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Keberadaan Residu Tetrasiklin pada Daging Ayam Broiler di Kabupaten Kudus (Studi di Pasar Tradisional dan Pasar Modern Tahun 2019) Sabilla Ananda Aulia; Dwi Sutiningsih; Henry Setyawan; Ari Udiyono
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.6918

Abstract

Background: One of the causes of antibiotic resistance is the presence of antibiotic residues in livestock, one of which is broiler chicken meat. Excessive use of antibiotics and not in accordance with the diagnosis will result in the discovery of antibiotic residue content in chicken meat and will endanger public health. The purpose of this study was to determine the description of the antibiotic residues of tetracycline in broiler chicken meat sold in traditional and modern markets in Jati District, Kudus Regency.Methods: This type of research is a descriptive observational study with a cross-sectional approach. The samples in this study were all broiler chicken meat sold in traditional markets (Bitingan Market, Sunggingan Ploso Market, and Baru Market) and in the modern Hypermart market with a total sample of 78 samples of broiler chicken meat taken with total population sampling technique. Sample testing was carried out at Balai Veteriner Boyolali using the Bioassay method.Result: Based on the results of the study, there is no tetracycline antibiotic residues were found in 78 (100%) broiler chicken meats sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.Conclusion : There is no tetracycline antibiotic residues were found in broiler chicken meat sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.
Rhino-Orbito-Cerebral Mucormycosis (ROCM): An Observational Case Report of Covid-19 Positive Patients Admitted in Intensive Care Unit of Community Hospital in South India Chimezie Finian Nwadinigwe; Mateus Sakundarno Adi; Budi Laksono; Dwi Sutiningsih
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.16620

Abstract

Background: Rhino-orbito-cerebral mucormycosis (ROCM) increasing incidence in the setting of COVID-19 in India and elsewhere has become a matter of immediate concern. In this observational case report we have observed the signs and symptoms of ROCM among coronavirus positive patients with reference to “Mucor code “as reported by Honavar SG 2021, we have reported cases been admitted to ICU for <2weeks in a community hospital in South India. Method: Patient informed consent was taken, Patient’s data (Medical record, medication charts, daily report) were collected using a designed data collection form, observed warning signs and symptoms, and predisposed factors was noted and ROCM is characterized with reference to the “Mucor code”.Results: Nasal stuffiness, Foul smell and Facial pain and among others were the most coherent warning signs and symptoms observed among the patients in <2weeks of admission in ICU. Other observed predisposing risk factors were regular administration of corticosteroids, antibiotics, Diabetes Mellitus, Hypertension, and Kidney Stone.Conclusion: All the cases on preliminary examination on the basis of observed warning signs and symptoms were “Possible” ROCM a sub-type of Covid-19 associated mucormycosis (CAM), as this was the first reported case of the hospital. Our study gave basis for further diagnosis and monitoring of Covid-19 positive patient admitted in the intensive care units.
Safety of Health Care Workers A Priority for Patient Safety Maiga Ayub Hussein; Dwi Sutiningsih; Chebet Frida
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.17558

Abstract

Background: Worldwide healthcare workforce represents 12%, in Uganda, out of the 39000 healthcare workers (HCW), 500 have been deployed at Mbale regional referral hospital (MRRH). The deficient quality service delivery is attributed to adverse occupational health risk that are not addressed and acknowledged posing a great risk to patient safety. Study aims to investigate the unsafe acts and unsafe working conditions of health care workers at (MRRH).Methods: A quantitative observational study with a cross-section design was used using and a semi structured observation checklist for data collection among 120 health care workers of MRRH.Result: 45(37.5%) of the HCW never wore the necessary PPEs versus 75(62.5%) who wore, almost half 55(45.3%) worked over time and 65(54.6%) did not, as well the same figures represent those who over worked and those who did not over work respectively. 70% of the working places had defective working conditions for example no lighting, slippery floors and no danger signs. 75% of the wards had improper waste segregation measures.Conclusion : HCW and institutions should intervene to mitigate the hazards, strengthening occupational health, patient safety, hazard prevention and control
Sistem Aplikasi Berbasis Website dalam Deteksi Dini dan Edukasi Pneumonia Chandra Kurniawan; Dwi Sutiningsih; Martini Martini
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 13 No 2 (2023): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: April 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v13i2.928

