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Hubungan Sikap Ibu Hamil Terkait Perilaku Hidup Bersih dan Sehat dengan Kejadian Bakteriuria Asimptomatik Wahyu, Zahra Sabrina; Haruna, Nadyah; Palancoi, Najamuddin Palancoi; Fauziah, Henny
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/rh7dxq11

Asymptomatic bacteriuria (ASB) during pregnancy may progress to urinary tract infection (UTI) and complications if undetected. Attitudes toward clean and healthy living behavior (PHBS) may be associated with ASB risk through genital hygiene, voiding habits, and hydration. To examine the association between PHBS attitudes and ASB among pregnant women at Jongaya Primary Health Center, Makassar. An analytical cross-sectional study (December 2023–January 2024) involving 56 pregnant women (accidental sampling). The independent variable was PHBS attitude (poor/moderate/good) measured using a PHBS attitude questionnaire. The dependent variable was operational ASB, determined by urine testing (dipstick leukocyte esterase/nitrite and/or urine sediment analysis) among participants without UTI symptoms based on a symptom-screening checklist interview. Chi-Square was used for association testing; due to small cell counts, a sensitivity analysis using category collapsing and exact testing was performed, with effect sizes (PR/OR) and 95% CIs reported. Poor PHBS attitude was found in 27 (48.2%), moderate in 11 (19.6%), and good in 18 (32.1%). Operational ASB was identified in 44 participants (78.6%). Chi-Square indicated a significant association (p=0.01). After collapsing categories (poor vs moderate/good), poor attitude showed higher ASB prevalence (PR=1.55; 95% CI: 1.16–2.08) and higher odds (OR=15.89; 95% CI: 1.88–134.18) with exact p=0.002. PHBS attitude was statistically associated with operational ASB in this setting. Causal inference cannot be made due to the cross-sectional design and potential confounding.

Hubungan Sikap Ibu Hamil Terkait Perilaku Hidup Bersih dan Sehat dengan Kejadian Bakteriuria Asimptomatik Wahyu, Zahra Sabrina; Haruna, Nadyah; Palancoi, Najamuddin Palancoi; Fauziah, Henny
Wal'afiat Hospital Journal Vol. 6 No. 2 (2025): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/rh7dxq11

Asymptomatic bacteriuria (ASB) during pregnancy may progress to urinary tract infection (UTI) and complications if undetected. Attitudes toward clean and healthy living behavior (PHBS) may be associated with ASB risk through genital hygiene, voiding habits, and hydration. To examine the association between PHBS attitudes and ASB among pregnant women at Jongaya Primary Health Center, Makassar. An analytical cross-sectional study (December 2023–January 2024) involving 56 pregnant women (accidental sampling). The independent variable was PHBS attitude (poor/moderate/good) measured using a PHBS attitude questionnaire. The dependent variable was operational ASB, determined by urine testing (dipstick leukocyte esterase/nitrite and/or urine sediment analysis) among participants without UTI symptoms based on a symptom-screening checklist interview. Chi-Square was used for association testing; due to small cell counts, a sensitivity analysis using category collapsing and exact testing was performed, with effect sizes (PR/OR) and 95% CIs reported. Poor PHBS attitude was found in 27 (48.2%), moderate in 11 (19.6%), and good in 18 (32.1%). Operational ASB was identified in 44 participants (78.6%). Chi-Square indicated a significant association (p=0.01). After collapsing categories (poor vs moderate/good), poor attitude showed higher ASB prevalence (PR=1.55; 95% CI: 1.16–2.08) and higher odds (OR=15.89; 95% CI: 1.88–134.18) with exact p=0.002. PHBS attitude was statistically associated with operational ASB in this setting. Causal inference cannot be made due to the cross-sectional design and potential confounding.

A Review of Rational Pharmacotherapy in the Use of Antibiotics in Hospitals Haruna, Nadyah; Syakir, Darmawansyih; Nilawati, Andi
Sciences and Clinical Pharmacy Research Journal Vol. 2 No. 4 (2026): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/scpr.v2i4.5322

