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Contribution of Smoking to Pulmonary Tuberculosis Incidence in Bandung, Indonesia Koesoemadinata, Raspati Cundarani; Hadisoemarto, Panji Fortuna; Gumilang, Manik Intan; Santoso, Ida Parwati; Alisjahbana, Bachti
Journal of Epidemiology and Public Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (32.705 KB)

Abstract

Background: Primary data reporting the contribution of smoking to tuberculosis (TB) incidence in Indonesia are scarce. This study aimed to estimate the effect of smoking on TB incidence and the risk of tuberculosis attribut
Knowledge, Attitude and Behavior Related to Antibiotic Use in Community Dwellings Rocci Jack Parse; Eva Mardiana Hidayat; Bachti Alisjahbana
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (169.303 KB) | DOI: 10.15850/amj.v4n2.1082

Abstract

Background: Irrational antibiotic use is the major reason for insidence of antibiotic resistance. Antibiotic misuse in community is influenced by environmental and behavioral factors. Environment included community preference for purchasing antibiotics, lack of health care infrastructure, lack of general practitioner and policy in regulating  antibiotic use. Behavior is influenced by lack of information in antibiotic use and unawareness of antibiotic resistancy. The aim of the study was to assess the level of knowledge, attitude and behavior regarding antibiotic use in community dwellings.Methods: A cross sectional descriptive study was carried out to 96 respondents who were selected by a rapid survey sampling method in Cileles village Jatinangor, Sumedang, West Java, Indonesia in August 2013. Data were collected using questionnaires. The data was analyzed in the form of frequency and percentage.Results: Out of 96 respondents, only 40.6% had good knowledge regarding antibiotic use, 12.5% of respondents were prescribed antibiotics, but in the last course did not purchased all the antibiotics prescribed by the clinician and 55.2% of respondents did not complete their treatment course.Conclusions: Most of the community still have poor knowledge regarding antibiotic use and its consequences such as allergy, and resistancy based on the knowledge questions has a total score ≤6. Their attitude and behavior regarding antibiotic use are still poor which is also based on  incompletion of the antibiotic treatment and irregular use.DOI: 10.15850/amj.v4n2.1082
Health-Seeking Behavior of Dengue Hemorrhagic Fever Patients in Several Hospitals in Bandung West Java Indonesia Ressa Novita Afandi; Bachti Alisjahbana; Ardini S. Raksanagara
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.378 KB) | DOI: 10.15850/amj.v5n3.1609

Abstract

Background: Dengue hemorrhagic fever is one of  the major global public health problems. Secondary prevention of dengue fever must be conducted to prevent high mortality rate by giving appropriate diagnosis and early management. This study was conducted to identify health-seeking behavior in dengue hemorrhagic patients and its related factors.Methods: This study involved 98 dengue hemorrhagic patients from four hospitals in Bandung region during July until November 2014. The hospitals were 2 public hospitals and 2 private hospitals. A questionnaire and in depth interview were used to collect the data.Results: Among 98 patients, 54 patients (55%) sought a right medical treatment timely, whereas 44 patients (45%) delayed. The first seeking behaviour to treat the disease was using over-the-counter drugs, followed by visiting a private clinic doctor. The second choice to seek health care was going to a private clinic doctor and hospital.Conclusions: Health-seeking behavior in dengue hemorrhagic patients in Bandung is inappropriate which can cause delay in treatment. 
Identification of Enteric Bacterial Pathogens in Beverages Sold By Hawkers around Jatinangor, Bandung Teow Sheng Hao; Yanti Mulyana; Bachti Alisjahbana
Althea Medical Journal Vol 6, No 1 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.998 KB) | DOI: 10.15850/amj.v6n1.1536

