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Profil Klinis Otitis Media Akut di Rumah Sakit Umum Universitas Kristen Indonesia Bambang S.R. Utomo; Firman F.W. Siregar
Majalah Kedokteran UKI Vol. 34 No. 1 (2018): JANUARI - MARET
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

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AbstrakOtitis media akut (OMA) adalah radang akut telinga tengah yang sering di jumpai. Penelitian ini bertujuan untukmengetahui profil klinis OMA di poli klink THT-KL RSU Pendidikan-Universitas Kristen Indonesia dengan metodepenelitian deskriptif retrospektif menggunakan data sekunder status rawat jalan pasien yang berkunjung di tahun2013. Dari 30 pasien OMA, frekuensi terbanyak didapatkan pada laki-laki (24 (80%) pasien) dan rentang usiaterbanyak 1-3 tahun 18 (60%) pasien). Sebanyak 17 (57%) pasien mempunyai riwayat infeksi saluran pernafasanbagian atas. Penelitian ini menyimpulkan OMA terbanyak ditemukan pada laki-laki, dengan rentang usia 1-3 tahun,dan pada keadaan infeksi saluran nafas akut. Kata kunci: Otitis Media Akut, Profil Klinis OMA. AbstractAcute otitis media (AOM) is a common acute infection of the middle ear. This studi aims to determine clinicalprofile of AOM at the Universitas Kristen Indonesiaâ€™s general hospital during the year of 2013, using a retrospectivedescriptive studi design with secondary outpatient medical record data. Of 30 patients with acute otitis media, 24(80%) patients were males, 18 (60%) patient aged between 1-3 years old, and 17 (57%) patient had a history ofupper respiratory tract infection. AOM was mostly found among males aged between 1-3 years old and in patientssuffered from acute respiratory tract infection..Keyword: Acute otitis media, clinical profile of AOM.

Profil Otitis Media Supuratif Kronik di RSU Universitas Kristen Indonesia, Jakarta Dennis Rafi; Manuel M. A. Panjaitan; Bambang S. R. Utomo
Majalah Kedokteran UKI Vol. 32 No. 2 (2016): APRIL - JUNI
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstrak Otitis media supuratif kronis (OMSK) adalah infeksi kronis di telinga tengah. Penurunan pendengaran dapat dipengaruhi oleh lama sakit dan luas perforasi membran timpani. Penelitian ini bertujuan untuk mengetahui gambaran klinis OMSK di RSU UKI. Penelitian dilakukan secara observasional dengan pendekatan cross sectional study. Hasil penelitian menunjukkan OMSK lebih sering ditemukan pada usia >50 tahun dan usia 18-35 tahun, mengenai telinga kiri, dengan perforasi membran timpani sedang-besar, serta kurang pendengaran derajat sedangberat. Terdapat hubungan bermakna (p<0,05) antara luas perforasi membran timpani dengan derajat kurang pendengaran. Disimpulkan bahwa OMSK lebih sering ditemukan pada usia > 50 tahun, mengenai telinga kiri, dengan perforasi membran timpani sedang-besar, kurang pendengaran derajat sedang-berat. Terdapat hubungan antara luas perforasi membran timpani pada OMSK dengan derajat kurang pendengaran. Kata kunci: Luas perforasi membran timpani, derajat kurang pendengaran, otitis media supuratif kronik Abstract Chronic otitis media (COM) is a chronic infection of the middle ear. Loss of hearing could be affected by the duration of the illness and the size of perforation of the tympanic membrane. The aim of this study was to evaluate the COM’s profile in the Indonesian Christian University General Hospital, Jakarta. We performed an observational study with a cross sectional design. We found the COM was more frequent in ³50 and 18-35 year-old groups, left ear, with medium-large size of tympanic membrane perforation, degree of hearing loss is moderate to severe. There was a significant (p<0.05) association between the size of tympanic membrane perforation with the degree of hearing loss. This study found that COM was more frequent in people 50 year–old or older, left ear, medium-large perforated tympanic membrane, moderate to severe degree of hearing loss, The size of perforation of tympanic membrane was associated with the severity of hearing loss.Keywords: Size of tympanic membrane perforation, severity of hearing loss, chronic otitis media

