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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Sistem Kesehatan Oto Rhino Laryngologica Indonesiana Medica Hospitalia Tunas Medika Jurnal Kedokteran & Kesehatan
Melati Sudiro
Faculty Of Medicine, Universitas Padjadjaran/Hasan Sadikin Central General Hospital
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Isolation of Methicillin Resistant - Staphylococcus aureus in Midwifery Students Faculty of Medicine Universitas Padjadjaran September–December 2012 Panirchelvam, Robinee; Megantara, Imam; Sudiro, Melati
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.217 KB)

Abstract

Background: Methicillin Resistant-Staphylococcus aureus (MRSA) is resistant bacteria to certain types of beta-lactam antibiotics. Commonly, the MRSA infection is acquired in hospitals, long-term care facilities, or similar institutional settings. Mid-wives are one of the health professional that have a major risk to get MRSA infection and could lead the infection among patients. This research is aimed to identify MRSA among the midwifery studentsMethods: A descriptive study was conducted from September–December 2012 at the Microbiology laboratory to identify the proportion of MRSA among the mid-wife students from Faculty of Medicine, Universitas Padjadjaran. Twenty-five samples were chosen using simple random sampling based on their registration number. The inclusion criterias were healthy students, and 18 to 22 years old. Both nostrils were sampled with a sterile culture swab on both the subject’s nostrils. Gram staining was done in order to identify the gram positive bacteria, Staphylococcus aureus. The samples were inaculated in Mannitol salt agar (MSA), incubated for 24 hours and at 37 ̊ C. After 24 hours, catalase and coagulase tests were done. Moreover, for the susceptibility testing, the chosen media for this study was Mueller Hinton Agar (MHA) and with 30μg Cefoxitin disk. After incubation, the zone of inhibition of the colony less than ≤ 21mm was considered resistant to methicillin.Results: Colonization of MRSA was about 3 out from 25 samplesConclusions: The MRSA colonization in the anterior nasal does exist in midwife students, a further study with more samples should be conducted. [AMJ.2015;2(1):204–7]
Allergic Rhinitis Patient Characteristics in Dr. Hasan Sadikin General Hospital Bandung Indonesia Moeis, Raisa Mentari; Sudiro, Melati; Herdiningrat, RB. Soeherman
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Althea Medical Journal