This study aims to examine the rational pharmacotherapy of antibiotic use in hospital settings, focusing on patterns, determinants, and the role of antimicrobial stewardship (AMS) in optimizing therapeutic outcomes. Employing a qualitative descriptive design through a literature review, this research synthesized findings from scientific journals, official reports, and academic studies published between 2015 and 2025. Data collection involved systematic literature tracing and document analysis, while the data analysis process consisted of thematic identification, data reduction, categorization, and inductive interpretation. The results reveal that the rationality of antibiotic use in Indonesian hospitals remains low, ranging between 6.67% and 68.03%, with key issues involving inappropriate antibiotic selection, incorrect dosing, and inadequate therapy duration. Limited AMS implementation and minimal pharmacist involvement were identified as major contributing factors. Conversely, evidence demonstrates that multidisciplinary AMS programs, particularly those led by clinical pharmacists, significantly improve prescribing rationality, reduce resistance rates, and lower healthcare costs. The findings provide a comprehensive understanding of how institutional, behavioral, and policy factors influence rational antibiotic use, offering implications for both clinical practice and healthcare policy reform. In conclusion, the study underscores the need for sustained AMS integration, pharmacist empowerment, and standardized evaluation systems to strengthen rational pharmacotherapy and combat antimicrobial resistance.

Infeksi Menular Seksual Sebagai Faktor Resiko Independen pada Kejadian Stunting di Makassar Mile, Murshalina; Haruna, Nadyah; Palincoi, Najamuddin; Irnawati, Risma; Fatmawati, Fatmawati
Al GIZZAI: PUBLIC HEALTH NUTRITION JOURNAL Vol 6 No 1 (2026)
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/algizzai.v6i1.61806

Background: Stunting remains a pressing global nutritional problem and a significant public health concern in Indonesia. Multiple maternal factors, including sexually transmitted infections (STIs), inadequate nutrition, and poor environmental sanitation, have been linked to impaired fetal growth. However, the relationship between maternal STIs and childhood stunting is not well explored. Objective: This study aimed to determine the association between maternal STIs and the incidence of stunting among infants. Methods: A case-control study was conducted from October 2023 to January 2024 at Kassi-Kassi Primary Health Center, Makassar, Indonesia. A total of 30 participants were enrolled using total sampling, comprising 15 case samples (mothers of stunted infants) and 15 control samples (mothers of non-stunted infants). Data were obtained through structured interviews and medical records and analyzed using Chi-square tests to estimate odds ratios (OR) and 95% confidence intervals (CI). Results: The prevalence of maternal STIs (Hepatitis B, HIV, and syphilis) was 50%. Mothers with positive STI status had a significantly higher risk of delivering stunted infants (73.3% in the case group vs. 26.7% in the control group), with an OR of 7.56 (95% CI: 1.50–36.15; p = 0.014). Conclusion: Maternal STIs are significantly associated with an increased risk of stunting in infants. These findings underscore the importance of routine STI screening and preventive interventions during antenatal care to reduce the risk of childhood stunting.

ANALISIS FAKTOR RISIKO YANG BERHUBUNGAN DENGAN INFEKSI LUKA OPERASI PASCA SECTIO CAESAREA DI RSKDIA SITI FATIMAH MAKASSAR Herawati, Nur Isma; Haruna, Nadyah; Helvian, Fhirastika Annisha; Fitriani, Rini; Syamsuddin, Darussalam
Jurnal Midwifery Vol 8 No 1 (2026): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v8i1.64651

Introduction Sectio Caesarea (SC) is a method of delivering a fetus by making an incision in the uterine wall through the anterior abdominal wall. Like surgical procedures in general, SC is not free from various potential risks, one of which is surgical wound infection. Surgical wound infection is one of the major problems in obstetric practice, as it can delay wound healing and thereby increase morbidity rates. Method Sample in this study was selected using a purposive sampling method, based on specific criteria determined by the researchers by considering the characteristics or attributes of the population. Result The statistical analysis showed that age had a p-value of 0.000 (p < 0.05), nutritional status p-value of 0.000 (p < 0.05), anemia p-value of 0.000 (p < 0.05), parity p-value of 0.010 (p < 0.05), diabetes mellitus p-value of 0.047 (p < 0.05), immunosuppression p-value of 0.047 (p < 0.05), and hypothermia p-value of 1.000 (p>0.05).Conclusion: Based on the statistical test results, it can be concluded that there is a significant association between age, nutritional status, anemia, parity, immunosuppression, and diabetes mellitus with post–cesarean section (SC) surgical wound infection. Meanwhile, no significant association was found between hypothermia and post-SC surgical wound infection. Based on the p-values, age, nutritional status, and anemia were the most influential risk factors for surgical wound infection after cesarean section. By understanding the main risk factors, healthcare providers can implement earlier interventions in high-risk patients to reduce the incidence of post-SC surgical wound infections.

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