Peran Mometasone Furoate Semprot Hidung Dosis Rendah dalam Menurunkan Gejala dan Tanda Rinitis Alergi Persisten Sedang-Berat Bambang S. R Utomo; Hendri Setyawan; Suprihati
Majalah Kedokteran UKI Vol. 32 No. 4 (2016): OKTOBER-DESEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstrak Karakteristik rinitis alergi (RA) persisten yang berbeda dengan RA seasonal memungkinkan mometasone furoate (MF) dosis rendah bermanfaat terhadap penderita RA persisten sedang- berat. Tujuan penelitian ini untuk mengetahui manfaat dosis rendah MF semprot hidung 100 µg/hari pada penderita RA persisten sedang-berat. Penelitian ini menggunakan uji intervensi pre and post test pada penderita RA persisten sedang-berat di klinik Telinga Hidung Tenggorok Bedah Kepala Leher RSUP Dr Kariadi Semarang selama dua minggu. Didapatkan 19 pasien RA persisten sedang-berat berusia 15-50 tahun, tujuh laki-laki dan 12 perempuan. Manfaat MF 100 µg/hari selama dua minggu adalah terjadinya perbaikan secara signifikan pada skor gejala total (SGT), skor kualitas hidup (SKH), peak nasal inspiratory flow (PNIF) dan jumlah eosinofil sekret hidung dari nilai dasar (p<0,0001).Kata Kunci: Rinitis alergi persisten sedang-berat, mometasone furoate, gejala klinik, kualitas hidup, PNIF, eosinofil hidung. Abstract Symptom characteristics of persistent allergic rhinitis (AR) are different from seasonal allergic rhinitis. The aim of this study was to evaluate the benefit of mometasone furoate (MF) nasal spray 100µg/day in the treatment of moderate to severe persistent allergic rhinitis patients. We performed a pre and post test design study for treating moderate to severe persistent allergic rhinitis patients at ENT department, Kariadi Hospital, Semarang. The treatment of MF 100 µg/day was given for 2 weeks period. Nineteen patients with moderate to severe persistent allergic rhinitis aged 15-50 year old (seven men and 12 women) participated in this study. The benefits of MF nasal spray 100 µg/day for 2 weeks included the improvement of total symptoms score (TSS), quality of life (QoL) score, peak nasal inspiratory flow (PNIF) and nasal eosinophils count with significant differences from base line (p<0,0001). Keywords: moderate to severe persistent allergic rhinitis, mometasone furoate, clinical symptom, quality of life, PNIF, nasal eosinophils.

Profile of Allergic Rhinitis Based on Nasal Eosinophil Count, Total Nasal Symptoms Score and Peak Nasal Inspiratory Flow Bambang S. R.Utomo; Lina Marlina; Fransiskus Poluan; Jurita Falorin; Danny Luhulima; Yunita R.M. B. Sitompul
Majalah Kedokteran UKI Vol. 35 No. 1 (2019): JANUARI - MARET
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstract Allergic rhinitis (AR) is a symptomatic disorder of the nose induced after allergen exposure by an immunoglobulin E (IgE)-mediated inflammation of the membranes lining the nose. The manifestation of AR can affect patients’ quality of life. The objective of this study was to evaluate the profile of allergic rhinitis patients in term of nasal eosinophil count, total nasal symptom score (TNSS) and peak nasal inspiratory flow (PNIF). Fourteen allergic rhinitis patients were evaluated using the nasal eosinophil count with Wright-Giemsa staining, total nasal symptom score, and PNIF. The study comprised of 6 (42.9%) men, and 8 (57.1%) women with a mean of age 21.15±3.78 years. Participants’ symptoms and characteristics included sneezing (42%), nasal blockage (21.4%), itchy nose (21.4%), and rinorrhea (14.3%) with a mean TNSS of 8.2±1.8. Intermittent AR was found in 14.3% subjects, persistent AR 78.6%, mild AR 21.4%, and moderate-severe AR 78.6%. The mean PNIF was 80±27.46 L/min, and mean eosinophil count of 2.5±1.74. In conclusion, allergic rhinitis patients demonstrated positive nasal eosinophil count with Wright-Giemsa staining, with the majority of them having persistent and moderate-severe RA. They also had nasal airflow impairment, which could affect quality of life.Keywords: allergic rhinitis, eosinophil, nasal airflow, quality of life. Abstrak Rhinitas alergika (RA) merupakan kelainan pada hidung yang diinduksi oleh pajanan alergen yang berhubungan dengan reaksi inflamasi yang diperantarai IgE pada mokusa hidung. Manifestasi RA dapat mempengaruhi kualitas hidup pasien. Tujuan penelitian ini adalah simptomatik evaluasi profil pasien RA dari segi hitung eosinofil nasal, skor total sindrom nasal (TNSS) dan aliran inspirasi nasal (PNIF). Empat belas pasien RA dievaluasi jumlah eosinofil nasal dengan pewarnaan Wright-Giemsa, skor total simtom nasal dan PNIF. Terdapat 6 (42,9%) laki –laki dan 8 (57,1%) perempuan dengan umur rata-rata usia 21,15±3.78 tahun. Simtom dan karakteristik pasien yaitu bersin (42%), sumbatan hidung (21,4%), hidung gatal (21,4%) dan rinorea (14,3%), dengan rata-rata TNSS 8.2±1.8. Rinitas alergika intermiten ditemukan pada 14,3% subyek, yang persisten 78,6%, sedang 21,4% serta sedang-berat 78,6%. Rata-rata PNIF 80±27.46 L/menit, serta rata-rata jumlah eosinofil 2.5±1.74. Dapat disimpulkan pasien RA menunjukkan jumlah eosinofil nasal positif dengan pewarnaan Wright- Giemsa dan kebanyakan memiliki RA yang persisten dengan tingkat sedang-berat. Terdapat juga gangguan aliran udara hidung yang mungkin mempengaruhi kualitas hidup mereka. Kata Kunci: rinitis alergika, eosinofil, aliran udara hidung, kualitas hidung