Abstract

Background: Water is essential for life and is considered as a medium for the propagation and dissemination of bacteria. Water-borne disease is one of the problems in Indonesia, therefore, this study was conducted to explore the presence of enteric bacterial pathogens in the beverages sold by hawkers.Methods: A descriptive laboratory method was conducted in September 2015 Beverages were collected from hawkers that were randomly chosen around Jatinangor using sterile containers, and brought to the laboratory within 1 hour. The beverages were incubated on Mueller Hinton Broth, followed by culturing on MacConkey Agar. The organisms were identified using Gram Staining, Kliger Test, Motility-Indole-Urease test and Citrate test.Results: Out of 30 samples collected, 2 of the samples were tested positive for enteric bacterial pathogen Salmonella paratyphi. Furthermore, Klebsiella pneumoniae (n=12), Enterobacterspp (n=10) Alcaligenes faecalis (n=3) and Pseudomonas spp. (n=3) were detected in the samples.Conclusions: The Salmonella paratyphi as enteric bacterial pathogen found in the beverages sold by hawkers has potential to cause water-borne disease. Education to hawkers need to be enhanced.
Treatment Seeking Patterns among Dengue Fever Patients: A Qualitative Study Tharani Krisnian; Bachti Alisjahbana; Irvan Afriandi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Incidence of dengue fever is increasing drastically and has become a major public health problem globally. The reason patients are late in seeking medical treatment should be identified in order to prevent complications which can be avoided to produce a good prognosis. This study was conducted to find the pattern of treatment seeking behaviour among dengue fever patients and their influencing factors using a health utilisation model. Methods: Data on health seeking behaviour were collected among the dengue fever patients who were admitted to Dr. Hasan Sadikin General Hospital Bandung from September–October 2014. The data were collected through in-depth interview with patients who were diagnosed with dengue fever and dengue haemorrhagic fever. All the interviews were recorded using an audio recorder. The recordings were transcribed and then translated into English and analyzed using thematic analysis.Results: Nine patients were interviewed. The age of the patients ranged between 17 to 46 years.  Altogether 7 patterns were identified with patients treatment seeking behavior. Most of them took longer steps to reach adequate care with blood examination. These longer steps, caused by lack of facilities to perform blood test in primary health care facilities, no bed for admission and also low skills of health care providers in diagnosing patients. The primary health care facility played an important role in the delay of patients acquiring definite care for their dengue fever.Conclusions: Health care seeking behavior is hampered by the inadequacy of primary health care facilities to provide adequate services to dengue patients. 
Level of Knowledge about Tuberculosis among Type 2 Diabetes Mellitus Patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung Ulfah Dwi Febriani; Rovina Ruslami; Bachti Alisjahbana
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.891 KB) | DOI: 10.15850/amj.v4n4.1260

Abstract

Background: Diabetes Mellitus (DM) is one of the risk factors for tuberculosis (TB). Knowledge of TB is essential in prevention control for the person at risk. This study aimed to describe the level of knowledge about TB among DM patients.Methods: A cross sectional study was performed involving 72 adult DM patients at the Endocrine Clinic, Dr. Hasan Sadikin General Hospital Bandung. The subjects were interviewed using a standardized questionnaire including socio-demographic information and knowledge about TB: manifestation of TB, transmission, treatment, DM-TB co-infections, and status acquiring TB information in the last 12 months. Knowledge was categorized as high, moderate and low if total scores were >75, 56–75 and <56 respectively. Data were presented descriptively as percentage and mean (SD) after testing for the normality of distribution.Results: The mean of age of subjects was 56.6 years, and 55% were female. Most were unemployed (72.2%), had an education background lower than high school (75%), and lived in Bandung (91.7%).  The mean score of knowledge was 54.4. Proportion of subjects based on the level of knowledge which is high, moderate and low, were 29.2%, 26.4%, and 44.4% respectively.  Conclusions: The level of knowledge about TB among Type 2 DM patients at the Endocrine Clinic Dr. Hasan Sadikin General Hospital Bandung was low. TB education program among DM patients needs to be improved.
Erythropoiesis Differences in Various Clinical Phases of Dengue Fever using Immature Reticulocyte Fraction Parameter Amaylia Oehadian; Putri Vidyaniati; Jeffery Malachi Candra; Uun Sumardi; Evan Susandi; Bachti Alisjahbana
International Journal of Integrated Health Sciences Vol 9, No 1 (2021)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v9n1.1805

