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Bacterial patterns and antibiotic susceptibility among pus culture in dr. Zainoel Abidin General Hospital, Banda Aceh KEUMALAHAYATI, MEUTIA; HAYATI, ZINATUL; MAELANI, IMELDA; RIDWAN, AZWAR; RAHMAWATI, CUT VIKA; MULIANA, DESI; PUTRI, FARAH DHITA ANISSA; MAHDANI, WILDA
Jurnal Natural Volume 25 Number 1, February 2025
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jn.v25i1.44523

Abstract

The collection of pus samples is crucial for identifying serious bacterial infections. Accurate identification of the pathogen and selection of the appropriate antibiotics are essential for effective treatment. This study used a descriptive retrospective method to investigate pus specimens bacterial patterns and antibiotic susceptibility at dr. Zainoel Abidin General Hospital in Banda Aceh in 2023. Out of 1,274 examined pus specimens, 782 yielded positive cultures, revealing 61 bacterial species, predominantly Escherichia coli (22%), Staphylococcus aureus (16%), and Pseudomonas aeruginosa (9%). Gram-negative bacteria constituted 70.20% of the isolates. High antibiotic susceptibility rates were observed for Vancomycin (98%) and Linezolid (98%) in Gram-positive bacteria, while Amikacin (86%) and Meropenem (74.74%) were effective against Gram-negative bacteria. Notable resistance was found in Methicillin-resistant S. aureus (81%) and E. coli resistant to third-generation Cephalosporins (55%). These findings underscore the importance of monitoring bacterial patterns and antibiotic resistance for improved infection management at dr. Zainoel Abidin General Hospital, Banda Aceh.
Beetroot (Beta vulgaris L.) juice supplementation and hemoglobin response in head and neck cancer patients after chemotherapy Andini, Dena Tria; Kurnia, Benny; Setiani, Lily; Ridwan, Azwar; Haroen, Elvia
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i4.2701

Abstract

Anemia frequently occurs in patients with cancer and can worsen due to chemotherapy. The literature on non-pharmacological interventions to increase hemoglobin levels in patients with head and neck cancer following chemotherapy remains limited. This study aimed to measure the effect of beetroot juice supplementation on changes in hemoglobin levels in patients with head and neck cancer who had undergone chemotherapy. Methods: An experimental study with a one-group pretest–posttest design was conducted at dr. Zainoel Abidin General Hospital, Banda Aceh (July–November 2024). The sample consisted of all head and neck cancer patients undergoing chemotherapy cycles I–VI (total sampling, n=40), divided into two treatment groups: 100 g beetroot juice (n=20) and 200 g beetroot juice (n = 20). Hemoglobin levels were measured before and 14 days after the intervention. The analysis was performed using paired t-tests and effect sizes (Cohen’s d). Results: Administration of 100 g of beetroot juice did not significantly alter hemoglobin levels, with an average difference of −0.24 g/dL (p = 0.241). In contrast, the 200-gram dose resulted in a significant increase in hemoglobin levels, with an average difference of +0.44 g/dL (p = 0.016) after 14 days of intervention. Furthermore, the estimated Cohen’s d (pooled SD) was 0.51, indicating a moderate effect. In conclusion, the administration of 200 g beetroot juice for 14 days was associated with a small but statistically significant increase in hemoglobin levels in patients with head and neck cancer who underwent chemotherapy. Further studies in the form of RCTs with larger sample sizes and stricter compliance monitoring are needed to confirm these findings and assess their clinical relevance.
Chronic tonsillitis and its potential alternative treatment: Exploration of the antibacterial activity of ethanolic Mentha piperita leaf extract against bacterial isolates from patients Munirwan, Puti G.; Setiani, Lily; Kurnia, Benny; Rahmawati, Novina; Ridwan, Azwar
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3064

Abstract

Chronic tonsillitis is commonly associated with persistent bacterial infection, predominantly involving Gram-positive organisms, and increasing antimicrobial resistance has encouraged exploration of alternative therapeutic agents derived from medicinal plants. Mint leaves (Mentha piperita) are known to contain bioactive compounds with potential antibacterial activity; however, their antibacterial efficacy against isolates specifically obtained from patients with chronic tonsillitis has not been clearly established. The aim of this study was to evaluate the antibacterial activity of ethanolic M. piperita leaf extract against bacterial isolates from patients with chronic tonsillitis. An experimental laboratory study was conducted using bacterial isolates from tonsillar core specimens. Antibacterial activity was assessed using the disk diffusion method at various extract concentrations, followed by determination of the minimum inhibitory concentration (MIC) by the microdilution method and the minimum bactericidal concentration (MBC) by subculture on plate count agar. Results showed that Gram-positive bacteria were the predominant isolates, with Staphylococcus aureus identified as the most frequent species, followed by Streptococcus agalactiae and Pseudomonas aeruginosa. The extract demonstrated greater inhibitory activity against Gram-positive bacteria, with the largest inhibition zone observed in Streptococcus agalactiae at 50% concentration (18.31 mm). In the microdilution assay, the lowest tested concentration (0.75%) inhibited bacterial growth in all tested species, and no colony growth was observed upon subculture, indicating bactericidal activity at this concentration. These findings suggest that ethanolic M. piperita leaf extract exhibits antibacterial activity, particularly against Gram-positive pathogens associated with chronic tonsillitis, and may represent a potential natural antimicrobial agent for further investigation.