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Resistensi Antimikroba: Pengetahuan, Sikap, dan Kewaspadaan pada Komunitas Lokal Bali: - Dewi, Ni Luh Putu Sastrani; Widowati, I Gusti Ayu Rai; Wirajaya, Made Karma Maha; Maharianingsih, Ni Made
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol. 16 No. 1 (2024): Jurnal Farmasi Indonesia
Publisher : Pengurus Pusat Ikatan Apoteker Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfionline.v16i1.161

Abstract

Antimicrobial resistance (AMR) concerns may arise as a result of improper antibiotic use. Bacterial resistance to antibiotics, which has been identified by the WHO as one of the most serious threats to public health, can be worsened by a lack of public understanding of proper antibiotic use. The objective of this research was to find out the level of community knowledge, attitudes, and awareness about AMR. A validated questionnaire was adopted to conduct purposeful interviews with locals of Kerobokan Kaja Village during February and March 2023 to conduct the cross[1]sectional survey. There were 110 total responses (100% response rate). Most respondents (37 [33.3%]) are between the ages of 18 and 27; 56 [50.9%] are women; and 78 [70.9%] have completed secondary school.; (41 [37.3%]) work as private employees; and received minimum wages (41 [37.3%]). The findings indicated that more than half of the population (70 [63.3%]) had adequate knowledge regarding the use of antibiotics, adequate attitudes (64 [58.2%]), and fair awareness of AMR (63 [57.3%]). The results of the Spearman's Rank test reveal a moderately strong correlation between knowledge and AMR awareness (Sig.2-tailed=0.000; p-value
Knowledge, Attitude, and Compliance with Hypertension Patients at The Manggis I Karangasem Health Centre Oktayanti, Leny; Widowati, I Gusti Ayu Rai; Tunas, I Ketut; Wintariani, Ni Putu
JFIOnline | Print ISSN 1412-1107 | e-ISSN 2355-696X Vol. 16 No. 1 (2024): Jurnal Farmasi Indonesia
Publisher : Pengurus Pusat Ikatan Apoteker Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35617/jfionline.v16i1.171

Abstract

High blood pressure or hypertension is a serious medical condition that significantly increases the risk of heart, brain, kidney, and other organ diseases. Most people with hypertension do not show specific symptoms and remain in good condition to perform routine activities. This study aimed to evaluate the knowledge, attitude, and compliance of hypertensive patients. A cross-sectional observational study was conducted at Puskesmas Manggis I Karangasem from March to May 2023 using a validated questionnaire. Data were analyzed using SPSS software version 25.0. A total of 120 respondents participated (100% response rate). Most of respondents were >65 years old (37.5%); male (61.7%); had secondary education (65.8%); not working (28.3%); had grade 1 hypertension (70.8%), and had no comorbidities (80.8%). Patient knowledge was categorized as good (109 [90.8%]), attitude was positive (75 [62.5%]), and medication compliance was high (79 [65.9%]). The results of the chi-square test showed that there was a significant relationship between knowledge and compliance (p-value=0.002), and there was a significant relationship between attitude and compliance (p-value=0.006). Knowledge and attitudes of hypertensive patients must continue to be improved so that patients comply to their medication therapy. Pharmacists are advised to conduct counseling on lifestyle, dietary patterns, and information related to complications in hypertensive patients.
Detection of antibacterial activity in chicken meat, eggs, drinking water, animal feed and sewage waste in Tabanan, Bali Setiabudy, Marta; Indraningrat, Anak Agung Gede; Suryanditha, Putu Arya; Budayanti, Ni Nyoman Sri; Yanti, Ni Komang Semara; Adhiputra, I Ketut Agus Indra; Widowati, I Gusti Ayu Rai; Agustina, Kadek Karang
Journal of Clinical Microbiology and Infectious Diseases Vol. 3 No. 1 (2023): Available online : June 2023
Publisher : Indonesian Society for Clinical Microbiology (Perhimpunan Dokter Spesialis Mikrobiologi Klinik Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jcmid.v3i1.51

