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Overview of Tuberculosis Epidemiology at PKU Muhammadiyah Bantul Hospital in 2021-2023 Sukirto, Novi; Yuniasih, Dewi; Prisilla, Elvina; Umam Kurniawan, Nurcholid; Budi Rahayu, Ana; Awisarita, Wiwara; Ariani, Rizka
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

The number of tuberculosis cases reported in Bantul Regency in 2022 was 732 cases. Aims this study to determine the epidemiological picture of tuberculosis in PKU Muhammadiyah Bantul Hospital in 2023. Research method: The research method applied in this study was the analytical observational method. The design in this study was cross-sectional. Tuberculosis cases at PKU Muhammadiyah Bantul Hospital in 2021-2023 experienced fluctuations and based on gender, the most cases were 54% males, the most tuberculosis patients were in the age group of 55-64 years, 86% of patients resided in Bantul Regency, the classification of tuberculosis was more in pulmonary tuberculosis, namely 72%, based on the results of the thoracic examination, 68% were known to be positive for tuberculosis, 17% of tuberculosis patients were accompanied by diabetes mellitus and 2% of tuberculosis patients were confirmed HIV positive. The conclusion is Patients at PKU Muhammadiyah Bantul Hospital were more male than female. Most of the patients in the age group of 55-64 years, and resided in Bantul. The TB diagnosis is most pulmonary tuberculosis, with more positive thoracic examination results, fewer patients with diabetes mellitus, and fewer HIV-positive tuberculosis patients. Keywords: epidemiology, characteristics, tuberculosis
Length of Hospitalization and Clinical Outcomes for Pneumonia Patients at PKU Muhammadiyah Hospital, Bantul Umam Kurniawan, Nurcholid; Sukirto, Novi Wijayanti; Prisilla, Elvina; Rahayu, Ana Budi; Yuniasih, Dewi; Ari Mulyani, Dewi; Ulfa, MH Muflihatul
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

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Abstract

Pneumonia is a lower respiratory tract infection that was the leading cause of death in developing countries in 2020, it was shown that pneumonia was the largest contributor to post-neonatal (14.5%) and under-five deaths (5.05%). The timing of hospital discharge for patients with pneumonia is determined primarily by the attending physician and is based on an assessment of the patient's clinical stability and the appropriate duration of inpatient medical therapy. The patient's discharge decision determines the length of hospital stay. Objective: To determine the length of hospitalization and clinical outcome improvement of pneumonia patients at PKU Muhammadiyah Bantul Hospital. Methods: This study was a cross-sectional descriptive study using a retrospective study conducted by taking medical record data at PKU Muhammadiyah Bantul Hospital Results: Pneumonia patients at PKU Muhammadiyah Bantul Hospital were dominated by the age group of 2 years old while by gender the majority were boys. Length of Stay (LOS) of pneumonia patients was highest with three days of treatment as many as 136 patients or 54.2%. Conclusion: Cumulatively within seven days, 98.80% of pneumonia patients showed good clinical outcomes and were allowed to leave the hospital. it is not known for certain that patient outcomes are related to the patient's length of stay because all patients returned home in improved condition after treatment at the hospital.
Utilization of Xpert MTB/RIF molecular test and Thorax Radiography as Tuberculosis Screening at PKU Muhammadiyah Bantul Hospital Prisila, Elvina; Sukirto, Novi Wijayanti; Umam Kurniawan, Nurcholid; Rahayu, Ana Budi; Yuniasih, Dewi; Wira Oktaviana, Ardyawati; Putri Nurulita, Febrianti; Sholikhah, Amanatus; Awisarita, Wiwara
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/admj.v5i1.10428

