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Uji Sensitivitas Isolat Bakteri Pasien Urolithiasis di Ruang Perawatan Bedah Rsud Ulin Banjarmasin terhadap Antibiotik Terpilih Pertiwi, Strata; Rahman, Eka Yudha; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 10, No 1 (2014): Februari 2014
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i1.929

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ABSTRACT: Urinary tract infection (UTI) is defined as the presence of microorganisms in urine which is marked with significants bacteriuria. Urinary tract infection is very common condition that occurs in both women and men in all ages. Urinary tract stone (Urolithiasis) can lead to the development of bacteriuria. Bacterial resistance to antibiotics has long recovery from UTI. The aim of this research was to find out bacterial sensitivity urinary tract infection in patients urolithiasis to selected antibiotic in Surgical Treatment Ulin General Hospital Banjarmasin period Juni-Agustus 2013. The selected antibiotics were ceftriaxone, levofloxaxin and gentamicin. The research was a descriptional research. The subject of this research is all patients urolithiasis with complication urinary tract infection in Surgical Treatment Ulin General Hospital Banjarmasin period Juni-Agustus 2013. The sampling technique in this research was consecutive method. The sensitivity test to antibiotic test in the research used Kirby-Bauer method and analyzed according to CLSI 2011 standard. Based of the research can be concluded that bacteria that sensitive to selected antibiotics in succession is levofloxaxin 61,54%, seftriaxone 15,38% and gentamicin 15,38%. Percentage of bacteria that resisten to antibiotic seftriaxone 23,8%. Keywords: bacteriuria, gentamicin, urinary tract infection (UTI), in vitro, levofloxaxin, seftriaxone, urolithiasis ABSTRAK: Infeksi saluran kemih (ISK) didefinisikan sebagai adanya mikroorganisme dalam urin yang ditandai dengan bakteriuria bermakna. Infeksi saluran kemih merupakan kondisi yang sangat umum terjadi baik pada wanita maupun pria pada semua usia. Batu saluran kemih (urolithiasis) dapat menyebabkan perkembangan bakteriuria. Resistensi bakteri terhadap antibiotik menyebabkan lamanya penyembuhan dari ISK. Penelitian ini bertujuan untuk mengetahui sensitivitas bakteri penyebab ISK pada pasien urolithiasis terhadap antibiotik terpilih di Bagian Perawatan Bedah RSUD Ulin Banjarmasin periode Juni-Agustus 2013. Antibiotik terpilih yaitu seftriakson, levofloksasin dan gentamisin. Penelitian ini merupakan penelitian deskriptif murni sensitivitas isolat bakteri Escheriachia coli, pseudomonas sp., dan proteus sp. dari pasien urolithiasis dengan ISK terhadap antibiotik uji terpilih. Subjek penelitian ini adalah seluruh pasien urolithiasis dengan komplikasi infeksi saluran kemih di ruang perawatan bedah RSUD Ulin Banjarmasin periode Juni-Agustus 2013. Teknik pengambilan sampel pada penelitian ini adalah consecutive method. Uji sensitivitas antibiotik pada penelitian ini menggunakan metode Kirby-Bauer dan dianalisa sesuai dengan standar CLSI 2011. Berdasarkan penelitian yang telah dilakukan dapat disimpulkan bakteri yang sensitif terhadap antibiotik terpilih secara berturut-turut adalah levofloksasin 61,54%, seftriakson 15,38%, dan gentamisin 15,38%. Persentase bakteri yang resisten terhadap antibiotik seftriakson 23,8%. Kata-kata kunci: bakteriuria, infeksi saluran kemih (ISK), in vitro, levofloksasin, gentamisin, seftriakson, urolithiasis
Jumlah Bakteriuri Pada Pasien Dengan Kateterisasi Uretra: Di Bagian Bedah Rsud Ulin Banjarmasin Periode Mei-Agustus 2012 Tinjauan Terhadap Jumlah Bakteriuri Sebelum Dan Dengan Pemasangan Kateter Uretra Menetap Selama 1 X 24 Jam Dan 2 X 24 Jam Rahman, Eka Yudha; Budiarti, Lia Yulia; Syella, Nafilah
Jurnal Berkala Kedokteran Vol 9, No 1 (2013): April 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i1.925