Abstract

Background: The use of antibiotics that are not in accordance with the indications, doses, and duration can trigger resistance and there is concern that it might leave antibiotic residues in the processed product. Aim of this study was to detect the antibacterial activity of livestock products, namely chicken meat and eggs and the surrounding environment such as drinking water, animal feed and waste disposal. This study was a preliminary study before the establishment of antibiotic wise village, One Health approach for antimicrobial stewardship program. Methods: This study was a descriptive study with a cross sectional design to determine antibacterial activity, particularly tetracycline in livestock products and the environment. The research samples were taken from 5 groups of farmers in one of the villages in Tabanan, Bali. Bioassay method based on the Kirby Bauer method was used in this study. Results: From a total of 44 samples, 6 samples showed weak antibiotic tetracycline activity (13.6%), namely in waste disposal (20%) and animal feed (40%). Antibiotic contamination was likely to occur because the animal feed used in this group contains antibiotics with or without the knowledge of the farmers themselves. Disposal waste came from livestock manure that ate the feed or from animal feed that was scattered around the cage. Conclusion: Samples of livestock meat and eggs did not show antibacterial activity. There were samples that have antibiotic activity but weak and inconsistent, namely in samples of waste disposal and animal feed. This condition cannot necessarily be concluded as antibiotic abuse in livestock however it can be the basis for the importance of providing education regarding antimicrobial resistance. Unless there was indication, antibiotics should not be given to livestock on a daily basis.
Pemberdayaan, Pelatihan dan Sertifikasi Instruktur Senam Pencegahan Osteoporosis Widowati, I Gusti Ayu Rai; Manuaba, IA Ratih Wulansari; Sutema, IA Manik Partha; Putra, IGNA Windra Wartana; Suryaningsih, NP Aryati; Dewi, DAP Satrya; Ardinata, I Putu Riska; Maharianingsih, NM
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 5 No. 2 (2023): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v5i2.366

Abstract

Background: Osteoporosis is a common disease that needs to be treated by a health professional promptly. To address this issue, osteoporosis prevention exercise instructors were trained and certified as part of empowerment initiatives. Purpose: The aims of this program was to create competent, nationally certified instructors. Method: The Indonesian Healthy Bones Community Association (PERWATUSI), a non-profit organization whose objective is to ensure that Indonesians have healthy and strong bones, is responsible for carrying out this empowerment program. The event took place on July 19–20, 2023, in a hall at Bali International University. Results: A total of 59 instructors were selected from various sports communities and trained to provide the public on how to prevent early osteoporosis, conduct suitable exercise program, and emphasize safety training. Before the training started, candidates had to have the necessary educational background, professional qualifications, training in osteoporosis preventive activity, and a commitment to continuing learning. All of participants (100%) met the qualification. Conclusion: These instructors are crucial to the fight against osteoporosis. Those who have earned certification are anticipated to be committed to encouraging healthy lives and lowering the risk of bone fractures.
Membangun Kesadaran tentang Osteoporosis dan Risiko Jatuh pada Kelompok Wreda: - Widowati, I Gusti Ayu Rai; Manuaba, I.A Ratih Wulansari; Suryaningsih, N.P Aryati; Sutema, I.A Manik Partha; Maharjana, I.B.N; Dewi, D.A.P Satrya
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 1 (2024): Juni: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i1.430