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Objective: To determine the mechanism of erythropoiesis that led to anemia using the Immature Reticulocyte Fraction (IRF) parameter in various clinical phases of dengue fever.Methods: This study was a comparative analytical research using secondary data derived from the Dengue-associated Endothelial Cell Dysfunction and Thrombocyte Activation (DECENT) research. The study was performed at Dr. Hasan Sadikin Hospital Bandung, Indonesia from March 2011 to March 2012. Patients were grouped into fever, critical, recovery, and convalescent phases and a healthy control was established. Data collected were analyzed using the Kolmogorov-Smirnov normality test, followed by Friedman test and Mann-Whitney post hoc test.Results: There were 244 subjects participating in this study. The median IRF for all subjects was 4.8% with an IQR of 2.4-8.1%. The values of Immature Reticulocyte Fraction in fever-phase, critical-phase, recovery-phase, convalescent-phase and healthy-control were 1.8% (IQR of 0.5-2.85%), 3.6% (IQR of 1.8-5.0%), 7.05% (IQR of 4.08-11.85%, 7.3 % (IQR of 3.95-9.3%) and 4.1% (IQR of 2.2-6.6%), respectively. There was a significant difference in IRF between groups (p<0.05).  The immature Reticulocyte Fraction in fever phase was significantly different from the IRF in other phases and healthy controls (p<0.05).Conclusions:There are changes in erythropoiesis activities detected through the IRF in various clinical phases of dengue infection. Erythropoiesis suppression occurs mainly during the fever phase and starts to be restored in the critical phase. In the recovery and convalescent phases, the erythropoiesis activities increase.  This is the first study describing IRF in multiple phases of dengue disease. 
Higher Neutrophil-lymphocyte Ratio in TB/HIV Co-infection Compared to Pulmonary Tuberculosis Nuni Sulastri; Bachti Alisjahbana; Resvi Livia; Edhyana Sahiratmadja
The Indonesian Biomedical Journal Vol 13, No 4 (2021)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v13i4.1698

Abstract

BACKGROUND: Neutrophils and lymphocytes play a significant role in inflammation and a high ratio of neutrophils over lymphocytes (NLR) has been used as an inflammatory marker to predict the severity of various diseases. Here we compared the NLR among pulmonary tuberculosis and TB/HIV co-infection.METHODS: A retrospective cross-sectional study was conducted, included patients with pulmonary TB without cavitation TB (n=50), with cavitation TB (n=50) and HIV co-infection (n=27). Complete blood count was examined, including neutrophils and lymphocyte. NLR was calculated and compared between groups. RESULTS: Neutrophils were significantly higher (p=0.004) in TB with cavitation compared to those with no cavitation (8.27±1.45 x103/μL vs. 6.61±1.4 x103/μL, respectively); whereas the lymphocytes were similar in both groups, resulting in a significantly higher NLR (p=0.009) in pulmonary TB with cavitation compared to pulmonary TB with no cavitation (5.98±1.85 vs. 4.42±1.86, respectively). On the contrary, both neutrophils as well as lymphocyte were significantly lower in TB/HIV compared to pulmonary TB, which for neutrophil were 5.14±2.19 x103/μL vs. 7.4±1.45 x103/μL, respectively (p=0.003) and for lymphocyte (1.02 ±0.57 x103/μL vs. 1.57±0.64 x103/μL, respectively (p=0.001), resulting in a significantly higher (p=0.041) NLR value in TB/HIV (6.05±2.67) compared to pulmonary TB (5.16±1.88).CONCLUSION: High NLR in pulmonary TB with cavitation as well as in TB with HIV co-infection may be of great interest for biomarker in TB severity. Further study confirming NLR as potential marker is imperative.KEYWORDS: lymphocyte, neutrophil, NLR, tuberculosis, TB/HIV
Faktor Risiko Penyebab Foodborne Disease pada Siswa SD Syndi Nurmawati; Susantina Prodjosoewojo; Nurul Hidayah Chairunnisa; Hofiyah Djauhari; Bachti Alisjahbana
Jurnal Sistem Kesehatan Vol 4, No 4 (2019): Volume 4 Nomor 4 Juni 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.173 KB) | DOI: 10.24198/jsk.v4i4.22990

