy12545\absw4277\absh2226 \sl-278 \f20 \fs21 \cf0 un
tuk terjadi leptospirosis (95 % CI
42-110,60), pada kontrol 2 mempunyai
\par}{\phpg\posx6494\pvpg\posy12545\absw4277\absh2226 \sl-278 \f20 \fs21 \cf0 ri
siko 12,03 kali (95 % CI 2,43-59,59)
\par}{\phpg\posx6494\pvpg\posy12545\absw4277\absh2226 \sl-273 \f20 \fs21 \cf0 se
dangkan pada gabungan kontrol 1 dan
mempunyai risiko 12,237 kali (95% CI
884-52,276). Hal ini terkait dengan
biasaan
masyarakat
Demak
yang \par
}
{\phpg\posx360\pvpg\posy15026\absw10201\absh1443 \f20 \fs21 \cf0 \fi6134 \f20 \f
s21 \cf0 masih
banyak
memanfaatkan
sungai
0 \fi9988 8
0 {\f10 PDF}{\f10 created}{\f10 with}{\f10 pdfFactory}{\f10 Pro}{\f10 trial
}{\f10 version}{\field{\*\fldinst {\b HYPERLINK}{\b "http://www.pdffactory.com"
}}
{\fldrslt{{\f10 \cf5 {\ul w}{\ul w}{\ul w}{\ul .}{\ul p}{\ul d}{\ul f}{\ul f}{\
ul a}{\ul c}{\ul t}{\ul o}{\ul r}{\ul y}{\ul .}{\ul c}{\ul o}m }
}}}\par
}
ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101
01010101010101010101010101010101010101010101010101010101010101010101010101010101
010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101
0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0
0011080349025303012200021101031101ffc4001f00000105010101010101000000000000000001
02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221
31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829
2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a
0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407
05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015
6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859
5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6
00ffd9
1 \cf0 untuk mandi maupun mencuci karena
ang
cakupan
air
bersih
masih
\par}{\phpg\posx1795\pvpg\posy1778\absw4185\absh1483 \sl-273 \f20 \fs21 \cf0 ren
dah (42 %) dan Cakupan PHBS baru
capai 61,15 %. Hasil penelitian ini
\par}{\phpg\posx1795\pvpg\posy1778\absw4185\absh1483 \sl-273 \f20 \fs21 \cf0 ses
uai dengan penelitian Agung Prasetyo
06)
yang menyatakan bahwa
ada \par
}
engaruh antara aktifitas di \par