Abstract

Background: Prioritising our health and well-being becomes more crucial as we become older. Bone health is a significant factor that is sometimes overlooked, particularly in light of the risk of osteoporosis and the possibility of falls in the senior population. Purpose: The goal of this community service project is to educate senior citizens about osteoporosis and how it increases their risk of falling. Method: On Saturday, November 9, 2023, at the office of the Republic of Indonesia Wredatama Association, Denpasar City, the activity was carried out using field education approaches. This program is part of National Health Day 2023. Results: 100 seniors took part in overall. The results of the survey demonstrated that participants' knowledge split into two categories: good (24.0%) and adequate (76.0%). In conclusion, by providing seniors with information about the causes, preventative actions, and available resources, we may help them live safer and healthier lives.
Meningkatkan Kualitas Hidup Masyarakat Desa Celuk melalui Edukasi Herbal dan Senam Pencegahan Osteoporosis Widowati, I Gusti Ayu Rai; Widhiantara, I Gede; Sutema, I.A Manik Partha; Maharianingsih, Ni Made; Manuaba, I.A Ratih Wulansari; Widiastini, Luh Putu; Widyanthari, Desak Made; Jawi, I Made
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 1 (2024): Juni: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i1.433

Abstract

Background: The Celuk - Sukawati Village tourist area is one of the favorite tourist attractions in Gianyar Regency. Most of the population work as silver and gold craftsmen. Even though the local community has relatively high income and education, empirically the community still maintains the tradition of using herbal medicine to prevent or treat disease, but they do not understand how to process it and do not understand the correct dosage. Community service activities are organized by Udayana University and Bali International University, to educate the community. Method: the method of implementing this activity includes several important stages, namely socialization of osteoporosis prevention exercises to maintain bone health; followed by education regarding herbal medicines regarding their types and benefits; and ended with a discussion and question and answer session to deepen participants' understanding. The activity closed with a demonstration on making herbal drinks, where participants could see the making process directly and taste the results, so they could practice it themselves at home. Result: This activity involved around 100 people from various age groups, who actively participated in the entire series of events. The activities ran smoothly and were supported by extraordinary attention and positive responses from the community. Conclusion: The target and output of this service program is to provide knowledge and insight to the community about how to make herbal drinks and improve physical health through exercise to prevent osteoporosis. The implementation of community service with various parties needs to be intensified to provide benefits to improve the level of public health.
Assessing community pharmacists' thoughts on telepharmacy in Bali province Widowati, I Gusti Ayu Rai; Suryaningsih, Ni Putu Aryati; Sutema, Ida Ayu Manik Partha; Adrianta, Ketut Agus
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.21536

Abstract

Telepharmacy describes the use of technology in interactions between pharmacists and patients. Given that telepharmacy is the most recent development in the delivery of digital pharmacy services, the question of how prepared pharmacists are to provide high-quality services frequently comes up and receives attention. The purpose of this study was to determine the viewpoints of pharmacists in telepharmacy services. From February to April 2023, a cross-sectional survey was done using a Google form. The study population included 111 pharmacists in charge of network pharmacies in Bali Province. Their thoughts were assessed using a credible and reliable questionnaire created by the researchers. The questions were split into two sections: a professional demographic items, and a section describing the perspectives, benefits, and challenges of telepharmacy. To get a more detailed or comprehensive response, open-ended questions were added. In general, especially during a pandemic, pharmacists were aware of being involved in remote services (non-face-to-face interaction) and telepharmacy services. This study makes clear that pharmacists' involvement is essential for creating a long-distance relationship between them and their patients. Therefore, pharmacists should learn how crucial communication is to increase patient satisfaction.
Efektifitas Edukasi Video Terhadap Tingkat Pengetahuan dan Kesadaran Penggunaan Antibiotik: Sebuah Studi Kuasi Eksperimental Adriani, Ni Putu Rina; Widowati, I Gusti Ayu Rai; Ardinata, I Putu Riska; Putri, Dhiancinantyan Windydaca Brata
Jurnal Pharmascience Vol 11, No 2 (2024): Jurnal Pharmascience
Publisher : Program Studi Farmasi FMIPA Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jps.v11i2.20454

