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Authors

Alpha Fardah Athiyyah, Department of Child Health, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Indonesian Pediatric Society
Insyira Rayhana Irsan, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Nurmawati Fatimah, Department of Anatomy, Histology, and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Ikatan Farmakologi Indonesia
Udadi Sadhana, Department of Anatomical Pathology, Faculty of Medicine, Universitas Diponegoro, RSUP Semarang Indonesia
Neni Susilaningsih, Department of Anatomy Histology, Faculty of Medicine, Universitas Diponegoro, RSUP dr. Kariadi Semarang Indonesia
Maryam Restiwijaya, Physic Division, Faculty of Science and Mathematics, Universitas Diponegoro, Semarang, Indonesia
Muhammad Nur, Physic Division, Faculty of Science and Mathematics, Universitas Diponegoro, Semarang, Indonesia
Ema Qurnianingsih, Department of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya
Lina Lukitasari, Department of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya
Ira Humairah, Department of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya
Arief Bakhtiar, Department of Pulmonology and Respiratory Medicine, Dr Soetomo General Academic Hospital/ Faculty of Medicine, Universitas Airlangga, Surabaya
Suwandito Suwandito, Department of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya
Susi Wahyuning Asih, Department of Community Health Nursing, Faculty of Health Science, University of Muhammadiyah Jember
Zuhrotul Eka Yulis Anggraeni, Department of Paediatric Nursing, Faculty of Health Science, University of Muhammadiyah Jember
Ginanjar Sasmito Adi, Department of Medical and Surgical Nursing, Faculty of Health Science, University of Muhammadiyah Jember
Ely Rahmatika Nugrahani, Department of Mental Health Nursing, Faculty of Health Science, University of Muhammadiyah Jember
Ayesie Natasha Zulka, Department of Mental Health Nursing, Faculty of Health Science, University of Muhammadiyah Jember
Soetjipto Soetjipto, Department of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya

ORCID ID

Alpha Fardah Athiyyah: https://orcid.org/0000-0001-8839-3723, Nurmawati Fatimah: https://orcid.org/0000-0002-9661-8934

Abstract

Highlights: 1. The focus of this study was on the treatment methods for acute diarrhea, which have not been extensively investigated in the region studied. 2. This study can provide an overview of doctors' adherence to the available guidelines for the treatment of acute diarrhea in children aged 1–5 years in Surabaya, Indonesia. Abstract: Diarrhea is the second leading cause of death among children under five, following pneumonia. Insufficient knowledge of diarrhea and dehydration management may contribute to this high mortality rate. Implementing prompt and effective management and prevention strategies has the potential to decrease morbidity and mortality associated with diarrhea. Therefore, this cross-sectional study aimed to investigate the treatment methods used by doctors for children aged 1–5 suffering from acute diarrhea in Surabaya, Indonesia. Data were collected from doctors in Surabaya using an online form containing case-based questions. Microsoft Excel for Mac version 16.17 (Microsoft Inc., Redmont, WA, USA) was used to process the binary data by calculating frequencies and percentages with a point estimate of 95% confidence interval (CI). A descriptive method was used in the data analysis, and the findings were presented in tables. From a total of 51 respondents who participated in this study, 18 (35.29%) only administered oral rehydration therapy. In addition, 49 respondents (96.08%) prescribed zinc supplementation for ten days, while 10 respondents (19.61%) opted for antibiotics. Interestingly, 49 respondents (96.08%) recommended both breast milk and food for the patients, and nearly all respondents provided guidance to the mother or caregiver of the patient. The findings of this study suggested that the respondents primarily used rehydration therapy to treat children suffering from acute diarrhea with moderate dehydration. However, some respondents still relied on antibiotics despite the available recommendations to use oral rehydration therapy. Nearly all respondents agreed on zinc supplementation, breast milk and food provision, and advice for the mother or caregiver of the patient. While certain aspects of the disease management for diarrhea align with the recommended guidelines, there is room for improvement in promoting the exclusive use of oral rehydration therapy and reducing unnecessary antibiotic prescriptions.

First Page

108

Last Page

114

DOI

10.20473/fmi.v59i2.44723

Publication Date

6-10-2023

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