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Correlation of urban and rural settlements with Shigella sp. resistance pattern isolated from Bedadung River in Jember, Indonesia Aryasatya, Dimas Widyadhana Bhanu; Agustina, Dini; Jauhani, Muhammad Afiful; Suswati, Enny
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.13344

Abstract

Purpose: This study aims to determine a correlation between settlement location and resistance patterns of Shigella sp. isolated from the Bedadung River in Jember, Indonesia. Method: The research method used was analytic observational with a cross-sectional design. Data analysis was performed using the Chi-Square test and, if not qualified, the Fisher exact test. Samples were obtained through a total sampling technique with a total sample size of 24. Results: Most samples were resistant to the antibiotic, and there was no relationship between residential location and resistance patterns of Shigella sp. isolated from Bedadung River, Jember Regency (p-value > 0.05). Conclusions: In conclusion, no significant relationship exists between the residential area and the resistance pattern of Shigella sp. isolated from Bedadung River, Jember Regency. Shigella sp. bacterial contamination is mainly found in Bedadung River water isolates in rural and urban areas. Shigella sp. bacteria found in rural and urban areas in the Bedadung River in Jember Regency have the same number.
The Relationship between Milking Hygiene and Salmonella sp. Contamination on Cow’s Milk in Jember Regency Mufida, Diana Chusna; Shabri, Hammam Arif; Hermansyah, Bagus; Shodikin, M Ali; Suswati, Enny
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: Milk is a liquid produced by the mammary glands of female mammals. The nutritional content of milk almost covers the entire nutritional needs required by living things. The appearance of Salmonella sp. in cow's milk is due to milking methods that do not meet the standards, especially regarding milking hygiene management. This study examines the relationship between milking hygiene and Salmonella sp. contamination in cow's milk in Jember Regency. Method: This study used observational analytic research with a cross-sectional research design. Primary data were obtained through direct observation of milkers using a checklist related to milking. observe Salmonella sp. contamination using culture techniques on SCA (Salmonella Chromogenic Agar) as selective media agar for Salmonella sp. and Gram staining. Results: The results from this study show that the hygiene process pre-milking (78.9%), during-milking (71.1%), and post-milking (89.5%) have been implemented. The statistical test results showed a relationship between the pre-milking hygiene process with Salmonella sp. contamination (p-value < 0.05), but insignificant results were seen in the during and post-milking hygiene processes (p-value> 0.05). Conclusion: The conclusion from this study show that the three results only the hygiene processes pre-milking have results associated with Salmonella sp. contamination in cows' milk. Therefore, milkers are expected to maintain and improve dairy hygiene measures, especially before milking to prevent contamination of cow's milk.
High rate of multidrug-resistant Escherichia coli isolated from ready to eat: crispy fried chicken in Jember: a real threat to human health Suswati, Enny; Supangat
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: This study was conducted to assess prevalence and antibiotic resistance profile of E. coli from ready-to-eat crispy fried chicken (CFC) in Jember city, Indonesia. Methods: This cross-sectional study was conducted from November 2020 to April 2021 by collecting a total of 81 CFC samples from 27 food stalls in campus area using a simple random sampling method. Isolation and determination of E. coli use were performed by conventional culture method and an antibiotic susceptibility test was conducted by using Kirby Bauer disk diffusion method on the Mueller–Hinton agar. Result: Out of 81 CFC samples, 77 (95.06%) were positive for E. coli. High E. coli drug resistance was observed on ampicillin, amoxicillin, (100%) followed by cefixime (98.72%), erythromycin (97.59%), sulfamethoxazole (93.59%), azithromycin (83.33%), cefotaxime (78.28%), chloramphenicol (75.64%), and cefixime (74.36%). On the other hand, there was the highest susceptibility for ciprofloxacin (64.10%). Multidrug resistance was also found in 76/77 (98.70%) of the isolates. MAR index was 0.4-1. Conclusion: The resistance pattern CfmCroAmlAmpAzmCtxSxtCE was the most common among the E. coli isolates, with 17 showing it. The multiple antibiotic index (MAR index) ranged from 0.4 to 1. Hygienic measures should be rigorously implemented, and monitoring resistance of E. coli is required to reduce the risks related to the emergence of multi-resistant bacteria.
The Association between Environmental Sanitation and Soil Transmitted Helminths (STH) Coinfection of Tuberculosis Patients in Panti District, Jember Regency Nita Alfianti; Yunita Armiyanti; Bagus Hermansyah; Enny Suswati; Dini Agustina; Diana Chusna Mufida
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p354-361