Abstract

Penggunaan antibiotik yang tidak tepat dapat menyebabkan masalah kesehatan serius, termasuk meningkatnya resistensi antibiotik. Penelitian ini bertujuan untuk mengevaluasi pengaruh edukasi video terhadap pengetahuan dan kesadaran penggunaan antibiotik pada pasien di Puskesmas II Denpasar Utara. Pendekatan kuantitatif ini menggunakan  metode quasi-experimental The Static Group Comparison, dengan melibatkan 140 pasien yang dibagi menjadi dua kelompok yaitu kelompok uji terdiri dari 70 pasien yang diberikan edukasi video dan kelompok kontrol terdiri dari 70 pasien yang diberikan pelayanan sesuai standar puskesmas. Pengumpulan data menggunakan kuisioner tervalidasi. Data dianalisis dengan uji non parametrik Mann-Whitney. Hasil menunjukkan bahwa terdapat perbedaan yang signifikan antar kedua kelompok pada variabel pengetahuan (p<0.001) dan kesadaran (p=0.028). Edukasi video memiliki potensi besar dalam meningkatkan kesehatan masyarakat secara keseluruhan, terutama dalam penggunaan antibiotik yang lebih bijak dan rasional.
DAGUSIBU Antibiotik pada Ibu Rumah Tangga Ni Kadek Arinda; Suryaningsih , Ni Putu Aryati; Sutema , Ida Ayu Manik Partha; Widowati , I Gusti Ayu Rai; Setiawan, Putu Yudhistira Budhi; Suwantara, I Putu Tangkas
Bali Medika Jurnal Vol 10 No 2 (2023): Bali Medika Jurnal
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v10i2.345

Abstract

Swamedikasi antibiotik mengakibatkan meluasnya resistensi antimikroba. Ibu rumah tangga merupakan pengambil keputusan perawatan kesehatan di rumah tangga. Penelitian ini bertujuan untuk mengetahui gambaran DAGUSIBU antibiotik pada ibu rumah tangga di Banjar Pinda - Gianyar. Studi observasional dengan rancangan cross-sectional. Pengumpulan data primer dilakukan dengan wawancara menggunakan kuesioner yang divalidasi. Sejumlah 79 responden turut berpartisipasi, direkrut secara purposive. Hasil menunjukan tingkat pengetahuan ibu rumah tangga pada kategori cukup (51 [64,6%]). Sumber perolehan informasi tentang antibiotik adalah dari dokter (75 [94,9%]) dan jenis antibiotik paling sering digunakan adalah Amoxycillin (76 [96,2%]). Untuk meningkatkan pengetahuan tentang antibiotik, apoteker disarankan melakukan penyuluhan berkala tentang penggunaan antibiotik melalui edukasi DAGUSIBU.   Antibiotic self-medication has resulted in widespread antimicrobial resistance. Housewives are the healthcare decision-makers in the household. This study aims to describe the antibiotic DAGUSIBU in housewives at Banjar Pinda, Gianyar City. The analytic observational study with a cross-sectional design was conducted from March to April 2023. Data was collected through interviews with validated questionnaires. A total of 79 respondents participated, recruited purposively. The results show the level of knowledge of housewives in the sufficient category (51 [64,9%]). The source of obtaining information about antibiotics is from doctors (75 [94,9%]); the most frequently used type of antibiotic was Amoxicillin (76 [96,2%]). To increase knowledge about antibiotics, counseling about the use of antibiotics can be carried out through DAGUSIBU education.
Evaluation of Antibiotic Use in Children's Respiratory Tract Infections at Primary Health Center in Tabanan Bali Putri, Kadek Sephia Adiana; Widowati, I Gusti Ayu Rai; Sutema, Ida Ayu Manik Partha; Reganata, Gde Palguna; Saputra, I Wayan Agus Gede Manik
Disease Prevention and Public Health Journal Vol. 19 No. 1 (2025): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/dpphj.v19i1.11673