}
{\phpg\posx1795\pvpg\posy3713\absw655\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 be
rair \par
}
{\phpg\posx3628\pvpg\posy3713\absw770\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 de
ngan \par
}
\cf0 tempat
\par}{\phpg\posx4953\pvpg\posy3434\absw912\absh489 \sl-278 \f20 \fs21 \cf0 kejad
ian \par
}
eptospirosis \par
}
alah \par
}
{\phpg\posx8976\pvpg\posy1778\absw91\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 : \
par
}
eberadaan \par
}
genangan air, curah hujan {\field{\*\fldinst SYMBOL 179 \\f Symbol }}177,5
mm
jenis kelamin laki-laki.
652 Probabilitas
terjadinya
tospirosis sebesar 99,99 % apabila
disi
selokan
buruk,
keberadaan
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-273 \f20 \fs21 \cf0 sam
pah dalam rumah, keberadaan tikus
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-278 \f20 \fs21 \cf0 did
alam dan sekitar rumah, kebiasaan
ak
memakai
alas
kaki,
kebiasaan
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-278 \f20 \fs21 \cf0 man
di/mencuci
di
sungai,
pekerjaan
isiko
dan tidak ada penyuluhan
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-278 \f20 \fs21 \cf0 ten
tang leptospirosis, sedangkan
0,001
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-273 \f20 \fs21 \cf0 % d
isebabkan oleh keberadaan genangan
, curah hujan {\field{\*\fldinst SYMBOL 179 \\f Symbol }}177,5 mm dan jeni
s
\par}{\phpg\posx6494\pvpg\posy2057\absw4230\absh3466 \sl-273 \f20 \fs21 \cf0 kel
amin laki-laki. \par
}
\cf0 Saran bagi masyarakat
\par}{\phpg\posx6494\pvpg\posy5921\absw3336\absh485 \sl-273 \f20 \fs21 \cf0 menj
aga
kebersihan
rumah \par
}
{\phpg\posx9988\pvpg\posy5921\absw547\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ya
itu
4 dan \par
}
leptospirosis.(OR=14,20, 95% CI 5,18\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-278 \f20 \fs21 \cf0 38,
94).
835 Penyuluhan
kesehatan
yang
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-278 \f20 \fs21 \cf0 mer
upakan
bagian
dari
promosi
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-273 \f20 \fs21 \cf0 kes
ehatan
adalah
rangkaian
kegiatan
g
berlandaskan
prinsip-prinsip
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-273 \f20 \fs21 \cf0 bel
ajar untuk mencapai suatu keadaan
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-278 \f20 \fs21 \cf0 dim
ana
individu,
kelompok
dan
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-273 \f20 \fs21 \cf0 mas
yarakat
secara
keseluruhan
dapat
\par}{\phpg\posx1795\pvpg\posy3986\absw4295\absh2476 \sl-278 \f20 \fs21 \cf0 hid
up sehat dengan cara memelihara, \par
}
elindungi
\par}{\phpg\posx1795\pvpg\posy6746\absw1335\absh986 \sl-278 \f20 \fs21 \cf0 kese
hatan.
15 Hasil
\par}{\phpg\posx1795\pvpg\posy6746\absw1335\absh986 \sl-278 \f20 \fs21 \cf0 menu
njukkan \par
}
5) \par
}
an
\fi187 analisis \par
}
hwa \par
}
eningkatkan
\fi609 statistik \par
}
{\phpg\posx4310\pvpg\posy7577\absw547\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 ti
dak \par
}
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a laksana kasus sesuai SOP yang ada
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\par}{\phpg\posx9374\pvpg\posy2609\absw1164\absh485 \sl-273 \i \f20 \fs21 \cf0 \
fi182 {\i0 Tropical }\par
}
1 \cf0 Medicine and Hygiene, 1992, pp :
360 13-22.
\par}{\phpg\posx6494\pvpg\posy3161\absw4155\absh3846 \sl-326 \f20 \fs21 \cf0 9.
Bovet.P., et al.,{\i Factor}{\i Assosiated }
360 {\i with}{\i
Clinical}{\i
Leptospirosis},
A
360 Population Based Control Study in
360 Seychelles,
American
Journal
360 Tropical
Medicine
and
Hygiene,
360 1999, pp : 583-590.
Hatta M.dkk.{\i Detection}{\i of}{\i IgM}{\i to }
360 {\i Leptospira}{\i Agent}{\i with}{\i ELISA}{\i ang }
360 {\i Leptodipstick}{\i
Method},
Ebers
360 Papyrus,
Jurnal
Kedokteran
dan
360 Kesehatan
FK
Universitas
360 Tarumanegara , Vol.1 Maret 2002.
Thornley,
C.N
et
al.,{\i
Changing }\par
}
\cf0 Epidemiology
eptospirosis \par
}
cf0 of \par
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}
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ospirosis dengan lintas program dan
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as sektor terkait lebih efektif dan
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ien. \par
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\cf0 DAFTAR PUSTAKA \par
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. P.E.C
60 {\i Tropical }\par
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anson-Bahr{\i , }
64 {\i Disease, }\par
}
{\phpg\posx4632\pvpg\posy6521\absw1336\absh485 \i \f20 \fs21 \cf0 \fi95 \i \f20
\fs21 \cf0 Manson's
\i0 Eighteenth }\par