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Abstract

Background: Allergic rhinitis affects 500 million people worldwide, especially children and adolescents. This disease interferes with daily activities and productivity, leading to decreased quality of life. Allergic rhinitis is often accompanied by co-morbid conditions such as asthma, conjunctivitis, rhinosinusitis, urticaria and othersthat may worsen the disease. This study aimed to investigate the characteristics of patients with allergic rhinitis during the period of 2010-2011 in Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive study with a cross-sectional design using medical records of allergic rhinitis patients  who visited the allergy clinic of the Otorhinolaryngology ‒ Head and Neck Surgery ( ORL ‒ HNS ) Department of Dr. Hasan Sadikin General Hospital Bandung.Results: There were 167 patients diagnosed as suffering from allergic rhinitis during the study time with more women (53.3%) affected compared to men (46.7%). Most of them were in the age group of 18-34 years old (52.7%) and their were student (53.3%). Most  were suffered from moderate-severe persistent allergic rhinitis based on the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) classification (52.7%). Co-morbid conditions were found in 73.7% of subjects and the allergic conjunctivitis (59.9%) was the most common.Conclusions: Allergic rhinitis is most commonly found in people at school age and productive age. Most allergic rhinitis patients are classified into persistent moderate/severe, showing that the rhinitis symptom has already interfered with their daily activities and decreased their quality of life.Key words: Allergic Rhinitis, Co-morbid Condition, school age  Karakteristik Pasien Rinitis Alergi di Rumah Sakit Dr Hasan Sadikin Bandung Indonesia Abstrak Latar Belakang: Rinitis alergi memengaruhi 500 juta orang di seluruh dunia, terutama anak-anak dan remaja. Penyakit ini mengganggu kegiatan dan produktivitas sehari-hari serta menyebabkan kualitas hidup menurun. Rinitis alergi sering disertai dengan penyakit penyerta seperti asma, konjungtivitis, rhinosinusitis, urtikaria dan lain-lain yang dapat memperburuk penyakit. Penelitian ini bertujuan untuk mengetahui karakteristik pasien dengan riinitis alergi periode 2010-2011 di Rumah Sakit Dr. Hasan Sadikin Bandung.Metode: Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang dengan menggunakan rekam medis pasien rinitis alergi yang mengunjungi klinik alergi Departemen Telinga, Hidung, Tenggorokan - Kepala dan Leher (THT-KL)) RS Dr. Hasan Sadikin Bandung.Hasil: Ada 167 pasien yang didiagnosa menderita rinitis alergi selama usia sekolah. Perempuan lebih banyak yang terkena dampak (53,3%) dibandingkan dengan laki-laki (46,7%). Sebagian besar dari mereka berada di kelompok usia 18-34 tahun (52,7%) dan mereka adalah siswa (53,3%). Berdasarkan klasifikasi Organisasi Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) (ARIA-WHO) sebagian besar menderita rinitis alergi persisten sedang-berat (52,7%). Kondisi co-morbid ditemukan di 73,7% dari subyek dan yang paling umum adalah konjungtivitis alergi (59,9%).Simpulan: Rinitis alergi paling sering ditemukan pada orang di usia sekolah dan usia produktif. Sebagian besar pasien rinitis alergi diklasifikasikan menjadi persisten sedang/berat. Hal ini menunjukkan bahwa gejala rinitis telah mengganggu kegiatan sehari-hari dan menurunkan kualitas hidup mereka. Kata kunci: Rinitis alergi, Kondisi Co-morbid, usia sekolah DOI: 10.15850/amj.v1n2.350
Prevalence of Allergic Rhinitis based on World Health Organization (ARIA-WHO) questionnaire among Batch 2010 Students of the Faculty of Medicine Universitas Padjadjaran Fauzi, Fauzi; Sudiro, Melati; Lestari, Bony Wiem
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Allergic rhinitis (AR) is a common disease affecting 5–45% of Asian population. Although it is not a life-threatening disease, AR significantly hampers the quality of life of the sufferers. The prevalence of AR among adults in Indonesia is still unknown. This study aimed to measure the prevalence of AR among batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran.Methods: A cross-sectional study was conducted during June–October 2013 involving Indonesian class batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran. The sampling was performed usingtotal sampling approach. The measurement tool used in this study was the Indonesian translation of the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) questionnairee. Thosewho were aware of being diagnosed with AR or had two/more AR defining symptoms in the questionnaire form were considered to have AR. The statistical analysis was conducted by calculating frequencies.Results: A total of 207 questionnaire forms were adequately filled out and returned. Based on the questionnaire, the prevalence rate of AR was 38.2%. Of the 79 AR cases, 66% cases involved females. In addition, 54% of the the AR cases have a parental history of allergic diseases. Nasal obstruction and itchy nose were the most frequent symptoms (90%), followed by rhinorrhea (89%), sneezing (82%), and eye symptoms (62%). Based on the duration, the majority fell into the intermittent group (91%); whereas basedon severity, the majority was in the moderate-severe group (71%).Conclusions: The prevalence rate of AR obtained in this study is within the estimated range of Asian population. [AMJ.2015;2(4):620–5] DOI: 10.15850/amj.v2n4.658
Manifestasi Klinis Refluks Laringofaring: Studi pada Anak Usia 0–24 Bulan dengan Laringomalasia Sudiro, Melati; Saputri, R. Ayu Hardianti; Madiadipoera, Teti; Boesoirie, M. Thaufiq S.; Setiabudiawan, Budi
Majalah Kedokteran Bandung Vol 49, No 2 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.038 KB) | DOI: 10.15395/mkb.v49n2.1057

