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Effect of Immunization of The Pili Protein 65.5 kDa Klebsiella pneumoniae on IFN-γ Levels of Spleen BALB/c Mice Sa'adah, Ajeng Samrotu; Mufida, Diana Chusna; Dini Agustina; Pulong Wijang Pralampita
Indonesian Journal of Tropical and Infectious Disease Vol. 12 No. 2 (2024)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v12i2.54026

Abstract

Klebsiella pneumoniae is a Gram-negative bacterium that poses a threat to the global community. Currently, no vaccine for K. pneumoniae is licensed by the Food and Drug Administration (FDA). The delay in the manufacture of the K. pneumoniae vaccine was because many vaccine candidates failed at the clinical trial stage due to adverse cross-reactions. Pili can be used as a choice as a vaccine candidate. Pili K. pneumoniae is an immunogenic substance that triggers an immune response, one of which is the cytokine IFN-γ. Splenic splenocytes are the main source of IFN-γ-producing cells. The aim of this study is to determine the effect of immunization pili protein 65.5 kDa K. pneumoniae on IFN-γ levels from spleen BALB/c mice. There were 3 groups, K1 as control given PBS, K2 given pili protein 65.5 kDa + adjuvant, and K3 given adjuvant. IFN-γ was then measured by the ELISA method and analyzed by the ANOVA test. The results of measuring IFN-γ levels using One-way ANOVA showed that the total for all groups was 243.50 ± 43.7 with p < 0.05, the Post Hoc LSD test was continued. The Post Hoc test showed significant differences between K1 control and K2 groups, and between K1 and K3 groups, but not between K2 and K3 groups. It can be concluded that immunization with 65.5 kDa of pili protein does not affect the increase in IFN-γ levels in the spleen of BALB/c mice. 
Increased levels of IL-4 in the Spleen of BALB/c Mice after 65.5 kDa Pili Protein Klebsiella pneumoniae Immunization Putra Uta, Diego Rafi; Mufida, Diana Chusna; Sutejo, Ika Rahmawati; Agustina, Dini; Suswati, Enny; Shodikin, Muhammad Ali
Medical Laboratory Technology Journal Vol. 10 No. 1 (2024): June
Publisher : Poltekkes Kemenkes Banjarmasin Jurusan Analis Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/mltj.v10i1.575

Abstract

Pneumonia is an infection of the lung parenchyma caused by Klebsiella pneumoniae, resulting in a high mortality rate of millions each year. To reduce these deaths, one potential solution is to create a vaccine that utilizes virulence factors of this microorganism, such as pili. During the early phase of infection, these antigens have a crucial role and can stimulate the production of memory b cells. These cells are activated by IL-4 (interleukin-4) in lymphoid organs, such as the spleen. Pathogen exposure such as virulence factors can stimulate the secretion of IL-4 in the spleen organ. This study aims to investigate the role of Klebsiella pneumoniae pili in this process. The research conducted from May to December 2023 at the Microbiology Laboratory, Faculty of Medicine, University of Jember was purely experimental, using Balb/c mice with IL-4 levels in the spleen organ as variables. The study used 15 mice, divided into control (K1), adjuvant (K2), and antigen (K3) groups. The research data were analyzed using non-parametric tests, specifically the Kruskal-Wallis and Post Hoc tests. The Kruskal-Wallis test revealed significant differences (p=0.003). In the Post Hoc test, a significant difference was found between the control and antigen groups (p=0.002). The results conclusively demonstrate that induction of Klebsiella pneumoniae pili protein 65.5 kDa significantly increases IL-4 levels in the spleen. Future studies should consider adding serum specimens to provide additional information.
The 32 kDa Outer Membrane Proteins of Klebsiella pneumoniae Acts as A Bacterial Adhesin Agustina, Dini; Shodikin, M. Ali; Nugraha, Bima Setia Sandya; Mufida, Diana Chusna; Suswati, Enny; Hermansyah, Bagus
Jurnal ILMU DASAR Vol 23 No 2 (2022)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jid.v23i2.25435