}
1 \cf0 Edition , The English Language
360 Book Society and Bailliere Tindall
360 -London 1982, pp : 425-426.
Anonymous,{\i Human}{\i Leptospirosis} : \par
}
{\phpg\posx2155\pvpg\posy8225\absw1260\absh485 \f20 \fs21 \cf0 \f20 \fs21 \cf0 G
uidance
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eillance \par
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iagnosis,
25 Control, \par
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\cf0 Epidemiology Inect, 2002.
Widarso
HS
dan \par
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ebijaksanaan \par
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\cf0 Wilfried,
\par}{\phpg\posx9196\pvpg\posy8321\absw1309\absh485 \sl-273 \f20 \fs21 \cf0 Depa
rtemen \par
}
1 \cf0 International Leptospirosis Society,
360 WHO, 2003.
Levett,{\i
Leptospirosis},
Clinical
360 Microbiology Reviews, 2001,pp :
360 296-326
Speelman
Peter,{\i
Leptospirosis},
360 Harrison's
Principles
of
Internal
360 Medicine, edisi 16, Mc. Graw-Hill,
360 New York, 2005, pp : 988-991.
Halo Internis,{\i Ulah}{\i Leptospirosis} ,
360 tahun 1 edisi ke-2/April-Juni 2004.

Ashford
D.A.et.al.,{\i Asymtomatic }
360 {\i Infection}{\i
and}{\i
Risk}{\i
Factors}{\i
for }\par
}
\cf0 Leptospirosis
\par}{\phpg\posx2155\pvpg\posy12554\absw1440\absh489 \sl-278 \i \f20 \fs21 \cf0
{\i0 American }\par
}
\fs21 \cf0 in
\i0 Journal }\par
}
\cf0 Nicaragua{\i0 , }
\fi273 {\i0 Tropical }\par
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esehatan dalam Penanggulangan \par
}
{\phpg\posx6854\pvpg\posy9146\absw1410\absh489 \f20 \fs21 \cf0 \f20 \fs21 \cf0 L
eptospirosis
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ulan \par
}
\cf0 di
\par}{\phpg\posx8150\pvpg\posy9146\absw925\absh489 \sl-278 \f20 \fs21 \cf0 Makal
ah \par
}
{\phpg\posx6854\pvpg\posy9698\absw1470\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 L
eptospirosis, \par
}
{\phpg\posx8582\pvpg\posy9698\absw680\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 Ba
dan \par
}
\cf0 Indonesia,
\par}{\phpg\posx9278\pvpg\posy9146\absw1231\absh735 \sl-278 \f20 \fs21 \cf0 Simp
osium
88 Penerbit \par
}
1 \cf0 Universitas Diponegoro, 2002.
Esen Saban et al.,{\i Impact}{\i of}{\i Clinical }
360 {\i and}{\i
Laboratory}{\i
Findings}{\i
on }
360 {\i Prognosis}{\i
in}{\i
Leptospirosis}, Swiss
360 Medical Weekly, 2004, pp:347-352.
Sarkar Urmimala et al.,{\i Population- }
360 {\i Based}{\i Case-Control}{\i Investigation}{\i of }\par