Abstract

Laringomalasia merupakan kelainan kongenital anomali laring yang banyak ditemukan pada bayi baru lahir dan penyebab tersering stridor serta obstruksi saluran napas. Pemeriksaan laringoskopi serat lentur memperlihatkan terlipat atau terhisapnya struktur supraglotik ke dalam laring selama inspirasi. Obstruksi saluran napas pada laringomalasia akan menyebabkan tekanan negatif intratorakal, menyebabkan asam lambung naik ke jaringan laringofaring dan diduga menimbulkan refluks laringofaring (RLF). Telah dilakukan penelitian dengan pendekatan potong lintang yang bertujuan mengidentifikasi dan menilai hubungan antara laringomalasia dan gambaran refluks laringofaring pada usia 0–24 bulan yang datang ke poliklinik THT-KL RSHS Bandung periode Januari 2012–Maret 2015 berdasar atas data rekam medis dan hasil pemeriksaan laringoskopi serat lentur.  Seratus tujuh pasien laringomalasia dengan keluhan stridor mengikuti penelitian ini, 69 laki-laki (64,5%) dan 38 perempuan (35,5%) dengan usia rata-rata 4,19 bulan. Laringomalasia tipe 1 merupakan tipe terbanyak (57,9%). Gambaran RLF yang berhubungan dengan tingkat berat laringomalasia adalah edema plika ventrikularis dengan OR 3,71 (IK 95%=1,07–12,91; p=0,039) dan edema aritenoid dengan OR 4,74 (IK 95%=1,19–18,89; p=0,027). Edema ventrikular dan aritenoid merupakan gambaran RLF yang berhubungan dengan tingkat berat laringomalasia pada pada anak usia 0–24 bulan. [MKB. 2017;49(2):115–21]Kata kunci: Edema aritenoid, edema plika ventrikularis, laringomalasia, refluks laringofaring Laryngopharyngeal Reflux Manifestation: a Case Study of Laryngomalacia in Children Aged 0–24 MonthsLaryngomalacia is the most common laryngeal anomaly of the newborn and the main cause of stridor and airway obstruction in infants. From a flexible laryngoscopy examination, this anomaly is observed as curled or collapsed supraglottic structures into larynx during inspiration. Airway obstruction in laryngomalacia creates a negative intra-thoracal pressure that causes acid reflux to laryngopharynx tissue and is suspected to cause laryngopharyngeal reflux (LPR). A cross-sectional study was conducted with the objectives of identifying and assessing the relationship between laryngomalacia and LPR in patients aged 0–24 months who visited the Ear, Nose, Throat, Head, and Neck Clinic of Dr. Hasan Sadikin General Hospital Bandung in the period of January 2012–March 2015, which was based on medical records and results of flexible laryngoscopy. A hundred and seven patients diagnosed with laryngomalacia  who experienced stridor symptoms in this study consisted of 69 males (64.5%) and 38  females (35.5%) with mean age of 4.19 months. Type-1 laryngomalacia represents the most cases (57.9%). Indication of LPR sign correlated with type of laryngomalacia is ventricular edema OR 3.71 (CI 95%=1.07–12.91; p=0.039) and arytenoid edema OR 4,74 (CI 95%=1.19-18.89; p=0.027). Ventricular and arytenoid edemas are signs of LPR that correlate with laryngomalacia level in patients  aged 0–24 months. [MKB. 2017;49(2):115–21]Key words: Arytenoid edema, laringomalacia, laringopharyngeal reflux, ventricular edema 
Peran Terapi Adjuvan Vitamin D3 Terhadap Kadar T Regulator dan Gejala Klinis Penderita Rinitis Alergi Yang Mendapat Imunoterapi Subkutaneus Initial Build Up Dose Sudiro, Melati; Madiadipoera, Teti; Setiabudiawan, Budi; Boesoirie, Thaufiq S.
Majalah Kedokteran Bandung Vol 50, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (61.23 KB) | DOI: 10.15395/mkb.v50n2.1220

