Ristiyanto Ristiyanto
Balai Besar Penelitian dan Pengembangan Vektor dan Reservoir Penyakit Salatiga

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DISTRIBUSI SPASIAL KASUS DEMAM BERDARAH DENGUE (DBD), ANALISIS INDEKS JARAK DAN ALTERNATIF PENGENDALIAN VEKTOR DI KOTA SAMARINDA, PROVINSI KALIMANTAN TIMUR Boewono, Damar Tri; Ristiyanto, Ristiyanto; Widiarti, Widiarti; Widyastuti, Umi
Media Penelitian dan Pengembangan Kesehatan Vol 22, No 3 Sep (2012)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | http://ejournal.litbang.depkes.go.id/index.php/MPK/article/view/2907

Abstract

Abstract Dengue hemorrhagic fever (DHF) happens to be a public health problem in Samarinda city, East Kalimantan Province. Dengue was reported endemic in the entire six subdistricts of the city. Various vector control programs have been conducted by the Health Office, yet the dengue cases were still occurred on the previous years. Comprehensive research was conducted to determine the spatial distribution of DHF cases using geographical information system (GIS) mapping, in relation to positive larvae of the breeding habitat distributions. The study was carried out in five endemic areas namely Pelita village Samarinda Utara Subdistrict, Sambutan village Samarinda Ilir Subdistrict, Sidodadi village Samarinda Ulu Subdistrict, Harapan Baru village Samarinda Seberang Subdistrict and Karang Asam Ilir village Sungai Kunjang Subdistrict. The aim of the study was to determine the specific vector control strategies based on spatial DHF cases and breeding habitat distributions and distance index analyses, larvae free index and insecticide susceptible status of dengue vector of Ae. aegypti against the insecticides which were used for vector control programs. The study revealed that average ABJ in the study areas was 35.85-64.16% and lower the national standar of 95%. Dengue vector of Ae. aegypti was found to be resistant to Malathion, Permethrin, Lambdasihalothrin and Bendiocarb insecticides. Thus an alternative insecticide should be considered. Dengue cases distribution in Samarinda city were found in  clusters/gregorious. Distance index analyses indicated that the transmissions were due to mosquito behaviour. Community empowement is needed to encourage the potential groups (PKK, Dasa Wisma, public health caders, posyandu), to participate on the vector control program.   Keywords: DHF, Spatial distribution, Cases Distance Index, Samarinda City.     Abstrak Demam Berdarah Dengue (DBD) masih menjadi masalah kesehatan masyarakat Kota Samarinda, Provinsi Kalimantan Timur dan dilaporkan endemis di enam wilayah kecamatan. Berbagai cara pengendalian telah dilakukan oleh Dinas Kesehatan Kota, tetapi kasus DBD masih ditemukan sepanjang tahun.  Penelitian komprehensif telah dilakukan untuk menentukan distribusi spasial kasus DBD dengan pemetaan menggunakan Sistem Informasi Geografi (SIG), berkaitan dengan habitat positif jentik. Penelitian dilakukan dilima (5) wilayah kalurahan endemis yaitu: Desa Pelita Kecamatan Samarinda Utara, Desa Sambutan Kecamatan Samarinda Ilir, Desa Sidodadi Kecamatan Samarinda Ulu, Desa Harapan Baru Kecamatan Samarinda Seberang dan Desa  Karang Asam Ilir  Kecamatan Sungai Kunjang. Tujuan penelitian adalah menentukan strategi pengendalian vektor spesifik berdasarkan distribusi spasial/ pemetaan kasus DBD dengan sistem informasi geografi (SIG), Index jarak (distance index) kasus DBD, angka bebas jentik (ABJ) serta status kerentanan nyamuk vektor Ae. aegypti terhadap insektisida. Hasil survei jentik ditemukan bahwa rata-rata ABJ di daerah penelitian jauh lebih rendah daripada standar nasional 95,0%. Uji susceptibility vektor DBD Ae. aegypti telah resisten terhadap insektisida Malathion, Permethrin, Lambdasihalothrin dan Bendiocarb, sehingga diperlukan insektisida alternatif. Distribusi kasus DBD Kota Samarinda ditemukan mengelompok distance index rata-rata 75 meter sebagai indikasi penularan lebih disebabkan perilaku nyamuk vektor. Pemberdayaan masyarakat sangat diperlukan sebagai usaha memberikan motivasi kepada kelompok masyarakat potensial seperti PKK, Dasa Wisma, kader kesehatan dan posyandu, untuk berpartisipasi dalam program pengendalian vektor DBD.   Kata kunci: DBD, Distribusi spasial, Jarak indeks kasus, Kota  Samarinda
DETERMINAN PERILAKU PADA KEJADIAN LEPTOSPIROSIS DI KABUPATEN DEMAK, JAWA TENGAH TAHUN 2008 Pujiyanti, Aryani; Trapsilowati, Wiwik; Ristiyanto, Ristiyanto
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 3 Sep (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (287.427 KB)

