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Evaluation of Antibiotic Usage Using the Gyssens Qualitative Method in Pediatric Inpatients with Diarrhea at a Teaching Hospital in North Jakarta Dyanto, Norman; Ramatillah, Diana Laila
Asian Journal of Social and Humanities Vol. 2 No. 4 (2023): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v2i4.229

Abstract

Diarrhea is the second leading cause of death in children worldwide. Diarrhea is widespread in developing nations, Indonesia included. The primary treatment for diarrhea is the giving of rehydration fluids to prevent dehydration, and it generally does not require antibiotics. Giving antibiotics to pediatric patients with diarrhea indicates the presence of an infection, such as bloody diarrhea or cholera. Antibiotics are ineffective if not taken as prescribed and can lead to bacterial resistance. This study aims to understand the patient profile antibiotic usage, and evaluate the appropriateness of antibiotic use in pediatric inpatients with diarrhea using the Gyssens method at a Teaching Hospital in North Jakarta during the 2022 period. This research was a retrospective study that gathered data through qualitative analysis using the Gyssens algorithm to determine the appropriateness of antibiotic use in pediatric inpatients with childhood diarrhea at a Teaching Hospital in North Jakarta. The evaluation of antibiotic usage used the Gyssens flowchart, which included inclusion and exclusion criteria for assessing the appropriateness of antibiotic use. From this research, 81 patients are identified, with the majority of cases occurring in toddlers aged 0-5 years (86.4%), and the most common gender is male (58%). The most frequently prescribed antibiotic is ceftriaxone (40.6%), with the majority receiving only one antibiotic prescription (40.7%). The evaluation of antibiotics using the Gyssens method indicates that 45 patients (55.5%) are categorized as 0; 34 patients (42%) are categorized as IVa; and 2 patients (2.5%) are categorized as IIIa. No antibiotics categorized I, IIa, IIb, IIc, IIIb, IVb, IVc, or IVd. The evaluation of antibiotic usage using the Gyssens qualitative method for pediatric inpatients with diarrhea at a Teaching Hospital in North Jakarta during the 2022 period shows appropriate use.
Bernafas Lega, Belajar Ceria : Edukasi Tuberkulosis Untuk Guru SDN Sunter Agung 05 Arnanda, Nindi; Ramatillah, Diana Laila; Dyanto, Norman; Sentika, Elsa Dera; Gustianjani, Delia; Victoria, Brigita
BERDIKARI Vol 8, No 2 (2025): Jurnal Berdikari
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/berdikari.v8i2.8876

Abstract

Tuberkulosis (TB) merupakan salah satu penyakit menular dengan angka insidensi tinggi di Indonesia. Rendahnya pengetahuan masyarakat, termasuk tenaga pendidik, dapat memperburuk risiko penularan di lingkungan sekolah. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pemahaman guru SDN Sunter Agung 05 mengenai tuberkulosis, meliputi gejala, cara penularan, pencegahan, dan pengobatan. Metode pelaksanaan berupa ceramah interaktif, diskusi, serta pembagian leaflet edukatif yang dilengkapi dengan pre-test dan post-test untuk mengukur peningkatan pengetahuan. Hasil kegiatan menunjukkan adanya peningkatan pemahaman guru, ditunjukkan dengan kenaikan nilai rata-rata pengetahuan dari 32% pada pre-test menjadi 50% pada post-test. Peserta juga antusias dalam diskusi, terlihat dari pertanyaan yang diajukan mengenai pencegahan penularan di sekolah, risiko kambuh, hingga efektivitas pengobatan. Edukasi terbukti efektif meningkatkan kesadaran guru sebagai agen edukasi kesehatan, sehingga dapat mendukung terciptanya lingkungan sekolah yang sehat dan aman dari penularan TB.
SKRINING DAN OPTIMALISASI VITAMIN D PADA IBU HAMIL DALAM PENCEGAHAN STUNTING DI RW 06 KEBON BAWANG, JAKARTA UTARA Ramatillah, Diana Laila; Prima, Sylvia Rizky; Susilowati, Sri Endah; fitriani, Fitriani; Lestari, Mega; Ghassani, Fatiha Azka; Luthfiana, Farisa; Darsono, Michelle; Sumardiyanto, Didit
BERDIKARI Vol 8, No 2 (2025): Jurnal Berdikari
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/berdikari.v8i2.8871