Abstract

Imunoterapi spesifik (ITS) merupakan pilihan terapi pada rinitis alergi yang tidak memberikan respons perbaikan klinis dengan medikamentosa. Peran zat adjuvan diduga dapat meningkatkan efektivitas dan efikasi ITS. Penelitian ini bertujuan menganalisis peran adjuvan vitamin D3 pada ITS terhadap percepatan timbulnya respons imun toleran. Penelitian analitik komparatif numerik dua kelompok tidak berpasangan dengan rancangan uji klinis acak terkontrol ganda ini dilakukan di Klinik Rinologi-Alergi THT-KL RSUP dr. Hasan Sadikin Bandung sejak Mei 2016–April 2017. Sampel terdiri atas 18 pasien menerima ITS+kalsitriol dan 18 pasien menerima ITS+plasebo yang memenuhi kriteria penelitian diambil secara consecutive sampling. Dilakukan pemeriksaan jumlah sel Tregulator dengan flowcitometry pada baseline, minggu ke-8 dan 15 dan skor gejala hidung.  Analisis dengan Uji Mann-Whitney, uji Friedman, uji T berpasangan dan analisis Post hoc. Perbandingan kenaikan rerata median jumlah sel Treg kelompok intervensi dengan kontrol pada minggu ke 8 menunjukkan nilai p=0,04, rerata MFI Treg pada kelompok intervensi dengan kontrol nilai p=0,002. Analisis post hoc terhadap MFI Treg menunjukkan peningkatan pada kelompok intervensi dengan p=0,001 pada minggu ke-8. Disimpulkan perubahan di tingkat imunologi mulai terjadi pada minggu ke-8, tetapi perbaikan gejala klinis terlihat setara.Kata kunci: Imunoterapi spesifik, rinitis alergi, sel t-toleran perifer, sel T-regulator, vitamin D3 Role of Adjuvant Therapy with Vitamin D3 on T-Regulator in Allergic Rhinitis Patient with Subcutaneus Immunotherapy Allergen-specific immunotherapy (AIT) is a potentially disease-modifying therapy that is useful for the treatment of allergic rhinitis, especially in those who do not response to pharmacotherapy. Currently, the role of adjuvant is expected to increase the clinical efficacy in AIT.  The aim of this study was to analyze the role of vitamin D3 adjuvant in AIT to induce immune tolerance. This was an unpaired comparative analytic research with a randomized controlled trial dstudy conducted at the Rhinology-Allergy Clinic ORL-HNS of Dr. Hasan Sadikin General Hospital Bandung from May 2016 to April 2017. Eighteen subjects with AIT+ calcitriol treatment and 18 subjects with AIT+placebo treatment who met the study criteria were selected through consecutive sampling. All subjects were evaluated for Treg cells using flow citometry at baseline, week 8, and week 15. Nasal symptom score was also evaluated.  Statistical analysis performed in this study included Mann-Whitney test, Friedman test, T-Paired test,and Post hoc analysis. There was a significant different of Treg cells average results between the intervention group and control at week 8 with a p-value of 0.04. The mean delta value on MFI Treg reflected significant differences within intervention group (p=0.002). Post hoc analysis results presented a significant increase in MFI Treg in the intervention group at week 8 (p=0,001). Therefore, immunological changes start in week eight but the improvement of clinical symptoms looks similar. Key words: Allergic rhinitis, peripheral t-cell tolerance, regulatory t(treg) cell allergen specific immunotherapy, vitamin D3
Eosinofil Kerokan Mukosa Hidung Sebagai Diagnostik Rinitis Alergi Sudiro, Melati; Madiadipoera, Teti HS; Purwanto, Bambang
Majalah Kedokteran Bandung Vol 42, No 1
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Rinitis alergi merupakan gangguan fungsi hidung, terjadi setelah pajanan alergen melalui inflamasi mukosa hidung yang diperantarai IgE. Walaupun rinitis alergi bukan penyakit yang berat, penyakit ini dapat menurunkan kualitas hidup penderita. Allergic Rhinitis and Its Impact on Asthma (ARIA-WHO) menganjurkan tes kulit tusuk (TKT) sebagai pemeriksaan penunjang diagnostik, tetapi tidak semua sarana kesehatan memiliki fasilitas tersebut, oleh karena itu perlu dipilih pemeriksaan alternatif yang sesuai atau setara yaitu eosinofil kerokan mukosa hidung. Suatu uji diagnostik dilakukan pada 50 subjek tersangka rinitis alergi periode Februari-April 2005 di poliklinik alergi Bagian THT-KL FKUP–RSHS. Sebanyak 78% penderita menunjukkan TKT positif, 76% terdapat eosinofil pada mukosa hidung, 64% positif terhadap kedua pemeriksaan. Uji statistik menunjukkan hubungan bermakna antara TKT positif dan eosinofil positif (X2= 3,559; p = 0,03), sensitivitas eosinofil kerokan mukosa hidung 82,1% (95%CI: 82,02-82,18), spesifisitas 64,3% (95% CI: 63,52-65,08), dan akurasi 74% (95% CI: 73,94–74,06). Penelitian ini menunjukkan pemeriksaan eosinofil kerokan mukosa hidung dapat digunakan sebagai pengganti tes kulit tusuk pada sarana kesehatan yang tidak mempunyai fasilitas tersebut. [MKB. 2010;42(1):6-11].Nasal Scrapping Eosinophil As a Diagnostic Test for Allergic RhinitisAllergic rhinitis is clinically defined as a symptomatic disorder of the nose induced by IgE mediated inflammation. Allergic Rhinitis and Its Impact on Asthma (ARIA-WHO) recommended the use of skin prick test (SPT) as a diagnostic test, but the facility to acquire this method is not always available at some of the health centres, therefore alternative diagnostic test should be performed such as nasal smear eosinophil count. The aim of this study was to assess the usefulness of nasal smear eosinophilia compared with SPT for the diagnosis of allergic rhinitis. A diagnostic study using the cross sectional design, conducted in Department of ORL-HNS at FKUP-RSHS (February-April 2005). Fifty patients with a clinical history suggestive of nasal allergy were studied. A positive SPTwas demonstrated in 78% of the study population, 76% of the patients demonstrated positive eosinophil count. There was 64% correlation between positive SPT and nasal eosinophil and it was statistically significant (X2= 3.559;p=0.03). The sensitivity of nasal smear eosinophilia count was 82.1% (95% CI 82.02-82.18), specificity 64.3% (95%CI 63.52-65.08), and accuracy 74% (95% CI 73.94-74.06). The eosinophil count of nasal scrapping can be used as the replacement of the SPT at the health centre which do not have the SPT facility. DOI: http://dx.doi.org/10.15395/mkb.v42n1.2
Isolation of Methicillin Resistant - Staphylococcus aureus in Midwifery Students Faculty of Medicine Universitas Padjadjaran September–December 2012 Robinee Panirchelvam; Imam Megantara; Melati Sudiro
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (699.217 KB)