Abstract

Klebsiella pneumoniae is a bacterium that often causes infection in the human body. At present K. pneumoniae can resist some of the antibiotics it has associated with modification of one of the virulence factors possessed by K. pneumoniae. One virulence factor of K. pneumoniae as pathogen bacteria is Outer Membrane Protein (OMP). The study of adhesin factors in K. pneumoniae involving hemagglutinin and adhesin proteins that have been found in the OMP 20 kDa and 40 kDa, but there is still no research that discusses the role of 32 kDa OMP as a hemagglutinin protein and adhesin. The purpose of this study is to determine the role of 32 kDa outer membrane of K. pneumoniae as hemagglutinin and adhesin proteins. After isolation of Outer Member Protein (OMP) from the K. pneumoniae, which then carried out a hemagglutination test using mice erythrocyte cells and adhesion test using mice enterocyte cells. The results of the hemagglutination test using mice erythrocyte cells obtained the highest hemagglutination titer for the molecular weight of 32 kDa in titers 1/4. The adhesion index with dilution titer has a significant relationship, with a conversion coefficient of 0,813 which means the dilution titer with the OMP adhesion index has a strong relationship with the direction of a positive relationship. The regression test results obtained an R-value of 0,813 which shows a strong relationship, while the R2 value is 66.1%. Conclusion in this study is 32 kDa outer membrane proteins of K. pneumoniae acts as a bacterial adhesin.
Prevalensi Resistensi Escherichia Coli Terhadap Tetrasiklin yang Diisolasi dari Hati Ayam Broiler Syahputri, Siti Ananda Hardita; Suswati, Enny; Nurdian, Yudha; Supangat, Supangat; Agustina, Dini
Jurnal Ilmu dan Teknologi Peternakan Tropis Vol 8, No 3 (2021): JITRO, September
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.333 KB) | DOI: 10.33772/jitro.v8i3.17584

Abstract

ABSTRAK Antibiotik berguna untuk kesehatan manusia maupun hewan. Tetrasiklin salah satu jenis antibiotiik yang paling sering digunakan di peternakan ayam untuk tujuan pengobatan, pencegahan maupun perangsang pertumbuhan (Antibiotic Growth promoter/AGP) dalam pakan ayam broiler. Bakteri Escherichia coli (E. coli) banyak ditemukan di lingkungan peternakan dan dapat mencemari hati ayam. Tujuan dari penelitian ini untuk mengetahui resistensi bakteri E. coli yang diisolasi dari hati ayam broiler terhadap tetrasiklin. Penelitian ini merupakan penelitian deskriptif. Sampel yang digunakan bakteri E. coli pada hati ayam broiler. Ayam broiler diambil berasal dari PT X yang berada pada 6 desa di Kecamatan Sumbersari, Kabupaten Jember. Uji resistensi bakteri dilakukan dengan Metode Kirby Bauer. Data dianalisis dengan metode Clinical and Laboratory Standards Institute. Hasil penelitian ini menunjukkan bahwa bakteri yang ditemukan dari hati ayam 100% adalah golongan bakteri Gram negatif. Berdasarkan hasil kultu rpada media EMB dan pengecatan Gram sebanyak 67% sampel teridentifikasi positif bakteri E. coli. Pada uji resistensi antibiotik didapatkan 50% sensitif, 25% intermediet dan 25% resistensi terhadap tetrasiklin. Kesimpulan pada penelitian ini bakteri E. coli yang diisolasi dari hati ayam broiler 25% resisten terhadap tetrasiklinKata kunci: Eschecicia coli, tetrasiklin, hati ayam, resistancePrevalence of Escherichia Coli Resistance to Tetracyclin Isolated from Broiler Chicken LiverABSTRACT Antibiotics are useful for human and animal health. Tetracyclines are one of the most commonly used antibiotics in chicken farms for medicinal purposes, prevention, and growth stimulants (Antibiotic Growth promoter / AGP) in broiler feed. Escherichia coli (E. coli) bacteria are found in many livestock environments and can contaminate chicken livers. The purpose of this study was to determine the resistance of E. coli isolated from broiler chicken livers to tetracyclines. This research is descriptive. The samples used were E. coli bacteria in the broiler liver. Broiler chickens were taken from PT X in 6 villages in Sumbersari District, Jember Regency. The test for bacterial resistance was carried out using the Kirby Bauer method. Data were analyzed using the Clinical and Laboratory Standards Institute method. The results of this study indicated that the bacteria found from 100% chicken liver were gram-negative bacteria. Based on the results of culture on EMB media and Gram staining, 67% of the samples were identified as positive for E. coli bacteria. In the antibiotic resistance test, it was found that 50% sensitivity, 25% intermediates, and 25% resistance to tetracyclines were found. The conclusion in this study was that E. coli bacteria isolated from 25% broiler chicken liver was resistant to tetracyclines.Keywords: Eschecicia coli, tetracyclines, chicken liver, resistance
EOSINOPHILIA AS A PREDICTOR MORBIDITY OF SOIL- TRANSMITTED HELMINTHIASES AMONG WIDODAREN PLANTATION WORKERS IN JEMBER Primadana, Aditya; Nurdian, Yudha; Agustina, Dini; Hermansyah, Bagus; Armiyanti, Yunita
Journal of Vocational Health Studies Vol. 3 No. 2 (2019): November 2019 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.887 KB) | DOI: 10.20473/jvhs.V3.I2.2019.47-52