Abstract

Tuberculosis (TB) is a contagious infectious disease caused by the bacteria Mycobacterium tuberculosis. More than 80% of TB cases attack the pulmonary organs and the rest are extra-pulmonary TB. Indonesia is one of the countries with the high number of tuberculosis cases besides India, China, the Philippines, and Pakistan. Aside from being a country with a high TB incidence, Indonesia is also an endemic country for helminth infections, especially Soil-Transmitted Helminths (STH). The high prevalence of STH infections in Indonesia allows STH coinfection in TB patients to cause decreasing immunity, thus affecting the outcome of TB infection. STH infection is very closely related to environmental sanitation. The purpose of this study was to identify and determine the association of environmental sanitation risk factors to the coinfection of Soil-Transmitted Helminths (STH) in tuberculosis patients in Panti District, Jember Regency. This type of research was observational research with cross-sectional analytic design. Of the 49 TB patients who were undergoing treatment at the Panti Health Center, 32 people were willing to be respondents, but only 25 people collected stool samples. Fisher's test results showed that the incidence of intestinal co-infection in TB patients in Panti District, Jember Regency was 12% and was caused by two STH species, namely A. lumbricoides and Hookworm. Environmental sanitation in TB patients was mostly good, e.g 54.5% of respondents had good environmental sanitation, but there was no significant association between environmental sanitation and the incidence of intestinal co-infection in TB patients in Panti District, Jember Regency (p> 0.05).
Prevalensi Resistansi Antibiotik pada Escherichia coli Penghasil Extended Spectrum Beta-Lactamase dari Sampel Ayam di Indonesia: Tinjauan Sistematis Enny Suswati; Laylatul Fitriah Mukarromah; Laksmi Indreswari
Jurnal Veteriner Vol. 26 No. 4 (2025)
Publisher : Faculty of Veterinary Medicine, Udayana University and Published in collaboration with the Indonesia Veterinarian Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19087/

Abstract

Berdasarkan statistik Food and Agriculture Organization (FAO) tahun 2006-2016 menunjukkan bahwa produksi unggas meningkat sebesar 4,0% per tahun di negara-negara berkembang. Berbagai jenis unggas dipelihara di Indonesia, salah satunya adalah ayam. Pada umumnya peternak ayam menggunakan Antibiotic Growth Promoters (AGPs) sebagai pakan imbuhan dan untuk mencegah infeksi pada ternaknya. Namun, sebagian besar peternak ayam kurang memiliki pengetahuan tentang sistem peternakan yang tepat dalam hal  penggunaan antibiotik. Akibatnya, terdapat kekhawatiran luas mengenai potensi munculnya dan penularan resistansi antibiotik pada manusia melalui rantai pasokan makanan dan komponen lingkungan.  Penelitian di Indonesia yang membahas tinjauan sistematis mengenai prevalensi resistansi antibiotik pada Escherichia coli penghasil Extended Spectrum Beta-Lactamase (ESBL) dari sampel ayam masih terbatas, oleh karena itu peneliti tertarik untuk melakukan penelitian ini. Artikel ini bertujuan untuk meninjau secara sistematis mengenai prevalensi resistansi antibiotik pada E. coli penghasil ESBL dari sampel ayam.  Database Pubmed, Springer, ScienceDirect, Google Scholar, dan Portal Garuda dicari dan dikumpulkan dari artikel terbitan tahun 2013 hingga 2023 untuk semua studi cross-sectional yang menunjukkan prevalensi resistansi antibiotik pada E. coli penghasil ESBL dari sampel ayam di Indonesia. Senanyak sembilan artikel memenuhi kriteria inklusi dan dilanjutkan penilaian kualitas dan ekstraksi data. Penelitian terbanyak berada di wilayah Jawa Timur yaitu delapan penelitian di Blitar dan satu penelitian di Surabaya. Penelitian yang dilaporkan menemukan bahwa resistansi antibiotik terhadap E. coli penghasil ESBL pada usap kloaka adalah 100%. Namun, pada sebagian besar penelitian, rata-rata angka resistansi antibiotik E. coli penghasil ESBL berada di bawah 50%. Sembilan penelitian yang dilakukan di Blitar dan Surabaya, rata-rata prevalensi resistansi antibiotik E. coli penghasil ESBL pada sampel ayam adalah 27%.
Contamination of Coliform Bacteria on Ocimum basilicum at Traditional Markets, Jember Regency Hanifah S Haq; Enny Suswati; Yudha Nurdian; Diana C Mufida; Angga M Raharjo
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 19 No. 2 (2023): December 2023
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol19.SMUMM2.23295