Hubungan antara Gangguan Pendengaran dan Kualitas Hidup pada Orang Lanjut Usia Destinea Silvanaputri; Bambang S. R. Utomo; Lina Marlina; Fransiskus Poluan; Jurita Falorin; Julita M. Dewi; Dame J. Pohan
Majalah Kedokteran UKI Vol. 35 No. 2 (2019): APRIL - JUNI
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

Abstrak Menurut data USA-Bureau of the census, Indonesia diperkirakan akan mengalami pertambahan warga lansia terbesar di seluruh dunia antara tahun 1990-2025, yaitu sebanyak 414%. Sejalan dengan bertambahnya usia harapan hidup di Indonesia, masalah kesehatan bagi usia lanjut akan semakin banyak, salah satunya adalah gangguan pendengaran. Pada individu yang berusia lebih dari 65 tahun, sekitar 30% di antaranya mengalami penurunan fungsi pendengaran (presbiskusis) dan setelah usia 75 tahun, angka tersebut meningkat menjadi 50%. Masalah pendengaran dapat berpengaruh pada kualitas hidup lansia. Penelitian ini bertujuan untuk mengetahui hubungan antara gangguan pendengaran dan kualitas hidup pada lansia di Sasana Tresna Werdha Karyabakti Ria Pembangunan Cibubur. Penelitian ini menggunakan metode penelitian cross sectional. Teknik sampling pada penelitian ini adalah total sampling dengan jumlah sampel sebanyak 48 orang. Responden mengisi dua kuesioner, yaitu Hearing handicap inventory elderly-screening version (HHIE-S) dan World Health Organization quality of life (WHOQOL-BREF). Terdapat kecenderungan bahwa lansia yang memiliki gangguan pendengaran berisiko lebih besar untuk memiliki kualitas hidup yang kurang baik, walaupun hubungan tidak bermakna (odds ratio 2,0; 95% confidence interval 0,49,7; p=0,605). Diperlukan sampel penelitian yang lebih besar dan desain penelitian yang lebih baik untuk meneliti lebih lanjut hubungan antara gangguan pendengaran dan kualitas hidup pada lansia.Kata kunci: Lanjut usia, gangguan pendengaran, HHIE-S, kualitas hidup, WHOQOL-BREF Abstract According the data from USA Bureau of the census, Indonesia is expected to experience the largest increase (414%) in elderly citizens worldwide between 1990-2025. In line with the increasing life expectancy of the people in Indonesia, there will be more health problems for the elderly, for example hearing loss. In individuals aged over 65 years old, about 30% of them experience decreasing hearing ability (presbiskusis) and after 75 years old, that number increases to 50%. Hearing problem can affect to the quality of life of the elderly. This research aimed to determine the relationship of hearing loss with the quality of life for elderly in Sasana Tresna Werdha Karyabakti Ria Pembangunan Cibubur. This research used a cross sectional method with total sampling technique. All 48 respondents filled out two questionnaries: the hearing handicap inventory elderly-screening version (HHIE-S) and the World Health Organization Quality of Life (WHOQOL-BREF). From the results of the analysis, it was found that respondents with poor hearing quality had a higher risk of having poor quality of life, although the association was not significant (odds ratio 2,0; 95% confidence interval 0,4-9,7; p=0,605). Bigger study with better design is needed to evaluate the relationship between hearing loss and qulaity of life in elederly.Keywords: Elderly, hearing loss, HHIE-S, quality of life, WHOQOL-BREF.