Abstract

Background: Helminthiasis is a neglected tropical disease and still remain a health problem in tropical and sub-tropical countries, including Indonesia. According to WHO, approximately 1,5 billion people or 24% of the world's population, are infected with Soil-Transmitted Helminth (STH). Morbidity is directly related to the intensity of STH infestation. Some of the studies shown a significant correlation between eosinophilia and helminthiasis. Eosinophilia on the blood smear examination may be used as a marker of STH infestation. Purpose: to determine the correlation between Soil-Transmitted Helminthiases and eosinophilia as a predictor of morbidity of STH infestation among Widodaren Plantation Workers in Jember. Method: This observational analytical study use the Kato-Katz method to determine infestation of STH and its intensity measured by egg count per gram stool (EPG). Blood smear examination stained with Giemsa conduct to determine eosinophil count. Result: Prevalence of STH infestation was 22,7% (15/66). Ascaris lumbricoides infection was 13,6% (9/66) and Hookworm infection was 4,5% (3/66). There is mixed infection between A. lumbricoides and Hookworm, the prevalence was 4,5%% (3/66). All of the infection intensity was light. The prevalence of eosinophilia was 27,2% (18/66). There was a significant correlation between STH infection and eosinophilia (P=0,000) but, there was a very weak correlation between the intensity of STH infection and eosinophilia (r=0,281; p=0,258). Conclusion: The prevalence of STH infection among Widodaren Plantation Workers is 22,7% and predominated by A. lumbriocides. There is a positive correlation between intensity of STH infection and eosinophilia as predictor morbidity of STH infection with very weak power.
Imunogenisitas, Keamanan, dan Efikasi Vaksin Malaria: Tinjauan Sistematis dan Network Meta-Analysis dari Uji Klinis Acak Terkontrol: Immunogenicity, safety, and efficacy of malarial vaccines: a systematic review and network meta-analysis of randomized controlled trials Kusiyanto Taslim, Fitranda; Hermansyah, Bagus; Agustina, Dini; Yuli Rahmantia, Vania
Aspirator Vol 16 No 1 (2025): Jurnal Aspirator Volume 16 Nomor 1 2025
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58623/aspirator.v16i1.114