Abstract

Background: Methicillin Resistant-Staphylococcus aureus (MRSA) is resistant bacteria to certain types of beta-lactam antibiotics. Commonly, the MRSA infection is acquired in hospitals, long-term care facilities, or similar institutional settings. Mid-wives are one of the health professional that have a major risk to get MRSA infection and could lead the infection among patients. This research is aimed to identify MRSA among the midwifery studentsMethods: A descriptive study was conducted from September–December 2012 at the Microbiology laboratory to identify the proportion of MRSA among the mid-wife students from Faculty of Medicine, Universitas Padjadjaran. Twenty-five samples were chosen using simple random sampling based on their registration number. The inclusion criterias were healthy students, and 18 to 22 years old. Both nostrils were sampled with a sterile culture swab on both the subject’s nostrils. Gram staining was done in order to identify the gram positive bacteria, Staphylococcus aureus. The samples were inaculated in Mannitol salt agar (MSA), incubated for 24 hours and at 37 ̊ C. After 24 hours, catalase and coagulase tests were done. Moreover, for the susceptibility testing, the chosen media for this study was Mueller Hinton Agar (MHA) and with 30μg Cefoxitin disk. After incubation, the zone of inhibition of the colony less than ≤ 21mm was considered resistant to methicillin.Results: Colonization of MRSA was about 3 out from 25 samplesConclusions: The MRSA colonization in the anterior nasal does exist in midwife students, a further study with more samples should be conducted. [AMJ.2015;2(1):204–7]
Allergic Rhinitis Patient Characteristics in Dr. Hasan Sadikin General Hospital Bandung Indonesia Raisa Mentari Moeis; Melati Sudiro; RB. Soeherman Herdiningrat
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (721.412 KB)