Pola Kepekaan Bakteri yang Diisolasi dari Liang Telinga Penderita Otitis Media Supuratif Kronis Terhadap Antibiotik Noni N. Sari; Bambang S. R. Utomo; Lina Marlina; Fransiscus H. Poluan; Dame J. Pohan
Majalah Kedokteran UKI Vol. 35 No. 4 (2019): OKTOBER-DESEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mkvol34iss2pp60

AbstrakOtitis media supuratif kronis (OMSK) merupakan infeksi telinga tengah yang ditandai dengan keluarnya sekret dari telinga lebih dari dua bulan, sekret cair atau kental berwarna bening atau seperti nanah, frekuensi terus-menerus atau hilang timbul, dan membran timpani mengalami perforasi. Pengobatan konservatif pada OMSK adalah antibiotik topikal dan sistemik. Pola sensitivitas mikroba berubah dari waktu ke waktu, sehingga tujuan penelitian ini adalah untuk mengetahui sensitivitas antibiotik pada bakteri sekret telinga penderita OMSK. Penelitian menggunakan metode deskriptif dengan desain case series. Pengambilan data dilakukan dengan total sampling, yaitu seluruh pasien OMSK yang datang ke Rumah Sakit Universitas Kristen Indonesia, memenuhi kriteria inklusi dan eksklusi, pada bulan Agustus 2019 hingga November 2019. Dari 16 responden penderita OMSK, terdapat 10 laki-laki (62,4%), 5 berasal dari kelompok usia 0-10 tahun (31,2%), dan 16 memiliki keluhan utama keluar cairan (93,8%). Kuman terbanyak adalah Staphylococcus aureus (6 atau 35,3%), sensitivitas antibiotik tertinggi adalah Imipenem (16 atau 94.4%), diikuti gentamisin (13 atau 76,5%) dan Amikasin (13 atau 76.5%). Antibiotik resistensi tertinggi adalah kloramfenikol (13 atau 76,5%), diikuti eritromisin (13 atau 76.5%) dan amoksisilin (7 atau 70,6%).Kata kunci: Otitis media supuratif kronis (OMSK), sekret telinga, kultur, sensitifitas antibiotik. AbstractChronic suppurative otitis media (CSOM) is an infection of the middle ear characterized by secretions from the ear for more than two months, liquid or thick discharge that is clear or pus-like, continuous frequency or recurrent, with a tympanic membrane perforation. Topical and systemic antibiotics are used to treat CSOM. The pattern of microbial sensitivity can changes over time, and the purpose of this study was to evaluate the sensitivity of antibiotics in CSOM patients. This study used a descriptive method with a case series design. Total sampling was done by including all CSOM patients who came to the Indonesian Christian University Hospital from August 2019 to November 2019 based on the inclusion and exclusion criteria. Of 16 respondents with CSOM, there 10 males (62.4%), 5 were in the age group of 0-10 years (31.2%), and 16 had the main complaint of fluid discharge (93.8%). The most common bacteria were Staphylococcus aureus (6 or 35.3%), antibiotic with the highest sensitivity were imipenem (16 or 94.4%), gentamicin (13 or 76.5%) and amikacin (13 or 76.5%). Antibiotics with the highest resistance were chloramphenicol (13 or 76.5%), erythromicin (13 or 76.5%) and amoxicillin (7 or 70.6%).Keywords: Chronic suppurative otitis media (CSOM), culture, ear secretions, antibiotic susceptibility.

