Pola Penyakit Dan Terapi Dengan Pendekatan Empirik Simptomatik Di Desa Gunung Sari

I. G. Y. Asmara, B. Rahmat
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Abstract

The recent global economic crisis has resulted in more expensive health care in which, poor families might not get access to proper health care. Furthermore, global warming and pollution could influence change of disease patterns in the world, includes the tropical island of Lombok. For those two factors, it is interesting to know the disease pattern among poor people and also to give positive contribution for free medical care and treatment to them. A survey of disease patterns and free medical care had been done in Gunung Sari village in August 2015. Patient histories were taken using fundamental four and basic seven techniques whereas physical examinations were done by two registered general practitioners. Soon after working diagnosis is confirmed, empiric antibiotic treatment and symptomatic drugs are prescribed to the patients. As a result, 54% of 136 patients are male and 51,4% of them aged from 16 to 59 years old. Upper respiratory tract infections, diarrhea, and skin problems were the three common diseases. As for the empiric antibiotic treatment, Amoxycillin is the common agent used (34%). Moreover, antipyretic and anti-diarrhoea serve as the common symptomatic treatment used (21,3%). In a summary, the disease pattern and type of treatment given to poor people in Gunung Sari village were the same as that in other areas.   
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沙里山村采用简单的经验方法治疗疾病模式
最近的全球经济危机导致医疗保健费用增加,贫困家庭可能无法获得适当的医疗保健。此外,全球变暖和污染可能影响世界上疾病模式的变化,包括热带岛屿龙目岛。对于这两个因素,了解穷人的疾病模式,并为他们的免费医疗和治疗做出积极贡献是很有趣的。2015年8月,在Gunung Sari村进行了疾病模式和免费医疗调查。使用基本四和基本七技术记录患者病史,而体格检查由两名注册全科医生完成。工作诊断确认后,立即给患者开经验性抗生素治疗和对症药物。结果136例患者中男性占54%,年龄在16 ~ 59岁之间的占51.4%。上呼吸道感染、腹泻和皮肤问题是三种常见疾病。对于经验性抗生素治疗,阿莫西林是最常用的药物(34%)。此外,解热和抗腹泻是常用的对症治疗(21.3%)。总而言之,古农萨里村向穷人提供的疾病类型和治疗类型与其他地区相同。
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