Abstract

Background: Respiratory Tract Infections are among the most common health problems affecting children globally, with a particularly high prevalence in Southeast Asia, including Indonesia. Inappropriate antibiotic use in treating respiratory tract infections can lead to antibiotic resistance. This study evaluates the rationality of antibiotic use in pediatric respiratory tract infections cases and assesses prescribing patterns based on established guidelines. Method: A descriptive observational study with a cross-sectional approach was conducted using purposive sampling. Data collected from 130 medical records of pediatric patients with respiratory tract infections (from January to March 2024) at a primary health care center in Tabanan, Bali were analyzed. The Gyssens method evaluated antibiotic rationality based on dosage, duration, and clinical indications. Data were analyzed descriptively to determine antibiotic prescribing patterns and compared with national antibiotic use guidelines. Results: The results showed that 46.1% of antibiotic use was included in the rational category (Category 0), while 43.1% were included in the use without clear indications (Category V). Amoxicillin is the most widely prescribed antibiotic (90.8%). These findings indicate a tendency to use antibiotics not by clinical guidelines. Conclusion: The use of antibiotics in pediatric patients with respiratory tract infections is mostly suboptimal. Interventions are needed to improve compliance with rational antibiotic use guidelines, including education for healthcare workers and ongoing monitoring of antibiotic prescribing patterns
Co-Authors Adhiputra, I Ketut Agus Indra Adriani, Ni Putu Rina Ajeng Diantini, Ajeng Aman, IGM Andani, Cokorda Istri Ratih Artawan, I Putu Hendra Juli Desak Made Widyanthari Dewa Ayu Putu Satrya Dewi Dewa Ayu Putu, Satrya Dewi Dewi, D.A.P Satrya Dewi, DAP Satrya Dewi, Ni Luh Putu Sastrani Dhiancinantyan Windydaca Brata Putri Dyah Pradnyaparmita Duarsa Febryanti, Ekanur I Gede Widhiantara I Gusti Agung Haryawan I Gusti Ngurah Agung Windra Wartana Putra I Ketut Tunas I Made Ady Wirawan I Made Jawi I Putu Astrawan . I Putu Gede Adi Purwa Hita I Putu Riska Ardinata I Putu Tangkas Suwantara Ida Ayu, Manik Partha Sutema Ida Bagus Gede Angga Baskara Baskara Ida Bagus N Maharjana IGA Ari Septiari Indraningrat, Anak Agung Gede Jaya, I Wayan Mahendra Kadek Karang Agustina Kadek Mirah Triyade Suwena Ketut Agus Adrianta Ketut Agus Adrianta Komang Ayu Kartika Sari Kusuma, Kadek Ari Teja Luh Putu Widiastini Made Karma Maha Wirajaya Maharianingsih, Ni Made Maharianingsih, NM Maharjana, I.B.N Maheni, Ni Putu Asri Dewi Manuaba, I.A Ratih Wulansari Manuaba, IA Ratih Wulansari Mohammad Zamroni Ni Kadek Arinda Ni Luh Mia Jasmiantini Ni Made Maharianingsih Ni Made Maharianingsih Maharianingsih Ni Made Sri Nopiyani Ni Nyoman Sri Budayanti Ni Nyoman Sri Budayanti Ni Putu Aryati Suryaningsih Ni Putu Aryati Suryaningsih Oktayanti, Leny Pande Putu Januraga Putra, I.G.N Windra Wartana Putra, IGNA Windra Wartana Putri, Kadek Sephia Adiana Putu Arya Suryanditha Putu Eka Arimbawa Putu Eka Arimbawa Arimbawa Putu Yudhistira Budhi Setiawan Ratih, Andrinia Reganata, Gde Paguna Reganata, Gde Palguna Resty Wasita, Rai Riska Rudiartha, I Gusti Lanang Made Saputra, I Wayan Agus Gede Manik Sari, Komang Ayu Kartika Setiabudy, Marta Sua, Viviana Bali Suryaningsih , Ni Putu Aryati Suryaningsih, N.P Aryati Suryaningsih, NP Aryati Sutema, Ida Ayu Manik Partha Triastawan, I Komang Agus Viana, Putu Wulan Octa Wartana Putra, I Gusti Ngurah Agung Windra Wintariani, Ni Putu Wintariani, Ni Putu Aryati Witriasih, Made Ayu Wulansari Manuaba, Ida Ayu Ratih Yanti, Ni Komang Semara