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Journal : MEDIA MEDIKA INDONESIANA

Suplementasi Seng dan Probiotik pada Diare Akut Cair Anak Karuniawati, Fenty; Santosa, Budi; Purwaningsih, Endang; Hariyana, Bambang
MEDIA MEDIKA INDONESIANA 2010:MMI VOLUME 44 ISSUE 1 YEAR 2010
Publisher : MEDIA MEDIKA INDONESIANA

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Abstract

Backgrounds: Clinical trials have demonstrated that zinc supplement during diarrhea episodes reduces the duration and severity of illness. Studies have shown that probiotic may be useful in treating acute diarrhea. Study that evaluated diet enriched with zinc and probiotic showed significant reduction on the duration of diarrhea. Whether this combination is better than either supplementation of zinc or probiotic alone is unknown. The objective of the study was to compare the duration of diarrhea among children with acute watery diarrhea given zinc, probiotic and combined zinc - probiotic supplementation.Methods: Consecutive sampling from 6-24 months old hospitalized children with acute watery diarrhea in Kariadi hospital was done. There were 77 subjects randomized into 4 study groups. Three groups were supplemented daily with zinc, probiotic, or zinc and probiotic and one group as control. Each group had received standard therapy including rehydration and dietetic. Data were analyzed with Chi-square test, t test and one way ANOVA.Results: There were no differences in age, breastfeeding history, nutritional and social economic status, day before admission, and level of zinc serum among groups. Supplemented group showed significant reduction on the duration of diarrhea compared with control (p=0.02). There was no significant difference on the duration of diarrhea between zinc-probiotic and zinc or probiotic groups (p=0.15). Zinc-probiotic supplemented group had the lowest duration of diarrhea among groups.Conclusions: Zinc and probiotic are able to reduce the duration of acute watery diarrhea.ABSTRAKLatar belakang: Berbagai uji klinis menunjukkan suplementasi seng menurunkan durasi dan beratnya diare. Suplementasi probiotik juga menunjukkan manfaat pada terapi diare akut. Penelitian tentang diet yang difortifikasi seng dan probiotik menunjukkan penurunan durasi diare secara bermakna. Belum diketahui apakah suplementasi seng dan probiotik secara kombinasi lebih baik dari pada suplementasi seng dan probiotik secara terpisah. Penelitian ini bertujuan membandingkan durasi diare pada anak yang dirawat dengan diare akut cair yang diberikan suplementasi seng, probiotik, kombinasi seng dan probiotik serta kontrol.Metoda: Subjek diambil secara konsekutif dari anak usia 6-24 bulan yang dirawat dengan diare akut cair di RSUP Dr. Kariadi Semarang. Didapatkan 77 subjek dan diacak menjadi 4 kelompok. Tiga kelompok diberi perlakuan berupa suplementasi seng saja, suplementasi probiotik saja atau kombinasi seng dan probiotik serta satu kelompok sebagai kontrol. Setiap kelompok mendapat terapi standar berupa rehidrasi dan dietetik. Data dianalisis dengan menggunakan uji Chi-square, t test dan one way ANOVA.Hasil: Tidak terdapat perbedaan bermakna pada umur, riwayat pemberian ASI, status gizi dan sosial ekonomi, lama sakit sebelum dirawat, dan kadar seng serum diantara keempat kelompok. Kelompok suplementasi mempunyai penurunan durasi diare yang bermakna dibandingkan kontrol (68,6 vs 83,8 jam, p=0,02). Tidak didapatkan perbedaan bermakna antara kelompok kombinasi seng dan probiotik dibandingkan kelompok seng atau probiotik saja (p=0,15). Kelompok seng dan probiotik mempunyai durasi diare paling pendek dibandingkan kelompok lain.