}
\cf0 Risk
\par}{\phpg\posx6854\pvpg\posy12002\absw787\absh489 \sl-278 \i \f20 \fs21 \cf0 d
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\cf0 an \par
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American \par
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\cf0 Urban
fi71 {\i0 Journal }\par
}
\cf0 Leptospirosis
\fi321 Epidemic{\i0 , }
\fi475 {\i0 Tropical }\par
}
21 \cf0 Medicine and Hygiene , 2000, pp :
i360 249-254.
Anonymous,{\i
Leptospirosis},
i360 Harrison's
Manual
of
Medicine
i360 International edition, Mc Graw \par}{\phpg\posx1795\pvpg\posy13106\absw4167\absh1526 \sl-278 \f20 \fs21 \cf0 \f
i360 Hill, New York, 2002, 463-464. \par
}
Medicine and Hygiene, 2002, pp
\par}{\phpg\posx6854\pvpg\posy12833\absw3693\absh485 \sl-273 \f20 \fs21 \cf0 :60
5-610. \par
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15. Dinkes
359 {\i Kesehatan }\par
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ab. \par
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emak, \par
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\cf0 Demak{\i0 ,2006. }\par
}
10 \par
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00ffd9
\cf0 16. Hennekens, C.H., Buring, \par
}
cf0 Case \par
}
0 \fs21 \cf0 Control Studies,{\i0
Epidemiology}{\i0
In }
\fi360 {\i0 Medicine,}{\i0
Little,}{\i0
Brown}{\i0
and }
\fi360 {\i0 Company}{\i0 Boston/Toronto,}{\i0 1987,}{\i0 pp }
\fi360 {\i0 132-150. }
{\i0 17.}{\i0 Lameshow}{\i0
S,}{\i0
et}{\i0
al,} Besar Sampel
\fi360 dalam
Penelitian
Kesehatan{\i0 , }
\fi360 {\i0 diterjemahkan}{\i0 oleh}{\i0 Pramono,}{\i0 Gadjah }
\fi360 {\i0 Mada}{\i0 University}{\i0 Press,}{\i0 Yogyakarta, }
\fi360 {\i0 1997 }
{\i0 18.}{\i0 Murti}{\i0
B,} Analisis Regresi Ganda
\fi360 Logistik{\i0 ,}{\i0
Prinsip}{\i0 dan}{\i0 Metode}{\i0 Riset }
\fi360 {\i0 Epidemiologi,}{\i0
Gadjah}{\i0
Mada }
\fi360 {\i0 University}{\i0 Press,}{\i0 1997,}{\i0 Yogyakarta, }
\fi360 {\i0 pp}{\i0 :}{\i0 367-388 }
{\i0 19.}{\i0 Agung}{\i0 Prasetyo,} Faktor-faktor risiko
\fi360 leptospirosis berat di kota Semarang,
\fi360 {\i0 Tesis,}{\i0
Bagian}{\i0 /SMF}{\i0 Ilmu}{\i0 Penyakit }
\fi360 {\i0 Dalam}{\i0 ,}{\i0 FK}{\i0 Undip,}{\i0 RSDK,}{\i0 2006. }
{\i0 20.}{\i0 Hadisaputro}{\i0 S.,} Faktor-faktor Risiko \par
}
\cf0 Leptospirosis,
\par}{\phpg\posx2155\pvpg\posy7346\absw2100\absh735 \sl-278 \i \f20 \fs21 \cf0 M
akalahSimposium
\i0 Badan}{\i0
Penerbit }\par
}
\fs21 \cf0 Kumpulan
eptospirosis{\i0 , }
fi254 {\i0 Universitas }\par

}
24. Sekhar WY.et al,{\i
Leptospirosis}{\i in }
360 {\i Kuala}{\i Lumpur}{\i and}{\i the}{\i Comparative }
360 {\i Evaluation}{\i
of}{\i
Two}{\i
Rapid }
360 {\i Commercial}{\i Diagnostic}{\i Kits}{\i Against }
360 {\i the}{\i MAT}{\i test}{\i for}{\i the}{\i Detection}{\i of }\
par
}
\cf0 Antibodies
\par}{\phpg\posx6854\pvpg\posy3161\absw1317\absh485 \sl-273 \i \f20 \fs21 \cf0 I
nterrogans{\i0 , }\par
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\fs21 \cf0 to
\i0 Singapore }\par
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fi249 {\i0 Medical }\par
}
{\phpg\posx6854\pvpg\posy3713\absw3618\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 J
ournal, Vol 4, 2000, pp : 370-375. \par
}
5. Soekidjo
60 {\i Pendidikan }\par
}
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otoatmojo.
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\cf0 2003.
\par}{\phpg\posx9542\pvpg\posy4034\absw982\absh489 \sl-278 \f20 \fs21 \cf0 {\i P
erilaku }\par
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\cf0 Kesehatan{\i0 .}{\i0 Jakarta:}{\i0 Rineka}{\i0 Cipta. }\par
}
1 \cf0 Diponegoro, 2002.
Barcellos C and Sabroza P.C., The
360 Place
Behind
the
Case
:
360 {\i Leptospirosis}{\i Risks}{\i and}{\i Associated }
360 {\i Environment}{\i Conditions}{\i in}{\i a}{\i Flood }