Abstract

ABSTRACT: Procedure of urethral catheterization caused damage of mucosal lining that disturbed normal barrier and caused colonization of bacteria. The aim is to determine the ratio of bacteriuria before and during indwelling urethral catheter in Department of Surgery RSUD Ulin Banjarmasin. The method uses an observational analytic cross-sectional approach with 30 people as sample. The population of this study were all hospitalized patients with catheterization in Department of Surgery RSUD Ulin Banjarmasin. Sample of this study was urine of patient before and during indwelling urethral catheter which has been selected in the culture media in Microbiology Laboratory of UNLAM Medical Faculty Banjarbaru. The instruments used include data obtained from urine cultures of patients with urethral catheterization. The collected data were analyzed using a Wilcoxon test then compared with a 95% confidence interval. The results of Wilcoxon test showed that there were significant difference in the number of bacteriuria. This study proved that there was a change of bacteriuria number before and during indwelling urethral catheter.Listen                                          Read phoneticallyKeywords: urinary tract infection, urethral catheter,surgery patientABSTRAK: Pemasangan kateter bisa menyebabkan kerusakan lapisan mukosa yang mengganggu barier alami dan menyebabkan kolonisasi bakteri. Penelitian ini bertujuan untuk mengetahui perbandingan jumlah bakteriuri sebelum dan dengan pemasangan kateter uretra pada pasien di Bagian Bedah RSUD Ulin Banjarmasin. Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional dengan jumlah sampel sebanyak 30 orang. Populasi dari penelitian adalah seluruh pasien dengan kateterisasi di Bagian Bedah RSUD Ulin Banjarmasin. Sampel penelitian adalah urin pasien sebelum dan dengan pemasangan kateter urin di Bagian Bedah RSUD Ulin Banjarmasin yang telah dikultur pada media terpilih di Laboratorium Mikrobiologi FK UNLAM Banjarbaru. Instrument yang digunakan meliputi data yang diperoleh dari kultur urin pasien dengan kateterisasi. Data yang dikumpulkan dianalisis menggunakan uji Wilcoxon kemudian dibandingkan dengan tingkat kepercayaan 95%. Hasil uji Wolcoxon menunjukkan bahwa terdapat perbedaan jumlah bakteriuri yang bermakna. Penelitian ini membuktikan bahwa terdapat perubahan gambaran jumlah bakteriuri sebelum dan dengan pemasangan kateter menetap. Kata-kata kunci: bakteriuri, kateter urin, pasien bedah
Identifikasi Bakteri Penyebab Infeksi Saluran Kemih pada Pasien Urolithiasis di Ruang Perawatan Bedah RSUD Ulin Banjarmasin Periode Juni-Agustus 2013 Nufaliana, Sri Hayati; Rahman, Eka Yudha; Budiarti, Lia Yulia
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.960

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ABSTRACT: Urinary tract stone or urolithiasis is a pathological condition which is presented by the existence of the stone in the urinary tract. The existence of this stone may make the normal imunity of urinary tract decrease, so that the bacteria can enter, stay and grow until make urinary tract infection (UTI). Urinary tract infection is diagnosed by finding cases of positive urine culture (>105cfu/ml). The aim of this research was to figure out the type of bacteria in urolithiasis patients with UTI at surgical treatment room of RSUD Ulin Banjarmasin during June-August 2013. This study was a descriptive research with cross sectional approach. The samples were taken with totally sampling methode who fullfilled  inclusion criteria. There were 19 urolithiasis patients at surgical treatment room of RSUD Ulin Banjarmasin. From urine examination, there were 13 patients with UTI. Bacterial identification showed there were 3 types of bacteria, Escherechia coli (53,84%), Pseudomonas aeruginosa (38,46%), and Proteus sp. (7,69%). Keywords: urinary tract infection, urinary tract infection’s bacteria, urolithiasis ABSTRAK: Batu saluran kemih atau urolithiasis adalah suatu kondisi patologis yang ditandai dengan keberadaan batu di sepanjang traktus urinarius. Kehadiran batu ini dapat membuat pertahanan saluran kemih yang normal berkurang, sehingga bakteri dapat masuk, menetap dan berkembang biak yang akhirnya menimbulkan infeksi saluran kemih (ISK). ISK dapat didiagnosis jika ditemukan koloni bakteri (>105cfu/ml). Penelitian ini bertujuan untuk mengetahui gambaran jenis bakteri penyebab ISK pada pasien urolithiasis di ruang perawatan bedah RSUD Ulin Banjarmasin selama periode Juni-Agustus 2013. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan totally sampling method menurut kriteria inklusi. Sampel pada penelitian ini adalah 19 pasien urolithiasis di ruang perawatan bedah RSUD Ulin Banjarmasin. Hasil pemeriksaan urine dari 19 pasien urolithiasis diperoleh 13 pasien urolithiasis dengan ISK. Hasil identifikasi bakteri pada 13 pasien urolithiasis dengan ISK didapatkan bakteri penyebab ISK pada pasien urolithiasis yaitu Escherechia coli (53,84%), Pseudomonas aeruginosa (38,46%), dan Proteus sp. (7,69%). Kata-kata kunci: bakteri penyebab ISK, infeksi saluran kemih, urolithiasis
CONTINUOUS AMBULATORY PERITONEAL DIALYSIS USING STRAIGHT TYPE VS COILED TYPE TENCKHOFF CATHETER IN END-STAGE RENAL DISEASE PATIENTS AT SARDJITO HOSPITAL Rahman, Eka Yudha; Rochadi, Sungsang; Utomo, Trisula
Indonesian Journal of Urology Vol 18 No 1 (2011)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v18i1.67