Abstract

Malaria remains a major global health issue, with challenges in existing control methods like insecticide resistance and artemisinin-based therapy failures. Vaccines offer a promising solution to reduce transmission, build herd immunity, and decrease morbidity and mortality, especially in vulnerable populations. This study conducts a network meta-analysis of malaria vaccines to compare their immunogenicity, safety, and efficacy. A systematic review following PRISMA-NMA guidelines was performed using four databases—PubMed, Cochrane Library, ScienceDirect, and Google Scholar—assessing study quality with the Cochrane Risk of Bias 2.0 tool. The analysis, which included over 33,000 participants from 57 clinical trials, revealed that RTS,S/AS01 and RTS,S/AS02 significantly increased antibody titers despite heterogeneity. Safety outcomes showed RTS,S/AS02 and FMP1/AS02 were linked to increased injection site pain, and RTS,S vaccines had a higher risk of fever. R21/Matrix-M showed the highest efficacy in preventing clinical malaria episodes, though data on it were limited. Vaccines like PfSPZ and PvCS had fewer side effects but weaker antibody responses. Overall, RTS,S vaccines were highly immunogenic and effective, though safety profiles varied, and the limited data on certain vaccines like R21/Matrix-M underscored the need for further research to validate their long-term effects. 
Systematic review and meta-analysis of antibiotic strategies for survival in patients with drug-resistant Acinetobacter baumannii infection: does quantity matter? De Rorna, Masrahma Reinataya; Ramadhani, Alfiyah; Hibatulloh, Muhammad Farhan; Agustina, Dini
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.232-244

Abstract

Background Acinetobacter baumannii is an opportunistic pathogen frequently associated with severe hospital-acquired infections, particularly in intensive care units, and is characterized by high levels of antibiotic resistance, including to carbapenems. The rising prevalence of multidrug- and pan-drug-resistant strains poses significant therapeutic challenges and underscores the need for optimized treatment strategies to improve survival outcomes. This systematic review and meta-analysis evaluates the impact of different antibiotic treatment modalities (monotherapy versus combination) on the clinical outcome of patients with Acinetobacter baumannii infection. Methods This systematic review and meta-analysis followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. To find pertinent studies released up to 3 January 2025 a thorough search was done in electronic databases such as PubMed, Embase, ScienceDirect, Cochrane, EBSCOhost, Google Scholar, and Scopus.  Results This systematic review and meta-analysis identified 20 studies for inclusion. No statistically significant overall survival difference was found (Pooled OR = 0.83, 95% CI [0.66- 1.03], p = 0.09), but subgroup analyses indicated that combination therapy markedly enhanced survival rates in patients with carbapenem-resistant Acinetobacter baumannii  (CRAB) infection, APACHE II scores below 20, and bloodstream infections. Meta-regression suggested that age may adversely affect treatment efficacy.   A trend favoring combination therapy was consistent across subgroups, despite some results not reaching statistical significance. Conclusion This systematic review and meta-analysis highlights the treatment challenges of drug-resistant Acinetobacter baumannii, particularly MDRAB, XDRAB, and CRAB strains. Combination therapy offers potential benefits in CRAB and moderate-severity cases but is not universally superior to monotherapy. Treatment outcomes are influenced by patient-specific factors such as age, infection type, and disease severity.
Personal Protective Footwear and The Risk of Tinea Unguium among Lojejer Villager Farmers Iftinan, Karenzha; Raharjo, Angga Mardro; Agustina, Dini; Mufida, Diana Chusna
The Indonesian Journal of Occupational Safety and Health Vol. 14 No. 2 (2025): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijosh.v14i2.2025.222-229

