Risk Factors for Shock in Children with Dengue Infection
At the Panembahan Senopati Hospital, Bantul 

Abstract: Dengue is an important viral disease for public health issues. Compared to the 1950s where only nine countries have reported the case, then now the geographic distribution has included more than 112 countries in the world. The World Health Organization (WHO) estimates that about 2.5 billion people on earth have a risk of dengue infection. Most of them have asymptomatic symptoms. A large number of cases mentioned that in 2005 there were 50,196 cases of dengue in Indonesia. The district of Bantul did not escape the threat of dengue infection. The main cause of mortality of dengue virus infection is dengue hemorrhagic fever and dengue shock syndrome. The incidence of shock is influenced by several factors that are a difficult issue in the treatment of dengue hemorrhagic fever severity. The purpose of this study is to identify risk factors for the incidence of shock dengue hemorrhagic fever in children at Panembahan Senopati General Hospital, Bantul. This study use cross-sectional method. The samples were collected from children aged 1-15 years who were treated at Panembahan Senopati General Hospital, Bantul from January to December 2010 with DHF and DSS. Clinical symptoms and laboratory results are taken from medical records. Univariate analysis using the frequency distribution table and bivariate analysis using the chi-square test. Sixty subjects include in this study, thirty subjects DHF and thirty subjects DSS. Using bivariate analysis we found that headache (OR 0,082; 95% CI: 0,016-0,406), hepatomegaly (OR 6,000; 95% CI: 1,482-24,299) and WBC <4.000/mmk (OR 0,335; 95% CI: 0,117-0,958 ) are shock risk factors in dengue hemorrhagic fever. Conclutions from this study are headache, hepatomegaly and WBC <4.000/mmk are shock risk factors in dengue hemorrhagic fever.
Keywords: DHF, DSS, clinical and laboratory findings, risk factors