Abstract

Penularan foodborne disease sering terjadi pada anak-anak, terutama di sekolah. Karawang memiliki angka kejadian diare yang tinggi, namun belum ada penelitian mengenai faktor yang mungkin berperan dalam kejadian diare. Penelitian dilakukan secara potong lintang pada siswa sekolah dasar yang sudah dapat membaca dan menulis di SD di Karawang. Subjek adalah 101 siswa kelas 2 sampai 6 SDN Lemahmakmur 1 Karawang. Pengetahuan dan perilaku di asses dengan wawancara menggunakan kuesioner terstruktur pada tanggal 20 September 2018. Sebagian besar siswa (69,3%) izin sakit minimal 1 kali dalam 1 bulan terakhir menandakan permasalahan kesehatan yang dapat mempengaruhi kegiatan pembelajaran siswa. Pengetahuan mengenai foodborne disease masih kurang pada lebih dari 50% responden sehingga perlu dilakukan penyuluhan mengenai hidup bersih sehat. Sebagian besar siswa membeli makanan yang berisiko tinggi menjadi agen penularan foodborne disease yaitu es batu (80% membeli es batu 7 kali dalam seminggu) serta gorengan (20,2% membeli gorengan 3 kali dalam seminggu). Diperlukan penelitian lebih lanjut mengenai pola kebersihan penjaja makanan di sekitar sekolah.Kata kunci: Foodborne disease, pengetahuan, perilaku, siswa SD 
Growth diagrams of Indonesian children The nationwide survey of 2005 Jose Batubara; Anna Alisjahbana; Angèle JGMGerver-Jansen; Bachti Alisjahbana; Tony Sadjimin; Yulniar Tasli; Juhariah Juhariah; Angky Tririni; Woro Indri Padmosiwi; Tya Listiaty; Henriette A Delemarre–van de Waal; Willem J Gerver
Paediatrica Indonesiana Vol 46 No 3 (2006): May 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.3.2006.118-26

