Luthfi Azizatunnisa’
Departemen Perilaku Kesehatan, Lingkungan, Dan Kedokteran Sosial, Fakultas Kedokteran, Kesehatan Masyarakat & Keperawatan Universitas Gadjah Mada

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Emergence of Kebsiella pneumoniae Carbapenemase (KPC)- Producing Klebsiella pneumoniae in Infected Patients in Dr. Kariadi Hospital Luthfi Azizatunnisa'; Maryani .; Kusmadewi Eka Damayanti
Nexus Biomedika Vol 4, No 3 (2015): Nexus Biomedika
Publisher : Nexus Biomedika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13.862 KB)

Abstract

Background: KPC-producing K. pneumoniae are a group of emerging highly drug-resistant Gram-negative bacilli causing infections associated with significant morbidity and mortality. The emergence of KPC-producing K. pneumoniae has now become a global concern. The ability of this bacteria hydrolyzing carbapenem makes limited antibiotic choice for severe infections. KPC spreads through plasmid-mediated, thus this bacteria can spread rapidly. Methods: This was a descriptive research with total sampling as the sampling technique used was all the population within a period of one year in 2012. The research was done in Microbiology Laboratory, School of Medicine, Sebelas Maret University and the samples were from Dr. Kariadi Hospital. The research subject was 79 Klebsiella pneumonia isolated from all infected patients along 2012. Susceptibility test was performed for all samples with diffusion method using Mueller-Hinton and meropenem. The decreased sensitivity of the samples carried on Modified Hodge Test to determine if the bacteria produced KPC. The results of the study were analyzed using descriptive analysis. Results: From the 79 samples, 10 (12.66%) samples decreased sensitivity to meropenem. Those ten samples consisted of cases of sepsis 30%, pneumonia 20%, urinary tract infection 20%, surgical site infection 10%, diabetes mellitus wound infections 10%, and bronchitis 10%. From the ten samples, 60% were nosocomial infection and 30% were from ICU. It was found that one sample (1.27%) was Modified Hodge Test positive. Conclusions: This research found the incidence of KPC-producing Klebsiella pneumoniae in infection patients in Dr. Kariadi Hospital. This result can be a warning for Indonesian health considering the danger of KPC bacteria. Early identification of bacteria that produce KPC with in vitro testing is critical for the success of infection control. Keywords: Klebsiella pneumoniae, Klebsiella pneumoniae carbapenemase (KPC), Carbapenem-resistant, Modified Hodge Test.
E-learning situation children with disabilities during the COVID-19 pandemic Monanda, Adelia Pramudita; Padmawati, Retna Siwi; Azizatunnisa', Luthfi
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i04.19515

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Purpose: Online learning or e-learning is the solution to the COVID-19 pandemic. With this condition, the parents must accompany their children with disabilities in e-learning at home. The research aims to explore the situation of e-learning in children with disabilities. Methods: This qualitative study used a case study approach. Participants were recruited through the purposive sampling technique. There were 11 main participants, parents or learning companions of students with disabilities, and four supporting participants who were the Head of the Kapuas Regency Office, the Principal of the SLB Negeri 2 Kapuas, and one of the teacher representatives in each SLB Negeri 1 and SLB Negeri 2 Kapuas. Results: In the process of e-learning learning activities at SLB Negeri 1 and SLB Negeri 2 Kapuas, very few parents of children with disabilities can provide gadgets and limited internet access in the area where they live. Therefore, learning activities during the COVID-19 pandemic for children with disabilities were implemented using WhatsApp groups and teachers visiting each student's house. Parents must know and maintain their children's learning mood, invite children to do learning activities in a pleasant atmosphere, and parents must be able to divide their time between work and accompanying children to study. Conclusion: In its implementation, the course encounters obstacles; the role of teachers and parents is also very influential, so the e-learning method can run optimally through good cooperation between teachers and parents in educating and motivating disabled students during learning at home.