Abstract

Introduction: Tinea unguium is a nail infection caused by dermatophytes, characterized by nail discoloration, thickening, and brittleness. Farmers, often exposed to prolonged wet conditions, are at higher risk of this infection. The use of appropriate footwear is recommended to mitigate this risk. However, inadequate personal protective equipment (PPE) usage makes farmers more susceptible to Tinea unguium. Research on Tinea unguium among farmers in Lojejer Village is limited, with differing result on the link between wearing footwear as PPE and the occurance of Tinea unguium. This study aimed to investigate the relationship between the use of footwear as PPE and the incidence of Tinea unguium among farmers in Lojejer Village. Methods: This study uses a cross-sectional observational design. It involved 98 respondents determined using Slovin’s formula. Data were collected through interviews and nail samples, which were subjected to fungal culture on sabouraud dextrose agar (SDA) medium and microscopic examination with lactophenol cotton blue staining. Fisher’s Exact tests were used for analysis. Results: Results revealed that seven farmers (7.14%) were affected by Tinea unguium, predominantly males (85.8%) aged 45–64 years (57.1%). Trichophyton rubrum was identified as the primary dermatophyte, with Aspergillus sp. as a contaminant. Statistical analysis showed no significant relationship between footwear usage, personal hygiene, or footwear hygiene and Tinea unguium (p-values > 0.05). Conclusion: The study found no significant association between footwear use, hpersonal hygiene, and footwear hygiene with Tinea unguium incidence among farmers in Lojejer Village
Correlation of urban and rural settlements with Shigella sp. resistance pattern isolated from Bedadung River in Jember, Indonesia Aryasatya, Dimas Widyadhana Bhanu; Agustina, Dini; Jauhani, Muhammad Afiful; Suswati, Enny
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.13344

Abstract

Purpose: This study aims to determine a correlation between settlement location and resistance patterns of Shigella sp. isolated from the Bedadung River in Jember, Indonesia. Method: The research method used was analytic observational with a cross-sectional design. Data analysis was performed using the Chi-Square test and, if not qualified, the Fisher exact test. Samples were obtained through a total sampling technique with a total sample size of 24. Results: Most samples were resistant to the antibiotic, and there was no relationship between residential location and resistance patterns of Shigella sp. isolated from Bedadung River, Jember Regency (p-value > 0.05). Conclusions: In conclusion, no significant relationship exists between the residential area and the resistance pattern of Shigella sp. isolated from Bedadung River, Jember Regency. Shigella sp. bacterial contamination is mainly found in Bedadung River water isolates in rural and urban areas. Shigella sp. bacteria found in rural and urban areas in the Bedadung River in Jember Regency have the same number.
Analisis Pengalaman Fenomenologis Sebagai Pengungsi Refleksi Atas Realitas Sosial Masyarakat Pengungsi Rohingya Agustina, Dini; Dua , Mikhael; Napitupulu , Frengki
Action Research Literate Vol. 8 No. 4 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i4.306

