Diagnosis Klinis Demam Berdarah Dengue di Tiga Kabupaten/Kota Sulawesi Tengah Tahun 2015-2016

Clinical Diagnosis of Dengue Hemorrhagic Fever in Three Districts/City Central Sulawesi 2015-2016

  • Hayani Anastasia
Keywords: dengue, dengue diagnosis, dengue over-reporting, Central Sulawesi

Abstract

Abstract

Dengue is a major public health problem in Indonesia including Central Sulawesi. In the past, Palu was the only city reported high dengue cases. Then,  dengue outbreaks were also reported from several districts in Central Sulawesi. The Provincial Health Office suspected over-reporting of dengue infection. This reviewed article was aimed to identify whether the clinical diagnosis was the cause of over-reporting of dengue infection. Data of dengue cases from three districts/city in 2015-2016 were analyzed descriptively. The results showed that there was an over-reporting of dengue infection by 51.7%. The over-reporting occurred because the diagnosis of cases was not strictly followed the guideline for dengue infection classification by the Ministry of Health. Therefore, it is necessary for the health practitioners to understand fully the guideline of dengue infection classification used in Indonesia.

Abstrak

Dengue merupakan salah satu masalah kesehatan utama di Indonesia, termasuk di Sulawesi Tengah. Kota Palu merupakan daerah endemis Demam Berdarah Dengue (DBD) utama di Sulawesi Tengah. Namun, dalam beberapa tahun terakhir kejadian luar biasa DBD dilaporkan di beberapa kabupaten. Dinas Kesehatan Provinsi Sulawesi Tengah menduga adanya kemungkinan over-reporting kasus DBD yang menyebabkan meningkatnya laporan kasus DBD setiap tahunnya. Review ini bertujuan untuk mengidenfikasi kemungkinan adanya over-reporting kasus DBD di tiga kabupaten/kota di Sulwesi Tengah. Data kasus DBD tahun 2015-2016 dianalisis secara deskriptif untuk melihat adanya over-reporting. Hasil menujukkan bahwa terdapat kelebihan 51,7% kasus DBD yang disebabkan karena diagnosis tidak mengikuti kriteria diagnosis klinis sesuai panduan klasifikasi infeksi dengue yang dikeluarkan oleh Kementerian Kesehatan. Oleh karena itu sangat penting bagi klinisi untuk memahami kriteria diagnosis infeksi dengue yang digunakan di Indonesia.

 

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Published
2018-12-17
How to Cite
Anastasia, H. (2018). Diagnosis Klinis Demam Berdarah Dengue di Tiga Kabupaten/Kota Sulawesi Tengah Tahun 2015-2016. Jurnal Vektor Penyakit, 12(2), 77-86. https://doi.org/10.22435/vektorp.v12i2.834