Abstract

Stunting masih menjadi masalah kesehatan masyarakat di Indonesia yang berdampak pada kualitas sumber daya manusia di masa depan. Vitamin D berperan penting dalam metabolisme kalsium, sistem imun, serta pertumbuhan janin, sehingga kekurangannya pada ibu hamil dapat meningkatkan risiko stunting pada anak. Program pengabdian masyarakat ini bertujuan meningkatkan pengetahuan ibu hamil mengenai peran vitamin D dalam pencegahan stunting melalui edukasi gizi berbasis komunitas. Kegiatan dilaksanakan di RW 06 Kebon Bawang, Jakarta Utara, dengan melibatkan 50 responden ibu hamil. Metode yang digunakan meliputi skrining dasar kesehatan, penyuluhan dengan media booklet, leaflet, poster, dan video, pelatihan kader Posyandu, serta penerapan teknologi tepat guna berupa alat pemanggang kacang kedelai. Evaluasi dilakukan dengan membandingkan hasil pre-test dan post-test. Hasil menunjukkan peningkatan pengetahuan rata-rata dari 55% menjadi 84%, dengan peningkatan tertinggi pada pemahaman mengenai kedelai sebagai sumber vitamin D (dari 46% menjadi 80%). Program ini juga menghasilkan media edukasi, pelatihan kader, dan inovasi teknologi sederhana yang dapat dimanfaatkan secara berkelanjutan. Temuan ini menunjukkan bahwa pendekatan partisipatif berbasis komunitas efektif untuk meningkatkan pengetahuan ibu hamil dan mendukung upaya pencegahan stunting di wilayah perkotaan padat penduduk.
DRUG THERAPY IN PATIENTS WITH GRADE 4 DEXTRA HIP OSTEOARTHRITIS WITH COMORBID HYPERTENSION AND TYPE 2 DIABETES MELLITUS Astiani, Rangki; Piter, Piter; Anggraeni, Ria; Luthfiana, Farisa; Sari, Dini Permata; Ramatillah, Diana Laila; Khan, Khasif
SOCIAL CLINICAL PHARMACY INDONESIA JOURNAL Vol 10, No 2 (2025)
Publisher : Universitas 17 Agustus 1945 Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52447/scpij.v10i2.8977

Abstract

Osteoarthritis (OA) is a chronic degenerative disease that affects the joints, especially heavy joints such as the knees and hips. OA often causes chronic pain and limited mobility, which is even more complex when accompanied by comorbid hypertension and type 2 diabetes mellitus. These comorbidities increase the risk of pharmacotherapy side effects and drug interactions, requiring a multidisciplinary approach and careful clinical pharmacy monitoring. The purpose of this report is to review the pharmacotherapy management of grade 4 OA Hip Dextra with comorbid HT and DMT2, assessing the safety, effectiveness, and role of clinical pharmacists in therapy optimization. A retrospective case study was conducted by analyzing the patient's medical records, including anamnesis, physical examination, laboratory, pharmacological therapy, and clinical response. The analysis was conducted based on the national guidelines of the Indonesian Ministry of Health, the 2021 National Formulary, PERKENI 2023, and PAPDI 2021. The patient was given combination therapy of NSAIDs, analgesics, prophylactic antibiotics, muscle relaxants, gastric protection, and supplementation for anemia. Therapeutic adjustments were made according to the patient's response and laboratory parameters. Clinical pharmacy monitoring ensures pain control, mobility, hemoglobin, and blood sugar. A multidisciplinary approach based on national guidelines has been shown to improve the safety and effectiveness of OA therapy with multiple comorbidities.
AstraZeneca Vaccine Administration and Treatment Outcomes in Cardiovascular Patients Chastity, Phoebe Clarissa; Ramatillah, Diana Laila
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 2 (2025): Volume 7 Nomor 2 Agustus 2025
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i2.1068

Abstract

Cardiovascular disease (CVD) is a leading cause of morbidity and mortality worldwide. With the global rollout of COVID-19 vaccines, including the AstraZeneca vaccine, there is increasing interest in understanding their impact on individuals with pre-existing cardiovascular conditions. While effective in preventing COVID-19, concerns have been raised about potential cardiovascular side effects. This study aimed to determine the correlation between the AstraZeneca vaccine and treatment outcomes in CVD patients, focusing on differences in patients' CVD-related conditions before and after vaccination. Data were collected using validated questionnaires conducted in Jakarta, employing an analytical survey with a cohort approach. Reliability was assessed using Cronbach's alpha, and validity was tested with a modified Delphi method involving clinical pharmacy experts. Data were analyzed using crosstab analysis via Chi-square test. The study included 200 subjects, with 115 females (57,5%) and 85 males (42,5%), with a majority of participants being over 45 years old (45,0%). A significant correlation (p-value < 0,05) was observed across various factors, including comorbidities and sociodemographic variables, patients' drug intake before and after vaccination, and the relationship between vaccination and comorbid diseases. The findings indicate a strong association between vaccination and patients history of cardiovascular disease. This correlation highlights the vaccine's possible impact on CVD-related symptoms post-vaccination. Consequently, the research provides evidence that the AstraZeneca vaccination significantly affects the risk of cardiovascular disease.
Hubungan Vitamin D dengan Kejadian Lupus di Rumah Sakit Pendidikan Jakarta Maulana, Fajar; Ramatillah, Diana Laila
Educatoria : Jurnal Ilmiah Ilmu Pendidikan Vol. 6 No. 2 (2026): April
Publisher : Lembaga Pendidikan, Penelitian, dan Pengabdian Kamandanu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/educatoria.v6i2.1268