Abstract

Background Reference curves of growth have been developedin many countries based on cross-sectional data. The World HealthOrganization (WHO) has recommended an international referencewhich is based on the growth standards developed within the UnitedStates during the 1970s. In general these growth references areused in Indonesian pediatric clinics although it is known that thesereferences are not appropriate for this population with a differentethnic background. In order to evaluate reliably Indonesian chil-dren with growth disorders reference standards based on mea-surements in Indonesian children are necessary.Objective To make a standard growth chart for Indonesian chil-dren especially with regards to height, weight, and head circum-ference from a healthy Indonesian infants and children, age 0-18years. This standard charts were compared to CDC growth charts.Methods Weight and height and head circumference were takenfrom children with age ranging from birth up to 18 years. All sub-jects were recruited from 7 different parts of Indonesia. The agegrouping for children from 0-1 years old was based on 3-monthinterval, while for children older than 12 months was based on a 6-month interval. The study was cross sectional.Results There were 34 800 children (17 229 boys and 17 571girls) included in this study with age ranging from 0 up to 18 years.Graphs were presented for weight for age, supine length for age,head circumference for age in male and female infants, and weightfor height and height for age in boys and girls 1-18 years.Comparson of the results of this study with the CDC data werepresented as a graph.Conclusion The standard charts for Indonesian children basedon weight for height, supine length for height and head circumfer-ence for age were presented in graphs for children 0-1 year, weightfor height and height for age for boys and girls 1-18 years old. Allchildren were compared to CDC growth charts and there exists amean difference of -1.47 SDS for boys and -1.43 SDS forgirls.
Co-Authors Afandi, Ressa Novita Agnes Rengga Indrati Ahmad Sulaeman Amaylia Oehadian Andre van der Venn Angèle JGMGerver-Jansen Angky Tririni Anita Yuwita Anna Alisjahbana Annisa Ikhsanawati, Annisa Ardini S. Raksanagara Ardini S. Raksanagara, Ardini S. Baskoro, Toni Basti Andriyoko Bestari, Muhamad Begawan Bevi Lidya Bevi Lidya Budi Santoso Budiman , Budiman Clara M Kusharto Depamede, Brian Umbu Rezi Dewi Kartika Turbawaty Dhiya Salsabila Dick van Soolingen Dida Ahmad Gurnida Dwi Agustian Dwihardiani, Bintari Edhyana Sahiratmadja Endang Sutedja Eva Mardiana Hidayat Evan Susandi Fauzian Giansyah Febriani, Ulfah Dwi Felisia . Finny Fitry Yani Gumilang, Manik Intan Guntur Darmawan Hadyana Sukandar Hafidhoh, Sanny Hendra Subroto, Hendra Henriette A Delemarre–van de Waal Henry Chandra Herry Garna Hesti Lina Wiraswati Hidayat, Eva Mardiana Hikmat Permana Hikmat Permana Hinta Meijerink Hofiyah Djauhari Ida Parwati Ida Parwati Iman Rahayu Irvan Afriandi Irvan Afriandi Jeffery Malachi Candra Jose RL Batubara Juhariah Juhariah Julia Hartati Koesoemadinata, Raspati C. Korry Novitriani Krishna Yana Krisnian, Tharani Kumia Wahyudi Kusumawardhani, R.N. Yasmin Lelly Yuniarti Leonardus Wiydatmoko Loe, Luse marni banowati Menik Herdwiyanti Muhamad Zulchoir Rasyid Muhammad Yusuf Muhammad Yusuf Muhammad Yusuf Muhammad Yusuf Nanan Sekarwana Nanny Natalia Mulyani Soetedjo Nanny Natalia Mulyani Soetedjo Ni Sayu Dewi B. Nina Dwi Putri Nisa Fauziah Novi Jayanti Nuni Sulastri Nurizzatun Nafsi Nurul Hidayah Chairunnisa Nururrohmah, Siti Nury Fitria Dewi obin sarwita Panji Fortuna Hadisoemarto Parse, Rocci Jack Prayudi Santoso Putri Vidyaniati Ratna Yulistya Ningrum Reinout van Crevel Reinout van Crevel Ressa Novita Afandi Resvi Livia Rina Triasih Rocci Jack Parse Rovina Ruslami Rovina Ruslami, Rovina Santoso, Ida Parwati Sari Syahruni Setyaningrum, Sinta Siti Soidah Sofia Imaculata Stephen M. Graham, Stephen M. Sulaiman Ngongu Depamede Suparman Hardinsyah, Suparman Susan Margaret McAllister Susandi, Evan Susantina Prodjosoewojo Syndi Nurmawati Teow Sheng Hao Tharani Krisnian Tjahjani M. Sudiro Tony Sadjimin Toto Subroto Toto Subroto Toto Subroto Trinugroho Heri Fadjari, Trinugroho Heri Trisasi Lestari, Trisasi Tryawan, Ilham Ngongu Tya Listiaty Ulfah Dwi Febriani Umi Baroroh Uun Sumardi, Uun Willem J Gerver Wirawan, Chevie Woro Indri Padmosiwi Yana, Krishna Yani Triyani Yani Triyani Yanti Mulyana Yeva Rosana Yovita Hartantri Yulniar Tasli