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Basil is one type of vegetable that can be consumed without any processing. Unprocessed vegetables can cause contamination from Coliform bacteria. This study aimed to determine the number and identification of coliform fecal bacteria as a biological indicator suitable for consumption. This study used descriptive observational with a cross-sectional from November 2020 to March 2021. The research locations are from 8 Traditional Markets in Jember and the Microbiology Laboratory, Faculty of Medicine Jember University. The sample in this study consisted of 40 samples from basil vegetable sellers. The Most Probable Number method was carried out in two stages in this study. First, a presumptive test using lactose broth, and two, a complete test using Eosin Methylene Blue. The results of the presumptive test obtained 100% of the number of MPNs that exceeded the maximum limit for food quality suitable for consumption, according to BPOM. The complete test results showed that 82.5% of basil was contaminated with fecal coliform bacteria, namely Escherichia coli. Practically all the samples were highly infected with coliform bacteria. Suggestions the community is expected to pay attention to techniques in washing and processing basil vegetables properly to break the chain of bacterial contamination
ANTIBIOGRAM OF PATIENTS WITH DIABETIC FOOT AT DR. SOEBANDI REGIONAL HOSPITAL OF JEMBER, INDONESIA Enny Suswati; Habib Mustofa; Bagus Hermansyah; Dini Agustina; Elly N Sakinah
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i1.5753

Abstract

Diabetic foot is a complication of diabetes mellitus that uses antibiotics to control the infection as the primary therapy. This study aimed to determine the type of bacteria and antimicrobial sensitivity patterns in diabetic foot. The samples were taken from the medical records of the patients with diabetic foot, who performed the swab culture and antimicrobial susceptibility testing in the inpatient and outpatient care in dr. Soebandi Regional Hospital. The samples used were the patients diagnosed with diabetic foot from January 1, 2014, to December 31, 2018. The data in this study were univariately analyzed. Forty-three pathogens were isolated from 40 patients with 12 ESBL isolates. The most common bacteria found were Gram-negative (90.7%), including Escherichia coli (33.33%), Klebsiella pneumoniae (12.82%) Pseudomonas aeruginosa (12.82%), Enterobacter cloacae (7.69%) and Proteus mirabilis (7.69%). Then, there were also 9.3% Gram-positive bacteria of all isolates, with Staphylococcus aureus as the most dominant species (50%). The antibiotic antimicrobial susceptibility testing also showed that Imipenem, amikacin, fosfomycin, cefoxitin, and netilmicin were the most sensitive antibiotics. The most common type of bacteria found was Escherichia coli, while the antibiotic still sensitive in most bacteria was imipenem.
Identifikasi Bakteri Patogen Sungai Bedadung di Jember Indonesia (Identification of Bedadung River Pathogen Bacteria in Jember, Indonesia) Enny Suswati; Dini Agustina; Rini Riyanti; Muhammad Ali Shodikin; Elly Nurus Sakinah; Desi Sandra Sari; Yuliana MDA; Ema Rachmawati
Jurnal Penelitian Pengelolaan Daerah Aliran Sungai (Journal of Watershed Management Research) Vol 8 No 1 (2024): Jurnal Penelitian Pengelolaan Daerah Aliran Sungai (Journal of Watershed Manageme
Publisher : Asosiasi Peneliti dan Teknisi Kehutanan dan Lingkungan Hidup Indonesia (APTKLHI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59465/jppdas.2024.8.1.1-16

