Penggunaan Apusan Darah Tebal dan Tipis dalam Penilaian Kasus Malaria  

Oleh:

Yusnitasari ; Mulyono, Budi

Jenis: Article from Journal - ilmiah nasional
Dalam koleksi: Berkala Kesehatan Klinik vol. 15 no. 02 (Dec. 2009), page 106-113 .
Topik: Malaria-thick blood film-thin blood film-parasitemia

Ketersediaan

Perpustakaan FK Nomor Panggil: B25.K.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Background: Malaria is one of contagious disease in community. Morbidity and mortality of the diseases is relatively high, especialy in infant, children under 5 years and pregnant woman. Malaria decrease productivity of labors. Objective: The objective of this study is to evaluate thick and thin blood film for assesing malaria's case. Methods: This prospective observational study is done in Dr. Sardjito Hospital, Yogyakarta, and Mitra Masyarakat Hospital, Timika from November 2008 - December 2008. Data are analyzed and present in diagrams and table for qualitative analysis, and Spearman's correlation with confident interval 95%, and kappa analysis for qualitative analysis. The sample of this study consists of 47 patients, 30 patients from Mitra Masyarakat Hospital, Timika, and 17 patients from Dr.Sardjito Hospital, Yogyakarta. Conventional method by staining thick and thin blood smears with giemsa and then examinated it with light microscope is used to examine blood samples. Results and Conclusion: This study has kappa value 1 for plasmodium in blood sample, and kappa value 0.83 for species plasmodium. Significant correlation that found in this study is: Plasmodium falciparum with fever (r = 0.352; P = 0.015), total parasite with vomit (r = 0.302; p=0.039), spasm (r = 0.432; p=0.002) and unconcious (r = 0.342; p=0.019). Therefore, it could be concluded that thick and thin blood film must be made in order to diagnose malaria disease. Parasitemia has significant correlation with clinical symptomps (fever, vomit, spasm and unconcious) in malaria's patients.

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