Page 84 - Abstract Book KONIKA 18

Neonatology

O-NEO-007
The Effect of Training and Accompaniment Towards NICU Staff’s Knowledge,
Attitude, and Behavior in Preterm Newborns Feeding Practice:
A Quasi-experimental Study in Jailolo, West Halmahera, North Moluccas

Mikha Chandra Tampubolon , Jeffly Varro Gilbert , Alifah Anggraini 1
1
2
Department of Child Health, Faculty of Medicine, Public Health and Nursing,
Universitas Gadjah Mada/Dr. Sardjito Hospital, Special District of Yogyakarta, Central Java
1
2
and Jailolo District Hospital, West Halmahera , Indonesia
Abstract
Background Preterm newborns' hospital discharge is often delayed due to their feeding problems because of
immaturity sucking and swallow reflexes. Better feeding practice was fundamental and the quality of feeding
care received by preterm newborns was associated with the capacity of health workers in Neonatal Intensive
Care Unit (NICU). Objective To assess the effect of training and accompaniment of NICU staff towards
their knowledge, attitude, and behavior in practicing preterm newborns feeding care. Methods This was a
quasi-experimental study involving all NICU staff (n=50) within Jailolo District Hospital, West Halmahera.
We conducted interventions in form of one-day training in practicing newborns feeding care and followed by
one-month accompaniment in NICU activity. Data collection was performed by observing NICU staff using
identical checklist sheets at pre-intervention and post-intervention. Total scores from observation checklist
sheets were compared and analyzed. The mean differences between pre-intervention and post-intervention
scores from each checklist item were analyzed by paired T-test. All statistical analyses in this study assumed
a confidence value of 95%. Results A paired-samples T-test was conducted to compare pre-intervention and
post-intervention scores for knowledge, attitude, and behavior of NICU staff in feeding practice of preterm
newborns. There was a significant difference in the mean knowledge scores [4.52 (SD 0.95) vs. 8.42 (SD
1.10); MD=3.9], attitude scores [15.08 (SD 1.99) vs. 35.46 (SD 2.79); MD=20.38), and behavior scores
[3.32 (SD 1.37) vs. 9.64 (SD 1.60); MD=6.32), with P value <0.05. Conclusion Interventions in form of
training and accompaniment for NICU staff increase their knowledge, attitude, and behavior in implementing
feeding practices of preterm newborns.
Keywords: preterm; feeding practice; knowledge; attitude; behavior; newborn

O-NEO-008
The Role of Neutrophil to Lymphocyte Ratio
in Detecting Sepsis in Neonates at Hasan Sadikin Hospital Bandung

Olga Vicetria Putrie Purba, Djatnika Setiabudi, Fiva Aprilia Kadi
Department of Child Health, Faculty of Medicine Universitas Padjadjaran/Hasan Sadikin General Hospital,
Bandung, West Java, Indonesia

Abstract
Background Sepsis represents a major contributor to global mortality and has been declared as a priority
by the WHO. The highest sepsis incidence across all age groups is found in neonates affecting an estimated
3 million babies worldwide with a mortality of 11-19% and unquantified long-term neurological defects.
The standards for diagnosis of sepsis is the isolation and identification of organisms by blood culture, but
there are some drawbacks including expense and resources. Therefore, a new biomarkers are needed to help
diagnose sepsis that are cheaper and easier but still accurate. Objective To know about the role of neutrophil
to lymphocyte ratio (NLR) in detecting neonatal sepsis at Hasan Sadikin Hospital Bandung as an effort
to discover new biomarkers in diagnosing sepsis. Methods A case control study, comprised neonates (30
neonates with neonatal sepsis as a case group and 30 nonseptic neonates as a control group), based on patient
records at Hasan Sadikin Hospital, from January 2020 to January 2021. Results The mean NLR of septic
neonates [6.22 (SD 6.507)] was significantly higher as compared to nonseptic [2.25 (SD 1.145)] neonates
(P<0.001). For the diagnosis of sepsis, NLR at cutoff >2.875 had a sensitivity and specificity of 69.0%
and 86.2%, respectively, with an accuracy of 77.6%. In the ROC analysis, area under the curve (AUC) for
NLR to the diagnosis of neonatal sepsis was 0.81 (P=<0.001). Conslusion NLR increases significantly in
neonatal sepsis, and can be considered as a new biomarkers for neonatal sepsis.
Keywords: neonate; NLR; sepsis
38 KONIKA XVIII Abstract Book