Abstract

The Bedadung River is a typical environment where anthropogenic pollution often occurs thus rapidly changing the chemical and biological composition of the sediments and surface water. However, the effects of urbanization on the organization and diversity of the microbial community in rivers have not been adequately studied. A thorough examination of the microbial dispersion in the Bedadung River's surface water is presented. This research aims to determine the type and prevalence of pathogenic bacteria from Bedadung River water samples, Jember Regency. To investigate the prevalence of bacterial contaminants, sixteen sites along the Bedadung River were chosen. Bacterial isolation and identification using chromogenic media, such as Salmonella Chromogenic Agar (SCA) and Mannitol Salt Agar (MSA). Using API E 20 media, the bacteria were identified based on the color of the bacterial colonies in growth. The results indicated that contaminant bacteria isolated from Bedadung River water in Jember were S. aureus (96.67%), E. coli (98.33%), Salmonella sp. (96.67%), Shigella sp. (40%), and Proteus sp. (1.67%). These findings indicate that the river was a significant source of bacteria with a risk potential to humans and the environment that must be addressed. Many actions are needed to reduce fecal contamination of river water.
THE DIFFERENCE OF EOSINOPHIL AMOUNT IN TUBERCULOSIS PATIENTS WITH AND WITHOUT SOIL-TRANSMITTED HELMINTHS CO-INFECTION IN PANTI DISTRICT, JEMBER Nisrina Salsabila Firmansyah; Angga Mardro Raharjo; M. Ali Shodikin; Enny Suswati; Dini Agustina; Yunita Armiyanti
NurseLine Journal Vol. 5 No. 1 (2020): May 2020
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i1.60175

Abstract

Tuberculosis is one of the world's health problems, even in Indonesia. The immune response that needed to eliminate TB can be influenced by other infections, such as helminth infection. The helminth infections induce Th2 immune responses and eosinophilia to eliminate the helminths. Meanwhile, the Th2 response and eosinophilia can also suppress the Th1 immune response, which is very important to eliminate the bacterium M. tuberculosis and make a negative impact on the success of TB therapy. Thus, the eosinophil profile can describe the immune response in TB patients with helminth co-infection. This study aims to determine the prevalence of helminthiasis in TB patients and determine the differences in eosinophil amount in tuberculosis patients with and without helminth coinfection. This study was an observational analytic study with a cross-sectional design conducted at Panti local health center in August 2019-January 2020 using fecal and blood samples from 24 research subjects. Helminth co-infection status was obtained from fecal examination with sedimentation and flotation methods while the number of eosinophils was obtained from leukocyte counts. Data analysis used the Mann Whitney U test to determine differences in the number of eosinophils in the two groups. The results showed there was no difference in the number of eosinophils in TB patients with helminth coinfection and without helminth co-infection (p> 0.05). There was no typical picture of the number of eosinophils in both groups so that eosinophils cannot describe the immune response that arose in TB patients with helminth co-infections in Panti district, Jember.Further study is needed to measure IgE and interleukin (IL4 and IL10) to know the immune response in TB patients with helminth co-infection.
Meningococcal Meningitis In Children: A Case Report Muhammad Ali Shodikin; Achmad Haykal Baswedan; Dini Agustina; Diana Chusna Mufida; Enny Suswati; Bagus Hermansyah
Journal of Clinical and Translational Medicine Vol. 1 No. 1 (2026): August
Publisher : PT Litera Integra Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67580/medixis.v1i1.87

