Machlaurin, Afifah
Drug Utilization Research Group, Bagian Farmasi Klinik Dan Komunitas Fakultas Farmasi Universitas Jember; Program Studi Magister Farmasi Fakultas Farmasi, Universitas Jember

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Journal : e-Journal Pustaka Kesehatan

Potensi Penggunaan Obat yang Tidak Tepat pada Peresepan Pasien Geriatri Rawat Jalan di RSD dr. Soebandi Jember Berdasarkan Beers Criteria (Potentially Inappropriate Medication Based on Beers Criteria in Geriatric Outpatients of dr. Soebandi District Hosp Yeni Rahmawati Negara; Afifah Machlaurin; Ema Rachmawati
Pustaka Kesehatan Vol 4 No 1 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Inappropriate medication in geriatric is a serious problem because of its high morbidity, mortality, and healthcare costs. Beers Criteria 2012 is the compilation drugs that potentially inappropriate on geriatric patients. The objective of this study was to observe the percentage of inappropriate medication in geriatric outpatients prescription.This study used observational descriptive and retrospective design. The study showed that 69 patients (18.30%) from 377 patients prescribed with 92 inappropriate medication, 20 medication with strong and high quality evidence to be avoided based on Beers Criteria 2012. Amitriptyline was the most prescribed potentially inappropriate agents of 17 events. Keywords: geriatric, beers criteria,outpatients
Hubungan antara Profilaksis Kotrimoksazol dan Prevalensi Toksoplasmosis pada Pasien HIV Positif di Jember (The Association Between Prophylactic Cotrimoxazole and the Prevalence Toxoplasmosis in HIV-Positive Patients in Jember) Elly Febry Taufany; Afifah Machlaurin; Prihwanto Budi Subagijo
Pustaka Kesehatan Vol 6 No 1 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i1.6613

Abstract

Human immunodeficiency virus (HIV) is a virus that causes acquired immune deficiency syndrome (AIDS). HIV is a high mortality disease and the number of patients is increasing recent days. Based on dr. Soebandi Jember Hospital report in 2015, there were 1,492 HIV patients and 455 people received antiretroviral (ARV) therapy. Toxoplasmosis is one of opportunistic infections commonly found in HIV patients in central nervous system. WHO has issued guidelines for the use of cotrimoxazole as prophylaxis in HIV positive people. The purpose of this study was to determine the relationship between cotrimoxazole prophylaxis and the incidence of toxoplasmosis. This research was a case control study with retrospective approach and used chi-square analysis. The results showed that most patients were male (57%), 20-29 years in age (50%), and 41-60 kg in weight (64%). Based on the CD4 level, most HIV patients were less than 350/mm3 (96%) and total lymphocite count (TLC) also less than 1,200/mm3 (42%). There were 1 patient from 76 patients with cotrimoxazole prophylaxis and 7 patients from 52 patient without cotrimoxazole prophylaxis who developed toxoplasmosis. Based on chi-square analysis, cotrimoxazole prophylaxis reduce the incidence of toxoplasmosis in HIV positive (p-value 0,004). Keywords: HIV/AIDS, prophilaxis therapy of cotrimoxazole, toxoplasmosis infection
Studi Penggunaan Obat pada Pasien Osteoartritis Usia Lanjut di Instalasi Rawat Jalan Rumah Sakit dr. H Koesnadi Bondowoso Tahun 2013 Ema Rachmawati; Putu Setia Pratama; Afifah Machlaurin
Pustaka Kesehatan Vol 6 No 3 (2018)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v6i3.9868

Abstract

Osteoarthritis (OA) is a degenerative bone disease that begin by loss of articulary cartilage (joint). The disease most commonly affects the elder or adult people. Elderly people experiencing degenerative processes in which decreasing organ function. The organ degeneration causes several diseases resulting the patients to receive multi drug for the treatment and causing polypharmacy, thus will increase the risk of drug interactions. This study was conducted to determine the treatment for osteoarthritis and drug interactions that occur in patients with osteoarthritis. The method used was total sampling using the descriptive-retrospective approach. The sample was elderly osteoarthritis patients in outpatient installation which were treated in RSD dr. H Koesnadi Bondowoso during January to December 2013. In this study we found that the main treatment for osteoarthritis was non steroidal anti inflammatory drug (NSAID) that use to relief pain. From 108 samples of elderly osteoarthritis patients, we found that 17 patients (15.74%) indicating the potential for drug interactions. Keywords: osteoarthritis, outpatient age above 60 years, NSAID, drug interaction
Survei Pengetahuan dan Pilihan Pengobatan Jerawat di Kalangan Mahasiswa Kesehatan Universitas Jember (A Survey on Knowledge and Treatment Options of Acne Vulgaris Among Health Science Students of Universitas Jember) Antonius Nugraha Widhi Pratama; Maulina Hari Pradipta; Afifah Machlaurin
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v5i2.5871