Abstract

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that commonly affects women of reproductive age and is characterized by immune system dysregulation. Vitamin D acts as an immunomodulator that influences disease activity through the regulation of adaptive and innate immune responses. This study aims to analyze the relationship between patient characteristics and vitamin D levels and evaluate changes in levels after supplementation in SLE patients at the Jakarta Teaching Hospital. This study used a descriptive analytical design with a retrospective cross-sectional approach based on medical records of 55 patients from November 2024 to May 2025. The variables analyzed included age, gender, and 25(OH)D levels categorized as deficiency, insufficiency, and normal. The relationship analysis was performed using the Chi-Square test. The results showed that most patients were in the deficiency and insufficiency categories. There was a significant relationship between age and vitamin D levels (p=0.037) and between gender and vitamin D levels (p<0.033). A sub-analysis was also conducted on 7 of 55 patients who received 5,000 IU vitamin D3 supplementation for 30 days. This small group found an increase in 25(OH)D levels to within the normal range without signs of toxicity. It was concluded that vitamin D has potential as an adjuvant therapy in SLE patients.
Co-Authors Abdul Hamid Afiyah, Evy Rosda Nur Agita, Petra Agus, Elma Fania Ahmad Rofii Alviandini, Indriani Amran, Melwani Andalika, Anggie Andini, Reviana Putri Anggraeni, Yunita Dian Arani, Arani Arnanda, Nindi Asrianti, Asrianti Astari, Lita Tri Astiani, Rangki Astika, Dwi Audina, Sely Awlia, Siti Jumiyatul Basith, Fijar Abdul Cahaya, Angela Imelda Chandra, Ferdy Chastity, Phoebe Clarissa Darsono, Michelle Delpia, Meme Dicky Wahyudi Didit Sumardiyanto Dimyati, Bagus Prayoga Dinli, Dwi Yunisa Dirgantara, Topan Dyanto, Norman Ektadinata, Sendy Natasya Via Aura Elnaem, Mohamad Elnaem, Mohamed Hasan Faradila, Sita Nur Farisa Luthfiana Farrukh, Muhammad Junaid Fatma Sri Wahyuni Fitri, Dhynne Risha Fitria, Neng Fitriani Fitriani Furi, Mefina Ratna Ghassani, Fatiha Azka Gloria, Fransisca Gustianjani, Delia Handayani, Diren Handini, Intan Dwi Hanif, Nita Aribah Hartuti, Silvy Herlambang Huri, Hasniza Zaman Ibrahim, Baharudin Ihsanil Husna Indrayani, Ni Putu Kristina Ipadeola, Mairo Hamid Jacob, Jelia Sinta KADIR, FITRI Kaldicson, Alno Kapahang, Praysi Kezia, Valerie Khan, Kashif Ullah Khan, Khasif Kusumawati, ⁠Ni Kadek Yuli Lestari, Fajar Ria Lukas, Stefanus M L, Brigita Mahyani, Atika Rahima Mardlatillah, Mardlatillah Maulana, Fajar Mega Lestari Michael Michael Miranda, Melly Mohtar, Khumairah Muhammad Lukman Hakim, Muhammad Lukman Muhammad, Afriady Nuur Muhammad, Raihan Fadhil Munuarti Muhawia Murti, Yuliza Nabilah, Titania Nastiti, Rachel Ayu Nauli, Riva Jayanti Ngarso, Sofia Nopridayanti, Nopridayanti nuralang, nuralang Nurhasan Nurhasan, Nurhasan Paulina, Ida piter, piter PL, Delastri Prima, Sylvia Rizky Purba, Rahelia Purdiansyah, Dewi Tamara Putri, Icha Septami Putri, Nia Basita Putri, ⁠Lidiya Rabima, Rabima Rahma, Helda Ria Anggraeni Rizky, Tri Agung Rofitri, Desta Safitri, Laela Saidah, Nur Salsabila, Farras Khalda Sari, Adinda Novita Sari, Dini Permata Sari, Napa Purnama Sari, Novi Triana Sentika, Elsa Dera Setiawan, Ezra Alvira Setya Ningtyas, Maria Sheila Siboro, Linda Theresia Simatupang, Angel Maria Sinaga, Kristina SITI MARYAM Sri Endah Susilowati Steffanie, Cindy sujana, Dewa Gede Susika, Lia Sutardi, Azzahrotul Qona'ah Ibnatus Syafrudin, Dimas Anas Syed Azhar Syed Sulaiman, Syed Azhar Syed Azhar Syed Sulaiman, Syed Azhar Syed Syelvia, Fauziah Debby Tuharea, Maryanti Victoria, Brigita Virginia, Vivi Vivian, Maria Wahyudi, Agung Aji Warsono Warsono Wibawa, Wahyu Setya Widiawati Widiawati, Widiawati Yufri Aldi Yufrida, Yufrida Yulia Rahmawati, Yulia Yusa, ⁠Miranda Imelda Zahroh, Rahil Virginia Az Zaman Huri, Hasniza