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All Journal Indonesian Journal of Urology Indonesian Journal of Biotechnology Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Medicine Jurnal Ners Buletin Kedokteran dan Kesehatan Prima
Mukti, Ade Indra
Universitas Prima Indonesia Medan, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Profile of urinary tract infections in the Urology Polyclinic of Imelda Pekerja Indonesia General Hospital Matondang, Lasma Ani Giot Marito; Ade Indra Mukti; Edlin, Edlin
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.5807

Abstract

Urinary tract infection (UTI) is one of the most common infectious diseases in the world, affecting 150 million people every year.The purpose of this study was to determine the profile of urinary tract infection patients in the urology polyclinic at Imelda Pekerja Indonesia General Hospital.The type of research used in this study was observational analytic with a cross sectional study design. In this study, the population and sample included patients who experienced UTI infection at Imelda Pekerja Indonesia General Hospital. Univariate and bivariate analyses were performed. The results showed that sex was a significant risk factor for UTI. High-risk female gender can increase risk of UTI 4.442 times. Age was not a significant risk factor for UTI. Occupation was not a significant risk factor for UTI. A history of DM was not a significant risk factor for UTI. High-risk patients with a history of DM can increase risk of UTI 1.462 times, this risk was not statistically significant. A history of BSK is a significant risk factor for UTI. High-risk patients with a history of UTI can increase risk of UTI 4.929 times, this risk is statistically significant. Sex and a history of BSK were significant risk factors for UTI. Age, occupation, and history of DM were not significant risk factors for UTI.
Factors associated with dietary adherence among patients with type 2 diabetes mellitus at Royal Prima General Hospital Turnip, Modesto Lam Ulido Putra; Girsang, Ermi; Mukti, Ade Indra
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7691

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a significant health issue in Indonesia, where management relies heavily on patient dietary adherence. However, adherence levels are often suboptimal. This study aimed to identify the factors associated with dietary adherence among T2DM patients at a major hospital in Medan, Indonesia. Methods: This cross-sectional study was conducted in December 2024 at Royal Prima General Hospital, involving 64 T2DM patients selected through total sampling. Data on demographic characteristics, knowledge, family support, and healthcare provider (HCP) support were collected via structured questionnaires. Dietary adherence was the dependent variable. Data were analyzed using chi-square tests and multivariate logistic regression. Results: A slight majority of patients (53.1%) were adherent to their diet. Multivariate analysis identified age as the most dominant predictor, with patients aged ≥45 years being 18.9 times more likely to be adherent than younger patients (AOR = 18.935, p=0.004). Male gender was also a significant predictor of higher adherence (AOR = 7.652, p=0.01). Paradoxically, good knowledge (AOR = 0.161) and HCP support (AOR = 0.109) were significantly associated with lower odds of adherence. Education and employment status showed no significant association. Conclusion: Age is the most critical factor influencing dietary adherence among T2DM patients in this cohort, with older individuals demonstrating significantly better compliance. Interventions should specifically target younger patients and women, who are at higher risk for non-adherence.
Analysis of Risk Factors for Chronic Kidney Disease in Young Adults at Rasyida Kidney Hospital, Medan, in 2024 Gultom, Yosephine Octaviana; girsang, Ermi; Mukti, Ade Indra
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i10.62248