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Objective: The purpose of this study was to compare straight type versus coiled type Tenckhoff catheter for continuous ambulatory peritoneal dialysis (CAPD) in end stage renal disease. Material & method: A prospective cohort study enrolled end-stage renal disease patients undergoing CAPD for renal replacement therapy in Urology and Nephrology Department, Sardjito Hospital from January to December 2007. Identity and type of Tenckhoff catheter were recorded. Patients were grouped into two groups who used straight type catheter and coiled type catheter for CAPD, then observed for post-operative complication. Statistical analysis was done using SPSS 14.0 with chi-square test. Results: There were 27 patients included in this study. The cause of end-stage renal disease was mostly DM and hypertension. The most common complication after  operation  was catheter  obstruction  (9 patients). Another complication was intraabdominal bleeding (1 patient), and catheter migration (1 patient). In patients with straight catheter (20 patients), there were 8 patients (40%) with complication. In patients with coiled catheter (7 patients), there were 3 patients (42%) with complication. There was no significant difference in complications between straight and coiled catheter groups (p = 0,895). Conclusion: The result of this study revealed that no significant difference in complication between straight and coiled catheter for CAPD in end-stage renal disease patients
COMPARISON OF EPITHELIAL CELL COUNTS BETWEEN MIDDLE AND LATERAL LOBES IN BENIGN PROSTATIC HYPERPLASIA (BPH) PATIENT Rahman, Eka Yudha; Singodimedjo, Prawito
Indonesian Journal of Urology Vol 17 No 1 (2010)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v17i1.342

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Objective: The aim of this study was to compare the epithelial cell counts in each lobe of prostate glands with benign prostatic hyperplasia (BPH). Material and methods: Twenty-two BPH patients who underwent transurethral resection of the prostate (TURP) in Diponegoro Dua Satu Surgery Hospital Klaten, from May until November 2006 were enrolled in this study. Tissue from each lobe of the prostate gland was separately collected, from the middle (A), left lateral (B), right lateral lobes (C). All samples were fixed in 10% formalin buffer, embedded in paraffin and sectioned in 4 micrometer slices with microtome. After hematoxylin eosin (HE) staining, number of epithelial cells was counted under light microscopy. Difference in epithelial cell counts in each alveolus between the three lobes was statistically analyzed using t-test (p<0,05). Results: Twenty-two patients were included in this study from May to November 2006, mean age was 66,64±7,6 (54-88) years old. The most common occupation was farmer. Almost all patients had symptoms of chronic urinary retention (95,45%). Length of hospital stay was 8,77±2,7 (6-17) days, mean weight of prostate resected was 47,05±23,2 (5-90) grams, mean operative time 77,73±22,24 (45-115) minute, mean volume of irrigation fluid (sterile water) was 24,18±7,87 (5-34) liter. Mean number of cells in groups A, B, and C were 23,67±8,4 (13,6-44,4), 29,22±8,8 (16,4-41,2), and 29,11±8,7 (16,4-41,2) respectively. There was significant difference between groups A and B, and between groups A and C (p<0,05) respectively. Conclusion: There was statistically significant difference in epithelial cell count between the middle lobes compared to lateral lobes of the prostate in BPH surgical samples. These findings are supported by cystoscopic observation of smaller middle lobe compared to the lateral lobes in BPH.
NEONATAL SCROTAL WALL NECROTIZING FASCITIS (FOURNIER GANGRENE SCROTUM) IN A ONE MONTH OLD NEONATAL: A RARE CASE REPORT Fathoni, Muhammad Halim; Rahman, Eka Yudha; Sutapa, Hendra; Yulizar, Deddy Rasyidan; Umam, Akmal Fauzi Yusri
Indonesian Journal of Urology Vol 31 No 1 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i1.832

