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Journal : Global Health Management Journal

Examination of Coliform and Escherichia coli Contamination in Refilled Drinking Water in Cirebon Regency, Indonesia Shonia, Ana Naela; Fitriani, Hikmah; Indrakusuma, Mohammad Erwin
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1224

Abstract

Background: Refillable drinking water is a commonly used source of water for the public. Contamination of this water can lead to various diseases, including waterborne diarrhea. Coliform bacteria and Escherichia coli are indicators of faecal contamination and can cause waterborne diseases. This study aims to determine whether Coliform and Escherichia coli are present in refillable drinking water in Cirebon Regency. Aims: To identify the presence of Coliform and Escherichia coli bacteria in refillable drinking water in Cirebon Regency. Methods: This descriptive study employed purposive sampling to collect six samples of refillable drinking water from six different depots located in Cirebon Regency. Each sample was tested four times using various laboratory tests, including Nutrient Agar, Mac Conkey Agar, Gram Staining, IMVIC, and TSIA. Results: All samples showed the presence of Coliform (100%), as shown by the Mac Conkey Agar test indicating lactose fermentation and Gramme Staining revealing rod-shaped bacteria. However, Escherichia coli was not found (0%) in any of the samples. The results of the Mac Conkey Agar test as a lactose fermenter, Gram Staining showing rod-shaped bacteria, and IMVIC tests showed the following profile: Indole +, MR +, VP -, Citrate -, and TSIA: A/A, H₂S -, Gas +. While Escherichia coli was absent, the detection of other Coliforms suggests persistent hygiene issues; Citrobacter freundii and Klebsiella were found to be Coliform bacteria. Conclusion: No Escherichia coli were detected in any of the samples, but Coliform bacteria were found in 6 out of 6 samples (100%). The maintenance of refillable drinking water depots is crucial for public health. Owners must frequently clean and disinfect the reservoirs to prevent contamination. Additionally, authorities are responsible for regularly monitoring the hygiene and sanitation of these depots.
Identification of Bacteria on Classroom Air Conditioner at Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia Surfa, Muhammad Bintang Abdi; Fitriani, Hikmah; Indrakusuma, Mohammad Erwin
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741010

Abstract

Background: Air conditioner became a significant factor in indoor air quality. Poorly maintained Air Conditioners can become breeding grounds for bacteria, leading to health problems and symptoms of Sick Building Syndrome, such as headaches, loss of concentration, dry throat, eye and skin irritation, and acute respiratory infections. Aims: Identify bacteria types and count bacterial colonies on Air Conditioning units in the classrooms of buildings A and B at Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. Methods: Cross-sectional study using 16 air conditioner samples from lecture rooms at Faculty of Medicine, Universitas Swadaya Gunung Jati. Direct swabs were taken from the air conditioner filters using cotton swabs, which were then identified using McConkey, Blood Agar, and Nutrient Agar media to count bacterial colonies followed by confirmatory bacterial tests using Triple Sugar Iron Agar (TSIA) and Indol, Methyl red, Vogues proskauer, Simmon Citrate (IMVIC) media. Results: Bacterial growth identification tests identified Bacillus sp., Micrococcus sp., Staphylococcus sp., Streptococcus sp., Coryneform/Diptheroid, Enterobacter sp., and Stenotrophomonas sp.. Highest colony count was 402 CFU/cm³ and lowest was 16 CFU/cm³. Conclusion: Bacterial identification on classroom the Air Conditioner revealed that the microbial community in the system was predominantly composed of Gram-positive strains, which were detected more frequently than Gram-negative strains. Received: 24 September 2024  |  Reviewed: 02 November 2024  |  Revised: 30 November 2024  |  Accepted: 15 December 2024.
Improving Pulmonary Tuberculosis Treatment Adherence: The role of patient knowledge in Cirebon, West Java, Indonesia Marfuati, Sri; Fitriani, Hikmah; Weni, Mustika; Riawan, Firanda Putri
GHMJ (Global Health Management Journal) Vol. 7 No. 2 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-72987