Abstract

Acne vulgaris is a common disorder that may impact physically and psychologically. It can be treated either using appropriate self-medication or medical assistance. This present study aimed to explore the knowledge of acne vulgaris and its treatment ofchoice among health science students of Universitas Jember. Data were collected using a 44 item questionnaire. A total of 193 respondents from Faculty of Pharmacy (34 students), Faculty of Public Health (59 students), Faculty of Dentistry (27 students), Faculty of Medicine (29 students), and School of Nursing (44 students) participated in the study after giving their consents. All respondents have had acne at some points of their life. The average level of knowledge was 17.3 ± 3.6 (max score 30) and there was astatistically significant difference of means (p=0.002) among the respondents, based on their faculties. Self-medication (n=49; 58%) was more prefered than medical assistance (n=35; 41.7%). This study showed the need to increase awareness among young peopleto practice appropriate self-medication.Keywords: acne vulgaris, knowledge, treatment options
Pengaruh Faktor Klinik dan Pengobatan terhadap Keberhasilan Terapi Tuberkulosis pada Pasien HIV–TB di Jember (The Influences of Selected Clinical Factors and Treatment on Tuberculosis Therapy Outcome among HIV-TB Patients in Jember) Nuraini Agustin; Afifah Machlaurin; Prihwanto Budi Subagio
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/pk.v5i2.5861

Abstract

Human imunodeficiency virus (HIV) is an infectious diseases that become an international problem. Since 1980s, there was an increase in morbidity and mortality due to tuberculosis (TB) infection in high HIV prevalence areas. The success of therapy is very important in the treatment of HIV-TB patients. The purpose of this study was to determine the factors that influence the success therapy in HIV-TB patients. This research was a cross sectional study with retrospective approach and used chi square analysis. The result showed that most patients were male (62.1%) and most were 25-34 years in age (42.3%). Most HIV-TB patients were 41-50 kg in weight (56.9%). They had CD4 level range of 50-199/mm3 and total lymphocyte count (TLC) less than 1,200/mm3 (58.6%). Most HIV-TB received therapy TB category 1 that was 55.2%, and antiretroviral (ARV) combination of TDF+3TC+EFV (91.8%). Based on chi square analysis, body weight, CD4 level, and TLC affected the success therapy (P value 0.022, 0.003, 0.028), whereas age and gender didn't (P value 0.222, 0.905). On the other hand, the variation therapy of TB and HIV didn't affect the success therapy either (P value 0.943, 0.718).Keywords: HIV-TB, antiretroviral, tuberculosis therapy
Analisis Efektivitas Biaya Penggunaan Antibiotik terhadap Pasien Sepsis Pediatrik di Rawat Inap RSD dr. Soebandi Kabupaten Jember pada Tahun 2014 (Cost effectiveness Analysis of Antibiotics in Hospitelized Pediatric Sepsis Patients at RSD dr. Soebandi Je Nurul Faridah; Afifah Machlaurin; Prihwanto Budi Subagio
Pustaka Kesehatan Vol 4 No 2 (2016)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Antibiotics play an importent role in sepsis therapy. Inappropiate antibiotic theraphy leads to resistance of antibiotic resulting increase length of stay (LOS), mortality, and higher cost. The purpose of this study was to determine the most effective empirical antibiotic based on cost effectiveness analysis (CEA) in pediatric patients with sepsis at RSD dr. Soebandi in 2014. This study observed medical and payment records retrospectively. From 152 patient analyzed, 51 patients included and 136 patients were excluded because of the antibiotic theraphy less than three days, the age more than 18 years old and the data was not complete. The effectiveness parameter of this study were length of stay (LOS), length of stay antibiotic related (LOSAR) and 28-days mortality. According to this study, ampicillin sulbactam plus amikacin combination had shorter LOS (13,82 days) than other antibiotics. However monotheraphy ampicillin sulbactam had shorter LOSAR (7.13 days) and lower 28-days mortality (50.00%). The total cost and antibiotic cost analysis showed that ampicillin sulbactam plus amikacin combination was cheaper than other antibiotics (Rp 5,130,000.00 ± 500.00). Based on CEA and quadrant analysis ampicilin sulbactam combination plus amikacin was the most cost effective with low cost and high effectiveness (quadrant II) than other antibiotic.   Keywords: cost effectiveness, antibiotic, sepsis