Distribution and clinical characteristic of malaria patients in Weoe Public Health Center, Malaka District, East Nusa Tenggara in 2019

https://doi.org/10.19106/JMedSci005302202108

Maria Seraphine Agusta(1*), Ni Putu Inna Ariani(2), Christianus Heru Setiawan(3)

(1) Weoe Public Health Center, Malaka Distric, East Nusa Tenggara Province
(2) Puskesmas Uabau Public Health Center, Malaka Distric, East Nusa Tenggara Province
(3) Faculty of Pharmacy, Universitas Sanata Dharma, Yogyakarta
(*) Corresponding Author

Abstract


Malaria remains a health problem in Indonesia including in East Nusa Tenggara (ENT) Province where its incidence is high. Weoe Public Health Center located in Malaka District, ENT Province has an important role as the front-line in the malaria control. The high number of malaria cases in this area may induce an economic burden due to unproductiveness at workplaces even death. This study aimed to overview the distribution and clinical characteristics of malaria patients in Weoe Public Public Health Center, Malaka District. This was a descriptive cross sectional study with saturated sampling method using secondary data of patient’s medical record from January-December 2019. Malaria patients treated at the Weoe Public Health Center from eight villages were selected in this study. The data of the time of ill, patient’s residence, gender, age, complaints, temperature, type of malaria, therapy, treatment results, and follow up blood smear tests result were collected. Among 815 patients suspected malaria, 198 (24.3%) were confirmed malaria positive caused by Plasmodium falciparum (41.4%) and P. vivax (58.6%). The highest cases occurred in February which reached 36.4% of the total cases. The highest incidence of malaria was found in Weoe Village (2.33%), dominated by male patients (57.6%), and mostly occurred at age 6-12 years (29.3%). Patients presented with fever (100%) followed by non-classical malaria complaints such as nausea and vomiting (46%), headache (33%), chills (30.8%), and flu symptoms (14.1%). All malaria patients were treated with combination of dihydroartemisinin-piperaquine (DHP) and primaquine (PQ) with a 100% cure rate and follow up blood smear test are negative from malaria parasite.


Keywords


clinical characteristics; patient distribution; malaria; Plasmodium; Malaka;