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Objective: In this report, we present our case of a one-month-old neonatal with Fournier gangrene who was referred to our hospital. Case(s) Presentation: A one-month-old patient came from a referral hospital with chief complaint had a diaper rash since 6 days before hospital admission, fever existed, and patient’s scrotal became swollen and appear white spot. The patient was referred to Ulin General Hospital Banjarmasin for a necrotomy debridement. Discussion: We recommend more than one antibiotic to cover it, including one specifically targeted toward it. Both Enterococcus and S. aureus have been implicated as the causative organisms of Fournier gangrene in previous reports. Conclusion: Fournier gangrene in neonatal is a rare case and potentially life-threatening disease, it is a progressive gangrenous of the genitalia, perineum and perianal regions. Keyword: Fournier gangrene, scrotal, neonatal
HUBUNGAN INTRAVESICAL PROSTATIC PROTRUSION DENGAN Q MAX UROFLOWMETRI Al-fath, Muhammad Fauzan; Sutapa, Hendra; Istiana, Istiana; Rahman, Eka Yudha; Panghiyangani, Roselina
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11458

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Benign prostatic hyperplasia (BPH) is a benign tumor that is often found in men. IPP is a protrusion of the prostate starting from the neck of the bladder into the cavity of the bladder which results in a ball valve mechanism in the neck of the bladder thereby disrupting the flow of urine past the neck of the bladder. Uroflowmetry test is the simplest test to measuring the amount of urine that is urinated divided by the duration of micturition (ml/second). This research aims to analyze the relationship between IPP and q max of uroflowmetry measurements in BPH patients with LUTS at Ulin General Hospital, Banjarmasin. This research is analytic observational with cross sectional method. The research subjects were BPH patients at Ulin General Hospital, Banjarmasin who met the inclusion and exclusion criteria. The independent variable is Intravesical Prostatic Protrusion. The dependent variable is the results of the Uroflowmetry q max examination. Data analysis used Spearman's rank correlation test. The results showed that the average size of enlarged prostate was 8.623 ± 5.694 mm and the average q max uroflowmetry was 9.945 ± 4.238 ml/second. Conclusion In this study p = 0.029 indicating that there is an adequate correlation and has a negative relationship between Intravesical Prostatic Protrusion and q max uroflowmetry. The higher the Intravesical Prostatic Protrusion measurement, the lower the q max uroflowmetry.
HUBUNGAN RIWAYAT KELUARGA DENGAN KEJADIAN KANKER PAYUDARA USIA MUDA DI RSUD ULIN BANJARMASIN Zakia, Sukma Dina; Oktaviyanti, Ika Kustiyah; Budiwinata, Winardi; Rahman, Eka Yudha; Rosida, Lena
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14601