Abstract

Background: Allergic rhinitis affects 500 million people worldwide, especially children and adolescents. This disease interferes with daily activities and productivity, leading to decreased quality of life. Allergic rhinitis is often accompanied by co-morbid conditions such as asthma, conjunctivitis, rhinosinusitis, urticaria and othersthat may worsen the disease. This study aimed to investigate the characteristics of patients with allergic rhinitis during the period of 2010-2011 in Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive study with a cross-sectional design using medical records of allergic rhinitis patients  who visited the allergy clinic of the Otorhinolaryngology ‒ Head and Neck Surgery ( ORL ‒ HNS ) Department of Dr. Hasan Sadikin General Hospital Bandung.Results: There were 167 patients diagnosed as suffering from allergic rhinitis during the study time with more women (53.3%) affected compared to men (46.7%). Most of them were in the age group of 18-34 years old (52.7%) and their were student (53.3%). Most  were suffered from moderate-severe persistent allergic rhinitis based on the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) classification (52.7%). Co-morbid conditions were found in 73.7% of subjects and the allergic conjunctivitis (59.9%) was the most common.Conclusions: Allergic rhinitis is most commonly found in people at school age and productive age. Most allergic rhinitis patients are classified into persistent moderate/severe, showing that the rhinitis symptom has already interfered with their daily activities and decreased their quality of life.Key words: Allergic Rhinitis, Co-morbid Condition, school age  Karakteristik Pasien Rinitis Alergi di Rumah Sakit Dr Hasan Sadikin Bandung Indonesia Abstrak Latar Belakang: Rinitis alergi memengaruhi 500 juta orang di seluruh dunia, terutama anak-anak dan remaja. Penyakit ini mengganggu kegiatan dan produktivitas sehari-hari serta menyebabkan kualitas hidup menurun. Rinitis alergi sering disertai dengan penyakit penyerta seperti asma, konjungtivitis, rhinosinusitis, urtikaria dan lain-lain yang dapat memperburuk penyakit. Penelitian ini bertujuan untuk mengetahui karakteristik pasien dengan riinitis alergi periode 2010-2011 di Rumah Sakit Dr. Hasan Sadikin Bandung.Metode: Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang dengan menggunakan rekam medis pasien rinitis alergi yang mengunjungi klinik alergi Departemen Telinga, Hidung, Tenggorokan - Kepala dan Leher (THT-KL)) RS Dr. Hasan Sadikin Bandung.Hasil: Ada 167 pasien yang didiagnosa menderita rinitis alergi selama usia sekolah. Perempuan lebih banyak yang terkena dampak (53,3%) dibandingkan dengan laki-laki (46,7%). Sebagian besar dari mereka berada di kelompok usia 18-34 tahun (52,7%) dan mereka adalah siswa (53,3%). Berdasarkan klasifikasi Organisasi Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) (ARIA-WHO) sebagian besar menderita rinitis alergi persisten sedang-berat (52,7%). Kondisi co-morbid ditemukan di 73,7% dari subyek dan yang paling umum adalah konjungtivitis alergi (59,9%).Simpulan: Rinitis alergi paling sering ditemukan pada orang di usia sekolah dan usia produktif. Sebagian besar pasien rinitis alergi diklasifikasikan menjadi persisten sedang/berat. Hal ini menunjukkan bahwa gejala rinitis telah mengganggu kegiatan sehari-hari dan menurunkan kualitas hidup mereka. Kata kunci: Rinitis alergi, Kondisi Co-morbid, usia sekolah DOI: 10.15850/amj.v1n2.350
Prevalence of Allergic Rhinitis based on World Health Organization (ARIA-WHO) questionnaire among Batch 2010 Students of the Faculty of Medicine Universitas Padjadjaran Fauzi Fauzi; Melati Sudiro; Bony Wiem Lestari
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.816 KB)

