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Antibiotic Susceptibility Pattern in Clinical Isolates of Pseudomonas aeruginosa Wahyunita Do Toka; Rizalinda Sjahril; Firdaus Hamid
Nusantara Medical Science Journal Volume 6 Issue 2, July - December 2021
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v6i2.14172

Introduction: Pseudomonas aeruginosa is an opportunistic pathogen and causes of nosocomial infections in hospitals. Due to high antibiotic resistance and the ability to develop new resistance during antibiotic treatment, Pseudomonas aeruginosa infection is difficult to eradicate because the physical treatment becomes difficult and ineffective. This study was conducted to evaluate the antibiotic sensitivity pattern of Pseudomonas aeruginosa strains at two different hospital in Makassar. Methods: This study is a cross-sectional study from March to May 2021. The research samples were taken from the results of culture and antibiotic sensitivity tests conducted at two different hospital, Hasanuddin University Hospital and Dr. Wahidin Sudirohusodo Hospital for the period January 1 to September 30, 2019. A total of 84 samples were cultured and tested for antibiotic sensitivity of Pseudomonas aeruginosa. Results: Antibiotic sensitivity of Pseudomonas aeruginosa was best with aminoglycoside antibiotics, gentamicin (100%) at Hasanuddin University Hospital and amikacin (95.8%) at Dr. Wahidin Sudirohusodo Hospital. At Hasanuddin University Hospital followed by antibiotics amikacin (92.3%) and meropenem (84.6%). At Dr. Wahidin Sudirohusodo Hospital, Pseudomonas aeruginosa also showed good sensitivity to gentamicin (91.5%) and meropenem (77.5%). The sensitivity of Pseudomonas aeruginosa was lowest to piperacillin/tazobactam. Conclusions: This study shows that the level of effectiveness of the antibiotics meropenem, amikacin and gentamicin is high enough and it can be used as a treatment option in Pseudomonas aeruginosa infection. This study can help as a reference to prevent mortality and morbidity associated with Pseudomonas aeruginosa infection.

HUBUNGAN TINGKAT PENGETAHUAN DAN TINGKAT KEPATUHAN PENGOBATAN PASIEN DIABETES MELITUS TIPE 2 DI KOTA TERNATE Buyung, Sonia; Armaijn, Liasari; Toka, Wahyunita Do
Jurnal Ilmu Kesehatan Masyarakat Vol 20 No 2 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v20i2.46569

Diabetes Melitus (DM) tipe 2, suatu penyakit kronik dengan hiperglikemia persisten akibat defek sekresi dan resistensi insulin ini masih menjadi ancaman kesehatan dunia hingga saat ini dikarenakan morbiditas, mortalitas, kejadian komplikasi serta pengeluaran biaya kesehatannya yang tinggi. DM tipe 2 memerlukan penatalaksanaan jangka panjang sehingga peran pasien terkait kepatuhan pengobatan menjadi krusial dalam mencapai tujuan pengobatan. Kepatuhan pengobatan ini dipengaruhi oleh beberapa faktor, terutama pengetahuan pasien. Penelitian ini dilakukan untuk mengeksplorasi hubungan antara tingkat kepatuhan pengobatan dan tingkat pengetahuan pasien DM tipe 2 di Kota Ternate, tepatnya di Puskesmas Kalumata. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional terhadap 109 sampel yang diperoleh dengan metode consecutive samplingmenggunakan kuesioner DKQ-24 dan MMAS-8. Dari total 109 sampel ditemukan distribusi pasien terbanyak pada kelompok usia 56-65 tahun (35,8%), jenis kelamin perempuan (66,1%), tamatan SMA sederajat (44%), Ibu Rumah Tangga (44%), telah berobat selama 6 bulan atau lebih (77,1%), memiliki riwayat DM dalam keluarga (58,7%), berpengetahuan cukup (45,9% ) dan memiliki kepatuhan pengobatan sedang (36,7%). Analisis korelasi spearman menghasilkan nilai signifikansi (p value) sebesar <0,001 dan koefisien korelasi (r) sebesar 0,739. Hasil tersebut mengindikasikan adanya korelasi yang signifikan dan kuat, dengan arah korelasi positif, antara tingkat pengetahuan dan tingkat kepatuhan pengobatan pada pasien DM Tipe 2 di Puskesmas Kalumata Kota Ternate.

