Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal Indonesian Journal of Tropical and Infectious Disease Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Layanan Masyarakat (Journal of Public Service)
Perdhana, Fajar
Unknown Affiliation
Humanities Decision Sciences, Operations Research & Management Earth & Planetary Sciences Environmental Science Health Professions Medicine & Pharmacology Public Health Social Sciences Other

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
BACTERIAL COLONY GROWTH IN THE VENTILATOR CIRCUIT OF THE INTENSIVE OBSERVATION UNIT AT RSUD Dr. SOETOMO SURABAYA Perdhana, Fajar; Utariani, Arie; Semedi, Bambang Pujo; Setiawan, Philia
Indonesian Journal of Tropical and Infectious Disease Vol. 6 No. 3 (2016)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.886 KB) | DOI: 10.20473/ijtid.v6i3.3013

Abstract

Ventilator-associated pneumonia (VAP) remains a problem with the highest cos, morbidity and mortalityt in the Intensive Care Unit (ICU). The correlation between mechanical ventilation and pneumonia is considered as common sense, yet scientific evidence to support this statement is still needed. This research aims to analyze the bacterial colony grows in mechanical ventilation circuit and those grew in the patient's sputum culture. We performed an observational study. Samples for bacterial culture were taken from ventilator circuit and patient sputum on Day-0, Day-3 and Day-7. Sputum samplings are collected using double catheter tracheal aspiration technique; Results are then analyzed with Chi-square test. While the similarity of bacteria species in ventilator circuit to patient's sputum is analyzed with Binomial test. Two samples are dropped out immediately due to the rate of bacterial growth on Day-0. Bacterial colony growth in ventilator circuit shows a significant difference on Day-3 and Day-7 at 50% and 92% respectively (p = 0.05). A comparison for the bacterial similarity of the ventilator circuit and patient's sputum shows that the bacterial growth on Day-3 is 7 out of 14 (50%) and 3 with more than 105 CFU/ml colony; while on Day-7, there are 13 out of 14 positive bacterial growth, both in the circuit and the patient's sputum. Among them, 5 out of 14 (35%) of the bacterial colony which grow in the circuit have the same species as those grow in patient's sputum. The recent study shows that there is bacteria colony growth in the ventilator circuit after Day-3 and a significant increase on Day-7. Almost half of the colony illustrates similar species from both ventilator circuit and patient's sputum. This suggests that the bacterial growth on Day-7 in the ventilator circuit might be related to those growth in patient's sputum. 
EMERGENCY RESPONSE TRAINING FOR FLOOD TIDES: ENHANCING PREPAREDNESS OF THE KEDUNG COWEK COASTAL COMMUNITY, SURABAYA Pujo Semedi, Bambang; Kriswidiyatomo, Prihatma; Surgean Veterini, Anna; Sumartono Waloejo, Christrijogo; Abbas, Kun Arifi; Perdhana, Fajar; Mutiar, Airi; Rahmanto, Ilham; Rifqi, Muhammad Andika
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 9 No. 3 (2025): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/.v9i3.2025.495-506

Abstract

Tidal flooding is one of the hydrometeorological disasters caused by extreme weather that frequently affects the coastal area of Kampung Nelayan, Kedung Cowek Subdistrict, Surabaya City. Based on risk analysis, the community’s level of knowledge and attitude in responding to disasters plays a crucial role in mitigation efforts; thus, training and the initiation of a disaster response community are necessary. This community service program aimed to provide theoretical education and practical training on Basic Life Support (BLS), accompanied by the initiation of a fishermen disaster response community for 35 people of Kampung Nelayan, Kedung Cowek. The program was conducted at the Kedung Cowek Village Hall and included: (1) BLS education through presentations, (2) practical simulation of chest compressions using a mannequin and evacuation with a stretcher, (3) distribution of personal protective equipment for fishermen, and (4) the establishment of a disaster response community. Improvements in knowledge and attitude were measured using pre- and post-test questionnaires and analyzed with the Wilcoxon Signed-Rank test in SPSS with significance level at 0,05. The results showed a significant increase in knowledge (68.66 ± 21.68 vs 95.33 ± 2.61) and attitude (50.71 ± 14.24 vs 64.95 ± 3.27) (p < 0.01). The initiation of a disaster response coastal community is expected to strengthen the tidal flood management system through adequate BLS provision, so the capacity and resilience of coastal communities are sustainably maintained.
Administration of Nitrates After Spontaneous Delivery in Rheumatic Heart Disease Koeshardiandi, Mirza; Himawan, Muhammad Wildan Afif; Perdhana, Fajar; Wicaksana, Zulfikar Loka
Indonesian Journal of Anesthesiology and Reanimation Vol. 5 No. 1 (2023): Indonesian Journal of Anesthesiology and Reanimation (IJAR)
Publisher : Faculty of Medicine-Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijar.V5I12023.45-50

Abstract

Introduction: Heart disease is one of the most common causes of maternal death. The incidence has increased since women with congenital and acquired heart disease reached fertile age. The circulation system changes during pregnancy which are induced by changes in the progesterone. The changes in progesterone levels increase heart work and cause death in pregnant women. Objective: This report aims to elaborate on the administration of nitrates as the management of labor in rheumatic heart disease (RHD). Case Report: A 27-year-old woman complained of shortness of breath and wanted to give birth. The patient was 38 weeks pregnant and had a history of heart disease. Antero-posterior chest radiography examination showed pulmonary edema and cardiomegaly. The patient was examined using echocardiography before spontaneous labor and was diagnosed as pregnant with rheumatic heart disease. As an emergency management, the patient was given painless spontaneous labor. The patient was given nitrates on the first day after delivery as a treatment for progesterone withdrawal syndrome in this case. After the delivery process was completed, the patient was admitted to the Intensive Care Unit (ICU). Progesterone hormone produced by the corpus luteum and the placenta until the eighth week of pregnancy and before delivery, respectively, can reduce systemic vascular resistance. Progesterone hormone increase causes peripheral vasodilation by affecting the function of endothelial nitric oxide synthase (eNOS) and nitrite oxide (NO) production. Conclusion: A pregnant woman with rheumatic heart disease can be given exogenous nitrate. Administration of exogenous nitrates in this patient successfully prevent the reduction of peripheral vascular resistance and postpartum hemodynamic instability because it can replace the reduction in nitric oxide caused by progesterone withdrawal.
Co-Authors Abbas, Kun Arifi Anna Surgean Veterini Himawan, Muhammad Wildan Afif Koeshardiandi, Mirza Kriswidiyatomo, Prihatma Mutiar, Airi Rahmanto, Ilham Rifqi, Muhammad Andika Semedi, Bambang Pujo Setiawan, Philia Sumartono Waloejo, Christrijogo Utariani, Arie Wicaksana, Zulfikar Loka