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Abstract: Breast cancer is a malignant tumor that grows in breast tissue. Family history is the main risk factor for breast cancer because it plays a role in 5-10% of breast cancer cases. This is related to the inheritance of BRCA1 and BRCA2 gene mutations which are more often found at young ages compared to older ages. The research aims to analyze the relationship between family history and the incidence of breast cancer in young people at Ulin Hospital, Banjarmasin. Analytical observational research method, cross sectional design. The sample was taken as a total sampling of breast cancer patients who sought treatment at the Surgical Oncology Polyclinic, Ulin Banjarmasin Regional Hospital for the period January 2020-November 2023 according to the inclusion and exclusion criteria. Data was taken using a questionnaire and analyzed using Fisher's test. The results obtained were respondents who had a family history at a very young age (27.3%), young age (72.7%), who had no family history at a very young age (3.6%), young age (96.4%). ), p-value=0.034. The conclusion is that there is a significant relationship between family history and the incidence of breast cancer at a young age. Keywords: breast cancer, young age, family history. Abstrak: Kanker payudara adalah tumor ganas yang tumbuh dalam jaringan payudara. Riwayat keluarga merupakan faktor risiko utama kanker payudara dikarenakan berperan pada 5-10% kasus kanker payudara. Hal ini berkaitan dengan pewarisan mutasi gen BRCA1 dan BRCA2 yang lebih sering ditemukan pada usia muda dibandingkan usia yang lebih tua. Penelitian bertujuan untuk menganalisis hubungan riwayat keluarga dengan kejadian kanker payudara usia muda di RSUD Ulin Banjarmasin. Metode penelitian observasional analitik, desain cross sectional. Sampel diambil secara total sampling pasien kanker payudara yang berobat ke Poliklinik Bedah Onkologi RSUD Ulin Banjarmasin periode Januari 2020-November 2023 sesuai kriteria inklusi dan eksklusi. Data diambil menggunakan kuesioner dan dianalisis dengan uji Fisher. Hasil didapatkan responden yang memiliki riwayat keluarga pada usia sangat muda (27,3%), usia muda (72,7%), yang tidak memiliki riwayat keluarga pada usia sangat muda (3,6%), usia muda (96,4%), p-value=0,034. Kesimpulan terdapat hubungan yang bermakna antara riwayat keluarga dengan kejadian kanker payudara usia muda. Kata-kata kunci: kanker payudara, usia muda, riwayat keluarga.
The Potential of Ethanol Extract of Pasak Bumi Roots (Eurycoma longifolia Jack) as an Anti-Prostate Cancer In Vitro Against PC-3 Cells Kania, Nia; Rahman, Eka Yudha; Priyandoko, Didik; Sabrina, Adilah Hafizha Nur; Widowati, Wahyu; Azis, Rizal; Annaba, Aziz; Hadiprasetyo, Dhanar Septyawan; Alexandro, Garry
Science and Technology Indonesia Vol. 10 No. 2 (2025): April
Publisher : Research Center of Inorganic Materials and Coordination Complexes, FMIPA Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26554/sti.2025.10.2.452-466

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The prevalence of prostate cancer cases in men is expected to continue increase. In 2040, it is estimated that there will be 2.293.818 new cases and a 1.05% increase in the death rate due to prostate cancer. Eurycoma longifolia Jack roots extract (ELE) has potential as an alternative treatment. This study aims to analyze ELE potential as an anti-prostate cancer agent through in silico assay and in vitro assays on the prostate cancer cell line (PC-3). ELE compounds were docked against Casp-3, Casp-8, HAX-1, p27, and PTEN. In vitro assays on PC-3 cells were used, namely cell viability (WST-8), ROS levels; cell cycle; and cell apoptosis (flow cytometry), PC-3 cell senescence (μ-Galactosidase staining), Casp-3; Casp-8; HAX-1; p27; and PTEN gene expression (qRT-PCR). All proteins target were successfully docked with ELE compounds and presented binding interactions. ELE is known to reduce viability, intracellular ROS levels, live cells, necrosis, and reduce HAX-1 gene expression, and inhibit the cell cycle G0/G1 phase. ELE can also increase inhibition, senescence, late and early apoptosis, and Casp-3, Casp-8, p27, and PTEN gene expression. ELE 100 μg/mL is the most effective concentration. ELE has potential as an anti-prostate cancer agent through apoptosis, cell cycle, and antioxidant pathways
Enhancing healthcare professionals’ capacity in early detection of prostate cancer Rahman, Eka Yudha; Panghiyangani, Roselina; Kania, Nia; Sutapa, Hendra; Yulizar, Deddy Rasyidan; Budiwinata, Winardi; Skripsiana, Nika Sterina; Rachman, M. Fathur; Fatharoni, Gusti Dicky; Fahdyanoor, Fahdyanoor
Community Empowerment Vol 10 No 5 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.12241

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Prostate cancer is globally the second most common malignancy and the sixth leading cause of cancer-related death in men. The growing elderly population in Banjarbaru City, South Kalimantan, further elevates the risk of prostate cancer incidence in the region. Therefore, this community service initiative aimed to improve the knowledge and skills of healthcare professionals serving the elderly within the working area of the Banjarbaru City Health Office in early detection and prevention of prostate cancer. The activity was conducted as a comprehensive training involving 20 healthcare professionals, encompassing both theoretical and practical sessions. Training outcomes revealed a significant increase in participants' knowledge, evidenced by an average pre-test score of 55.91 which rose to an average post-test score of 84.35. Additionally, there was a noticeable improvement in healthcare professionals' skills in performing early detection and preventive measures for prostate cancer. Overall, this training successfully enhanced the capacity of healthcare professionals in Banjarbaru City in the early management of prostate cancer.