KESESUAIAN DERAJAT INFEKSI DENGUE KRITERIA WHO 1997 DAN WHO 2009 PADA PASIEN ANAK DI SEMARANG

Abstract

Backgroud: Dengue infection is an infection that has a very broad clinical spectrum. Each patient has different clinical symptoms. Therefore we need the classification of dengue fever which is more accurate because the WHO 1997 classification of dengue fever has many weaknesses and further research is needed on the WHO 2009 criteria for dengue infection.This study aims to prove the compatibility of the degree of the WHO criteria for dengue between the WHO 1997 and WHO 2009 in pediatric patient in Semarang. Methods: This cross sectional study used 85 children with dengue infection and conducted in the period March to June 2011. The clinical symptomps and laboratory examination performed included the amount of hematocrit, platelet count and IgG/IgM dengue and dengue infection were analyzed using WHO 1997 and WHO 2009 criteria for dengue infection. The compatibility between degree of dengue infection according to WHO 1997 criteria by the WHO in 2009 were analyzed with the kappa test. The degree of significance was p<0,005. Result: there were 85 dengue infected patients, 48.4% of whom were women. The mean age of patients with dengue infection was5.79 ± 3.9 years with the youngest age is 0.6 years old and the oldest was 13.8 years. The mean fever was 4 ± 2.1 days. The Chi Square with  2 = 71.07 p <0.001 indicated a significant difference between the criteria of WHO 1997 and WHO 2009 and results of suitability tests Kappa: 0.53, which means there is a moderate degree of compatibility between the the WHO criteria for dengue fever in 1997 and WHO 2009. Conclusion: the compatibility of the degree of dengue infection according to WHO 1997 and WHO 2009 is moderate.