Bakteri Penyebab Otitis Media Supuratif Kronis di Rumah Sakit Umum Universitas Kristen Indonesia Tio Dora Parhusip; Bambang Suprayogi Resi Utomo; Lina Marlina; Fransiscus Harp Poluan; Jurita Falorin; Adli Nurfachri; Dame Joice Pohan
Majalah Kedokteran UKI Vol. 36 No. 1 (2020): JANUARI-APRIL
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mk.v36i1.2988

Abstrak Otitis media supuratif kronis (OMSK) merupakan inflamasi dari telinga tengah dan rongga mastoid kronis, ditandai dengan perforasi membran timpani serta cairan yang keluar dari telinga secara persisten. Gangguan pendengaran dan kecacatan umumnya disebabkan oleh OMSK. Komplikasi otitis media supuratif kronis lainnya dapat menyebabkan infeksi intrakranial yang fatal dan mastoiditis akut, terutama di Negara-negara berkembang. Penatalaksanaan yang efektif tergantung pada pengetahuan mengenai mikroorganisme penyebab dan sensitivitas mikroba. Penelitian ini bertujuan untuk mengetahui pola bakteri penyebab otitis media supuratif kronis di Rumah Sakit Umum Universitas Kristen Indonesia Tahun 2019. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan secara clinical series yang dilakukan dari bulan Agustus 2019 sampai November 2019 di Poliklinik THT-KL RSU UKI dan Laboratorium Mikrobiologi FK UKI. Hasil dari 17 sampel menunjukkan bahwa Staphylococcus aureus merupakan bakteri terbanyak yang ditemukan pada penderita OMSK yaitu 6 (35,3%), diikuti Pseudomonas aerugenosa 5 (29,4%), Staphylococcus epidermidis 2 (11,8%), Klebsiella spp. 2 (11,8%), Proteus spp. 1 (5,9%), Escherichia coli 1 (5,9%). Kata kunci :otitis media supuratif kronis, pola bakteri. Abstract Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear and mastoid cavity, followed with recurrent ear discharges or otorrhoea through a tympanic perforation. Hearing impairment and disability are generally caused by CSOM. Other complications of chronic suppurative otitis media can lead to fatal intracranial infections and acute mastoiditis, especially in developing countries. Effectivity of the disease management depends on the knowledge of causative microorganisms and their antimicrobial sensitivity. The purpose of this study is to identify the bacterial pattern that cause chronic suppurative otitis media in Christian University of Indonesia General Hospital in 2019. This study is using the descriptive method with a clinical series approach, this study was carried out from August 2019 to November 2019 at the polyclinic of ENT-HNS RSU UKI and Microbiology Laboratory FK UKI. The results of 17 samples showed Staphylococcus aureus was the most bacteria found in CSOM patient 6 samples (35,3%), followed Pseudomonas aerugenosa 5 (29,4%), Staphylococcus epidermidis 2 (11,8%), Klebsiella spp. 2 (11,8%), Proteus spp. 1 (5,9%), Escherichia coli 1 (5,9%). Keywords: chronic suppurative otitis media, bacterial pattern

Tatalaksana Trauma Wajah dengan Panfasial Fraktur Lina Marlina; Bambang S.R. Utomo; Fransiskus H. Poluan
Majalah Kedokteran UKI Vol. 36 No. 3 (2020): SEPTEMBER - DESEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/mk.v36i3.3362

AbstrakFraktur pada wajah dapat menyebabkan defisit fungsional dan estetika jika tidak ditangani dengan baik. Tatalaksana akut yang tepat dari fraktur wajah harus didasarkan pada evaluasi cepat dan menyeluruh. Keberhasilan rekontruksi wajah merupakan keadaan darurat yang perlu dievaluasi dalam waktu 24 jam dari trauma. Berbagai jenis reduksi dan fiksasi tergantung pada fungsi, lokasi, jenis fraktur, dan usia pasien. Kasus ini diajukan untuk memperlihatkan keberhasilan tatalaksana trauma akut maksilofasial. Dilaporkan seorang laki-laki 37 tahun dengan panfasial fraktur yang dilakukan reduksi dan fiksasi 3 hari setelah trauma dengan pemasangan plat dan sekrup, serta fiksasi mukoginggival kombinasi antara arch bardan quickfix. Reduksi, reposisi dan fiksasi dilakukan setelah edema mukosa hebat disertai kombinasi antara arch bar dan quickfix pada mukoginggival merupakan salah satu alternatif untuk mengurangi risiko perdarahan dan memudahkan reposisi.Kata kunci: fraktur wajah, panfasial fraktur,edema mukosa.Management of Maxillofacial Traumawith Panfacial FractureAbstractFacial fractures can cause functional and aesthetic deficits if not treated properly. Appropriate acute management of facial fractures should be based on a rapid and thorough evaluation. Successful facial reconstruction is an emergency that needs to be evaluated within 24 hours of trauma. Different types of reduction and fixation depend on the function, location, type of fracture, and the age of the patient. This case is presented to demonstrate the success of acute maxillofacial trauma management. Reported a 37-year-old man with a facial fracture who underwent reduction and fixation 3 days after trauma with plate and screw installation, and combination mucogingival fixation between arch bar and quickfix. Reduction, reposition and fixation performed after severe mucosal edema accompanied by a combination of arch bar and quickfix on the mucogingival is an alternative to reduce the risk of bleeding and facilitate repositioning.Keywords: facial fracture, panfacial fracture, mucosal edema.