Abstract

Penelitian ini bertujuan menganalisis bagaimana pengalaman fenomenologis pengungsi Rohingya menyangkut kehidupan mereka dan interpretasi tentang kehidupan individu dalam kehidupan bersama pengungsi lainnya. Rumusan masalah penelitian ini adalah bagaimana interpretasi peneliti secara fenomenologis tentang permasalahan kehidupan masyarakat pengungsi Rohingya dalam memahami dunia kehidupannya. Metode penelitian studi literatur digunakan dalam penelitian ini. Hasil penelitian menunjukan bahwa implementasi fenomenologi Husserl pada konteks masyarakat pengungsi Rohingya memberikan kesadaran terhadap konteks global. Fenomenologi transendental membantu mengeksplorasi dimensi universal dari pengalaman manusia, sementara teori lifeworld menempatkan pengalaman individu dalam konteks sosial yang lebih luas, sehingga dihasilkan solusi dan intervensi yang lebih kontekstual dan berpusat pada kebutuhan masyarakat pengungsi Rohingya.
Co-Authors Achmad Haykal Baswedan Ali Santosa Alyatul Himma Anaditya Wahyu Kumudhaningsih Anastasia Citra Purwani Angga Mardro Raharjo Angga Mardro Raharjo, Angga Mardro Aprilya Pratiwi, Nadilla Arief Subhan Arswendo Ika Murthy Aryasatya, Dimas Widyadhana Bhanu Astuti Setyawardani Bagus Dwi Kurniawan Bagus Dwi Kurniawan Bagus Hermansyah Bagus Hermansyah Budi Suharjo Cahyaningrum, Endiningtyas Cholis Abrori, Cholis Cicih Komariah De Rorna, Masrahma Reinataya Denaneer Rahmadatu Desi Sandra Sari Desie Dwi Wisudanti Diana C. Mufida Diana Chusna Mufida Diana Chusna Mufida Dina Helianti Dion Krismashogi Dharmawan Dita Diana Parti Dua , Mikhael Dwita Aryadina Rachmawati El Milla, Kardiana Izza Ellen Ocktavironita Elly N Sakinah Elly Nurus Sakinah, Elly Nurus Elvia Rahmi Marga Putri Ema Rachmawati Enny Suswanti Enny Suswati ENNY SUSWATI Erfan Efendi Erma Sulistyaningsih Fitri, Nadya Eka Gama Wisnu Sanjaya Habib Mustofa Habibbur Rochman Salim Habibi, Ali Hamzah, Salsabilla Maula Zalfa El Hanifa Rizki A.S. Hibatulloh, Muhammad Farhan Hidayat Hidayat I Nyoman Semita Ichlasul Amal Iftinan, Karenzha Ika Rahmawati Sutejo Intan Palupi Irawan Fajar Kusuma Jamalullail, Jamalullail Jauhani, Muhammad Afiful Jauhar Firdaus Kirana Nadyatara Kristianningrum Dian Sofiana Kusiyanto Taslim, Fitranda Laila Rizqi Kurniawati Lailatis Shofia Laksmi Indreswari M. Ali Shodikin Mei Liana Wati Miftakhul Huda Muhammad A. Shodikin Muhammad Ali Shodikin Muhammad Dimas Arya Candra Permana Mukhamad Najib Napitupulu , Frengki Nastiti Bekti Utami Nidia Nursafitri Nihayah Lukman Nisrina Salsabila Firmansyah Nita Alfianti Noorhamdani AS Noorhamdani AS Nugraha, Bima Setia Sandya Nurul Indah Saffanah Nurul Indah Saffanah Nurus Saffana Yulianto Pralampita, Pulong Wijang Primadana, Aditya Putra Uta, Diego Rafi Putra, Muhamad Dwi Eka Putra, Yudha Ananta Khaerul Ramadhani, Alfiyah Regina Finka Rinda Yanuarisa Rini Riyanti Rony Prasetyo Rosita Dewi Rustono - Ryan Ravi Is Syahputra S.Pd. M Kes I Ketut Sudiana . Sa'adah, Ajeng Samrotu Salsabila, Yuna Annisa Salsabilla Maula Zalfa El Hamzah Saputra, Antonius Dwi Sarah Marsa Tamimi Semita, I Nyoman septa surya wahyudi, septa surya Setyawardani, Astuti Sheilla Rachmania, Sheilla Shodikin, M. Ali Shofia, Lailatis Siti Marissa Aisyah Siti Zulaikha Siti Zulaikha Risqiyani Sumarno Retoprawiro Supangat Supangat Syahputri, Siti Ananda Hardita Tristianti, Farmitalia Nisa Udi Rusadi Ulfa Elfiah Ulin Nuha Jazmin Widaningsih, Titi Widhiasari Normaningtyas Wiwien Sugih Utami Yehuda Tri Nugroho Supranoto Yudha Nurdian Yuli Hermansyah Yuli Rahmantia, Vania Yuliana MDA Yuna Annisa Salsabila Yunita Armiyanti