Abstract

Background: Allergic rhinitis (AR) is a common disease affecting 5–45% of Asian population. Although it is not a life-threatening disease, AR significantly hampers the quality of life of the sufferers. The prevalence of AR among adults in Indonesia is still unknown. This study aimed to measure the prevalence of AR among batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran.Methods: A cross-sectional study was conducted during June–October 2013 involving Indonesian class batch 2010 students of the Faculty of Medicine, Universitas Padjadjaran. The sampling was performed usingtotal sampling approach. The measurement tool used in this study was the Indonesian translation of the Allergic Rhinitis and its Impact on Asthma-World Health Organization (ARIA-WHO) questionnairee. Thosewho were aware of being diagnosed with AR or had two/more AR defining symptoms in the questionnaire form were considered to have AR. The statistical analysis was conducted by calculating frequencies.Results: A total of 207 questionnaire forms were adequately filled out and returned. Based on the questionnaire, the prevalence rate of AR was 38.2%. Of the 79 AR cases, 66% cases involved females. In addition, 54% of the the AR cases have a parental history of allergic diseases. Nasal obstruction and itchy nose were the most frequent symptoms (90%), followed by rhinorrhea (89%), sneezing (82%), and eye symptoms (62%). Based on the duration, the majority fell into the intermittent group (91%); whereas basedon severity, the majority was in the moderate-severe group (71%).Conclusions: The prevalence rate of AR obtained in this study is within the estimated range of Asian population. [AMJ.2015;2(4):620–5] DOI: 10.15850/amj.v2n4.658
Tatalaksana Benda Asing Trakeobronkial Di Ksm Telinga Hidung Tenggorok - Bedah Kepala Dan Leher Rumah Sakit Hasan Sadikin Bandung Periode Tahun 2013-2017 Indri Hutagalung; Agung Dinasti Permana; Bambang Purwanto; Melati Sudiro
Jurnal Sistem Kesehatan Vol 5, No 1 (2019): Volume 5 Nomor 1 September 2019
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.656 KB) | DOI: 10.24198/jsk.v5i1.23927

Abstract

Benda asing pada trakeobronkial merupakan  kegawatdaruratan di bidang Telinga Hidung Tenggorok Bedah Kepala dan Leher. Penegakan diagnosis dan tatalaksana secara cepat dan tepat sangat penting untuk mengurangi komplikasi dan mortalitas. Penelitian ini dilakukan untuk mengetahui tatalaksana benda asing trakeobronkial di RS. Hasan Sadikin Bandung periode tahun 2013-2017. Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang. Terdapat 92 kasus benda asing trakeobronkial. Lokasi pada bronkus dekstra 51,8%, bronkus sinistra 30,43%, dan trakea 18,47%. Dilakukan 100 kali prosedur ekstraksi terdiri dari bronkoskopi rigid 88 kali, bronkoskopi fleksibel empat kali dan torakotomi delapan kali. Sebanyak 95,6% tindakan ekstraksi berhasil tanpa komplikasi dan 3,3 % terjadi komplikasi berupa emfisema subkutis serta satu kasus (1,09%) benda asing gagal diekstraksi dan pasien meninggal akibat tension pneumothorax. Dari hasil penelitian yang dilakukan didapatkan 92 kasus benda asing trakeobronkial dengan lokasi  terbanyak pada bronkus dekstra yaitu 51,8%. Bronkoskopi rigid merupakan prosedur ekstraksi terbanyak dilakukan  yaitu 88 kali. 95,6% benda asing dapat diekstraksi tanpa komplikasi. 1,09% benda asing gagal diekstraksi dan terjadi kematian akibat tension pneumothorax.Kata kunci : Benda asing trakeobronkial, RSHS, tension pneumothorax, bronkoskopi fleksibel
Co-Authors Agung Dinasti Permana Alkatirie, Sania Taufik Arif Dermawan Ayu Hardianti Saputri Bambang Purwanto Bambang Purwanto Bony Wiem Lestari Bony Wiem Lestari Bony Wiem Lestari, Bony Wiem Budi Setiabudiawan Chrysanti Murad Fauzi Fauzi Fauzi Fauzi Gita Widya Pradini Imam Megantara Indri Hutagalung M. Thaufiq S. Boesoirie, M. Thaufiq S. Muhammad Fadhil Ihsan Yazid Raisa Mentari Moeis Raisa Mentari Moeis RB. Soeherman Herdiningrat Robinee Panirchelvam Robinee Panirchelvam, Robinee Saputri, R. Ayu Hardianti Sari Ratunanda, Sinta Sinta Sari Ratunanda Teti HS Madiadipoera Teti Madiadipoera Teti Madiadipoera Thaufiq S. Boesoirie Wijana Wijana Yuwan Pradana