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DETERMINANT FACTORS FOR CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) IN NEONATES: Faktor Determinan Central Line-Associated Blood Stream Infections (CLABSI) Pada Neonatus Nihar, Mahdiyyah Husna; Martini, Santi; Husada, Dominicus
Jurnal Berkala Epidemiologi Vol. 13 No. 1 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I12025.25-32

Abstract

Background: CLABSI accounts for 70% of all hospitalized bloodstream infections, especially in premature infants. CLABSI in neonates can compromise the immune system and future quality of life. Purpose: This study aims to identify determinant factors associated with CLABSI in neonates.  Methods: This research was a scoping review study of three international databases namely Science Direct, PubMed, and ProQuest from January 2021-April 2024. Keyword selection refers to PCC (Populations, Concepts, Categories), with the keywords used "factor" AND "associated" AND "CLABSI" AND ("neonate" OR "newborn") AND "hospital." The selection process is depicted with PRISMA-ScR. Results: A total of 14 articles met the criteria and objectives of the study. The articles obtained        represented   all continents, which were conducted in the Americas (29%), Europe (29%), Asia (29%), and Africa (13%). Risk factors for CLABSI in neonates are grouped into two, namely intrinsic and extrinsic factors. Prevention of CLABSI in neonates can be done by modifying extrinsic factors, namely with proper aseptic technique, supervision, and management strategies. Conclusion: The determinant factors of CLABSI in neonates include intrinsic factors (gestational age of <27 weeks or preterm, comorbidities, being born by cesarean section, low birth weight, being previously treated with antibiotics, and having underlying surgical conditions) and extrinsic factors (the type of catheter, the amount of catheter lumen, long duration of insertion, insertion location at the femoral and internal-jugular access site, parenteral nutrition, and large microbial colonization at the insertion site).
A LITERATURE REVIEW OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL ASPECTS IN FILARIAL LYMPHEDEMA PATIENTS Kattari, Raisah Putri; Nihar, Mahdiyyah Husna; Eka Ningsih, Fitriani Putri; Dwi Mulyani, Rizka Rosa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2571

Abstract

Filariasis disease is caused by filarial worms and transmitted by mosquitoes. Filariasis lymphedema is considered scary because it can cause permanent body defects that are aesthetically detrimental and reduce patient mobility. In addition, this disability also causes psychological and social problems for patients. The objective is to conduct a literature review of filarial lymphedema patients' physical, psychological, and social aspects. Methods: A literature review was conducted from the digital database of Pubmed, BMC, PLOS neglected tropical diseases, SAGE journal, and Google Scholar published in English between 2000 until march 2023. The author used the terms “physical” AND “psychological” OR “psychosocial” AND “social” AND “filarial lymphedema”. And the last step was all articles were reviewed, articles under review were original research design, cross-sectional studies, cohort studies, descriptive studies, quantitative, and qualitative studies. Results: The nine papers that made up the literature review were released in the years 2005 through 2023. The majority of research demonstrated that physical disabilities resulting from lymphatic filariasis induce reduced physical function in patients. Additionally, seven studies discovered that individuals with lymphatic filariasis experienced depression as a result of their physical limitations, social isolation brought on by stigma, sleep issues, anxiety, marital issues, and financial difficulties.. This literature review found that filarial lymphedema can affect the physical and social aspects of the patients and gradually can affect the mental health of patients. morbidity management program of filarial lymphedema needs to be improv and promote so it can reduce stigma, psychology, the social and physical burden due to lymphedema filariasis