Abstract

Background: With 10 million cases around the world, pulmonary tuberculosis (TB) has been classified as a highly contagious disease and mostly affecting low and middle countries. Having the second highest incident cases in West Java of Indonesia, Cirebon becomes a challenging city in order to reduce the number of TB cases in the country. Aims: This study aims to identify the patients’ knowledge and treatment phases, and how the two factors encourage patients to comply with their medication. Methods :  This cross-sectional observational study was conducted among 91 new pulmonary tuberculosis patients at the Cirebon City Community Lung Health Centre, selected using random sampling. Not only respondent characteristics, but also data on the patients' knowledge levels, treatment phases, and medication adherence were collected using a questionnaire and medical records. To assess the relationship between these variables, the collected data was then analyzed using the Spearman Correlation test. Ethical clearance was obtained from the Health Research Ethics Commission, and informed consent was gathered from all participants. Results: This study reveals the most updated characteristics of the Tuberculosis patients at the Cirebon City Community Lung Health Center aged 15-64 years old with treatment duration ranged 1-6 months. The majority have insufficient knowledge about tuberculosis (45.1%), and 75.8% of patients adhered to their prescribed medication regimen, regardless of their knowledge level. The data indicates a significant positive correlation between knowledge level and medication adherence (p = 0.015), with 95% of patients with good knowledge adhering to treatment compared to only 34% with poor knowledge. Furthermore, there is a significant relationship between adherence and treatment duration (p = 0.002), as 85% of patients who adhered to treatment did so for more than two months. Conclusion: The study shows that patients with better knowledge of tuberculosis are more likely to stick to their medication, which also leads to longer treatment durations. Given the high incidence of TB in the region, these findings suggest the need for targeted educational programs to enhance patients' understanding of TB, thereby improving adherence to treatment protocols. Received: 20 May 2024, Reviewed: 09 June 2024, Revised: 26 August 2024, Accepted: 30 August 2024.
Effectiveness of Mango Gedong Gincu Peel Extract Gel (Mangifera indica L.) on Cut Wounds in Male Wistar White Rats (Rattus norvegicus) Fathunnisa, Firda; Marfuati, Sri; Fitriani, Hikmah
GHMJ (Global Health Management Journal) Vol. 7 No. 3 (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-731060

Abstract

Background: A wound is an injury to a part of the body where the skin and the underlying tissue lose continuity. The wound healing is a complex process consisting inflammatory phase, proliferation phase, and maturation phase. Open wounds often occur in everyday life and if left behind and untreated can potentially lead to bacterial infection. Mango gedong gincu peel extract (Mangifera indica L.) contains flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins which have roles in wound healing. Aims: To analyses the effectiveness of mango gedong gincu peel extract gel (Mangifera indica L.) against the healing of cut wounds in male wistar white rats (Rattus norvegicus). Methods: The study was an experimental study with a post-test only control group design using 25 male wistar white rat as the subject and was carried out in the FK UGJ Research Laboratory. The study used five groups : negative control group, positive control group, and treatment group using mango gedong gincu peel extract gel (Mangifera indica L.) with concentrations of 5%, 10%, and 15%. Results: The results of the study revealed that mango (Mangifera indica L.) gedong gincu peel is a source of various phytochemical such as flavonoids, tannins, phenols, triterpenoids, steroids, alkaloids, and saponins. This study showed that the 5% and 10% concentration treatment groups had the same average length measurement wound of 0.86 cm. The fastest observation of erythema was the 5% concentration group with a healing rate of 8 days, in the observation of edema the 10% concentration group was the fastest of 6 days, and the observation long of healing time was 5% and 10% concentration had the same rate of 11 days. Conclusion: Mango gedong gincu peel extract gel (Mangifera indica L.) was effective against wound healing with optimum concentrations of 5% and 10% which gives the best healing effect against wounds in male wistar white rats (Rattus norvegicus). Received: 25 September 2024  |  Reviewed: 22 October 2024  | Revised: 05 November 2024  |  Accepted: 09 November 2024.