[JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    infection detected by PCR

    and real-time PCR in

    childhood community-acquired pneumonia: A

    meta-analysis

     Journal Reading divisi Respirologi

      Min ang! "eng Cai! #iaodong u! $ing u! #in %u! and &i %hiPenya'i : (ursal R) %iregarPembimbing : dr) isman *alimunthe!M)+ed,Ped! %p)A,+%upervisor : dr) Rid.an M) *aulay! %p)A,+

      dr) isman *alimunthe! M)+ed,Ped!%p)A,+

      dr) Rini %avitri *aulay! M)+ed,Ped!%p)A

      dr) "athia Meirina! M)+ed,Ped! %p)A

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    P/0*A1232A0

    Community

    AcquiredPneumon

    ia

    MasalahKesehat

    an

    Morbiditas

    Mortalitas

    Antibiotik

    ?

    Diagnosis

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    [Data WHO Community Acquired Pneumonia!CAP" # Masalah kesehatan yang menyebabkankematian se$erlima anak di dunia

    ? Penyebab% &irus' (akteri

    ? Metode diagnosis% Kultur' PC)

    ? Pemakaian antibiotik' anti*irus?

     Penelitian Meta+Analisisuntuk menentukan

    insiden in,eksi *irusmelalui deteksiPolymerase Chain)eaction !PC)" $ada

    $asien $ediatri dengan

    Penelitian Meta+

    Analisis untukmela$orkan insidenberbagai *irusres$iratori

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    M/$4*/

    *A$A5A%/

    - Pubmed- .mbase

    +/&4R* /community+acquired $neumonia0'/*irus0' /$ediatric0' /children0'

    /childhood0' /PC)0' /$olymerasechain reaction0' /real+time PC)01

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    I0+32%I  Penelitian Cross 23ectional Case control atau Kohort 4sia 3ub5ect ≤ 67 tahun Penyebab% &irus  Metode% PC) atau )ealtime

    PC)  8ull te9t bahasa :nggris

    ataubahasa China

    /+%+32%I4sia 3ub5ect%de;asa  Metode%

    Kon*ensional  Penelitian satu

     5enis*irus tertentu

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    Pengolahan Data< =abel 36

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    Pengolahan Data< =abel 36

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      A0A3I%A %$A$I%$I+ 

    Meta-Analisis *er%imonian-3aird

    # /$ooled0 insiden in,eksi *irus[C:% 7> Mcochran 6 ,1eterogenitas

    7

    Statistik 7,1eterogenitasmoderate

    # 45i HeterogenitasAnalisis metaregresiunivariate

    # )egio geogra@s' s$esimen' 5umlah *irus dan metode$emeriksaan

    /gger $est dan 5egg-Ma8umdar $est

    # (ias antar PenelitianPiranti luna9: %tata 7)

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    1A%I3; "igur

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; $abel

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    1A%I3; "igur 7

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; $abel 7

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; $abel <

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; "igur <

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; $abel =

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; "igur =

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; "igur %

  • 8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3

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    1A%I3; "igur %

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    *I%+2%I

    $/M2A0 2$AMA

    >irus respiratori dapat

    terdete9si pada hampir ??@pasien CAP pediatri! dan lebihdari separuhnya merupa9aninfe9si campuran denganRhinovirus! R%>! dan bocavirussebagai patogen tersering

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    *I%+2%I

    $/M2A0

    :nsiden in,eksi *irus lebih tinggi $ada umur ≤  6tahun dari$ada umur ≥  tahun

    Pada $asien de;asa' $atogen utama% *irusinBuena' rhino*irus' dan corona*irus

    PC) telah meningkatkan kemam$uan untuk deteksirhino*irus dan boca*irus $ada CAP $ediatri

    3am$ai saat ini' $engalaman $enggunaan anti*irusuntuk tatalaksana CAP *iral masih sangat sedikit

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    *I%+2%I

    $/M2A0 

    Dibutuhkan anti*irus dan *aksin yang lebihaman dan e@sien untuk tatalaksana dan

    $encegahan terhada$ in,eksi *irus ini1

    ebih dari se$aruh kasus in,eksi *irus diikutioleh in,eksi sekunder yaitu in,eksi bakteri

    3atu $enelitian mela$orkan bah;a co+in,eksi*irus inBuena dan 3ta$hylococcus aureusda$at ,atal $ada $neumonia anak1

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    *I%+2%I

    A0A3I%I% 1/$/R4(/0I$A% 

    $emuan Penting % insiden in,eksi *irus$ada $enelitian yang meneliti lebih banyak

    s$esies *irus adalah lebih tinggi dari$ada$enelitian yang meneliti lebih sedikit in,eksi*irus

    $emuan Penting 7% Pada in,eksicam$uran' metode real+time PC)lebih berhasil dari$ada metode diagnostiklain

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    *I%+2%I

    1I(13I(1$ 

    Penting untu9 mengembang9an

    standar dete9si virus respiratoripada pra9ti9 9linis

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    *I%+2%I

    +/$/R5A$A%A0 

    E6 Penelitian ini hanya mencaku$ $enelitianyang ditulis dalam bahasa inggris dan china

    EF Penelitian ini menun5ukkan bah;a in,eksi*irus ter5adi /mengikuti0 $ola iklim !yangtidak termasuk dalam data meta+analisis"

    EG Peneliti tidak menyelidiki kaitan tingkatke$arahan $neumonia dengan *irus$enyebab

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    +/%IMP23A0

    Penelitian menyimpul9an bah.aperlu perhatian 9husus terhadapvirus respiratori sebagai

    penyebab atau fa9torpendu9ung 9e'adian CAP ana9 

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    %ARA0

    Penelitian lan5utan di$erlukan untukmenentukan metode standar untukkoleksi s$esimen dan identi@kasi

    *irus res$iratori