MKB, Volume 43 No. 2S, Tahun 2011 44S Renal Function in Childhood Dengue Hemorrhagic Fever Dedi Rachmadi, Engkie A Djauharie, Dany Hilmanto, Nanan Sekarwana Department of Child Health Faculty of Medicine Universitas Padjadjaran-Rumah Sakit Dr. Hasan Sadikin Bandung Absract Dengue hemorrhagic fever (DHF) is the dengue virus infection characterized by plasma leakage as a result of increased vascular permeability. Consequently, it will infuence renal function especially in dengue shock syndrome (DSS). The aim of this study was to assess glomerular fltration rate (GFR) in DHF and DSS. A descriptive study with cross sectional design was performed in all DHF children who were admitted to Department of Child Health Dr. Hasan Sadikin Hospital Bandung, from October 2003 to January 2004. Diagnosis of DHF was confrmed by WHO criteria. The patients were divided into DHF group (grade I and II) and DSS group (grade III and IV). Glomerular fltration rate was calculated by Schwartz formula from creatinine serum level. The distribution of sex, age, and nutritional status were using chi-square test and the proportion of GFR was used t test. From 68 subjects, 41 (60%) were diagnosed as DHF and 27 (40%) as DSS. There were no signifcant difference in distribution of sex, age, and nutritional status between DHF and DSS group, each p value was >0.05. Mean GFR in all subjects, DHF, and DSS group were 155.9±47.8, 152.3±49.2, and 161.3±45.9, consecutively. The proportion of GFR between DHF and DSS group was 137.50 (94.8–1318.2) vs. 155.38 (89.2–261.9), p=0.322. In conclusions, all subjects have normal GFR, there is no difference of GFR between DHF and DSS group. [MKB. 2011;43(2S):44S–7]. Key words: Dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS), glomerular fltration rate (GFR) Fungsi Ginjal pada Demam Berdarah Dengue Anak Abstrak Demam berdarah dengue (DBD) merupakan infeksi virus dengue, ditandai dengan kebocoran plasma akibat peningkatan permeabilitas vaskular. Berkurangnya aliran darah ke ginjal akan mempengaruhi fungsi ginjal, terutama pada sindrom syok dengue (SSD). Tujuan penelitian ini untuk menilai laju fltrasi glomerulus (LFG) pada DBD dan SSD. Penelitian deskriptif dengan rancangan potong silang pada penderita DBD yang datang ke Departemen Ilmu Kesehatan Anak RS Dr. Hasan Sadikin Bandung, periode Oktober 2003–Januari 2004. Diagnosis DBD berdasarkan kriteria WHO. Subjek dibagi dalam grup DBD (derajat I dan II) dan SSD (DBD derajat III dan IV). Penilaian LFG dihitung dari kadar kreatinin serum dengan rumus Schwartz. Perbandingan distribusi jenis kelamin, usia, dan status nutrisi pada kedua kelompok menggunakan uji chi-kuadrat, sedangkan untuk proporsi LFG dengan uji t. Dari 68 subjek, grup DBD 41 (60%) dan grup SSD 27 (40%). Tidak ada perbedaan distribusi jenis kelamin, usia, dan satus nutrisi antara grup DBD dan SSD, masing-masing dengan nilai p>0,05. LFG rata- rata grup gabungan, DBD, dan DSS berturut-turut 155,9±47,8; 152,3±49,2; dan 161,3±45,9. Proporsi LFG antara grup DBD dan SSD 137,50 (94,8–131,82) vs 155,38 (89,2–26,9), p=0,322. Simpulan, semua subjek penelitian mempunyai LFG normal dan tidak ada perbedaan antara DBD dan SSD. [MKB. 2011;43(2S):44S–7]. Kata kunci: Laju fltrasi glomerulus (LFG), demam berdarah dengue (DBD), sindrom syok dengue (SSD) Korespondensi: Dr. Dedi Rachmadi, dr., Sp.A(K), M.Kes, Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran-Rumah Sakit Dr. Hasan Sadikin, jalan Pasteur No. 38 Bandung 40163, telepon (022) 2035957, mobile 081320608455, e-mail dedirachmadi@yahoo.com