Abstract

Chronic kidney disease (CKD) is a global health problem with a high economic burden and significant mortality. In Indonesia, the prevalence of CKD continues to rise, while cardiometabolic factors such as hypertension and diabetes, as well as certain infections (e.g., hepatitis B), are thought to contribute to disease progression in young adults. To determine the association between age, sex, hypertension, diabetes mellitus, and hepatitis B with CKD stage, and to identify the most influential factors in young adult patients. This was a retrospective study of medical records from patients aged 19-44 years at Rasyida Kidney Specialty Hospital, Medan, in 2024 (total sampling; n = 121). The dependent variable was CKD stage (stages 4-5). Univariate analysis was performed to describe patient characteristics; bivariate analysis (Fisher’s exact test) was used to assess the association between each factor and CKD stage; and multivariate logistic regression was used to determine independent predictors of advanced CKD. Of the 121 patients, 57% (69) were male, and the majority were aged 33-44 years (62.8%, n = 76). Stage 2 hypertension was present in 55.4% (67) of patients. A history of diabetes was found in 22.3% (27), with 18.2% (22) classified as prediabetic. Hepatitis B was identified in 10.7% (13). Bivariate analysis showed significant associations between CKD stage and hypertension (p < 0.001), diabetes (p < 0.001), and hepatitis B (p = 0.004), but no significant associations for sex (p = 0.052) or age (p > 0.05). Multivariate regression confirmed hypertension (p < 0.001), diabetes (p < 0.001), and hepatitis B (p= 0.033) as independent predictors of advanced CKD. In young adults, CKD stage is strongly associated with hypertension particularly stage 2 as well as diabetes mellitus and hepatitis B, while age and sex show no significant association. These findings highlight the importance of blood pressure screening and control, strict glycemic management, and hepatitis B treatment to slow CKD progression. Further studies are recommended to include lifestyle and metabolic factors such as BMI, dyslipidemia, salt intake, smoking, family history, and treatment adherence.
Gambaran Diagnostik dan Penatalaksanaan Pasien Infeksi Saluran Kemih Rawat Inap di Rumah Sakit Royal Prima Medan Tahun 2024 Wahyuni Br Nababan, Agata; Mukti, Ade Indra; Girsang, Ermi
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62356

Abstract

Infeksi Saluran Kemih (ISK) merupakan salah satu masalah kesehatan yang sering terjadi pada pasien rawat inap di rumah sakit. Faktor risiko utama meliputi jenis kelamin, usia, serta riwayat penyakit seperti benign prostatic hyperplasia (BPH), batu saluran kemih, dan diabetes mellitus. Diagnosis ISK dilakukan melalui pemeriksaan urin, darah, dan pencitraan, sedangkan penatalaksanaan mencakup pemberian antibiotik secara empiris atau berbasis hasil kultur dengan durasi yang bervariasi. Penelitian ini bertujuan untuk mengetahui distribusi proporsi pasien ISK rawat inap berdasarkan karakteristik, diagnosis, dan pola penggunaan antibiotik. Penelitian menggunakan desain deskriptif retrospektif dengan pendekatan studi kasus terhadap 85 pasien rawat inap yang terdiagnosis ISK. Data dianalisis secara deskriptif menggunakan frekuensi dan persentase. Hasil penelitian menunjukkan bahwa sebagian besar pasien adalah perempuan (67,1%) dengan usia di atas 40 tahun (54,1%). Riwayat penyakit yang ditemukan meliputi BPH (9,4%), batu saluran kemih (10,6%), dan diabetes mellitus (22,4%). Pemeriksaan urin menunjukkan adanya eritrosit dan leukosit pada sebagian besar pasien, sedangkan pemeriksaan darah memperlihatkan variasi kadar leukosit, neutrofil, dan laju endap darah yang menandakan adanya respons imun. Pencitraan dilakukan secara selektif, dengan USG dan CT scan sebagai metode paling sering digunakan, sementara 41,2% pasien tidak menjalani pencitraan. Sebagian besar pasien mendapat terapi antibiotik empiris (82,4%) dengan durasi 2–7 hari (96,5%), sedangkan 17,6% mendapat terapi berbasis kultur. Disarankan pasien menjaga kebersihan saluran kemih dan mematuhi terapi antibiotik, sementara fasilitas kesehatan perlu menerapkan protokol diagnosis dan penggunaan antibiotik yang rasional.
Co-Authors Agatha, Callista Della Agung Putra Chiuman, Linda DENI SETIAWAN DEWI SARTIKA Edlin , Edlin Edlin, Edlin Fadillah, Qori Girsang, Ermi Gultom, Yosephine Octaviana Gusbakti Iffan Alif Lazuardi, Maulana Umar Lina, Juliana Lukman Hakim Matondang, Lasma Ani Giot Marito Nadapdap, Marshall Jeremia Napitu, Sabar Hamonangan Victoranius Novita, Cut Elvira Nurul Hidayah Reynaldi Suryajaya Riska Rachmania Salma Yasmine Azzahara Sofian Azalia Husain Sunaryo Hardjowijoto Tarigan, Grace Angelina Br Titiek Sumarawati Tjendera, Mariaman Turnip, Modesto Lam Ulido Putra wahjoe djatisoesanto Wahyuni Br Nababan, Agata