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NASKAH PUBLIKASI

HUBUNGAN ANTARA USIA DENGAN OTITIS MEDIA AKUT PADA PASIEN


RIWAYAT ISPA DI RSUD Dr. M.YUNUS
BENGKULU TAHUN 2012

Ike Annisa Yuwelza (H1A009021) dkk

PROGRAM STUDI PENDIDIKAN DOKTER


FAKULTAS KEDOKTERAN & ILMU KESEHATAN
UNIVERSITAS BENGKULU
BENGKULU
2014

HUBUNGAN ANTARA USIA DENGAN OTITIS MEDIA AKUT PADA PASIEN


RIWAYAT ISPA DI RSUD Dr. M.YUNUS
BENGKULU TAHUN 2012

The relationship between age with Acute Otitis Media in patients with a history of respiratory
infection In Hospital . M. Yunus Bengkulu period 2012
Ike Annisa Yuwelza*), dr. Afif Rahmawan, SpTHT, M.Kes**),
dr. Suryo Bantolo, S.Psi, M.Sc, Sp.S***)
*) Fakultas Kedokteran Universitas Bengkulu,
**) Dokter Spesialis THT RSUD Dr.M.Yunus Bengkulu
***) Dokter Spesialis Saraf RSUD Dr.M.Yunus Bengkulu
ABSTRAK
Ike Annisa Yuwelza. H1A009021. 2014. : Hubungan antara Usia dengan Otitis Media Akut
pada pasien riwayat ISPA di RSUD dr. M.Yunus Bengkulu Tahun 2012.Skripsi. Fakultas
Kedokteran dan Ilmu Kesehatan, Universitas Bengkulu, Bengkulu.
Latar Belakang: Otitis media akut (OMA) adalah salah satu infeksi bakteri yang paling
sering terjadi pada anak-anak. Dibandingkan dengan dewasa, anak-anak memiliki faktor
predisposisi OMA. Penyakit ini terjadi terutama pada anak dari lahir sampai umur sekitar
7 tahun, dan Studi menunjukkan bahwa semakin lama anak menderita otitis media, maka
semakin berkurang kemampuan intelektualnya, juga kemampuan bicara dan bahasanya.
Metode: Jenis penelitian ini adalah studi deskriptif analitik dengan desain cross sectional.
Sampel diperoleh dengan teknik consecutive sampling, berjumlah 96 orang. Data penelitian
dianalisa dengan uji statistik chi square pada tingkat kemaknaan p<0,05.
Hasil: Dari 96 responden sebagian besar terdapat 56 responden (58,3%) dengan usia pada
anak,sisanya 40 responden (41,7%) usia dewasa. Dari 96 responden sebagian besar terdapat
51 responden (53,1%) dengan Otitis Media Akut (+) dan sisanya 45 responden (46,9%)
dengan Otitis Media akut (-). Hasil uji statistik chi square Ada hubungan yang signifikan
antara usia dengan otitis media akut di RSUD Dr. M. Yunus Bengkulu tahun 2012, dengan
nilai RP (Ratio Prevalensi) : 10,333 kali lipat.
Simpulan: Kejadian terbanyak Otitis Media Akut adalah pada usia anak. Terdapat hubungan
bermakna antara usia dengan otitis media akut (p=0,000, Cl=95%) dengan dengan nilai RP =
10,333 kali lipat.
Kata kunci: Otitis Media Akut, usia

