Page 403 - Abstract Book KONIKA 18

Respirology

P-RES-026
The Effect of Cigarette Smoke Exposure in the House
with the Incidence of Acute Respiratory Infections in Children among 5-year-old
in Karang Panjang, Ambon City, Moluccas

1
2
Jeffly Varro Gilbert , Burhanudin , Marissa Matinahoru 3
Department of Child Health , Department of Pulmonology and Respiratory , and Department of Public Health ,
3
2
1
Faculty of Medicine, Universitas Pattimura, Moluccas, Indonesia
Abstract
Background ARI (Acute Respiratory Infections) is an infection that affect nares until alveolus. ARI can
be caused by some risk factors, one of them is cigarette smoke exposure. Objective To know the effect
of cigarette smoke exposure in the house with the incidence of ARI in Children among five years old.
Methods The analytical study with case-control design through primary data collection. The subject was 60
patients aged 0-5 years old of Karang Panjang Ambon City Public Health Centers, consisted of 30 patients
at each group with samples were taken using consecutive sampling technique. Samples were taken using
medical record. Cigarette smoke exposure in the house was assessed by questionnaire. Results There were
34 boys (56.7%) and 26 girls (43,3%) children included. There were 27 (90%) children in case group that
have cigarette smoke exposure in the house and 3 (10%) have not. There were 8 (26.7%) children in control
group that have cigarette smoke exposure in the house and 22 (73.3%) have not. The result showed significant
(P<0.05) effect of cigarette smoke exposure in the house with the incidence of ARI in children among five
years old with OR=24.75. Conclusion There were effect of cigarette smoke exposure in the house with the
incidence ARI in children among five years old. The children with cigarette smoke exposure in the house
have risk to get ARI 24.75 more the then the children without cigarette smoke exposure in the house.
Keywords: cigarette; smoke; exposure; acute respiratory infections, children

P-RES-027
Pneumotocele in A 2-month and 14-day-old Child with Malnutrition:
A Case Report

Husni Esa, Amiruddin L, Setia Budi, Destya Maulani
Department of Child Health, Faculty of Medicine, Universitas Hasanuddin/Dr. Wahidin Sudirohusodo Hospital,
Makassar, South Sulawesi, Indonesia

Abstract
Background Pneumatocele is a thin-walled cyst measuring < 1 mm, caused by post-infection following
pneumonia or inhalation trauma. The most common cause of post-infection is about 2-8% in children
under 1 year old, mostly caused by Staphylococcus aureus. Objective To report a case of pneumatocele
in a child with malnutrition. Case A 2-month-14-day old boy hospitalized with complaint of shortness of
breath experienced since the last 2 weeks and became worse one day before admission to the hospital. The
child was hospitalized earlier with the same complaint, and received antibiotics. Physical examination
revealed tachypneu, nasal flaring breathing, and subcostal retraction. Radiology examination (CT Scan)
showed pneumatocele in the left field of the lungs. Patients are given a broad spectrum antibiotic treatment
for 2 weeks and malnutrition treatment. The patient was allowed for outpatient treatment on the 15 day
th
care. One month after the treatment was done, a thoracic CT Scan control was performed and showed no
picture of pneumatocele. Conclusion in patients with pneumonia, usually showed pneumatocele picture on
chest xray or thoracic CT scans accidentally. After giving broad spectrum antibiotic, significant clinical and
radiological improvements occur.
Keywords: pneumatocele; pneumonia; Staphylococcus aureus; malnutrition

KONIKA XVIII Abstract Book 355