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All Journal Malang Respiratory Journal Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Rakasiwi, Muhammad Ilham Dhiya
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Other

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PENGARUH PANDEMI COVID-19 DAN PEMBATASAN SOSIAL TERHADAP PASIEN Rakasiwi, Muhammad Ilham Dhiya
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 10 No 1 (2023): JIMKI (Jurnal Ilmiah Mahasiswa Kedokteran Indonesia) Volume 10 Nomor 1 Periode M
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v10i1.512

Abstract

Background:
Pengenalan Awal Pneumonia Komunitas Resiko Tinggi yang Berkembang menjadi Sepsis pada Pasien Geriatri Renta: Sebuah Laporan Kasus Aini, Nurul; Rakasiwi, Muhammad Ilham Dhiya; Riyatno, Imron; Huda, Muhammad Addinul
Berkala Ilmiah Kedokteran dan Kesehatan Masyarakat Vol. 2 No. 1 (2024)
Publisher : Fakultas Kedokteran, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/bikkm.vol2.iss1.art7

Abstract

Sepsis adalah disfungsi organ yang mengancam jiwa yang disebabkan oleh respon tubuh yang tidak teratur terhadap infeksi. Sepsis dapat terjadi akibat infeksi yang didapat komunitas atau layanan kesehatan ,dengan pneumonia terhitung lebih dari 50% kejadian sepsis pada pasien dirawat di unit perawatan intensif rumah sakit. Angka mortalitas sepsis pada geriatri dengan community-acquired pneumonia (CAP) berada antara 14% dan 26%. Pasien wanita usia 82 tahun dibawa ke IGD karena sesak napas yang memberat 1 hari sebelumnya. Pasien didiagnosis community-acquired pneumonia dengan komorbid dan status fungsional rendah yang berkembang menjadi sepsis. Pasien dirawat di unit perawatan intensif dengan memberptimbangkan skor CURB-65, PSI dan NLR. dan mendapatkan terapi cairan dan monitor balans, double antibiotic dan penanganan multidisiplin dari dokter anestesi, dokter neurologi dan dokter jantung. Setelah mendapatkan penangan optimal dan intensif, pasien meninggal pada hari ke-7 perawatan. Pneumonia dan sepsis pada pasien geriatri merupakan tantangan tersendiri yang membutuhkan pendekatan diagnosis dan resusitasi yang tepat dan cepat. Target penanganan sepsis sesegera mungkin adalah menurunkan angka mortalitas dan morbiditas pasien. Kata Kunci: Pneunomonia Komunitas, Geriatri, Renta, Sepsis
Chronic Obstructive Pulmonary Disease Exacerbation Complicated with Pneumonia and Lung Cancer: An Evidence-based Case Report of Erdosteine Role in the Management of Complex COPD Ilham, Ahmad Fadhil; Rakasiwi, Muhammad Ilham Dhiya; Felim, Ris Raihan; Arfan, Ahmad; Burhan, Erlina
Malang Respiratory Journal Vol. 6 No. 2 (2024): September 2024
Publisher : Universitaas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mrj.2024.006.02.05

Abstract

Background: Acute exacerbations of chronic obstructive pulmonary disease (COPD) are strongly associated with poor health status and morbidity. Erdosteine is a mucolytic agent that also has anti-inflammatory, antioxidant and antibacterial effects. This case report aims to evaluate the role of erdosteine in the prevention and treatment of acute exacerbations of complex COPD case. Case: A 73-year-old male arrived at the emergency department with an increased difficulty in breathing that had deteriorated over the previous 5 days, and had a history of heavy smoking for more than 40 years. Following a thorough examination, he was diagnosed with acute exacerbation of COPD (Anthonisen criteria type 2) in clinical group E, pneumonia, along with stage IIIA right lung tumor (T4N1Mx), and received erdosteine inhalation as part of his treatment. Discussion: A comprehensive search of journal databases (PubMed, EMBASE, CENTRAL, EBSCO Medline, Scopus, and ProQuest) was conducted using specific keywords, critical appraisal based on the Oxford Center for Evidence-Based Medicine. Article selection resulted in 1 systematic review article for the prevention of acute exacerbations and 1 systematic review article for the management of acute exacerbations of COPD. In patients with stable COPD, administration of erdosteine in the standard COPD regimen significantly reduced the risk of exacerbations (RR=0.65; p=0.01), while in patients with acute exacerbations of COPD, erdosteine increased treatment success (OR=3.2; p<0.0001). Conclusion: Erdosteine may serve as a therapeutic choice for COPD patients in preventing or managing acute exacerbations.
Co-Authors Aini Nurul Arfan, Ahmad Erlina Burhan Felim, Ris Raihan Huda, Muhammad Addinul Ilham, Ahmad Fadhil Riyatno, Imron