HUBUNGAN ANTARA USIA DENGAN OTITIS MEDIA AKUT PADA PASIEN


RIWAYAT ISPA DI RSUD Dr. M.YUNUS

BENGKULU TAHUN 2012


The relationship between age with Acute Otitis Media in patients with a history of respiratory
infection In Hospital . M. Yunus Bengkulu period 2012
Ike Annisa Yuwelza*), dr. Afif Rahmawan, SpTHT, M.Kes**),
dr. Suryo Bantolo, S.Psi, M.Sc, Sp.S***)
*) Fakultas Kedokteran Universitas Bengkulu,
**) Dokter Spesialis THT RSUD Dr.M.Yunus Bengkulu
***) Dokter Spesialis Saraf RSUD Dr.M.Yunus Bengkulu
ABSTRACT
Ike Annisa Yuwelza. H1A009021. 2014.The relationship between age with Acute Otitis
Media in patients with a history of respiratory infection In Hospital . M. Yunus Bengkulu
period 2012. Thesis . Faculty of Medicine and Health Sciences , University of Bengkulu ,
Bengkulu.
Background: Acute otitis media (AOM) is a bacterial infection that most occurs in children.
Compared to adults, children have a predisposing factor OMA. This disease occurs mainly in
children from birth to the age of about 7 years, and studies show that the longer a child is
suffering from otitis media, the more diminished intellectual abilities, speech and language as
well.
Methods: Research design was analytical descriptive study with cross sectional method
Samples were taken with consecutive sampling method, with total of 96 cases. Research were
analyzed using chi-square statistical test at a significance level of p <0.05.
Results: Of the 96 respondents largely contained 56 respondents (58.3%) with the age of the
child, the remaining 40 respondents (41.7%) adults. Of the 96 respondents largely contained
51 respondents (53.1%) with Acute Otitis Media (+) and the remaining 45 respondents
(46.9%) with acute otitis media (-). The results of chi-square statistical test There is a
significant relationship between age with acute otitis media in Hospital Dr. M. Yunus
Bengkulu in 2012, with a value of RP (Prevalence Rate): 10.333 fold.
Conclusion: Highest incidence of Acute Otitis Media is the age of child. There is a
significant relationship between age with acute otitis media (p = 0.000, CI = 95%) with the
value of RP = 10.333 times.
.Keywords: Acute Otitis Media, age

DAFTAR PUSTAKA

Adams George L, Boies Lawrence R, Higler Peter H (1997). Boies : Buku Ajar penyakit
THT. Edisi 6. Jakarta : EGC. pp: 135-142
American Academy of Pediatrics and American Academy of Family Physicians. (2004).
Diagnosis and management of acute otitis media. Clinical practice guideline.
Pediatrics 113(5):1451-1465.
Barry G, Lesley JS, Simon H dan Hannah FJ (2012). The incidence of acute otitis media in
New Zealand children under five years of age in the primary care setting. Journal Of
Primary Health Care 2012;4(3):205212
Behrman, Kliegman dan Arvin (2000). Nelson Ilmu Kesehatan Anak ( edisi: 15, vol (3).
Jakarta : EGC. 2208 2209.
Cecily LB dan Linda A (2009). Buku Saku Keperawatan Pediatri. Edisi 5. Jakrta : EGC. pp :
489
Cezard JP (2004) Managing gastro-oesophageal reflux disease in chil-dren. Paris: Department
of Paediatric Gastroenterology and Nutrition, Robert Debre Hospital
Cheong KH and Hussain SS (2012). Management of recurrent acute otitis media
inchildren: systematic review of the effect of different interventions on otitis media recu
rrence, recurrence frequency and total recurrence time.The Journal of Laryngology & O
tology .126, pp 874885
Darrow DH, Dash N dan Derkay CS (2003). Otitis media: concepts and controversies. In:
Current opinion in oolaryngology and head and neck surgery
Dhillon, RS dan East CA (2000). Otorhoe, in Ear, Nose and Throat and Head and Neck
Surgery. 2nd ed. p 14-7.
Dhingra PL (2007). Anatomy of ear, in Disease of Ear, Nose, and Throat. 3rd ed. El-sevier.
New Delhi. p 3-13.
Djaafar ZA, Helmi dan Restuti RD (2007). Kelainan Telinga Tengah. Dalam: Soepardi, E.
A., Iskandar, N., Bashiruddin, J., Restuti, R.D., ed. Buku Ajar Ilmu Kesehatan Telinga
Hidung Tenggorok Kepala dan Leher Edisi Keenam. Jakarta: Balai Penerbit FKUI, 65 69
Donaldson JD (2010). Acute
Otitis
Media, eMedicine.
Available
from:
http://www.emedicine.medscape.com. [ Accessed October 19, 2013]
Ghanie, A (2010). Penatalaksanaan otitis media akut pada anak. Tinjauan pustaka.
Palembang: Departemen THT-KL FK Unsri/RSUP M.Hoesin
Healy GB dan Rosbe KW (2003). Otitis media and middle ear effusions. In: Snow JB,
Ballenger JJ,eds. Ballengers otorhinolaryngology head and neck surgery. 16th
edition. New York: BC Decker; p.249-59.
Heavner SB, Hardy SM, White DR, McQueen CT, Prazma J dan Pillsbury HC (2001)
Function of the eustachian tube after weekly exposure to pepsin/hydrochloric.
Otolaryngology-Head and Neck Surgery . p125:123-9.
Helmi (2005). Otitis Media Supuratif Kronis, dalam Otitis Media Supuratif Kronis Pengetahuan Dasar Terapi Medik Mastoidektomi. Balai Penerbit FK UI. Jakarta. Hal 5572.
Irwan AG dan Sugianto (2007). Atlas Berwarna Teknik Pemeriksaan kelainan Telinga,
Hidung, dan Tenggorok. Jakarta : EGC
Kung, YH, Chiu NC, Lee KS, Chang L, Huang DT, Huang FY, Hsieh YC, dan
Chi H (2013). Bacterial etiology of acute otitis media in the era prior
to universal pneumococcal vaccination in Taiwanese children. J.
Microbial. Immunol. Infect, 1684-1182