Association between obstructive sleep apnea and sleep quality Saputra, Egon Ilman; Resi Utomo, Bambang Suprayogi
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 2 (2023): VOLUME 53, NO. 2 JULY - DECEMBER 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i2.575

Background: Obstructive sleep apnea (OSA) is described as a disturbance of sleep presentingrepetitive (either total or partial) closure of the upper airway. Studies have demonstrated that OSA inthe middle-aged induces excessive daytime sleepiness; mood problems and poor quality of life. OSAis characterized by repetitive narrowing or obstruction of the upper airway during sleep, resultingin apnea or hypopnea. Patients with OSA have shown poor sleep quality. Purpose: To evaluate thepossible association between OSA and patients’ sleep quality. Literature review: OSA is a commonsleep disturbance classified by intermittent partial or total upper airway obstruction during sleep, causing intermittent hypoxemia, recurrent arousals, sleep fragmentation, and poor sleep quality. OSA is related to the quality of life, depression, and anxiety, but there were associations with acute stress which were reported by a few studies. Most of studies on OSA had collected data from moderate to severe sleep apnea in elderly patients and clinical settings. Continuous positive airway pressure (CPAP) therapy, which provides a mechanical pneumatic stent for the upper airway, is an effective treatment for OSA. As a rule, it is given via a nasal mask, and therefore patients should ideally keep their mouth closed during sleep. Conclusion: The literature review showed that there was a significant association between obstructive sleep apnea risk and sleep quality. The risk of increasing OSA among young people is associated with acute stress, and the relationship is mediated by sleep quality.Keywords: sleep apnea, continuous positive airway pressure, upper airway obstruction

Efficacy of topical povidone iodine ear drops 5% in chronic suppurative otitis media Utomo, Bambang Suprayogi Resi; Kusumawati, Dyah Sari; Saputra, Egon Ilman; Hanny, Hervina Restianty
Oto Rhino Laryngologica Indonesiana Vol. 53 No. 1 (2023): VOLUME 53, NO. 1 JANUARY - JUNE 2023
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v53i1.578

Background: Povidone Iodine (PVP-I) is a well-known antiseptic and chemical compound to kill and inhibit the growth of microorganisms. Povidone Iodine 5% antiseptics are expected to have similar or better clinical efficacy compared with topical antibiotics in Chronic Suppurate Otitis Media (CSOM) patients but this is not fully clear. Topical antibiotics can also come in the form of ear drops. Topical antibiotics are the standard in CSOM patient therapy. This study aimed to discover Povidone Iodine 5% in terms of clinical efficacy in CSOM patients. Method: This research was conducted in accordance with the Cochrane Handbook for Systematic Review and Intervention, in adherence with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. All clinical trial studies comparing Povidone Iodine with topical antibiotics in CSOM management were performed in several databases including Google Scholar, PubMed, Springer Link, and Cochrane. The collected data from a number of samples have improved each study, seen by the clinical signs and symptoms. Results: A total of 407 research articles were included in this analysis then we had 24 works of literature. Final decision, only 2 literature met the criteria to review. Al-Abbasi et al study, PVP-I 5% recovered 13/16 (81.2%), Neomycin + Dexamethasone 11/16 (68.7%) and saline 4/16 (25%). Jaya et al study, PVP-I-5% recovered: 16/18 (88.8%), Ciprofloxacin 0.3%: 19/21 (90.4%), and no side effects were found in both studies. Conclusion: Our analysis revealed that PVP-I 5% have similar treatment as great as the efficacy of topical antibiotics, and there were no side effects of treatment. More evidence-based research is needed to determine the effectiveness of topical PVP-I 5% in the treatment of CSOM.

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