Etiologi Demam pada Bayi

Oleh :

dr.Nailla Fariq Alfiani

Etiologi demam pada bayi usia 0–60 hari yang mengancam nyawa adalah infeksi bakterial serius. Secara garis besar, etiologi demam pada bayi berusia 0–60 hari dibedakan menjadi infeksi dan non infeksi.

Kemudian dapat pula dibedakan berdasarkan durasi demam dan usia, dimana pada usia ≤7 hari biasanya terjadi karena infeksi maternal atau saat persalinan. Pada bayi usia 0–7 hari demam dapat berasal dari infeksi saat kehamilan dan persalinan ibu.

Pada usia 8–28 hari demam seringkali disebabkan oleh infeksi. Pada usia 29–60 hari demam dapat disebabkan karena infeksi dan malignansi, serta vaksinasi. Berdasarkan durasi demam dibedakan menjadi akut yaitu ≤14 hari dan kronik, yaitu >14 hari.[2,5,6,8–10]

Referensi

1. Pantell RH, Adams WG, Roberts KB, Dreyer BP, Kuppermann N, O’Leary ST, et al. Clinical Practice Guideline: Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old | Pediatrics | American Academy of Pediatrics. Pediatrics. 2021 Aug;148(2). https://publications.aap.org/pediatrics/article/148/2/e2021052228/179783/Clinical-Practice-Guideline-Evaluation-and?autologincheck=redirected%3fnfToken%3d00000000-0000-0000-0000-000000000000
2. Barbi E, Marzuillo P, Neri E, Naviglio S, Krauss B. Fever in Children: Pearls and Pitfalls. Children. 2017 Sep 1;4(9):81.
5. Karyanti MR. Fever of Unknown Origin. Sari Pediatri. 2019 Nov 28;21(3):202–6.
6. Baysal B, Baysal BT, Calkavur S, Atlihan F. Etiology of Fever in Neonates: Is It Just Due to Infection? J Pediatr Infect Dis. 2018 Sep;13(3):224–8.
7. Bag T, Karan S, Saha M. Profile of dehydration fever in a medical college hospital sick newborn care unit. Indian J Child Health. 2019 Dec 21;6(12):676–8.
8. Ko H, Dehority W, Maxwell JR, Ko H, Dehority W, Maxwell JR. The Impact of Maternal Infection on the Neonate. Congenital Anomalies in Newborn Infants - Clinical and Etiopathological Perspectives. IntechOpen; 2020. https://www.intechopen.com/state.item.id
9. Gould J. Fever in the Infant and Toddler: Practice Essentials, Neonates, Young Infants. 2021 Oct 17. https://emedicine.medscape.com/article/1834870-overview#a7
10. de Lucio Delgado A, Villegas Rubio JA, Rey Galan C, Prieto García B, González Expósito M de los R, Solís Sánchez G. Biomarkers and Fever in Children with Cancer: Kinetics and Levels According to Final Diagnosis. Children. 2021 Nov;8(11):1027.
22. Woll C, Neuman MI, Pruitt CM, Wang ME, Shapiro ED, Shah SS, et al. Epidemiology and Etiology of Invasive Bacterial Infection in Infants ≤60 Days Old Treated in Emergency Departments. J Pediatr. 2018 Sep 1;200:210-217.e1.
23. Hayakawa I, Nomura O, Uda K, Funakoshi Y, Sakakibara H, Horikoshi Y. Incidence and aetiology of serious viral infections in young febrile infants. J Paediatr Child Health. 2020;56(4):586–9.
24. King J, Pana ZD, Lehrnbecher T, Steinbach WJ, Warris A. Recognition and Clinical Presentation of Invasive Fungal Disease in Neonates and Children. J Pediatr Infect Dis Soc. 2017 Sep 1;6(suppl_1):S12–21.
25. Collins A, Weitkamp JH, Wynn JL. Why are preterm newborns at increased risk of infection? Arch Dis Child - Fetal Neonatal Ed. 2018 Jul 1;103(4):F391–4.
26. Children’s Health Hospital and Health Service. Queensland Pediatric Guideline. Febrile illness - Emergency management in children. Children’s Health Queensland Hospital and Health Service. 2022;17.
27. Ishimine P. Fever in the Young Infant. In: Rose E, editor. Pediatric Emergencies: A Practical, Clinical Guide. Oxford University Press; 2020. https://doi.org/10.1093/med/9780190073879.003.0009
28. DePorre AG, Aronson PL, McCulloh RJ. Facing the ongoing challenge of the febrile young infant. Crit Care. 2017 Mar 21;21(1):68.
29. Neves RP, Parahym AMR de C, daSilva CM, Macêdo DPC, Leal AFG, Lima-Neto HJN and RG, et al. Fungal Infections in Neonatal Intensive Care. Selected Topics in Neonatal Care. IntechOpen; 2017. https://www.intechopen.com/state.item.id
30. Folarin OF, Kuti BP, Oyelami AO. Prevalence, density and predictors of malaria parasitaemia among ill young Nigerian infants. Pan Afr Med J. 2021 Sep 9;40(25). https://www.panafrican-med-journal.com/content/article/40/25/full
31. Umbrello G, Pinzani R, Bandera A, Formenti F, Zavarise G, Arghittu M, et al. Hookworm infection in infants: a case report and review of literature. Ital J Pediatr. 2021 Feb 9;47(1):26.
32. Ikatan Dokter Anak Indonesia (IDAI). IDAI | Jadwal Imunisasi IDAI 2020. IDAI, 2020. https://www.idai.or.id/tentang-idai/pernyataan-idai/jadwal-imunisasi-idai-2020
33. Drutz JE. Patient education: Vaccines for infants and children age 0 to 6 years (Beyond the Basics). Wolters Kluwer. 2022 Jul 14; https://www.uptodate.com/contents/vaccines-for-infants-and-children-age-0-to-6-years-beyond-the-basics/print
34. Westra S, Karmazyn B, Alazraki A, Dempsey M, Dillman J. Fever Without Source or Unknown Origin-Child. ACR Appropriateness Criteria. The American College of Radiology. 2015;12.
35. Bradatan C, Dennis JA, Flores-Yeffal N, Swain S. Child health, household environment, temperature and rainfall anomalies in Honduras: a socio-climate data linked analysis. Environ Health. 2020 Jan 28;19(1):10.
36. Vega RM, Avva U. Pediatric Dehydration. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022. http://www.ncbi.nlm.nih.gov/books/NBK436022/
37. Boutin A, Carceller A, Desjardins MP, Sanchez M, Gravel J. Association Between Dehydration and Fever During the First Week of Life. Clin Pediatr (Phila). 2017 Dec 1;56(14):1328–35.

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