Kaneshiro NK (2010). Ear Infection Acute Images: Eustachian tube. Adam, Inc. Diunduh
dari: http://www.healthline.com/images/adam/big/19596.jpg [Diakses 30 Oktober
2013]
Kerschner JE (2007). Otitis Media. In: Kliegman RM. ed Nelson Textbook of Pediatrics.
18th ed. USA: Saunders Elsevier, 2632-2646.
Levine SC, Paparella MM, Adams GL (1997). Penyakit Telinga Tengah dan Mastoid. Dalam:
Effendi H, Santoso RAK, ed. Boies : Buku Ajar Penyakit THT Edisi 6. Jakarta: EGC,
90, 95, 97.
Linsk R, Blackwood A, Cooke J, Harrison V, Lesperance M, dan Hildebrandt M (2002).
Otitis media. Guidelines for clinical care. UMHS otitis media guideline : p.1-12
Poelmans J, Tack J. (2005) Extraesophageal manifestations of gastro-oesophageal reflux.
Gut.54:1492-9.
Rekam Medik RSUD DR. M. Yunus Bengkulu (2010, 2011 dan 2012). Data Keadaan
Morbiditas Pasien Rawat Jalan Rumah Sakit. Bengkulu
Ruth T, Selma W dan Paul R (2011) Bacterial Biofilm and Intracellular Infection in Otitis
Media in Indigenous Australian. Proceedings of the 10th International Symposium on
Recent Advances in Otitis Media. June 5-9, 2011, USA.
Samuel R (2011). Skripsi : Hubungan Faktor Usia dan Angka Kejadian otitis Media Akut di
RSUP H. Adam Malik Medan Periode 2009-2010. Medan : FK USU
Snell Richard S (2006). Anatomi Klinik untuk Mahasiswa Kedokteran. Edisi 6. Jakarta :
EGC.
Forgie S, Zhanel J dan Robinson (2009). Management of acute otitis
media. Paediatr Child Health, 14(7): 457460.
Soepardi E Arsyad, Iskandar Nurbaiti, Bashiruddin Jenny, Restuti R Dwi (eds) (2007). Buku
ajar ilmu kesehatan telinga hidung tenggorok kepala &leher. Edisi 6. Jakarta : FKUI.
pp: 221-224
Taliyah, Eka S dan Amira TR (2012). Kadar Pepsin Sekret PenderitaOtitis Media Supuratif
Kronis Tipe Aktif Anak dan Dewasa dengan Pemeriksaan ELISA. Universitas
Hasanudin Makassar. Diundauh dari http://indonesia.digitaljournals.org/index.php/
[Diakses Oktober 2013]
U.S. Department of Health and Human Services. (2013). Ear Infections in Children.
Available
from
http://www.nidcd.nih.gov/health/hearing/pages/earinfections.aspx
[ Accessed November 21, 2013]
Velepic MM, Rozmanic V, dan Bonifacic M. (2000) Gastroesophageal reflux, allergy and
chronic tubotympanal disorders in children.International Journal of Pediatric
Otorhinolaryngology 55:187-90.
Waseem M (2013). Otitis Media: Overview, eMedicine. Available from
http://emedicine.medscape.com/article/994656-overview
[Accesed
October 17, 2013]
Zackzouk SM, Jamal TS dan Daghistani (2001). Epidemiology of acute otitis media among
Saudi children. International journal of pediatric otorhinolaringology. 62(2002) 219222