The accuracy of clinical diagnosis for dehydration according to the integrated management of childhood illness

Main Article Content

Siswanto Marudut
Yati Soenarto
Mohammad Juffrie

Abstract

Background Acute diarrheal disease causes over 5 milion deaths
worldwide in children under 5 years old, mostly because of failure
to detect and treat dehydration properly and immediately.
Objective To determine the validity of clinical diagnosis of dehy-
dration according to Integrated Management of Childhood Illness
(IMCI) as a diagnostic test for dehydration in children under five
years old.
Methods A prospective observational study was done for clinical
diagnosis in dehydration. Children aged 2 months-5 years old with
diarrhea and or vomiting who visited the primary health centers in
Yogyakarta were enrolled. Clinical diagnosis was made by a
trained IMCI nurses. Dehydration was defined as the presence of
decreasing consciousness, very sunken eyes, slow reaction when
offered a drink, and decreased skin elasticity. Ninety-five per-
cents confidence intervals (CI) were calculated, and the signifi-
cance was assessed by X 2 .
Results There were 148 children aged 2 months to 5 years old
enrolled this study. Clinical dehydration used according to IMCI
produced sensitivity of 91% (95% CI 83;98), specificity of 82%
(95% CI 75;89), positive predictive value (PPV) of 70% (95% CI
58;77), negative predictive value (NPV) of 94% (95% CI 90;98),
positive likehood ratio of 5.17 (95% CI 3.37;7.94), and negative
likehood ratio of 0.11 (95% CI 0.04;0.27).
Conclusion Clinical diagnosis for dehydration according to IMCI
is sufficiently accurate as a diagnostic test for dehydration in chil-
dren under 5 years old

Article Details

How to Cite
1.
Marudut S, Soenarto Y, Juffrie M. The accuracy of clinical diagnosis for dehydration according to the integrated management of childhood illness. PI [Internet]. 18Oct.2016 [cited 21Jul.2019];46(5):225-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/934
Section
Articles
Author Biographies

Siswanto Marudut

Department of Child Health, Medical School, Gadjah Mada
University, Yogyakarta, Indonesia.

Yati Soenarto

Department of Child Health, Medical School, Gadjah Mada
University, Yogyakarta, Indonesia.

Mohammad Juffrie

Department of Child Health, Medical School, Gadjah Mada
University, Yogyakarta, Indonesia.
Received 2016-10-16
Accepted 2016-10-16
Published 2016-10-18

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