Identification of Gram Negative Bacteria in the Urine of Catheterized Patients at Referral Hospital in Ternate Waraningsih, Septiana; Do Toka, Wahyunita; Dahlan, Muhammad; Rachman, Ismail
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.5

Infections can occur anywhere and often occur usually sourced from hospitals. Nosocomial infection is an infection caused by various microorganisms, one of which is bacteria originating from the hospital environment. Gram-negative bacteria, especially the Enterobacteriaceae family, are the main bacteria that cause nosocomial infections. One of the common infectious diseases in health care is urinary tract infection and some UTIs are caused by catheter insertion. This research aimed to identify gram-negative bacteria in the urine of catheterized patients at RSUD Dr. H. Chasan Boesoirie, a referral hospital in Ternate. The research method is descriptive observational with a cross sectional approach using a total sampling technique obtained 83 samples from November 14, 2023 to December 17, 2023. The results showed that 7 samples (8.4%) were identified as positive for gram-negative bacteria with 7 types of bacterial species and the highest percentage of bacteria was Escherichia coli (33.4%). The use of urinary catheters was mostly female (55.4%) with the highest age in the age group 56-65 years (34.9%) and the duration of urinary catheter use was mostly in samples with a duration of <72 hours (90.4%). In conclusion, gram-negative bacteria were identified in the urine of catheterized patients.

Identification of Gram Negative Bacteria in the Urine of Catheterized Patients at Referral Hospital in Ternate Waraningsih, Septiana; Do Toka, Wahyunita; Dahlan, Muhammad; Rachman, Ismail
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.5

Infections can occur anywhere and often occur usually sourced from hospitals. Nosocomial infection is an infection caused by various microorganisms, one of which is bacteria originating from the hospital environment. Gram-negative bacteria, especially the Enterobacteriaceae family, are the main bacteria that cause nosocomial infections. One of the common infectious diseases in health care is urinary tract infection and some UTIs are caused by catheter insertion. This research aimed to identify gram-negative bacteria in the urine of catheterized patients at RSUD Dr. H. Chasan Boesoirie, a referral hospital in Ternate. The research method is descriptive observational with a cross sectional approach using a total sampling technique obtained 83 samples from November 14, 2023 to December 17, 2023. The results showed that 7 samples (8.4%) were identified as positive for gram-negative bacteria with 7 types of bacterial species and the highest percentage of bacteria was Escherichia coli (33.4%). The use of urinary catheters was mostly female (55.4%) with the highest age in the age group 56-65 years (34.9%) and the duration of urinary catheter use was mostly in samples with a duration of <72 hours (90.4%). In conclusion, gram-negative bacteria were identified in the urine of catheterized patients.

Skrining Kesehatan Indra: Upaya Peningkatan Kesehatan Anak Binaan LPKA Kelas II Ternate Masrika, Nur Upik En; Husen, Abdul Hakim; Do Toka, Wahyunita; Saleh, Firman M; Hastuti, Dwi; Ismail, Safril
Jurnal Inovasi Pengabdian dan Pemberdayaan Masyarakat Vol 3 No 2 (2023): JIPPM - Desember 2023
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jippm.231

Organisasi Kesehatan Dunia (WHO) memperkirakan 1,5 miliar dan 2,2 miliar orang mengalami gangguan pendengaran dan penglihatan. Indra penglihatan dan pendengaran sangat berperan penting terhadap prestasi pendidikan seorang anak tanpa terkecuali. Sehingga tindakan penyuluhan dan skrining atau deteksi dini terhadap fungsi indra sangat diperlukan. Tujuan dari kegiatan ini yakni untuk memberikan informasi terkait bagaimana cara menjaga kesehatan indra dan dapat mendeteksi ada tidaknya gangguan ataupun kelainan fungsi indra anak binaan. Metode dari kegiatan ini berupa penyuluhan kesehatan dan pemeriksaan indra penglihatan meliputi pemeriksaan visus dan buta warna, serta fungsi pendengaran dengan pemeriksaan dan pembersihan telinga dari serumen atau benda asing yang bertempat di LPKA Kelas II Ternate. Hasil dari kegiatan ini diikuti oleh peserta binaan sebanyak 23 orang laki-laki dengan kelompok usia rerata 17,2 + 1,3 tahun; 60,9% mengalami gangguan telinga berupa adanya serumen di telinga; 60,9% mengalami kelainan refraksi berupa penurunan visus; dan 8,7% mengalami buta warna partial. Kesimpulan kegiatan yakni didapatkan profil kesehatan terkait fungsi indra penglihatan dan pendengaran serta pemberian talaksana dan edukasi kepada para peserta. Kegiatan ini perlu dilakukan secara berkelanjutan dengan jenis pemeriksaan dan penanganan yang berbeda agar para penghuni LPKA Kelas II Ternate tetap mendapatkan hak-haknya untuk merasakan pelayanan kesehatan yang nyaman dan kepedulian dari berbagai pihak.

