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All Journal Indonesian Journal of Tropical and Infectious Disease Oto Rhino Laryngologica Indonesiana Indonesian Journal of Kidney and Hypertension Biomolecular and Health Science Journal CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL CRJIM (Clinical and Research Journal in Internal Medicine) Jurnal Penyakit Dalam Indonesia Folia Medica Indonesiana
Nunuk Mardiana, Nunuk
Division Of Nephrology – Hypertension, Department Of Internal Medicine, Dr.Soetomo Hospital, Faculty Of Medicine, Airlangga University – Surabaya, Indonesia
Biochemistry, Genetics & Molecular Biology Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Journal : Biomolecular and Health Science Journal

 1 
Levels of Hemoglobin, Leukocytes, and Platelets of Chronic Kidney Disease Patients Undergoing Hemodialysis in Surabaya Mega Kahdina; Nunuk Mardiana; Dyah Fauziah
Biomolecular and Health Science Journal Vol. 1 No. 1 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (503.48 KB) | DOI: 10.20473/bhsj.v1i1.8190

Abstract

Background: Chronic kidney disease (CKD) is increasing in Indonesia, furthermore, it requires high treatment cost such as conservative therapy and kidney transplantation or dialysis. There are two types of dialysis; hemodialysis (HD) and peritoneal dialysis. The patient who undergoes HD needs periodical laboratories evaluation due to its impact on hemoglobin (Hb), leukocyte and platelets. The purpose of this study was to obtain the levels of Hb, leukocyte and platelets regularly in stage 5 CKD patients undergoing HD.Methods: Data were collected from patients’ medical record from October to December 2014 and it was characterized based on age, sex, HD frequency, HD period, hemoglobin, iron saturation, ESA (erythropoiesis-stimulating agent), leukocyte level and platelets level. 60 samples were included with the same ratio.Results: The average of age was 45 years old and the average of HD period was 40 months. All patients suffered anemia, however, only 51 patients could be evaluated the iron saturation. From it, 37 patients had the iron saturation of ≥20% which 14 (38%) of them received ESA. There were 14 patients who suffered zinc deficiency anemia with the iron saturation of <20% which 4 (29%) of them received ESA.Conclusion: Most of patients’ leukocyte and platelets levels were normal. Patients who received ESA had higher Hb levels. Platelets levels had a reverse correlation with the longer period of hemodialysis.
Risk Factors for Urinary Tract Infection in Hospitalized Patients Hadiati Setyorini; Nunuk Mardiana; Artaria Tjempakasari
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (785.728 KB) | DOI: 10.20473/bhsj.v2i1.11549

Abstract

Introduction: Urinary tract infection (UTI) is the most common infection that can be fatal and has higher rate mortality especially in some patient. This study is aim to analyze risk factors for urinary tract infection in hospitalized patients for prevention and more aggressive approach can be taken.Methods: Consecutively, medical records of 285 patients with urinary analysis was recorded for risk factors and urine culture results if suspected UTI. Risk factors for sex, age, urinary catheter, urolithiasis, DM, and immobilization was analyzed with bivariate analysis and multivariate analysis.Results: From 285 patients, 92 patients had UTI with average age was 52.45 years old, 48 (56.49%) were female. Most common pathogen were E. coli (41.3%), Enterobacter sp. (8.8%) and Enterococcus faecalis (7.6 %). From bivariate analysis, geriatric age (>60 years) has RR 1.421 (95% CI 1.015-1.989, p=0.046) and immobilization has RR 1.861 (95% CI 1.266-2.738, p=0.007), whereas sex (RR 1.190 95% CI 0.851 – 1.664, p=0.310), diabetes (RR 1.171 95% CI 0.833 – 1.645, p=0.367), insulin usage (RR 0.900 95% CI 0.519 – 1.561, p= 0.703), glycosuria (RR 1.152 95% CI 0.741 – 1.791, p=0.522), and CKD (RR 1.475 95% CI 0.896 – 2.430, p= 0.126) give insignificant result. From multivariate analysis, urinary catheter has OR 4.506 (95% CI 2.312-8.872, p=0.000), urolithiasis with OR 4.970 (95% CI 1.931-12.787, p=0.001), and hyperglycemia has OR 2.871 (95% CI 1.485-5.551, p=0.002).Conclusion: Geriatric age and immobilization are risk factors for urinary tract infection, and urinary catheter, urolithiasis, and hyperglycemia are independent risk factors for urinary tract infection.
Co-Authors Aditia Wardana, Aditia Aditiawardana Aditiawardana, Aditiawardana Alfarika Rosmalia Ardityo R Ardhany, Ardityo R Artaria Tjempakasari, Artaria atika Caesar Ayudi Chandra Irwanadi Chandra Irwanadi Chandra Irwanadi Mohani, Chandra Irwanadi Chandra Irwanadi, Chandra chieko Hamada, chieko Dana Pramudya Djoko Santoso DYAH FAUZIAH, DYAH Dyah Purnamasari E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Endang Susalit Evy Yunihastuti Fauzia N Liani Hadiati Setyorini Harfonso, Ernesto Everald Baibelino Ichiyu Shou, Ichiyu Ikhwan Rinaldi Jahidi, Savero Mizan Kunimi Maeda, Kunimi M Thaha, M Mahrumi Dewi Tri Utami Makhmudyah Indri Cahyani ManikRetno Wahyunitisari Maruhum B.H. Marbun Mega Kahdina Mitsumine Fukui, Mitsumine MOCHAMMAD THAHA Moh. Yogiantoro, Moh. Nurwidda, Arvi Dian Prasetia Nyilo Purnami P Pranawa Pranawa Pranawa pranawa pranawa, pranawa Pringgodigdo Nugroho, Pringgodigdo Putera, Edward Muliawan Rebekah Setiabudi, Rebekah Rudy Hidayat Rusdi Zakki Aminy Sabrina Izzattisselim Sambodo, Shella Violita Satoshi Horikoshi, Satoshi soewanto soewanto, soewanto Suryantoro, Satriyo Dwi Tenta Hartian Hendyatama Tri P Asmarawati, Tri P Utami, Mahrumi Dewi Tri Virnanda Amu, Ivan Wahyunitisari, Manik Retno Wardhani, Indrayuni Lukitra Wardoyo, Elizabeth Y Widodo Widodo Widodo Widodo Yasuhiko Tomino, Yasuhiko