Factors Influencing the Decision of Parents to LP in Pediatric with CNS Infection

Authors

  • Dessy Dian Antarini
  • Yazid Dimyati
  • Nelly Rosdiana
  • Isti Ilmiati Fujiati Departments of Child Health Medical School, Faculty of Medicine Universitas Sumatera Utara, Medan, North Sumatera, Indonesia
  • Cynthea Prima Destariani

DOI:

https://doi.org/10.32734/sumej.v2i3.1262

Keywords:

Children, Factors of Refusal, Lumbar Puncture

Abstract

Lumbal Puncture (LP) is a procedure that can help to diagnosed CNS infection in children. The procedure of LP is a common invasive procedure, but sometimes it had refused by the parents. Furthermore, it can cause a delayed in the diagnosis and affected the prognosis. The subject was the parents of pediatric patients with CNS infection. We have a questionnaire and using Chi-square and Fisher exact test to analyze factors that influenced the parent’s decision of LP procedure. From the parents of 50 children with CNS infection, 19 parents (38%) were refused the LP procedure. Father’s education was related to the refusal of LP procedure with PR 6.64 (95%CI; 8.95-788.08). Mother’s education was related to the refusal of LP procedure with PR 7.69 (95%CI; 3.19-16.24). There was the significant result of the parent's education with the decision of LP procedure.

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References

Doherty CM, Forbes R B. Diagnostic Lumbar Puncture. Ulster Med J. 2014;83(2):93-102.

Dzulfikar D. Tatalaksana Tekanan Tinggi Intrakranial pada Anak. Dalam Stabilization of the critically ill children. Penyunting Munar Lubis, Gema NY, Johan CS, Natasha Y, Indah NL, Ferry H, et al. USU Press. 2014. H.103-19.

Ellenby MS, Tegtmeyer K, Lai S, Braner D A V. Lumbar Puncture. NEJM.2006; 355:e12.

Evans Randolph W. Complications of lumbar puncture. Elsevier. 1998;83-01.

Green WL. Health education was planning a diagnostic approach. The Johns Hopkins University. Mayfield Publishing Company. 2005.

Kaushik JS, Narang M, Agarwal N. Informed Consent in pediatric practice. Indian Pediatr. 2010:1039-46.

Khakshour Ali, Hashemi M, Tavakoli H, Sheikhi Z, Kiani MA, et.al. Evaluation of parental attitudes toward lumbar puncture in their children. Intern J Pediatr. 2013;1(2):19-3.

Kneen R, Solomon T, Appleton R. The Role of Lumbar Puncture in Suspected CNS Infection – a Disappearing skill?. BMJ, 2016:181-83.

L Catherine, Tacon, Flower O. Diagnosis and management of bacterial meningitis in the pediatric population: a review. EMI. 2012:1-8.

Ling SG, Boey CCM. Lumbar puncture refusal in febrile convulsion. Singapore Med J. 2000;41(10):485-88.

Malik AS. Consent for lumbar puncture factors that influence the decision. Malay J Paediatrics. 2000;1:35-1.

Narchi H, Ghatasheh G, Hassani NA, Reyami LA, Khan Q. Comparison of underlying factors behind parental refusal or consent for lumbar puncture. World J Pediatr. 2013;9(4:336-41).

Nigrovic LE, McQueen AA, Neuman MI. Lumbar puncture success rate is not influenced by family-member presence. Pediatrics. 2016;120(4):777-82.

Notoatmodjo S. Pronosi kesehatan dan perilaku kesehatan. Rineka Cipta. Jakarta. 2012.

Patel PB, Anderson HE, Keenly LD, Vinson DR. Informed consent documentation for lumbar puncture in the emergency department. West JEM. 2014;15(3):318-24.

Peraturan Menteri Kesehatan Republik Indonesia tentang persetujuan tindakan kedokteran. 2008 [diakses tanggal 20 januari 2016]. Tersedia di http://www.idionline.org/wpcontent/uploads/2010/03/PMK-No.-290-ttgPersetujuan-Tindakan-Kedokteran.

Pokorn M. Pathogenesis and Classification of Central Nerv System Infection.e-JFFC.2003;(5):1-4.

Randel A. AAP Updates Guidelines for Evaluating Simple Febrile Seizures in Children. AAFP. 2011;83(11):1349-50.

Riordan F, Cant AJ. When to do a lumbar puncture. BMJ. 2016:235-37.

Risher. Sikap Manusia Teori dan Pengukurannya. Pustaka Pelajar. Yogyakarta. 2006.

Saharso D, Siti NH. Infeksi susunan saraf pusat. Dalam Buku Ajar Neurologi Anak, penyunting Soetomenggolo T, Sofyan Ismael. Edisi ke-2. Jakarta: BP IDAI. 2009. h.339-52.

Saifuddin A. Sikap Manusia Teori dan Pengukurannya. Edisi ke 2. Yogyakarta. Pustaka Pelajar. 1995.

Sharif MR, Alizargar J, Sharif A. Rate of parental consent to lumbar puncture for diagnosis of febrile convulsion. Middle- East J Sci Res. 2014;21(3):427-30.

William B. Pediatric lumbar puncture and cerebrospinal fluid analysis. Am J Emerg Med. 2013:1-10.

Williams J, Umapathi T. Diagnostic lumbar puncture: minimizing complications. Intern Med J. 2008:587-91.

Wlof MS, Patricia EM. Recognition and management of pediatric seizures. Pediatric Annals. 2006;35(5):1-12.

Sumej Volume 2 No. 3 2019

Published

2019-09-17

How to Cite

1.
Dessy Dian Antarini, Dimyati Y, Rosdiana N, Fujiati II, Destariani CP. Factors Influencing the Decision of Parents to LP in Pediatric with CNS Infection. Sumat. Med. J. [Internet]. 2019Sep.17 [cited 2024Nov.21];2(3):146 -. Available from: https://talenta.usu.ac.id/smj/article/view/1262

Issue

Vol. 2 No. 3 (2019): Sumatera Medical Journal (SUMEJ)

Section

Research Article

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