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Wibianto, Anastasia
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Health Professions Medicine & Pharmacology Public Health

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Epidemiologi dan Karakteristik Pasien Luka Bakar di RSUD Cibabat dalam Periode 5 Tahun (2015 – 2020): Studi Retrospektif Haryono, Winsen; Wibianto, Anastasia; Noer Hidayat, Taufiq Sakti
Cermin Dunia Kedokteran Vol 48, No 4 (2021): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.596 KB) | DOI: 10.55175/cdk.v48i4.1361

Abstract

Latar belakang: Luka bakar merupakan kasus kompleks dan memerlukan tatalaksana komprehensif. Di Indonesia, data epidemiologi kasus luka bakar jarang dilaporkan. Metodologi: Studi retrospektif non-random consecutive sampling data rekam medis RSUD Cibabat dalam periode 5 tahun (Maret 2015 - Juni 2020). Uji statistik menggunakan Pearson Chi-Square. Hasil: Jumlah pasien luka bakar 524 orang, terbanyak dewasa (>18 tahun) dengan etiologi terbanyak adalah api (180 = 34,4%). Pada anak-anak (≤18 tahun) lebih sering disebabkan air panas (143 = 27,3%). Simpulan: Pasien luka bakar lebih banyak pada dewasa. Api sebagai etiologi tersering pada dewasa, sedangkan pada anak-anak terutama oleh air panas.Background: Burn injury is a complex case and requires comprehensive management. In Indonesia, epidemiological data on burn injury cases are still rarely reported. Method: Retrospective non-random consecutive sampling study on medical records data from Cibabat Regional Hospital in a period of 5 years (March 2015 - June 2020). Data was analyzed with Pearson Chi-Square. Results: A total of burn injury patients were 524 patients; mostly adult (>18 years), mostly caused by open flame (180 = 34,4%). Among children (≤18 years) the cause was mostly scald (143 = 27,3%). Conclusion: Most burn injury patients were adults. Open flame was the major etiology in adults, while scald was the main etiology in children.
Fase Krisis Blast Chronic Myeloid Leukemia dengan Acute Renal Failure Wibianto, Anastasia; Prihadi, Dinny Gustina
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.203 KB) | DOI: 10.55175/cdk.v47i12.1245

Abstract

Leukemia myeloid kronik merupakan penyakit mieloproliferatif dengan komplikasi tersering gagal ginjal. Fase krisis blast cukup jarang tetapi terberat dari seluruh fase leukemia myeloid kronik dengan risiko kematian tertinggi. Kasus: Perempuan 72 tahun dengan leukositosis 218.700/µl dan gagal ginjal akut dengan kreatinin 7,1 mg/dL. Dari morfologi darah tepi disimpulkan leukemia mieloid kronik dengan sel blast 54%. Pasien diterapi dengan dua sesi leukapheresis, dan idarubicin selama 3 hari dengan terapi pengganti ginjal berkelanjutan. Selanjutnya pasien diberi sitarabin IV selama 7 hari, dengan hasil remisi.Chronic myeloid leukemia is a myeloproliferative disease with renal failure as the most common complication. Blast crisis is the rarest but worst phase of chronic myeloid leukemia with highest mortality. Case: A 72-year-old woman presented with leukocytosis 218,700/µl, and acute renal failure with creatinine 7,1 mg/dL. The peripheral blood morphology showed chronic myeloid leukemia with 54% blast cells. The patient was treated with two sessions of leukapheresis, and idarubicinfor 3 days in the setting of continuous renal replacement therapy, followed with 7 days of continuous cytarabineinfusion. The patient went into a complete remission.
Herpes Zoster Oftalmikus Sinistra pada Geriatri dengan Komplikasi Wibianto, Anastasia; Haryono, Winsen
Cermin Dunia Kedokteran Vol 48, No 4 (2021): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.006 KB) | DOI: 10.55175/cdk.v48i4.1469

Abstract

Herpes zoster oftalmikus (HZO) adalah salah satu bentuk klinis herpes zoster (HZ) yang melibatkan saraf oftalmikus. Geriatri meningkatkan risiko komplikasi HZ seperti neuralgia pasca-herpetika (NPH) karena penurunan imunitas selular. Kasus: Satu kasus HZO pada laki-laki 61 tahun. Diagnosis HZO berdasarkan anamnesis dan pemeriksaan fisik berupa lesi pustula, ekskoriasi, dan krusta unilateral sesuai daerah persarafan nervus oftalmikus (V1) dan maksilaris (V2) kiri disertai nyeri. Pemeriksaan mata mendapatkan gambaran konjungtivitis viral. Terapi topikal kompres terbuka dengan larutan garam faali dilanjutkan dengan salep sodium fusidat. Pada mata diberi asiklovir salep mata dan ofloksasin tetes mata. Terapi sistemik asiklovir 5x800 mg selama tujuh hari, antibiotik (eritromisin), dan analgesik (metampiron). Saat remisi, pasien diberi amitriptilin untuk mengatasi NPH dan menghasilkan remisi komplit.Herpes zoster ophthalmica (HZO) is a clinical form of herpes zoster (HZ) with ophthalmic nerve involvement due to reactivation of the varicella zoster virus (VZV). Geriatrics condition increase the risk of complication due to decreased cellular immunity. Post herpetic neuralgia (PHN) is a frequent complication of HZO. Case: A 61-year-old male with HZO. Diagnosis was based on history and unilateral distribution of pustular lesions, excoriation, and crust in left ophthalmic (V1) and maxillary (V2) dermatomearea. Topical therapy used open saline dressing with sodium fusidate ointment, acyclovir eye ointment and ofloxacin eye drops. The systemic therapy was acyclovir 5x800 mg for seven days, antibiotic (erythromycin), and analgesic (methampirone). During remission, amitriptyline was given to reduce pain due to PHN. The patient went to a complete remission.
Co-Authors Haryono, Winsen Noer Hidayat, Taufiq Sakti Prihadi, Dinny Gustina