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Faktor-Faktor yang Berpengaruh terhadap Kejadian Leptospirosis (Studi Kasus Kontrol di Kabupaten Pati)

*Marek Samekto  -  Dinas Kesehatan Kabupaten Pati, Indonesia
Suharyo Hadisaputro  -  Universitas Diponegoro, Indonesia
Mateus Sakundarno Adi  -  Universitas Diponegoro, Indonesia
Suhartono Suhartono  -  Universitas Diponegoro, Indonesia
Bagoes Widjanarko  -  Universitas Diponegoro, Indonesia

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Abstract

Background: Limitations of data regarding risk factors that affect the incidence of leptospirosis in endemic areas make leptospirosis control in Leptospirosis endemic areas not effective. Therefore, a study is needed to determine the factors that influence the occurrence of Leptospirosis in an area.

Methods: An observational analytic was conducted with case-control study design. The population in this study were all patients found at the Hospital in Pati Regency who showed clinical symptoms of Leptospirosis (fever >38 oC, severe headache, calf muscle pain, red/yellowish red eyes) and had a laboratory examination with Leptotek Lateral Flow and recorded on medical records. The sample in this study were 44 cases and 44 controls with consecutive sampling technique. Data were analyzed by chi-square and logistic regression.

Results: Variables that influence the occurrence of leptospirosis are the characteristic of the non-ratproof house with OR = 3.14 (95% CI = 1.16-8.47), the existence of rats in and around the house with OR = 3.66 (95% CI = 1.67-12.28), the behavior of walking barefoot during outdoor activities with OR = 1.57 (95% CI = 1.31-10.28).

Conclusion: Several factors that have been proven to have an effect on the occurrence of leptospirosis are the characteristic of the non-ratproof house, the existence of rats in and around the house and the behavior of walking barefoot during outdoor activities.

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Keywords: Factors, Influence, Leptospirosis

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  1. Hickey P.W., Demers D. 2014. Leptospirosis., [internet]. [cited 2017 July 4]. Available from : http//www.eme-dicine.com
  2. Ashford DA., Kaiser RM, Spiegel RA, Perkins BA, Weyant RS, Bragg SL, et. al. 2000. Asymtomatic Infection and Risk Factors for Leptospirosis in Nicaragua. Am. J. Trop. Med. Hyg.pp.249-254
  3. Anonymous. Leptospirosis, Harrison’s. 2002. Manual of Medicine International edition. New York:McGraw-Hill.pp.463–464
  4. Levett Paul N. 2001. Leptospirosis. Clinical Microbiology Reviews 2001. University of the West Indies, School of Clinical Medicine & Research and Leptospira Laboratory, Ministry of Health, Barbados; 14(2).pp.296-326
  5. WHO. 2003. Human Leptospirosis : Guidance for Diagnosis, Surveillance and Control. International Leptospirosis Society: World Health Organization
  6. Everard, C., Bennett, S., Edward, C. 1992. An Investigation of Some Risk Factor for Severe Leptospirosis on Bardabos. Am. J. Trop. Med. Hyg.pp.13-22
  7. Bovet P., Yersin C, Merien F, Davis CE, Perolat P. 1999. Factor Assosiated with Clinical Leptospirosis, A Population Based-Control Study in Seychelles. Am. J. Trop. Med. Hyg;1999.pp.583-590
  8. World Health Organization. 2011. Report of the Second Meeting of the Leptospirosis Burden Epidemiology Reference Group. WHO. ISBN 9789241501521. NLM classification: WC 420. Geneva, Switzerland
  9. Hadisaputro S. 2011. Faktor-faktor Risiko Leptospirosis. Dalam : B. Riyanto, MH Gasem, MAU Sofro. Kumpulan Makalah Simposium Leptospirosis. Badan Penerbit UNDIP.pp.32-44
  10. Dinas Kesehatan Provinsi Jawa Tengah 2016. Buku Saku Kesehatan . [internet]. [cited 2017 Jan 7]. Available from Buku Saku Kesehatan 2016. http://www.dinkes jatengprov. go.id/v2015/dokumen/buku_saku_th_2016
  11. Dinas Kesehatan kab. Pati. 2014. Laporan hasil Penyelidikan Kejadian Luar Biasa Leptospirosis di Kabupaten Pati tahun. Pati : Dinkes Kab. Pati
  12. Hennekens, C.H., Buring, J.E. 1987. Case Control Studies, Epidemiology In Medicine. Little, Brown and Company Boston/Toronto. pp.132-150
  13. Beaglehole, R., Bonita, R., Kjelistrom, T. 1997. Jenis-Jenis Penelitian, Dasar-Dasar Epidemiologi (terjemahan). Gadjah Mada University Press.pp: 53-92
  14. Sastroasmoro, S. 2007. Dasar- Dasar Metodologi Penelitian Klinis. Jakarta: Binarupa Aksara
  15. Lemeshow S., David. Hosmer, Klar J., Lwanga S . 1990. Sample Size for Case Control Studies, Adequancy of Sample Size in Health Studies. Publised on behalf on the WHO by Wiley,Chichester, England. pp: 16-20
  16. Priyanto A. 2008. ‘Faktor-Faktor Risiko Yang Berpengaruh Terhadap Kejadian Leptospirosis (Studi Kasus di Kabupaten Demak) (Tesis). Program Magister Epidemiologi Program Pascasarjana Universita Diponegoro
  17. Sarkar, U., Nascimento SF., Barbosa R., Martinis R, Nuevo H., Kalafanos I., et. al. 2002. Population Based case control Investigation of risk factors for Leptospirosis during an urban epidemic. American Journal tropical medicine and hygiene: 2002.pp.605-610
  18. Chin, J., E. 2000. Manual Pem-berantasan Penyakit Menular. 17 ed., Editor Penterjemah : I Nyoman Kandun.pp.351-354
  19. Rejeki, D.S.S. 2005. Faktor Risiko Lingkungan Yang Berpengaruh Terhadap Kejadian Leptospirosis Berat (Studi Kasus Di Rumah Sakit Kariadi Semarang) (Tesis). Program Magister Epidemiologi, Program Pasca Sarjana. Universitas Diponegoro, Semarang
  20. Watt, G. 2013. Leptospirosis. Hunter’s Tropical Medicine W.B. Sounders Company, Philadelphia.pp: 597-601
  21. Djunaedi, D. 2007. Kapita Selekta Penyakit Infeksi (Ehrlichiosis, Leptospirosis, Riketsiosis, Antraks, Penyakit Pes). UMM Press.pp.19-40

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