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All Journal Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease Molecular and Cellular Biomedical Sciences (MCBS) Jurnal Gema Ngabdi JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indian Journal of Forensic Medicine & Toxicology
Kartina, Leny
Department Of Child Health, Faculty Of Medicine, Airlangga University / Dr. Soetomo Hospital, Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences

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Hand Hygiene Compliance Behavior and Glove Use in the Pediatric Intensive Care Unit During COVID-19 Pandemic Bangkit Putrawan; Dominicus Husada; Parwati Setiono Basuki; Risa Etika; Ismoedijanto; Dwiyanti Puspitasari; Leny Kartina
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16811

Abstract

Background: The condition of Covid-19 pandemic potentially influences hand hygiene compliance as aresult of workload changes, increased awareness of healthcare workers (HCWs) and personal protectiveequipment procedures, especially in terms of hand glove use,Objective to know the adherence of healthcare workers at the pediatric intensive care unit (PICU) to complywith hand hygiene and glove use during the pandemic.Methods An observational prospective study was carried out including all HCWs stationed at the PICU DrSoetomo General Hospital during January 2021. All participants were to sign an informed consent beforethe study took place. A target of 500 opportunities was estimated during the observation, and recorded usinginfra-red cameras placed at ten points. Hand hygiene compliances were evaluated according to the videosurveillance records by an independent auditor. Compliance was measured by dividing total number ofobserved appropriate hand hygiene by the sum of opportunities. Data were analysed using Chi Square testat a significance of p<0.05.Results: A total of 28 HCWs were eligible for the study; 9 were excluded. The majority were female(21; 75%), the mean age was 37.9 (SD 5.2) years. During 72 hours’ observation among 526 glove-useopportunities 104 (19.7%) actual glove-use episodes were evident. The hand hygiene compliance was lower(41.3%) when wearing gloves as compared to those with no glove use (68.2%) (p<0.001).
THE ANTIDIPHTHERIA ANTIBODIES OF SEROEPIDEMIOLOGY SURVEY AMONG ADOLESCENTS IN BANGKALAN AND KEDIRI DISTRICTS Dominicus Husada; Kristina Marbun; Desy Primayani; Leny Kartina; Dwiyanti Puspitasari; Parwati Setiono Basuki; Ismoedijanto Moedjito; Aris Wiji Utami; Eveline Irawan
Jurnal Berkala Epidemiologi Vol. 7 No. 2 (2019): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.595 KB) | DOI: 10.20473/jbe.V7I22019.94-102

Abstract

Background: An increase in diphtheria cases has occurred in East Java Province since 2011. The resistance level to diphtheria is considered as the most important cause. Purpose: The study aims analyzed the immunity level immunity to diphtheria in adolescents aged 16-18 years old in Bangkalan and Kediri Districts. Methods: This study was a cross-sectional study, conducted on students in eleven grade of senior high schools (SMAN) from both districts. The inclusion criteria included being 16-18 years old and students in eleven grades of senior high schools in Bangkalan and Kediri. This study was approved by their parents/guardians. The exclusion criteria included immunocompromised students and those who have a history of diphtheria infection. The data were obtained from 204 samples, 89 samples in Bangkalan, and 115 samples in Kediri. The antidiphtheria antibodies examination was carried out by the Vero cell method. The antibodies levels were grouped according to WHO standard, consist of vulnerable, basic, full, and long-term. Further analysis was done with 2 tiers of immunity, consist of immune and vulnerable. Results: The immunization coverage for basic and booster diphtheria vaccine is better in Kediri than in Bangkalan. In contrast, levels of antibodies samples in Bangkalan District is better. The participants who were immune in Bangkalan were higher than those in Kediri (91% vs. 44.3%). Conclusion: The immunity adolescents of Bangkalan is higher than in adolescent Kediri District. The adolescents in Kediri have a greater risk to get infected by the disease
Escherichia coli and Klebsiella pneumonia as the Most Common Bacteria Causing Catheter Associated Urinary Tract Infection Dwiyanti Puspitasari; Edward Adijaya Rusli; Dominicus Husada; Leny Kartina
Molecular and Cellular Biomedical Sciences Vol 5, No 3 (2021)
Publisher : Cell and BioPharmaceutical Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21705/mcbs.v5i3.218