Abstract

Salah satu infeksi saluran pernapasan akut dan penyebab utama morbiditas dan mortalitas pada anak di bawah usia lima tahun adalah pneumonia. Virus, bakteri, parasit atau jamur yang menyerang alveoli paru-paru adalah penyebab pneumonia. Untuk seluruh anak Indonesia di bawah usia lima tahun, proporsi anak yang terkena pneumonia mencapai 49,4% pada tahun 2008, kemudian 49,2% pada tahun 2009 dan 39,3% pada tahun 2010. Sedangkan pada tahun 2001-2004 berada pada kategori merah dengan angka kejadian sebesar lebih dari > 4 per 100.000 penduduk (kategori tinggi). Penelitian ini bertujuan untuk membuat sistem aplikasi deteksi dini dan edukasi pneumonia berbasis website. Perancangan sistem aplikasi deteksi dini dan edukasi pneumonia berbasis website memerlukan pertimbangan yang matang dari berbagai aspek, antara lain desain antarmuka pengguna, pengelolaan data, dan arsitektur informasi. Hasil dari penelitian ini adalah 1) Masyarakat di Demak yang memiliki balita hampir 50% mengatakan sistem aplikasi sangat mudah dioperasikan; 2) Masih banyak masyarakat Demak yang memiliki anak balita yang mengatakan sistem aplikasi lebih mudah dipahami dan lebih mudah dioperasikan; 3) Sistem aplikasi efektif karena mayoritas orang tua balita memiliki handphone untuk mengakses aplikasi. Sistem aplikasi yang efektif untuk deteksi dini dan edukasi pneumonia pada ibu balita di Puskesmas Karangawen 1 Kabupaten Demak
Analysis of Factors Correlated with the Incidence of Obesity In Women of Productive Age Revi Rosavika Kinansi; Zahroh Shaluhiyah; Martha Irene Kartasurya; Dwi Sutiningsih; Matheus Sakundarno Adi; Wening Widjajanti
Indonesian Journal of Global Health Research Vol 5 No 2 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.739 KB) | DOI: 10.37287/ijghr.v5i2.1597

Abstract

Obesity is excessive accumulation of fat due to an imbalance between energy intake and energy expenditure. This study aims as a community diagnosis to determine the respondent's body mass index and to determine the risk factors that have a reciprocal effect on the nutritional status of the community. This study uses a cross sectional method with a descriptive approach and using a backward logistic regression method: Wald. Data collection is carried out to the population was 55 women who met the inclusion criteria aged 21-65 years and were willing to become respondents. The results of this study, obtained information that the age of the respondent has a significant influence on the obesity status of the community with a significant value of 0.043 with an opportunity of 1.072 times. Likewise, the respondent's work has a significant value of 0.015, this provides information that the more the respondent do the physical activity, can protect the body from obesity status by 1.940 times or almost 2 times for the better. Obesity has a chance of 0.065 times affecting the incidence of hypertension with p-value 0,011. Not only that, a person's stomach circumference is closely related to the incidence of obesity with a p-value of 0.019 and an odds ratio value of 5.019. Eating packaged food such as instant noodles which is often done by respondents has a significant effect on obesity status of 0.059. Instant food will have a negative effect of 3 times of obesity.
Stage at Diagnosis of Stomach Cancer Amongst Selected East African Countries: A Mini Systematic Review Cyuzuzo Callixte; Dwi Sutiningsih; Suhartono Suhartono; Selamat Budijitno
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.17627

Abstract

Background: Stomach cancer is one of the leading cause of death globally due to its ability to hide clinical manifestations at early stage. This review was mainly aimed to assess the stage at diagnosis of the stomach malignancy among the selected East African countries.Methods: In this review, we retrieved 61 resources composed of 57 papers and 4 reports that were published between the year of 2005 and 2023, however only 22 papers that satisfy the inclusion criteria were considered.Result: The results revealed of this review disclosed that the stomach cancers are diagnosed at advanced stages, specifically stage III and stage IV and this was found to negatively affects the patients’ clinical outcomes and overall survival rate.Conclusion: The present review concludes that the stomach cancer cases that are diagnosed in the selected East African countries are diagnosed late and recommend early diagnosis, improvement of health facilities and diagnostic modalities and capacity development of the oncologists, cancer focal persons and other health professionals.
Distribution and Prevalence of Multidrug-Resistant Organisms (MDROs) Among MDRO-Positive Individuals at Dr. Kariadi Hospital Saidi Ntambi; Dwi Sutiningsih; Maiga Ayub Hussein; Budi Laksono
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.18530