360 {\i related}{\i Outbreak}{\i in}{\i Rio}{\i de}{\i Jenero},
360 San Saude Publica, Brazil, 2001, pp
360 : 59-67.
Murtiningsih, Berty, 2003.{\i
Faktor }
360 {\i Risiko}{\i
Leptospirosis}{\i
di}{\i
Provinsi }
360 {\i Yogyakarta}{\i dan}{\i Sekitarnya}. Program \par
}
Pasca
Sarjana
Ilmu
\par}{\phpg\posx2155\pvpg\posy11258\absw2698\absh489 \sl-278 \f20 \fs21 \cf0 Mas
yarakat,
Universitas \par
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Kesehatan
302 Gadjah \par
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21 \cf0 Mada, Yogyakarta.
. Dwi Sarwani SR,{\i
Faktor}{\i
Risiko }
i360 {\i Lingkungan}{\i
Yang}{\i
Berpengaruh }
i360 {\i Terhadap}{\i
Kejadian}{\i
Leptospirosis }
i360 {\i Berat}{\i
(Studi}{\i
kasus}{\i
di}{\i
RSDK }
i360 {\i Semarang),} Tesis, Program Studi
i360 Epidemiologi PPS Undip 2005. \par
}
11 \par
}
}}}\par
}
}

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{\fonttbl{\f11\fswiss\fcharset0 Arial Narrow;}{\f10\fswiss\fcharset0 Arial;}{\f1

\par}{\phpg\posx1795\pvpg\posy1783\absw9244\absh10793 \sl-254 \b \f20 \fs22 \cf0

laboratorik}{\b0 \fs20 tidak}{\b0 \fs20 menderita}{\b0 \fs20 leptospiros

ah}{\b0 \fs20 secara}{\b0 \fs20 benar,}{\b0 \fs20 memberantas }

\par}{\phpg\posx1795\pvpg\posy4068\absw4187\absh1478 \sl-278 \b \f20 \fs21 \cf0

\par}{\phpg\posx6494\pvpg\posy4918\absw4207\absh4524 \sl-278 \f20 \fs21 \cf0 dun

,1 per 100.000 penduduk .

karena leptospirosis termasuk penyakit

buktikan bahwa faktor lingkungan

{\*\shppict {\pict\jpegblip\picw595 \pich841

tospirosis (p=0,789) (OR=0,89 95%

\par}{\phpg\posx1795\pvpg\posy12266\absw4264\absh1980 \sl-278 \f20 \fs21 \cf0 \f

\par}{\phpg\posx8697\pvpg\posy8402\absw821\absh489 \sl-278 \f20 \fs21 \cf0 \fi23

\sl-273 \f20 \fs21 \cf0 tan

di/mencuci di sungai dari analisis

abel 1. Ringkasan hasil uji{\i chi}{\i square }\par

\par}{\phpg\posx7161\pvpg\posy6070\absw803\absh6114 \sl-364 \b \f20

\fi28 {\b0 \cf0 18 }\par

\fi86 {\b0 \cf0 4 }

{\b0 \cf0 24,04 }

\par}{\phpg\posx6494\pvpg\posy10366\absw4172\absh2476 \sl-273 \f20 \fs21 \cf0 ad

720 Hasil \par

ih besar untuk terjadi leptospirosis

\sl-278 \f20 \fs21 \cf0 (95

{\phpg\posx9388\pvpg\posy8091\absw269\absh157 \f20 \fs14 \cf0 \f20 \fs14 \cf0 (2

{\phpg\posx3470\pvpg\posy5090\absw1247\absh239 \f20 \fs21 \cf0 \f20 \fs21 \cf0 m

\par}{\phpg\posx1795\pvpg\posy5369\absw4228\absh8684 \sl-278 \f20 \fs21 \cf0 Mur

engaruh antara aktifitas di \par

\sl-278 \f20 \fs21 \cf0 kon

nyuluhan tentang leptospirosis.

\par}{\phpg\posx1795\pvpg\posy3713\absw1200\absh735 \sl-278 \f20 \fs21 \cf0 surv

\i0 Eighteenth }\par

360 tahun 1 edisi ke-2/April-Juni 2004.

360 {\i Based}{\i Case-Control}{\i Investigation}{\i of }\par

{\phpg\posx8222\pvpg\posy13706\absw1247\absh239 \i \f20 \fs21 \cf0 \i \f20 \fs21

fi254 {\i0 Universitas }\par

\par}{\phpg\posx1795\pvpg\posy8177\absw4327\absh2766 \sl-273 \f20 \fs21 \cf0 \fi

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