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Pengaruh Kadar Gula Darah Terhadap Risiko Terjadinya Infeksi Saluran Kemih Pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Kediri Lilia Danina Putri; maruni Wiwin Diarti; Iswari Wiwin Pauzi; Erin Yustin Tatontos
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 20 No 2 (2025): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v20i2.3363

Abstract

Background : Hyperglycemia creates a urinary environment conducive to bacterial growth, especially when accompanied by decreased immune function and impaired bladder emptying. The presence of glucose in the urine (glucosuria) promotes bacterial proliferation, increasing the risk of urinary tract infections (UTIs). Although diabetes mellitus (DM) cases are relatively high at Kediri Public Health Center, research examining the relationship between blood glucose levels and UTI risk remains limited. Therefore, it is important to assess whether elevated blood glucose levels influence the risk of UTIs in DM patients. Objective: To determine the effect of blood glucose levels on the risk of urinary tract infections in diabetic patients. Method: This study employed an analytical observational design with a cross-sectional approach. A total of 30 diabetic patients with blood glucose levels >200 mg/dL were selected as respondents. Their urine samples, which met the inclusion and exclusion criteria, were examined using purposive sampling technique. Urine analysis was conducted using the urine sediment method to detect the presence of bacteria as an indicator of urinary tract infection (UTI). The data were analyzed using the Chi-Square test. Result: Out of 30 respondents, 23 respondents tested positive for urinary tract infection (UTI) based on bacterial findings in the urine sediment. The Chi-Square test results showed a p-value of 0.002 (p < 0.05), indicating a statistically significant relationship between blood glucose levels and the incidence of UTI. Conclusion: Blood glucose levels have an effect on the incidence of urinary tract infections (UTIs) in diabetic patients.
Policy Implementation Studies of the Tuberculosis Control Program Towards the Elimination of Tuberculosis in East Lombok Regency, West Nusa Tenggara Province Ersandhi Resnhaleksmana; Maruni Wiwin Diarti; Ni Putu Karunia Ekayani; Yudha Anggit Jiwantoro; Iswari Pauzi
Lambda: Jurnal Ilmiah Pendidikan MIPA dan Aplikasinya Vol. 6 No. 2 (2026): Lambda
Publisher : Lembaga Bale Literasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58218/lambda.v6i2.4265

Abstract

The NTB Provincial Health Office recorded that East Lombok Regency, with 35 Health Centers, had 7,331 suspected tuberculosis (TB) patients who received standard services, comprising 432 male cases (54.3%), 363 female cases (45.7%), totalling 795 cases, and 67 TB cases among children aged 0–14 years. The role of academics and stakeholders in implementing the 2020–2024 national TB control strategy is critically important. This study aimed to examine the implementation of the TB program control policy in East Lombok Regency. A qualitative approach was employed with 79 informants using in-depth interviews, group interviews, and FGDs. Informants included TB program managers at the district level, Health Office officials, health center staff, and TB patients. Six health centers were selected purposively: Terara and Masbagik Baru (high achievement), Lenek and Aikmel (medium achievement), and Selong and Lendang Nangka (low achievement). The study was conducted from August to October 2023. Results revealed that TB program control policy implementation has been carried out well, supported by community participation, cross-sector coordination, availability of facilities and funds, and communicative communication. However, local government funding ceased after COVID-19, hampering training, active case finding, and community counseling activities. Policy recommendations include reinstating local government funding and adding TCM (Tes Cepat Molekuler) tools and dedicated TB waiting and sampling rooms