THE CORRELATION BETWEEN RISK FACTORS WITH INCIDENCE OF PREECLAMPSIA Ammarie, Amalia Sumaya; Hani, Ummu; Do Toka, Wahyunita
Indonesian Journal for Health Sciences Vol 8, No 2 (2024): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v8i2.8920

Preeclampsia is a disorder that occurs in the mother and fetus during pregnancy which is one of the problems in pregnancy worldwide, especially in countries with low maternal health levels. Many risk factors contribute to the incidence of preeclampsia, including age, obesity, gravida status or parity, anaemia, history of hypertension, previous history of preeclampsia, and multiple pregnancies. This study aims to determine the association of risk factors with the incidence of preeclampsia at RSUD Dr. H. Chasan Boesoirie Ternate. This is an observational-analytic study with 169 consecutive samples. Using the chi-square test there is a relationship between preeclampsia and age, obesity, and a history of hypertension (p0.001); anaemia (p=0.039). There is no relationship between preeclampsia and the status of gravida (p=0,514) and multiple pregnancies (p=0.525). It can be concluded that there is an association between preeclampsia and age, obesity, anaemia, and a history of hypertension and no association between preeclampsia and status of gravida and multiple pregnancies

PENGETAHUAN, SIKAP DAN PERILAKU MASYARAKAT DALAM PENCEGAHAN DEMAM DENGUE DI DESA KAWASI HALMAHERA SELATAN Nachrawy, Tuthanurani; Hakim Husen, Abd; Do Toka, Wahyunita
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i4.2429

Dengue hemorrhagic fever (DHF) is a viral infectious disease that the Aedes aegypti mosquito spreads. South Halmahera Regency is one of the endemic areas for DHF in North Maluku Province. Data from the South Halmahera Regency Health Office reveals DHF data for January-April 2024. According to the data, the cause of the disease is mosquito bites, and it has reached 26 cases. Children dominate the sufferers. The incidence of DHF can be reduced by breaking the chain of transmission of the DHF virus by improving the quality of environmental sanitation, reducing the population of Aedes Aegypti mosquitoes as vectors of DHF and preventing it. This study aims to investigate the community's knowledge, attitudes, and behaviour regarding DHF prevention, highlighting the need for increased awareness and proactive action. The research method, a descriptive study conducted in Kawasi Village, Central Halmahera Regency, was chosen for its ability to provide a comprehensive understanding of the community's perspectives on DHF prevention. This study involved 35 respondents selected through non-random purposive sampling with a cross-sectional approach

PENDAMPINGAN PKK DESA GAMLAMO MELALUI PEMANFAATAN IKAN TERI NASI SEBAGAI UPAYA PENCEGAHAN STUNTING DI DESA GAMLAMO, KABUPATEN HALMAHERA BARAT Abdullah, Abulkhair; Do Toka, Wahyunita; Sandrawati, Sandrawati
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 8, No 1 (2025): MARTABE : JURNAL PENGABDIAN KEPADA MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v8i1.442-448