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Meningococcal meningitis is brain membrane (meninges) inflammation caused by Neisseria meningitidis (Meningococcus) bacteria. In the child population, meningococcal meningitis is a rapid-onset disease with high morbidity and mortality rates. In this case, a 7-year-old boy admitted to the Emergency Room of dr. Soebandi Hospital, Jember, presented with seizure, decreased of consciousness, fever, and positive meningeal signs. The results of laboratory and radiological investigations showed bacterial meningitis caused by Neisseria meningitidis bacteria. This patient was treated with antibiotics, symptomatic and supportive medication, which gave a good result. It is important to publish all clinical findings, laboratory examinations, and management of this case so that health workers are aware of the spread possibility of meningococcal meningitis.
Co-Authors Abu Khoiri Achmad Haykal Baswedan Aditya Oktavianto Ahmad Hasbi Al-Muzaky Ahmad Hasbi Al-Muzaky Angga M Raharjo Angga Mardro Raharjo Anggraini, Nanda Dewi Anisa Rizca Putri APRI KUNTARININGSIH Arifah Nur Hasanah Ariska Nur Aida Aryasatya, Dimas Widyadhana Bhanu asihanti rosita ferdiana Azham Purwandhono Bagus Hermansyah Bagus Hermansyah Bagus Satrio Pambudi Bagus Satrio Pambudi, Bagus Satrio Cholis Abrori, Cholis Desi Sandra Sari Desie D. Wisudanti Desie Dwi Wisudanti Devi Chintya Kumalasari Dian H. Purnamasari Diana C Diana C Mufida Diana C. Mufida Diana Chusna Mufida Dini Agustina Dwita Aryadina Dwita Aryadina Rachmawati Elly N Sakinah Elly Nurus Sakinah, Elly Nurus Elvia Rahmi Marga Putri Ema Rachmawati Erfan Efendi Habib Mustofa Hanifah S Haq Ika Rahmawati Sutejo Indra Samudra Rahmat Jauhani, Muhammad Afiful Jauhar Firdaus Joko Mariyono Kirana Nadyatara Kristianningrum Dian Sofiana Lailatis Shofia Laili, Nikmatul Laksmi Indreswari Laylatul Fitriah Mukarromah Lutfadaturroifa, Alya Wafaul M. Ali Shodikin Misnawi Misnawi Misnawi Misnawi Mufida Mufida Muhammad A. Shodikin Muhammad Alif Taryafi Mukarromah, Laylatul Fitriyah Nadhiva, Alvien Zahrotun Nexia Nevarachell Onny Amirsyah Nisrina Salsabila Firmansyah Nita Alfianti Nugraha, Bima Setia Sandya NUR K. AGUSTIN Nurhayati Nurhayati Pratama, Dava Rizky Prayoga Adinawer Sirait Probosutiksna, Nuno Febrian Probosutiksna, Nuno Febrian Putra Uta, Diego Rafi Putri, Elvia Rahmi Marga Putu Ayu Laksmi Lestari Rahmat, Indra Samudra Regina Finka Rini Riyanti Risty Pradana Linggan Wangi Rumastika, Nindya Shinta S.Pd. M Kes I Ketut Sudiana . Salsabila, Yuna Annisa Saskia Mediawati septa surya wahyudi, septa surya Shabri, Hammam Arif Shodikin, M Ali Shodikin, M. Ali Shofia, Lailatis Sudarmanto, Yohanes Supangat Supangat Supangat Supangat Supangat Suryono Suryono Syahputri, Siti Ananda Hardita Ulfa Elfiah Wahyuning Ati Ashari Wiwien Sugih Utami Wiwin Sugih Utami Yudha Nurdian Yudha Nurdian Yuliana MDA Yuna Annisa Salsabila Yunita Armiyanti Yunita Wulansari