Abstract

Background: Multidrug-resistant organisms (MDRO) pose a significant challenge to healthcare facilities globally, impacting patient outcomes and healthcare costs. Understanding the distribution and prevalence of MDRO is crucial for effective infection control and prevention strategies. This study aimed to investigate the distribution and prevalence of MDROs, among MDRO-positive individuals at Dr. Kariadi Hospital.Methods: A retrospective analysis of secondary data was conducted, encompassing a diverse range of MDROs, including ESBL, carbapenem-resistant Enterobacteriaceae (CRE), methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant Staphylococcus aureus (VRSA). The study population consisted of individuals who tested positive for MDRO within the hospital.Results: A total of 100 MDRO-positive cases were identified during the study period. The most prevalent MDRO identified was ESBL-producing organisms, accounting for 59% of all cases. Other significant findings included the presence of carbapenem-resistant Enterobacteriaceae (CRE) and MRSA, which constituted 4% and 3% of the MDRO-positive cases, respectively. Notably, a diverse range of MDRO species, such as MRCoNS (methicillin-resistant coagulase-negative Staphylococci), was also detected.Conclusion: This study provides valuable insights into the distribution and prevalence of MDRO at Dr. Kariadi Hospital. The findings underscore the urgent need for robust infection control measures and targeted interventions to mitigate the spread of MDRO. Implementing effective surveillance, promoting antibiotic stewardship, and enhancing preventive strategies are crucial for controlling MDRO infections. Future research should focus on exploring the molecular characteristics and resistance mechanisms of the identified MDRO to inform tailored prevention and treatment approaches. 
Skrining Fitokimia dan Uji Antibakteri Nanopartikel Perak Ekstrak Daun Pepaya (Carica papaya L) terhadap Bakteri Staphylococcus epidermidis dan Salmonella typhi Ni Made Suarjo Putri; Dwi Sutiningsih; Mochamad Hadi
JURNAL BIOS LOGOS Vol. 13 No. 3 (2023): JURNAL BIOS LOGOS
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35799/jbl.v13i3.49813

Abstract

Infections caused by bacteria are still common in developing countries, among them Staphylococcus epidermidis and Salmonella typhi. In Indonesia, papaya leaves (Carica papaya L.) are widely used as traditional medicine because they contain compounds that are antibacterial. The combination of silver nanoparticles with papaya leaves has the potential to increase antibacterial effectiveness. The purpose of this study was to determine the effectiveness of papaya leaf extract silver nanoparticles in inhibiting Staphylococcus epidermidis and Salmonella typhi bacteria. This research method is a true experiment with a post-test only design with a control group. The results showed that papaya leaf metabolites consisted of flavonoids, steroids, and tannins, while the total levels contained in flavonoids 791.209%, and tannins 11.138%. The diameter of the inhibition zone concentrations of 100, 150, 200, and 250 ppm proved that papaya leaf extract combined with silver nanoparticles had good antibacterial active compounds but was more powerful in killing Staphylococcus epidermidis bacteria than Salmonella typhi bacteria.
Antibiotic Practices and The Rate of Surgical Site Infection Following Cesarean Section Hussein, Maiga Ayub; Sutiningsih, Dwi; Saidi, Ntambi; Frida, Chebet; Adi, Mateus Sakundarno
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.18878

