Kuliah Diare1
Kuliah Diare1
INDONESIA
YR 2000 - 2003
www.who.int.org
Bryce J, et.al., 2005
“DIARRHEA”
WHO,2006
Causes of Mortality in Under-five
Children in Indonesia
Leukemia
Malaria
Tetanus
Others DIARRHEA
13% Diarrhoea
Malnutrition 28%28%
Drowning
Septicemia
DHF
Necroticans Entero Colitis
1%
“RV”
RV
5% Shigella
3% 1% Aeromonas
1% Salmonella
1%
Campylobacter
5%
2% S. Enteritidis
30
25
20
15 1995
2000
10
0
ARI diarrhoea nervous parasitic tetanus thyphoid
system & other
infection
MOH, 2003
Diarrhea in
Indonesia
Mortality Morbidity
20 16 0.6
30
25
20
15 1995
2000
10
0
ARI diarrhoea nervous parasitic tetanus thyphoid
system & other
infection
MOH, 2003
RV DISEASE BURDEN IN YOGYAKARTA
AND CENTRAL JAVA (2001 – 2004)
2 deaths (RV positive)
36 severe dehydration
(0.03%)
(5.1%)
705 rotavirus diarrhea 440 dehydration
(53.4%) (62.4%)
Diare Kronik
Malnourished children/infants
2. Maternal factors
Young age and limited mothering experience
(cit. Gracey,2007)
Risk factors :
3. Feeding practices
Recent introduction of animal milks
Use of feeding bottles and teats or dummies (pacifiers)
(cit. Gracey,2007)
5. Previous episodes of infections
Recent episode(s) of acute diarrhea
Antimicrobial
FLUID
Intravenous • ORT: ORS New formula
“All” • Limited IV ORS
Feeding: Continue
during &
FOOD Fasting increase after Zn Supplement
diarrhea
LIMITED ANTIMICROBIAL
Antibiotic ANTIMICROBAL
DRUGS
Antidiarrheal
ANTIDIARRHEAL
ANTIDIARHEAL