Abstract

Background: Healthcare-Associated Infections (HAIs) are the result of a reaction between taint agents that infected the patient when the patient is hospitalized. A Study from The Center for Disease Control and Prevention shows that most HAIs in hospital are urinary tract infection, most of the infection incident in patient are caused by catheter. Catheter indwelling is notable in medical sphere. This study aimed to inquire case number of Catheter-Associated Urinary Tract Infection (CAUTI) in Dr. Soetomo General Hospital, the feature of CAUTI patients, the type of bacteria that cause CAUTI, and what is the relation among sex and bacteria colony.Materials and Methods: An analytic observational study with the population of pediatric hospitalized patients of Dr. Soetomo General Hospital was conducted in January-December 2017. Samples collected were positive urine culture from pediatric hospitalized patients. Information regarding the bacteria that cause CAUTI, gender, and length of catheter usage were collected.Results: There were total 140 samples of positive urine culture in pediatric patient, and 38.5% was diagnosed as CAUTI. Overall CAUTI was often found in male subjects (51.9 %), and similar with ≤1-year old patients which also often found in male subjects (60.8%). The highest length of catheter usage was 3-5 days (42.5%). All subjects had fever as a clinical sign and 83.3% had suprapubic pain. Escherichia coli and Klebsiella pneumoniae infections were highly discovered. There was an association between gender and urine culture colony count (p=0.02).Conclusion: CAUTI is commonnly found in Dr. Soetomo General Hospital, and two bacteria that cause the most infection were E. coli and K. pneumoniae.Keywords: catheter, urinary tract infection, healthcare associated infection
PROGNOSTIC FACTORS OF SEVERE DENGUE INFECTIONS IN CHILDREN Baiduri, Senja; Husada, Dominicius; Puspitasari, Dwiyanti; Kartina, Leny; Basuki, Parwati Setiono; Ismoedijanto, Ismoedijanto
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 1 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i1.10721

Abstract

The  incidence of dengue fever increase annually and can increase morbidity and mortality. Dengue fever is mosquito-borne disease and caused by one of four serotype dengue viruses. Severe dengue is characterized either by plasma leakage, fluid accumulation, respiratory distress, severe bleeding, or organ impairment. Mortality and serious morbidity of dengue were caused by several factors including the late recognition of the disease and the changing of clinical signs and symptoms. Understanding the prognostic factors in severe dengue will give early warning to physician thus decreasing the morbidity and mortality, and also improving the treatment and disease management. The aim of this study was to analyze the prognostic factors of severe dengue infection in children. This study was observational cohort study in children (2 months-18 years) with dengue infection according to WHO 2009 criteria which admitted in  Soetomo and Soewandhie Hospital Surabaya. Analysis with univariate, bivariate and multivariate with IBM SPSS Statistic 17. All patients were confirmed by serologic marker (NS-1 or IgM/IgG Dengue). Clinical and laboratory examination such as complete blood count, aspartate aminotrasnferase (AST), alanine aminotrasferase (ALT), albumin, and both partial trombocite time and activated partial trombosit time (PTT and aPPT) were analyzed comparing nonsevere dengue and severe dengue patients. There were 40 subjects innonsevere and 27 subjects with severe dengue infection. On bivariate analysis, there were significant differences of nutritional status, abdominal pain, petechiae, pleural effusion, leukopenia, thrombocytopenia, hypoalbuminemia, history of transfusion, increasing AST>3x, prolonged PPT and APTT between severe and nonsevere dengue group. After multivariate analyzed, the prognostic factors of severe dengue were overweight/obesity (p=0.003, RR 94), vomiting (p=0.02, RR 13.3), hepatomegaly (p=0.01, RR=69.4), and prolonged APTT (p=0.005, RR=43.25). In conclusion, overweight/obesity, vomiting, hepatomegaly, and prolonged APTT were prognostic factors in severe dengue infection in children.Those factors should be monitored closely in order to reduce the mortality and serious morbidity.
Profile of Elderly COVID-19 Patients at Indrapura Field Hospital, Surabaya Mahdian, Haidar; Triyono, Erwin Astha; Handajani, Noor Idha; Kartina, Leny
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Vol. 16 No. 1 (2025): Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/juxta.V16I12025.7-13

