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Bacillary Dysentery jefri irawan; Meilisa Hidayah Putri; Rani Himayani; Ratna Dewi Puspita Sari
Medula Vol 11 No 3 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i3.211

Abstract

Gastrointestinal infection due to amoeba is one of the causes of diarrhea which appears to be a public health problem with a high incidence in the community. Bacillary dysentery/shigellosis has become a major cause of morbidity and mortality in children in developing countries, and is also an important cause of morbidity in industrialized countries. Shigella sp. is a diarrheal pathogen that is closely related to Escherichia coli. The pathogen was named by Kiyoshi Shiga, who in 1898 identified the most virulent strain of shigella, Shigella dysenteriae, as the causative agent of shigellosis. Shigella spp. is a Gram-negative bacillus from the family Enterobacteriaceae. Therefore, the aim of this literature review is to further review the management of bacillary dysentery. Shigellae is transmitted by the faecal-oral route or through ingestion of contaminated food and water. This research is a literature review involving as many as 10 library sources with the keywords used, namely 'management and shigellosis' with the year published between 2012 - 2021. Abstracts and full text of the journal are read and examined, then an analysis of the contents contained in the research objectives is carried out and research results/findings. Results. Various studies have shown over the last few decades, Shigella spp. have undergone mutations, developing mechanisms to damage cell processes in the gastrointestinal tract. Therefore, innovative methods and appropriate management are needed to prevent antibiotic resistance in the treatment of shigellosis.
Hubungan Antara Determinan Sosial Dan Pengetahuan Dengan Upaya Pencegahan Penularan Penyakit Tuberkulosis (Tbc) Di Puskesmas Panjang Kota Bandar Lampung Jefri Irawan; Dyah Wulan Sumekar Rengganis Wardani; Betta Kurniawan
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1820

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. The primary symptom of TB is a cough with phlegm that lasts for two weeks or more. The general objective of this study was to determine the relationship between social determinants and knowledge of TB transmission prevention efforts at Panjang Community Health Center, Bandar Lampung. This was an analytical cross-sectional study, with samples comprised of TB patients registered at Panjang Community Health Center between December and January 2022 and meeting the inclusion criteria. The sampling technique used total sampling. Data were obtained using a questionnaire. Data were analyzed using the Chi-square test. Low income, low education (elementary and junior high school), have a job, belong to the lower social class group, are male and have good knowledge. The results of statistical tests show a significant relationship between income and efforts to prevent TB transmission (p-value = 0.034), There is no significant relationship between education level (p-value = 0.076), employment (p-value = 0.079) and efforts to prevent TB transmission, and there is a significant relationship between class (p-value = 0.026), gender (p-value = 0.017), knowledge (p-value = 0.000) and efforts to prevent TB transmission. There is a relationship between social determinants and knowledge and efforts to prevent tuberculosis (TB) transmission at Panjang Community Health Center, Bandar Lampung City.