Abstract

Background: Cesarean section (CS) is the most performed operation globally. It’s a clean-contaminated surgery with higher surgical site infections (SSIs) risk. The mortality rate associated with cesarean section in Africa is 50 times greater than in high income settings, 11 women die per 1000 CS in sub-Saharan Africa and 14% of women suffer complication (SSIs). Proper antibiotic use can reduce this burden however effective antibiotics are running out due to inappropriate use. This study aimed to assess the pre-cesarean and post-cesarean antibiotic practices and the rate of SSIs following CS at Mbale regional referral hospital (MRRH)Methods: The study was a retrospective and descriptive cross-sectional on CS mothers between 1st January 2020 and 31st December 2022 at MRRH.  Out of the 2432 patient files reviewed, an equal number (104) of women who developed SSIs and those that did not develop SSIs (104) were selected by simple random sampling, total sample size of 208.Result: More than half (n=148; 71.2 %.) received antibiotic prophylaxis. Majority received I.V ceftriaxone (38.0%) within 15minutes (mean duration) before skin incision. 35.1% of 208 that received antibiotic prophylaxis developed SSIs. I.V Metronidazole and Ceftriaxone were the most administered after CS and Oral metronidazole was the most prescribed upon discharge.Conclusion : The rate of SSIs at MRRH was 3% similar to that of Mbarara regional referral hospital at 3.5%. Lack of antibiotics prophylaxis and poor antibiotic prophylaxix timing could explain this rateu underscoring compliance to International, National and Hospital surgical bundles.
Unveiling the Disease Patterns and Infection Categories in MDRO-Infected Patients: Insights from a Comprehensive Study at Dr. Kariadi Hospital, Semarang Ntambi, Saidi; Sutiningsih, Dwi; Laksono, Budi; Maiga, Ayub Hussein; Mujahidah, Mujahidah
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.18535

