Typhoid fever profiles at cut meutia hospital, north Aceh, Indonesia, in 2016-2017

Abstract

Purpose - This study aimed to describe the typhoid fever profiles based on the examination of IgM anti Salmonella in Cut Meutia Hospital, North Aceh, Indonesia, in 2016-2017. Design/Methodology/Approach - IgM anti-Salmonella is a serological test which more quickly and accurately diagnoses typhoid fever. This is a cross-sectional study that used secondary data from medical records of a pediatric unit of patients diagnosed with typhoid fever from September 2016 to September 2017. This research identified 469 children based on age, sex, length of stay (LOS), and IgM anti-Salmonella test by univariate analysis. Findings - The results showed that 56 children (12%) aged 1-5 years old, 164 children (34.9%) aged 6-11 years old, and 246 children (53.1%) > 12 years old, and among them, 46.8% were male. There were 53.7% who had +> 6 of IgM anti-Salmonella test and 46.3% had +4 to +5. We found that LOS less than 7 days was 81.4% and LOS more than 7 days was 18.6%. Typhoid fever profiles in Cut Meutia Hospital were common in children aged >12 years old, females, had +> 6 of IgM anti-Salmonella test, and LOS less than 7 days. Research Limitations/Implications - Typhoid fever is an acute systemic infection caused by Salmonella enteric, a serotype typhi. Typhoid fever commonly attacks children and the symptoms experienced were lighter than adults. Practical Implications - LOS in children with typhoid fever in this research concluded that there were more children with LOS < 7 days compared with those with a duration of > 7 days, that is 382 children (81.4%) and 87 children (18.6%), respectively. Originality value - From this research, it is concluded that there were 217 children (46.3%) diagnosed with typhoid fever with IgM anti-Salmonella test ranging from +4 up to +5 and 252 children (53.7%) with IgM anti-Salmonella test > 6.