Abstract

AbstrakPerilaku manusia dapat menjadi faktor pemicu terjadinya leptospirosis sebagai re-emerging zoonosis di Kabupaten Demak. Tujuan penelitian adalah menggambarkan determinan perilaku penderita pada kejadian luar biasa leptospirosis (KLB) di Kabupaten Demak, Tahun 2008. Penelitian ini termasuk penelitian deskriptif dengan rancangan cross-sectional. Pengumpulan data dilakukan dengan wawancara. Sampel adalah penderita leptospirosis periode 1 Januari – 1 April 2008. Hasil menunjukan mayoritas penderita berusia produktif. Lebih dari 50% penderita tidak tahu bahaya leptospirosis. Kaporit dipahami sebagai penjernih air bukan desinfektan. Lebih dari 50% penderita memiliki aktivitas kontak dengan sumber penularan leptospirosis. Mayoritas penderita tidak memakai alas kaki dan sarung tangan sebagai pelindung diri dari penularan leptospirosis. Bangkai tikus lebih banyak dibuang di sungai (59,3%), sedangkan perilaku pengendalian tikus yang efektif belum banyak dilaksanakan (68,5%). Kewaspadaan penderita terhadap leptospirosis masih rendah karena adanya persepsi leptospirosis tidak berbahaya dan pengetahuan tentang leptospirosis yang masih kurang. Responden mendukung penggunaan kaporit tetapi untuk menjernihkan air bukan sebagai desinfektan. Perilaku hidup bersih dan sehat, pengendalian tikus serta penggunaan alat pelindung diri untuk mencegah leptospirosis masih kurang. Rekomendasi yang diberikan adalah perlu peningkatan edukasi kesehatan tentang bahaya leptospirosis, aktivitas berisiko, penggunaan kaporit dan teknik pengendalian tikus yang benar.Kata kunci : leptospirosis, perilaku, determinan, kejadian luar biasaAbstractHuman behavior could be a trigger factor for leptospirosis as a re-emerging zoonoses in Demak Regency. Objective of this study was to describe patients behavioral determinants in leptospirosis outbreaks in Demak Regency, 2008. Research was a descriptive study with cross – sectional design. Data was collected with interview. Samples were leptospirosis patients from 1 January to 1 April 2008. Results showed the majority of respondents were in productive age. More than 50% of patients did not know the  danger  of  leptospirosis.  Chlorine  was  understood  as  water  purifier  instead  of  disinfectant.  More than 50% of patients had activity contact with source of transmission. The majority of respondents did not wear shoes and gloves as protective of transmission of leptospirosis. Respondents dumped dead rats in the river (59.3%), while effective rat control behavior had not been widely implemented (68.5%). Precautions against leptospirosis on patients was still low due to perception of leptospirosis were harmless and knowledge of leptospirosis were still lacking. Respondents supported the use of chlorine to purify water but not as disinfectant. Behavior of clean and healthy lifestyle, rat controls and the use of personal protective equipment were lacking. Increasing health education about the dangers of leptospirosis, risky activities, use of chlorine and effective rat control techniques were reccomended.Keywords : leptospirosis, behavior, determinants, outbreak
Surveillance of pathogenic Leptospira among rodents and small mammals in enzootic areas of plague in Pasuruan Indonesia Febriani, Siti Amanah; Dhanti, Kurnia Ritma; Kurniawan, Kurniawan; Ristiyanto, Ristiyanto; Junaedi, Arief; Sukowati, Caecilia Hapsari Ceriapuri; Handayani, Farida Dwi
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2024): June 2024
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v15i1.37499