Abstract

Highlights: Elderly patients with comorbidities are more vulnerable to coronavirus disease (COVID-19) because it can cause a higher mortality rate and a poor prognosis. Most of the elderly COVID-19 patients who were given symptomatic treatment were cured.   Abstract Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a pathogen that causes coronavirus disease (COVID-19). The elderly, especially those with comorbidities, are vulnerable to COVID-19. This study aimed to determine the profile of elderly patients with COVID-19 and to provide valuable data for further research. Methods: This was a retrospective descriptive study of 132 (n=132) elderly COVID-19 patients at Indrapura Field Hospital, Surabaya, between April and October 2021. The clinical profile was determined by collecting medical record data from Indrapura Field Hospital, Surabaya. All statistical data analyses were conducted using the International Business Machines Corporation (IBM) Statistical Package for Social Sciences (SPSS) for Macintosh version 25.0. Results: This study indicated that among 132 (n=132) elderly patients, the predominated age range was 61–63 years old (37.12%), and most of the patients were males (57.6%). The majority of the patients' occupations were private employees, and hypertension was the main comorbidity in elderly patients (52.3%). Most patients experienced mild symptoms (46.2%), with the most common complaint being a productive cough (42.4%). All of the patients had no antiviral, antibacterial, or corticosteroid therapy. There were 73 patients (55.3%) who had been hospitalized for less than 10 days, with most of the patients (78.79%) cured and allowed to go home. Conclusion: The majority of patients at Indrapura Field Hospital, Surabaya, were elderly male patients, with hypertension being the most common comorbidity. Most patients exhibited mild symptoms, mainly a productive cough, and showed significant improvement with symptomatic, isolation, relaxation, nutrition, and observation (SIRNO) therapy, resulting in a high recovery and discharge rate.
Peran Pelatihan Dan Peningkatan Keterampilan Tenaga Kesehatan Dalam Penanganan Difteri Di Jawa Timur Pada Tahun 2024 Mustikasari, Rahma Ira; Husada, Dominicus; Kartina, Leny; Basuki, Parwati Setiono; Puspitasari, Dwiyanti; Ismoedijanto, Ismoedijanto; Hilwana, Lutifta; Haq, Arini
Jurnal Gema Ngabdi Vol. 7 No. 2 (2025): JURNAL GEMA NGABDI
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jgn.v7i2.585

Abstract

Diphtheria, caused by Corynebacterium diphtheriae, is a significant public health threat, particularly in areas with low immunization coverage. Despite national immunization programs, sporadic outbreaks continue to occur, especially in East Java, which reported the highest number of cases in 2021. The disease is transmitted through respiratory droplets and can lead to severe complications if not diagnosed and treated promptly. Diphtheria mortality can be reduced with appropriate treatment, along with good immunization status. Diagnosis can be made both clinically and through laboratory tests, including culturing the diphtheria bacteria from swabs of affected tissues. This community service program aimed to enhance the capacity of healthcare workers in East Java, specifically in Sampang Regency, to manage diphtheria through training that included both theoretical and practical components. The training methods used included pre- and post-tests to assess knowledge, mini lectures on epidemiology, clinical symptoms, diphtheria vaccination, and management, along with case simulations to improve participants' practical skills. The program was attended by 42 participants from various healthcare professions, including doctors, nurses, health analysts, and surveillance officers The evaluation demonstrated a significant improvement in participants' knowledge after the training. This program contributed meaningfully to enhancing preparedness among local healthcare providers and is expected to support more robust early detection and response systems for diphtheria outbreaks in the future.
Co-Authors Aris Wiji Utami Baiduri, Senja Bangkit Putrawan Basuki, Setio Desy Primayani Dominicus Husada Dwiyanti Puspitasari, Dwiyanti Edward Adijaya Rusli Erwin Astha Triyono Eveline Irawan Haq, Arini Hilwana, Lutifta Husada, Dominicius Ismoedijanto Kristina Marbun Mahdian, Haidar Mustikasari, Rahma Ira Noor Idha Handajani Parwati Setiono Basuki Risa Etika, Risa