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References

  1. WHO. Malaria - number of reported confirmed cases [Internet]. World Health Organization. 2020 [cited 2020 Apr 11]. Available from: https://www.who.int/data/ gho/data/indicators/indicator-details/GHO/malaria-number-of-reported-confirmed-cases
  2. WHO. Incidence Data by country [Internet]. World Health Organization. 2020 [cited 2020 Apr 11]. Available from: https://apps.who.int/gho/data/view.main.MALARIAINCIDENCEv?lang=en
  3. WHO. Reported deaths Data by country [Internet]. World Health Organization. 2020 [cited 2020 Apr 11]. Available from: https://apps.who.int/gho/data/node.main.A1367?lang=en
  4. Badan Penelitian dan Pengembangan Kesehatan. Hasil utama Riskesdas 2018. Jakarta: Kementrian Kesehatan Republik Indonesia; 2018.
  5. Andiarsa D, Suryatinah Y, Indriyati L, Hairani B, Meliyanie G. Pengaruh kejadian malaria terhadap hilangnya hari produktif masyarakat di Indonesia. Bul Penelit Sist Kesehat 2015; 18(2):169-77. https://doi.org/10.22435/hsr.v18i2.4317.169-177
  6. Kementrian Kesehatan Republik Indonesia. Buku saku tatalaksana kasus malaria. Jakarta: Kementrian Kesehatan Republik Indonesia; 2018: 1-42.
  7. Purba IE, Hadi UK, Hakim L. Analisis pengendalian malaria di Provinsi Nusa Tenggara Timur dan rencana strategis untuk mencapai eliminasi malaria. SPIRAKEL 2016; 8(2):18-26. https://doi.org/10.22435/spi.v8i2.6164.18-26
  8. Junarli RB, Somia IKA. Karakteristik klinis malaria tropika pada pasien rawat inap di Rumah Sakit Umum Daerah Mgr. Gabriel Manek, Svd Atambua periode September 2013 - Februari 2014. E-Jurnal Med Udayana 2017; 6(7).
  9. Profil Puskesmas Weoe Tahun 2018 Kecamatan Wewiku Kabupaten Malaka. 2019.
  10. Diskominfo. Gambaran umum wilayah Kabupaten Malaka [Internet]. Diskominfo Malaka. 2017 [cited 2020 Apr 16]. Available from: http://diskominfomalaka.simplesite.com/433519408
  11. Syafruddin D, Krisin, Asih P, Sekartuti, Dewi RM, Coutrier F, et al. Seasonal prevalence of malaria in West Sumba district, Indonesia. Malar J 2009; 9:8:1-8. https://doi.org/10.1186/1475-2875-8-8
  12. Suwito, Hadi UK, Sigit SH, Sukowati S. Hubungan iklim, kepadatan nyamuk anopheles dan kejadian penyakit malaria. J Entomol Indon 2010; 7(1):42-53. https://doi.org/10.5994/jei.7.1.42
  13. Hanida SF. Potensi tinggi faktor lingkungan fisik dan biologis terjadinya penularan malaria di wilayah kerja Puskesmas Pandean Trenggalek. J Kesehat Lingkung 2018; 10(1):82-91. https://doi.org/10.20473/jkl.v10i1.2018.82-91
  14. Idrus M, Getrudis. Hubungan faktor individu dan lingkungan rumah dengan kejadian malaria di Puskesmas Koeloda Kecamatan Golewa Kabupaten Ngada Provinsi NTT. J Kesehat 2014; 7(2):386.
  15. Kabaria CW, Gilbert M, Noor AM, Snow RW, Linard C. The impact of urbanization and population density on childhood Plasmodium falciparum parasite prevalence rates in Africa. Malar J 2017 Jan 26; 16(1):49. https://doi.org/10.1186/s12936-017-1694-2
  16. WHO. Gender, health, and malaria. Geneva: World Health Organization, 2007. Available from: http://www.who.int/gender/en
  17. Pah TIBK. Relasi gender dalam menghadapi bencana di Kabupaten Malaka, Nusa Tenggara Timur. J Kaji Ilmu Adm Negara 2016; 4(2):163-80. https://doi.org/10.21831/jnp.v4i2.12624
  18. Wijayanti SPM, Gamelia E. Studi deskriptif kejadian malaria di Puskesmas II Sumpiuh Kabupaten Banyumas Tahun 2010-2011. J Kesmasindo 2012; 5(1):75-87.
  19. Walldorf JA, Cohee LM, Coalson JE, Bauleni A, Nkanaunena K, Kapito-Tembo A, et al. School-age children are a reservoir of malaria infection in Malawi. PLoS One 2015; 24:10(7):e0134061-e0134061. https://doi.org/10.1371/journal.pone.0134061
  20. Syafruddin D, Asih PBS, Coutrier FN, Trianty L, Noviyanti R, Luase Y, et al. Malaria in Wanokaka and Loli sub-districts, West Sumba District, East Nusa Tenggara Province, Indonesia. Am J Trop Med Hyg 2006; 74(5):733-7. https://doi.org/10.4269/ajtmh.2006.74.733
  21. Cohee LM, Laufer MK. Malaria in Children. Pediatr Clin North Am 2017; 64(4):851-66. https://doi.org/10.1016/j.pcl.2017.03.004
  22. Chukwuocha UM, Njoku PU, Iwuoha GN, Nwaokoro JC, Njoku-obi NT, Iwuala CC, et al. Non-Classical symptoms of malaria in parts of South Eastern Nigeria: A Preliminary Report. Chinese J Med Res 2019; 2(2):38-45. https://doi.org/10.37515/cjmr.091X.2302
  23. Elyazar IRF, Hay SI, Baird JK. Malaria distribution, prevalence, drug resistance and control in Indonesia. Adv Parasitol 2011; 74:41-175. https://doi.org/10.1016/B978-0-12-385897-9.00002-1
  24. Lee J, Ryu J-S. Current status of parasite infections in Indonesia: a literature review. Korean J Parasitol 2019; 57(4):329-39. https://doi.org/10.3347/kjp.2019.57.4.329
  25. Lidia K, Dwiprahasto I, Kristin E. Therapeutic effects of dyhidroartemisinin piperaquine versus chloroquine for uncomplicated vivax malaria in Kupang, East Nusa Tenggara, Indonesia. Int J Pharm Sci Rev Res 2015; 31(2):247-51.
  26. Phyo AP, von Seidlein L. Challenges to replace ACT as first-line drug. Malar J 2017; 16(1):296. https://doi.org/10.1186/s12936-017-1942-5
  27. Poespoprodjo JR, Kenangalem E, Wafom J, Chandrawati F, Puspitasari AM, Ley B, et al. Therapeutic response to dihydroartemisinin-piperaquine for P. falciparum and P. vivax nine years after its introduction in Southern Papua, Indonesia. Am J Trop Med Hyg 2018; 98(3):677-82. https://doi.org/10.4269/ajtmh.17-0662
  28. Yuliani M, Machfuds S, Sadjimin T. Efikasi terapi artemeter dan primakuin versus klorokuin pada anak-anak penderita malaria tanpa komplikasi di wilayah Puskesmas Kokap, Samigaluh, Girimulyo Kabupaten Kulon Progo. J Med Sci (BIK) 2005; 37(1):13-9.
  29. Naing C, Racloz V, Whittaker MA, Aung K, Reid SA, Mak JW, et al. Efficacy and safety of dihydroartemisinin-piperaquine for treatment of Plasmodium vivax malaria in endemic countries: meta-analysis of randomized controlled studies. PLoS One 2013; 8(12):e78819-e78819. https://doi.org/10.1371/journal.pone.0078819



DOI: https://doi.org/10.19106/JMedSci005302202108

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