Stunting merupakan salah satu masalah gizi yang serius di Indonesia, terutama pada anak-anak di bawah usia lima tahun. Fenomena ini menjadi tantangan besar bagi kesehatan masyarakat. Desa Gamlamo yang terletak di Kabupaten Halmahera Barat, adalah salah satu wilayah yang menghadapi tantangan ini. Tingkat stunting yang masih tinggi di Kabupaten Halmahera Barat mencerminkan kebutuhan untuk meningkatkan pola makan dan asupan gizi keluarga. Salah satu solusi yang dapat diterapkan adalah pemanfaatan ikan teri nasi sebagai sumber makanan bergizi. Tujuan dari PKM ini ialah memberikan edukasi dan pelatihan kepada masyarakat tentang pemanfaatan ikan teri nasi kering sebagai makanan pendamping ASI (MPASI), cara pengolahannya yang efektif dan efisien, serta memberdayakan masyarakat dalam mengurangi angka stunting di Desa Gamlamo. Tahapan pelaksanaan PKM terdiri dari persiapan (survei lokasi, observasi, dan penentuan prioritas masalah); pelaksanaan (sosialisasi, pelatihan, dan penerapan teknologi); dan evaluasi. Berdasarkan evaluasi kegiatan yang dilakukan, program PKM yang dilaksanakan dapat meningkatkan pengetahuan mitra. Evaluasi dilakukan sebanyak 2 kali. Keduanya menunjukkan adanya peningkatan pengetahuan yang signifikan (p < 0,05). Pada evaluasi pertama, nilai rata-rata pre-test sebesar 50 dan meningkat menjadi 85 pada saat post-test. Sedangkan untuk evaluasi kedua, nilai rata-rata pre-test sebesar 51 dan meningkat menjadi 87 pada saat post-test. Hasil tersebut menunjukkan bahwa program PKM yang dilaksanakan efektif dalam meningkatkan pengetahuan dan keterampilan mitra.

IDENTIFIKASI BAKTERI GRAM POSITIF PADA URINE PASIEN PENGGUNA KATETER DI KOTA TERNATE Toka, Wahyunita Do; Rahman, Ismail
Jurnal Ilmiah Pharmacy Vol 12, No 1 (2025)
Publisher : Sekolah Tinggi Kesehatan Al-Fatah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52161/jiphar.v12i1.629

Infeksi dapat terjadi di berbagai tempat dan sering kali dikaitkan dengan rumah sakit. Infeksi nosokomial disebabkan oleh mikroorganisme, termasuk bakteri, yang berasal dari lingkungan rumah sakit. Salah satu jenis infeksi yang umum di fasilitas kesehatan adalah infeksi saluran kemih (ISK), dan beberapa kasus ISK disebabkan oleh penggunaan kateter. Penelitian ini bertujuan untuk mengidentifikasi bakteri gram-positif dalam urine pasien yang menggunakan kateter di RSUD Dr. H. Chasan Boesoirie Ternate. Penelitian ini menggunakan desain observasional deskriptif dengan pendekatan cross-sectional, dan metode total sampling untuk mengumpulkan 53 sampel. Hasil penelitian menunjukkan bahwa 6,0% dari sampel (5 sampel) mengandung bakteri gram-positif, dengan empat spesies bakteri yang diidentifikasi, di mana yang paling umum adalah Staphylococcus sp. (37,5%). Sebagian besar pengguna kateter adalah perempuan (58,5%), dengan kelompok usia terbesar antara 17-35 tahun dan 56-65 tahun (37,7%), dan penggunaan kateter umumnya berlangsung kurang dari 72 jam (90,4%). Penelitian ini menyimpulkan bahwa bakteri gram-positif ditemukan dalam urine pasien yang menggunakan kateter. Kata Kunci: Bakteri Gram Positif, Kateter Urine, Ternate

Analisis Faktor Risiko Kejadian Kelainan Refraksi pada Mahasiswa Kedokteran Universitas Khairun Tahun 2023 Armaijn, Liasari; Do Toka, Wahyunita; Maulany Abdullah, Rizka
Alami Journal (Alauddin Islamic Medical) Journal Vol 8 No 1 (2024): JANUARY
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/alami.v8i1.39789

Refractive error is a condition in which the optical system of the eye blocks the entry of light at one focal point on the retina, resulting in decreased vision. Risk factors such as genetics, environment, and gender can lead to refractive errors. This study aims to analyze the risk factors of refractive errors in Khairun University Medical students. This research is an analytic study with a cross-sectional approach conducted at the Faculty of Medicine, Khairun University, from March to April 2023. Sample collection using total sampling technique, then univariate and bivariate analysis using chi-square test. The instruments in this study used questionnaires and Snellen charts. The results showed that most ages were 17-18 years, as many as 55 people (59.1%), with the female gender as many as 86 people (92.5%). Based on the chi-square test, the results showed a significant relationship between reading distance and refractive errors p=0,043 Prevalence Risk (PR) CI 95% 2,400 (1,022-5,635) and duration of using mobile phones on the incidence of refractive errors p=0.047 PR CI 95% 2,437 (1,100-5,935). It can be concluded that among all the risk factors analyzed, reading distance and the duration of mobile phone use were found to be risk factors for reactive error in medical students.

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