Abstract

Background: Multi-drug resistant organisms (MDRO) pose a significant challenge to healthcare systems worldwide, leading to increased morbidity, mortality, and healthcare costs. Understanding the disease patterns and infection categories associated with MDRO infections is crucial for effective management and prevention strategies. This study aims to unveil the prevalent diseases and infection categories among MDRO-infected patients at Dr. Kariadi Hospital, Semarang in Indonesia.Methods: A comprehensive retrospective analysis was conducted on medical records of patients diagnosed with MDRO infections. Clinical characteristics were collected and analyzed. The diseases were classified into broader categories based on their organ system or common medical classification.Result: The study included 100 MDRO-infected patients and they presented with 81 various medical conditions/diseases. The most common diseases associated with MDRO infections were Covid-19, and Bronchopneumonia. Among the infection categories, gastrointestinal disorders, and Neoplastic Diseases were the predominant categories. The study revealed a high prevalence of MDRO infections in patients with these conditions while as the category of Autoimmune and Rheumatic Diseases accounted for the smallest proportion of cases with only one case.Conclusion : This comprehensive study provides valuable insights into the disease patterns and infection categories in MDRO-infected patients at Dr. Kariadi Hospital, Semarang. The findings highlight the need for targeted surveillance, infection control measures, and antimicrobial stewardship programs to effectively manage MDRO infections. Understanding the most prevalent diseases and infection categories associated with MDROs can aid in early detection, appropriate treatment, and the development of preventive strategies.
Co-Authors Adi Prasetijo Adi, Matheus Sakundarno Adji Bayu Massaid Afianto, Rery Agus Subagio Aisyiah, Aisyiah Ali Rahayu Ali Rahayu Ali Rahayu Ali Rahayu Amanda Sari, Ladinna Amarullah, Novi Amilah Eka Putri Aminuyati Andalusia Sarigando Banilai, Puti Anindita Az Zahra Lutfiatunnisa Anita Nugrahaeni Apoina Kartini Ari Udijono Ari Udiyono Ari Udiyono Arie Wurjanto, Mohammad Aufiena Nur Ayu Merzistya Auliandari, Rizky Amelia Ausy Hawais Monasel Azizah Azzahra, Nur Bagoes Widjanarko Bailai, Puti Andalusia Sarigando Budi Laksono Budi Laksono BUDIYONO Cahya Tri Purnami Chandra Kurniawan Chandra Kurniawan, Chandra Chebet Frida Chimezie Finian Nwadinigwe Chomariyah, Zumrotul Cyuzuzo Callixte Damai, Devano Alfathan Galang Danisa Diandra Safarina Daniswara, Sabrina Devi Puspita sari Devi Puspitasari Devi puspitasari, Devi Dewi Puspito Sari Dewi Puspito Sari, Dewi Puspito Dewi, Risma Shinta Dian Dwi Restiani Dian Rohmayanti Diyana, Sutra Elisa Nuraida Endrawati Endrawati Erlita Nur Andini Fadhila, Aulia Nur Farid Agushybana Ferlitasari, Shavira Norma Fitriyani Fitriyani Frida, Chebet Ginanjar, Sutan Harya Giyantolin, Giyantolin Hariyanto, Hendri Hayuningsih, Akmaliya Henry Setiawan Henry Setyawan Susanto Henry Setyawan Susanto Hitipeuw, Derico Hussein, Maiga Ayub Iddahan, Viqi Ikrila, Ikrila Inggita Raiesa Rahmi Inova Inova Iriyanto Widisuseno Janardani, Andini Talitha Jayawarsa, A.A. Ketut Karimah, An Nisa Akhlaqul Kautsari Meitia Nurzaeni Khairunnisa’, Rifdah Yuri Kristianto Adiwiharyanto Kristiawan Kristiawan John Kukuh Purwo Saputro Kurnia Nur Latifa, Kurnia Kusuma, Syifa Ayu Lattu, Joma Chyntia Lia Wulandari Lina Ayu Pramatasari Lintang Dian Saraswati Lubabul Aniq Ludfi Santoso M. Arie Wuryanto M. Arie Wuryanto Maiga Ayub Hussein Maiga, Ayub Hussein Mardiana Mardiana Martasiah, Martasiah Martha Irene Kartasurya Martini - Martini Martini Martini Martini Mateus Sakundarno Adi, Mateus Sakundarno Matheus Sakundarno Adi Meuthika Noor Fitriyana, Meuthika Noor Mexitalia Setiawati Michelle Christo Mochamad Hadi Moh Arie Wuryanto Mohammad Arie Wurjanto Mohammad Arie Wuryanto Mohammad Hadi Mohammad Zen Rahfiludin Muchlis Achsan Udji Sofro Muh Fauzi, Muh Muh, Fauzi Muhtar, Muhammad Solihuddin Mujahidah Mujahidah Mursid Raharjo Narcisse Musafili Ni Made Suarjo Putri Nissa Kusariana Nita Anggerina Putri Hi Setiawan Novianti, Ervina Ntambi, Saidi Nur Azizah Azzahra Nur Endah Wahyuningsih Nur Mila Sari Nurwijayanti Onny Setiani Pamungkas, Motris Pasaribu Habeahan, Rosdiana Oktaviani Pelastri Rahayu Permatasari, Afina - Pinto, João Menezes Pollan Versilia Wuritimur Praba Ginanadjar Prajaningrum, Anindita Prakasita Artha Anindya Puspaningdyah Ekawati Rachmawati, Aulia Noor Rahayu, Misti Rahmita Damayanti Ratna Dian Kurniawati Ratnaningsih Ratnaningsih Rery Afianto Retno Hestiningsih Revi Rosavika Kinansi Revi Rosavika Kinansi Rifka Haristantia Rindi Maylia Faramita Rr. Sri Ratna Rahayu SA, Mateus Sabilla Ananda Aulia Saidi Ntambi Saidi, Ntambi Sakundarno Adi Selamat Budijitno Selamat Budijitno Siti Rahayu Sri Yuliawati Sri Yuliawati Sri Yuliawati Sri Yuliwati Sriyani Sriyani, Sriyani Suci Ramadhani, Suci Suhartono, Suhartono Suharyo Hadisaputro Suroto Suroto Sutaip Sutaip Sutra Diyana Sutriyawan, Agung Suwandi, Amad Syamsulhuda Budi Musthofa Tyas Iswidaty, Tyas Wardaya, Elok Cendikia Esti Wening Widjajanti Wening Widjajanti Whawan Bayu Arusyid, Whawan Widya Widya Widyanti, Trisna Wiwik Handayani Wulan Kusuma Jati Wurjanto, Moh. Arie Wuryanto, Moh Arie Yuniva Tri Lestari Yusuf, Nurul Fuadi Zahrah Nabila Shidqi Zahroh Shaluhiyah Zulfa Fatmawati Dwi Asdika