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Profile of Patient with Staphylococcus haemolyticus and Escherichia coli Bacteria on Urine Specimen at Dr. Moewardi Hospital Kumala .; Leli Saptawati; R Satriyo Budhi Susilo
Nexus Kedokteran Klinik Vol 5, No 1 (2016): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Urinary Tract Infection (UTI) is the most common disease worldwide. Escherichia coli is a bacterial pathogen that causes most UTIs while Staphylococcus haemolyticus is an opportunistic bacterium that can cause a UTI which is actually a normal flora on human skin. This study aimed to determine the profile of patients who are exposed to the bacteria S. haemolyticus and E. coli in urine specimens. Methods: This study was a descriptive research using clinical epidemiology approach. The object of the research was patients medical records which have been identified by urine culture with positive result of S. haemolyticus and E. coli on 2014. Sampling was held during December 2015 at Dr. Moewardi Hospital. Sampling was done and 88 people taken from the population. The data was statically analyzed with frequency distributive technique and odds ratio. Results: Descriptive analysis using frequency distribution and odds ratio showed male patients are more than the female patients. These two bacteria show of most age category are adults. While the vital sign shows patients with S. haemolyticus body temperature is lower than E. coli. In the blood count result, white blood count of patients with E. coli has a higher mean than the variable numbers of leukocytes on patients with S. haemolyticus. Conclusions: There are differences between the profile of patients who are exposed to E. coli and S. haemolyticus. On vital signs and the white blood counts results, patients with E. coli was higher than patients with S. haemolyticus. Keywords: Urinary Tract Infection, Staphylococcus haemolyticus, Escherichia coli
Uji Efektivitas Sterilisasi dan Desinfeksi Ventilator Mekanik Di RSUD Dr. Moewardi Rizky Saraswati Indraputri; Leli Saptawati; Eko Setijanto
Nexus Biomedika Vol 3, No 2 (2014): Nexus Biomedika
Publisher : Nexus Biomedika

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Abstract

Background: Mechanical ventilator is a semicritical equipment that often contacts with mucous membrane or skin. The use of mechanical ventilator for long term can cause some complication, one of them is Ventilator-Associated Pneumonia (VAP) which is the common nosocomial infection in ICU. Sterilization and disinfection of mechanical ventilator decrease microorganism infection. Every hospital has their own sterilization and disinfection procedure of mechanical ventilator. This research aims to examine the effectiveness of sterilization and disinfection of mechanical ventilator at RSUD Dr. Moewardi. Method: This was an analytic observational study using cross sectional design. Samples were taken from swab and circuit rinse of mechanical ventilator tube after sterilization and disinfection with storage and without storage process. A total of 30 samples were sampled for each tube and circuit based on the rule of thumb with consecutive sampling technique. Data were analyzed descriptively and tested using Chi Square test. Result: There were 30 samples from circuit rinse which were negative from contamination. In tube swab, there were 8 samples positive from contamination. In 15 samples of tube swab without storage process, there were 2 positive samples and 13 negative samples from contamination. In 15 samples of tube swab with storage process, there were 6 positive samples and 9 negative samples from contamination. The microorganisms of contaminants were Bacillus sp, Staphylococcus aureus, and Staphylococcus epidermidis. The statistical analyses showed no significant relationship between both storage processes either sterilization or disinfection of mechanical ventilator and microorganism contamination (p = 0.226). Conclusion: Sterilization and disinfection of ventilator circuit at RSUD Dr. Moewardi are effective. While sterilization and disinfection of mechanical ventilator are not yet effective. There is not a significant relationship between storage and the effectiveness of either sterilization or disinfection of mechanical ventilator. Keywords: sterilization, disinfection, mechanical ventilator