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All Journal Jurnal Analis Kesehatan Jurnal Kesehatan Jurnal Pengabdian Masyarakat Sasambo
Maria Tuntun
Departemen Mikrobiologi, Fakultas Kedokteran Universitas Indonesia, Jakarta
Health Professions Immunology & microbiology Public Health

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PEMBERDAYAAN KELOMPOK KADER TB MENINGKATKAN KAPASITAS DIRI DALAM PELAKSANAAN PENGAWASAN MINUM OBAT ANTI TB (OAT) SECARA TERATUR PADA PENDERITA TB PARU FASE LANJUTAN Aminah, Siti; Tuntun, Maria; Lendawati
Jurnal Pengabdian Masyarakat Sasambo Vol. 6 No. 2 (2025): Mei
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jpms.v6i2.1778

Abstract

Pulmonary tuberculosis (TB) is an infectious disease commonly found in India, Indonesia, China, the Philippines, and Pakistan. According to the 2021 global report, Indonesia recorded 824,000 TB cases, but only 393,323 cases (48%) were detected, treated, and reported. In Bandar Lampung, with a population of 1,184,949 in 2021, there were 1,463 suspected TB cases in 2022. The case detection rate (CDR) in Bandar Lampung reached 40%, with a cure rate of 43.2% (1,153 patients). There were 48 deaths during treatment (1.8%). In Panjang District, which consists of eight sub-districts, 187 TB cases were identified, with a cure rate of 38.4%. Based on surveys and information from active TB cadres, poor medication adherence is a major factor in low cure rates. Patients often forget to take their medication or stop taking it once they feel better, increasing the risk of multidrug-resistant TB (MDR-TB). The main challenges include a lack of active TB cadres as treatment supervisors (PMOs), the absence of training programs, and the unavailability of a logbook for monitoring treatment. The proposed solution involves recruiting active TB cadres, providing training, offering guidance, and supplying logbooks. The implementation method includes recruitment interviews, cadre training, and mentoring. Each TB cadre is responsible for five TB patients in the continuation phase of treatment. This community service program's outcome was forming a TB cadre group consisting of 10 PMOs in Panjang District. As a result of the cadres' efforts, 45 TB patients (90%) completed their treatment and were declared cured, 3 patients (6%) continued treatment at a referral hospital, and one patient (2%) passed away. This program highlights the vital role of cadres in improving pulmonary TB recovery rates.
Efektivitas Handrub Berbahan Alkohol Dengan Handrub Benzalkonium Chlorida Terhadap Angka Kuman Pada Tangan Perawat : The Effectiveness Of Alcohol Handrub With Benzalkonium Chlorida Handrub On Germs Numbers On The Hand Of A Nursing Tuntun, Maria; Siti Aminah; Dwi Aulia Ramdini
Jurnal Analis Kesehatan Vol. 14 No. 1 (2025): Jurnal Analis Kesehatan
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v14i1.5051

Abstract

Abstrak: Tujuan penelitian mengetahui efektivitas handrub berbahan alkohol dengan handrub benzalkonium chlorida terhadap angka kuman pada tangan perawat. Jenis penelitian adalah quasi eksperimen dengan desain one group pre test – post test. Subjek penelitian adalah perawat yang bekerja di ruang rawat inap RS. Imanuel Kota Bandar Lampung, yang dibagi 2 kelompok yaitu kelompok handrub berbahan alkohol dan kelompok handrub benzalkonium chloride, dengan waktu 30, 60, 90, dan 120 detik dan pengulangan sebanyak 6 kali. Bakteri diidentifikasi sampai genus/spesies bakteri. Data dianalisis dengan uji t berpasangan. Hasil penelitian menunjukkan Penurunan angka kuman terbanyak setelah mengaplikasikan handrub berbahan alkohol yaitu pada waktu 30 detik (73,91%), sedangkan setelah mengaplikasikan handrub benzalkonium klorida yaitu pada waktu 120 detik (37,00%). Efektivitas waktu pada 30, 60 dan 90 detik didapatkan perbedaan yang signifikan penggunaan handrub berbahan alkohol dibandingkan handrub benzalkonium klorida, dengan p-value 0,000; 0,001 dan 0,03. Sedangkan waktu 120 detik didapatkan p-value 0,044. Genus/spesies bakteri terbanyak adalah Bacilus sp (28,8%) diikuti S. epidermidis (21,7%) dan P. mirabilis (13,1%), yang paling sedikit P. peneri (9,1%).
Co-Authors . Andriansjah Abdul Munim Dinutanayo, Wimba Widagdho DWi Aulia Ramdini Hidayat Hidayat Lendawati Marhamah Marhamah Pudji Rahayu Rentha Hasibuan, Tiatira Magdalena SITI AMINAH Siti Aminah Siti Aminah SRI UJIANI Suhesty, Citra Yusrizal CH, Yusrizal CH Yusrizal Yusrizal