Abstract

Tuberculosis is a disease caused by the bacteria Mycobacterium tuberculosis, and approximately 25% of the global population is afflicted with this bacterium. In 2022,The objective of this study is to assess the effectiveness of the Xpert MTB/RIF Molecular Test and Thorax Radiography as diagnostic tools for tuberculosis at PKU Muhammadiyah Bantul Hospital. The research employed quantitative methodologies with a cross-sectional design. The majority of tuberculosis suspects at PKU Muhammadiyah Bantul Hospital were individuals aged 64 years or older, based on age group. In terms of gender, 498 individuals were male. According to the Xpert MTB/RIF molecular test, 89 individuals tested positive for tuberculosis. In contrast, the number of individuals who tested positive for tuberculosis through thorax photo examination was 184. The findings indicate that the majority of patients suspected of having Tuberculosis were males and were primarily in the age category of above 64 years old. Thorax photo radiography yielded a higher number of confirmed positive tuberculosis findings compared to the Xpert MTB/RIF molecular test, based on the evaluation of individuals suspected of having tuberculosis.
THE COMPARISON OF THE EFFICACY OF CEFTRIAXONE AND COMBINATION OF AMPICILLIN-CHLORAMPHENICOL OF CHILDREN WITH PNEUMONIA OF PKU MUHAMMADIYAH HOSPITAL IN BANTUL Astuti Wulandari, Nur; Darmawan, Endang; Umam Kurniawan, Nurcholid
PHARMACOLOGY, MEDICAL REPORTS, ORTHOPEDIC, AND ILLNESS DETAILS Vol. 1 No. 1 (2022): JANUARY
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.083 KB) | DOI: 10.55047/comorbid.v1i1.56

Abstract

Pneumonia is an infectious disease that occurs in the lungs caused by various microorganisms. Patients of children with pneumonia in Indonesia experienced an increase in 2013. Antibiotics therapy is the main therapy for patients with pneumonia. This study aims to compare of the efficacy of ceftriaxone and combination of ampicillin-chloramphenicol of children with pneumonia of PKU Muhammadiyah hospital in Bantul. The study design was a randomized controlled trial with prospective Open trial do in March 2018 to June 2018. The outcomes used were tightness, cough, retraction, temperature, respiration rate, and length of stay. Research data were analyzed using Chi Square test, Fisher test, independent t test and Mann Whitney test. The results of the study of ceftriaxone (n=26) and ampicillin chloramphenicol groups (n=26) showed that the percentage of patients who had not experienced tightness was 82.7%, not cough 7.7%, and there was no retraction of 76.9% with p<0.05. The mean ±SD temperature of the ceftriaxone group was 36.5±0.12 and the ampicillin chloramphenicol group was 36.57±0.09 with a p<0.05. The mea n±SD respiration rate of the ceftriaxone group was 27.9±3.22 and the ampicillin chloramphenicol group was 27.92±2.62 with a p <0.05. The mean ±SD length of stay in the ceftriaxone group was 4.5±0.81 and the ampicillin chloramphenicol group was 4.26±0.66 with a p<0.05. Conclusions showed that there was no significant difference between the effectiveness of ceftriaxone and ampicillin chloramphenicol on fever, spasms, cough, retraction, temperature, respiration rate and length of stay.
Hubungan Berat Badan Lahir dengan Status Gizi Stunting pada Anak Usia 2-59 Bulan Yasmin Dewantari , Aulia; Annisa, Annisa; Umam Kurniawan, Nurcholid
Majalah Kedokteran Indonesia Vol 75 No 4 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.4-2025-1764

Abstract

Introduction: Stunting remains a major global nutritional challenge for children, with a prevalence of 21.3% in 2019. Low birth weight (LBW) has been recognized as one of the risk factors for stunting. Despite various interventions, stunting continues to be a major public health concern because of its long-term impact on child growth and development. This study was conducted to evaluate the association between birth weight and stunting status in children aged 2-59 months, and to describe their characteristics in the working area of Samigaluh 1 Health Center.Method: This case-control study utilized secondary data obtained from children’ growth monitoring records at the Integrated Healthcare Center and Maternal and Child Health (MCH) handbooks.Results: Among the 80 subjects, 27 children (67.5%) were stunted at the ages of 2-24 months, and 13 children (32.5%) were stunted at ages 25-59 months. Stunting occurred in 21 boys (52.5%). Bivariate analysis using the Chi-square test revealed a significant relationship between LBW and stunting status (p value = 0.009; OR = 13.000; CI = 1.576-107.228).Conclusion: The study established a significant association (p less than 0.05) between LBW and stunting status. Children with LBW were at 13-fold increase of stunting than normal birth weight. Stunting was also more prevalent among boys.