Renny A Rena
Divisi Hematologi Onkologi Medik, Bagian Ilmu Penyakit Dalam Universitas Udayana/RSUP Sanglah Denpasar

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GAMBARAN KUALITAS HIDUP PASIEN KANKER LIMFOMA NON HODGKIN YANG DIRAWAT DI RSUP SANGLAH DENPASAR (STUDI PENDAHULUAN) Sutrisno, Heri; Dharmayuda, Tjokorda Gde; Rena, Renny A
journal of internal medicine Vol. 11, No. 2 Mei 2010
Publisher : journal of internal medicine

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Abstract

Quality of life was a target therapy in cancer patients especially on metastatic cancer. Quality of life currently havebecomeone of stadard for therapeutic evaluation. Because quality of life was a subjectif characteristic and can only measure bypatient, so measuring quality of life patients must use multidimensional measure tool that offend aspect from physical, social andemotional, simple, easy to understand and answer by all patients and must to validated.To observe description of quality of life from cancer patient of Non Hodgkin Lymphoma (NHL) which admitted in SanglahHospital Denpasar, we have done analytic descriptive research on NHL patients with used EORTC QLQ-C30 questioner. Fifteenof NHL patients which cared in Internal Department Sanglah Hospital on January ? June 2010, 12 (80%) were male and 3 (20%)were female. Good quality of life was 8 (53.3%), moderate was 5 (33.3%) and poor was 2 (13.2%). From 10 (66.7%) patientsundergone chemotherapy, good quality of life was 5 (50%), moderate was 3 (30%) and poor was 2 (20%). There is correlationbetween quality of life of NHL patients with grading of clinical disease (p = 0.032; r = -0.554), there is no correlation qualityof life with giving chemotherapy in NHL patients (p = 0.560; r = -0.164). Meassuring quality of life NHL patient with EORTCQLQ-C30 was correlated with Karnofsky score (p = 0.031; r = 0.557) and ECOG (p = 0.04; r = -0.699).
POLA KEPEKAAN BAKTERI PADA PASIEN KEGANASAN HEMATOLOGI DI RSUP SANGLAH DENPASAR Rena, Renny A; Suega, Ketut; Bakta, I Made
journal of internal medicine Vol. 11, No. 2 Mei 2010
Publisher : journal of internal medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.591 KB)

Abstract

Hematology malignancies patient are particulary susceptible to infection associated with endogen microorganism whichorigin from body or nosocomial from hospital. The most common etiology of infection is gram-positive oral and gastrointestinaltract. A worsening infection can lead patient to severe septic condition and death. In the last decade, many studies found thatspecies of fungi and virus also has an important etiology of infection in hematology malignancies patient.Empirical antibiotic therapy on the ! rst onset of infection of hematology malignancy are very recomended. It has beenproven to decrease morbidity and mortality rate. Empirical antibiotic therapy suitable with the pattern of the microbial in hospitalis an important way to overcome the infection on hematology malignancies patient.A total of 36 patient with hematology malignancy who done the blood culture in Sanglah hospital were consecutivelyrecruited and studied in order to study the pro! le of blood culture in hematology malignancy patient. Within six months 36patients were included, consist of 26 male (72.2%) and 10 female (27.8%). Characteristic of patient are mean of age 42.78 ± 14.25years. Mean of leukosit 45.76 ± 69.32 x 103/ul, mean of neutrophil dan lymphosit consecutively 27.17 ± 55.80 x 103/ul and 10.29± 19.81 x 103/ul. The mean of hemoglobin 8.48 ± 3.26 g/dl, and mean of trombosit 181.21 ± 230.63 x 103/ul. The most commondiagnosis found is Acute Myeloblastic Leukemia (AML) 33.3% and Non Hodgkin Lymphoma 22.2%. The result of blood culturemostly no growth (56.3%). The most microbial isolated from the culture is Coagulase Negative Staphilococcus / CONS (11.1%).Antibiotic susceptibility testing for Coagulase Negative Staphilococcus / CONS shows linezolid and chloramphenicol are themost sensitive.