Abstract

Leptospirosis is a globally significant yet often overlooked zoonotic infection. Several regions in Indonesia are endemic for leptospirosis, including East Java. Pasuruan a region located in the East Java province of Indonesia, has been recognized as an enzootic area of plague infection. However, the presence of other rodent-borne diseases has not been reported. This study aims to detect the presence of pathogenic Leptospira in rats and small mammals in the enzootic plague area of Pasuruan in Indonesia. This study belongs to the type of observational analytic research with a cross-sectional study design. Simple random sampling was conducted to trap a total of 119 forms 107 rats and 12 small mammal kidneys were analyzed molecularly (PCR) to detect Leptospira bacteria with the LipL32 gene as the target. The study revealed that 7.6% (9/119) of rats in the enzootic areas of plague (Sedaeng, Tosari, Surorowo, Petren, Pakis Bincil, Kutukan) were found to carry Leptospira DNA, indicating a significant difference between infection rates per region (p < 0.0001).  Rattus tanezumi was identified as the Leptospirosis reservoir in settlements habitats with a percentage of 13.2%, Rattus tiomanicus was detected at 28.6% in forest habitats, and Rattus exulans was found at 4.4% in both habitats. The findings in our study, it is crucial for the community to increase awareness of the spread of rodent-borne diseases, including Leptospirosis.
DETEKSI YERSINIA PESTIS DAN PATOGEN ZOONOTIK LAINNYA PADA TIKUS DI DAERAH FOKUS PES DESA KAYUKEBEK KABUPATEN PASURUAN Mulyono, Arief; Hidajat, Muhammad Choirul; Ristiyanto, Ristiyanto; Setyaningtyas, Dian Eka; Wigati, RA; Putro, Dimas Bagus Wicaksono; Joharina, Arum Sih; Pratiwi, Ayu Pradipta; Muhidin, Muhidin; Yuliadi, Bernardus
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2024): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkm.v12i2.40602

Abstract

Rats are known as carriers and transmissions of zoonotic diseases. About 60 types of zoonotic diseases that rats can transmit to humans. Some zoonotic diseases are Plague, Leptospirosis, Orthohantavirus infection, and Hepatitis E virus. This research aims to detect the bacteria Yersinia pestis, Leptospira, Hepatitis E virus, and Orthohantavirus in rats in Kayu Kebek Village, Pasuruan Regency. The research design used in this study is descriptive with a cross-sectional approach. The rats were captured for three days, two nights in the house, the neighborhood around the house, and the forest. The captured mice were identified as specimens of blood, spleen, kidneys, and liver. Detection of Yersinia pestis, Leptospira, and Hepatitis E is performed using PCR, while the detection of Orthohantavirus is performed using the ELISA method. A total of 45 mice were trapped, consisting of 2 genera and three species. The zoonotic pathogens detected were Leptospira and hepatitis E. Leptospira viruses were detected in Rattus tanezumi, Rattus tiomanicus, and Niviventer fluvescent. Hepatitis E virus is detected only in R. tanezumi. Transmission of leptospirosis and hepatitis E has the potential to occur in Kayu Kebek Village. Rat control is needed to prevent the transmission of leptospirosis and hepatitis E virus infection, and other zoonotic diseases transmitted by rats.
Economic Loss of Leptospirosis: Is It Still Appropriate to be Tropical Neglected Zoonosis Disease? Nugraheni, Wahyu Pudji; Lestyoningrum, Sinta Dewi; Ristiyanto, Ristiyanto; Putro, Wahyu Gito; Pawitaningtyas, Indah; Nuraini, Syarifah; Putri, Linta Meyla; Faisal, Debri Rizki; Noveyani, Adhista Eka; Mikrajab, Muhammad Agus
Kesmas Vol. 19, No. 5
Publisher : UI Scholars Hub

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Abstract

Leptospirosis is a tropical endemic disease that can reduce the productivity of sufferers. However, research on economic and productivity losses due to leptospirosis is rare. This study aimed to determine economic and productivity losses due to leptospirosis in the Banyumas District, Indonesia, as an endemic area. This study used a cross-sectional design and quantitative methods conducted in October 2022. Secondary data of medical records and billing information from 73 inpatients receiving treatment at a Public Hospital in the Banyumas District from February 2021 to September 2022 obtained from the hospital’s archives were used. This study examined the actual costs (direct and indirect costs) of treatment, average length of stay, and patient characteristics. Statistical tools were carried out to check the results. The results showed that over half of leptospirosis patients used insurance with an economic loss of USD 289.64 and a productivity loss value of USD 388,499. Patients infected with leptospirosis vary in age. Leptospirosis results in loss of patient productivity during treatment. Increasing prevention and control to prevent deaths and economic burdens on society and local governments is proposed to local governments.