[jr] incidence of viral infection detected by pcr in childhood pneumonia - mod 3
TRANSCRIPT
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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
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1A%I3; $abel
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1A%I3; "igur 7
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8/15/2019 [JR] Incidence of Viral Infection Detected by PCR in Childhood Pneumonia - MOD 3
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1A%I3; $abel 7
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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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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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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 =
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1A%I3; "igur %
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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