Co-Authors Abdurrahman, Ahmad Fauzan Abiyoga, Gerald Arsa Adhiyaksa Ade Lia D. Safitri Adrianus Yosep Ago, Adrianus Yosep Agus Sasmito Aribowo Agustin Rahmawati Ahmad Juni Haryanto, Fandi Ahmad Warsun Ali Ridho Barakbah Ana Hida, Yeni Danga Andri S, Andri Andri Sukeksi Anin, Vitry Agrida Anindita, Cipta Ayu Anissa Wulandari, Anissa Antariksa Antariksa Ari Yanuar Ridwan, Ari Yanuar Ari Yanuar, Ari Bambang Utoyo Boli Samun, Thomas Aquino Boyke Frahmana, Boyke Budi Sulistyo Budianto, Anwar Budiyono Budiyono Buru, Romika Jibrael Choirida, Saskia Dyah Dalin, Yulianus Dani Satyawan Das Neves, Lucia Ximenes De Jesus, Julio Rodrigues Deniswara, Cindy Dessyanto Boedi P Dessyanto Boedi Prasetyo Destaria Madya Verawaty, Destaria Madya Dida Diah Damayanti Didi Setya, Didi Didik Sumanto Dinda Sekar Putri, Dinda Sekar Djoko Legono Dwi Aries Himawanto Dwi Sulistyoningsih Dwiska Aini Nurrahma, Dwiska Aini Eka Fitasari Eka Puji Hastuti, Eka Puji Ekawati, Fitri Eko Prasetyo Nugroho Endang Purwaningsih Erik Kurniawan, Erik Ethica, Stalls Norma Fajar Kurnia Fani Yayuk Supomo Fauzia Hulopi Gesi, Rofinus Gita Purnama Sari, Gita Purnama Gunarto Gunarto Hairurraziqin Hairurraziqin, Hairurraziqin Hananta, Yan’s Dianaga Hani Purnamasari, Hani Hariyadi Hariyadi Hariyana, Bambang Helmi Helmi Hengky Novarianto Henna Ria Sunoko, Henna Ria Henna Rya Sunoko Henna Rya Sunoko Herry Sofyan Hertanto Wahyu Subagio Hertanto Wahyu Subagyo Heru Cahya Rustamaji Horna, Horna Hosang, Meldy Husada, Hendrianto I Ketut Eddy P, I Ketut I Ketut Eddy P. I Made Tasma Ial Irwan Arahman, Ial Irwan Indra Perwira, Rifki Indraloka, Dwi Smaradahana Irfan Suliansyah Ismail Maskromo Ismawati Ismawati Janggakadu, Arnold Hina Jerrystama Abipradja, Jerrystama Juwairiah Juwairiah Juwita Ratna Dewi Kale, Barnese Nelce Karuniawati, Fenty Kgs Ahmadi Khoiriyatuinnisa, Khoiriyatunnisa Kisdjamiatun RMD Kumala, Sella Candra Indah Laga Bahi, Titus Kobo Lanang, Fransiskus Limahekin, Donatus Aribeda Lisa Dwi Wulandari Lisyani S Lisyani Suratmo, Lisyani Maharani, Dias Mandasari, Fika Mangaras Yanu Florestiyanto, Mangaras Yanu Markus Priharjanto, Markus Martin Simanjuntak Martins, Arcanjo Mawardi, Sukmawati Maya Putri Arumsari, Maya Putri Mema Ma?u, Damianus Merkurius Memet, Antonius Mona Nabilah, Mona Muhamad Yunus Muhammad Riski, Muhammad Nanda, Angelica Mega Ni Putu Aniek Mahayani, Ni Putu Aniek Niken Puruhita Njurumana, Yermias Yiwa Noverita Rochsitasari, Noverita Nugroho, Febri Satrio Nurdiansyah Rudi, Nurdiansyah Ola, Ramdan Oliver Samuel Simanjuntak Panjang, Meha Tara Pereira, Gregorio Perwira, Rifki Petronius, Zakarias Magnus Pramono Sasongko Prasetyo, Muhammad Bagus Prasetyo, Nanda Isdian Prastiyanto, Muhammad Evy Primasari, Maria Putra, Gregorius Guruh Handaya Putra, Ludfie Hardian Ragil Saptaningtyas, Ragil Rahmat Adeputra, Rahmat Rahmawati, Atina Ranny Wahyu Ningrat Ratna Wulan Sari Ratomesang, Richardo Pelipus Boru Rejeki, VG. Sri Riangsari, M.F. Devita Rifki Indra Perwira Rifky Satya Wicaksono, Rifky Satya Rini Megawati Rio Aurachman, Rio Rizalditya, Putra Bintang Rozana Rozana, Rozana Rr. M.I. Retno Susilorini Rudi Theo Satrio, Rudi Theo Rusdiana, Endang Saja, Bernardus Bode Sihombing, Ezra Siti Aisah Slamet Riyadi Soares, Rosalino De jesus Sofi Fauziah, Sofi Sofyan Cholid, Sofyan Sri Darmawati Sri Subanti Stefanus Eko Wiratno, Stefanus Sugiyono Sugiyono Suhartono Suhartono SUHARYANTO SUHARYANTO Suliana, Gatut Suliana, Gatut Sumiyarti Sumiyarti, Sumiyarti Supriyadi Supriyadi Susilorini, Rr. M. I. Retno Susilorini, Rr.M.I Rretno Susilorini, Rr.M.I. Retno Tahta Alfina Tantalu , Lorine Tantalu, Lorine Tantalu, Lorine Tatty Ermin Taus, Dominika Sone Tiananda Widyarini Timba, Margaretha Kahi Tulalo, Meity Aneke Tulalo, Meity Aneke Umar Affandi Veronika Veronika Waenah . . Wahon, David Dolu Aman Wahyu Ari Widiyastuti, Wahyu Ari Wijiati, Irma Wilis Kaswidjanti Wirawan Wirawan Wona, Yosevina Ximenes Guterres, Anapula Do Rosario Yan Indra Putra, Yan Indra Yosua Yosua Yoyon K. Suprapto Yoyon K. Suprapto Yuhefizar Yuhefizar Yurinda Amalia, Yurinda Zela Ubaidillah