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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Berkala Ilmu Kesehatan Kulit dan Kelamin Mutiara Medika: Jurnal Kedokteran dan Kesehatan Journal of Community Empowerment for Health Ahmad Dahlan Medical Journal Journal of Clinical Microbiology and Infectious Diseases Cermin Dunia Kedokteran
Devi Artami Susetiati
Departemen Dermatologi Dan Venereologi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Association between sexual orientation and sexual contact with the incidence of human immunodeficiency virus (HIV) infection in Dr. Sardjito General Hospital, Yogyakarta Imtihani, Hajar; Pudjiati, Angela Satiti Retno; Luthfiandi, Mochammad Rifky; Susetiati, Devi Artami
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 1 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.33 KB)

Abstract

Anal intercourse has been known to have a high risk of human immunodeficiency virus (HIV) transmission. The objective of this study was to evaluate the relationship between sexual orientation and the mode of sexual contact with the incidence of HIV infection. This was observational analytic study with cross sectional design. Subjects were new male patient who visited sexually transmitted infection (IMS) clinics at Dr. Sardjito General Hospital, Yogyakarta during 2016. Data were obtained from medical records. The HIV status was established from HIV rapid test and enzyme-linked fluorescent assay (ELFA). Data were analyzed using descriptive test and Pearson’s chi-squared test with significance level of p< 0.05. Among 167 subjects, 47.91% were in the age group 17 - 25 years old. Forty subjects (24%) had HIV positive status. The majority of subjects were heterosexuals (111 subjects (66.47%)), 43 subjects (25.75%) were homosexuals, and 13 subjects (7.8%) were bisexuals. HIV positive subjects were more common in homosexual groups than were heterosexual and bisexual (p
Vulvodinia, Diagnosis dan Penatalaksanaan Susetiati, Devi Artami
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 1 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v10i1.1565

Abstract

Vulvodynia is often described as discomfort or burning pain in the vulvar area, occurring in the absence of visible pathology or a specific, clinically identifiable disorder. The aim of this this article is to give more information about vulvodinia, diagnose and management with literature study method. The diagnosis of vulvodynia is made after taking a careful history, ruling out infectious or dermatologic abnormalities, and eliciting pain in response to light pressure on the labia, introitus, or hymenal remnants. Several treatment options have been used, although the evidence for many of these treatments is incomplete. Treatments include oral medications that decrease nerve hypersensitivity (e.g., tricyclic antidepressants, selective serotonin reuptake inhibitors, anticonvulsants), pelvic floor biofeedback, cognitive behavioral therapy, local treatments, and (rarely) surgery. Most women experience substantial improvement when one or more treatments are used. It can be concluded that vulvodinia ’s management until right now has not been standardized yet because of its etiology.Vulvodinia merupakan rasa tidak nyaman pada vulva, kebanyakan pasien merasa nyeri terbakar, stinging, iritasi, dan lecet pada daerah tersebut, keluhan berlangsung kronik tanpa disertai gambaran klinis yang spesifik atau gangguan neurologis. Tujuan penulisan makalah ini adalah untuk menambah wawasan tentang vulvodinia, diagnosis dan penatalaksanaannya dengan metode studi pustaka. Diagnosis vulvodinia ditegakkan berdasarkan anamnesis yang teliti dengan menyingkirkan infeksi atau kelainan kulit dan pemeriksaan rasa nyeri terhadap rangsang tekanan ringan pada labia, introitus, atau sisa-sisa himen. Beberapa pilihan terapi telah digunakan meskipun belum cukup terbukti efektivitasnya. Terapi oral dengan menggunakan obat-obatan yang dapat menurunkan hipersensitivitas saraf (misal antidepresan trisiklik, selective serotonin reuptake inhibitors, antikonvulsan), pelvic floor biofeedback, cognitive behavioral therapy, terapi lokal, dan yang jarang dilakukan adalah terapi bedah. Kebanyakan wanita penderita vulvodinia mengalami perbaikan yang berarti ketika menggunakan salah satu atau kombinasi terapi. Disimpulkan bahwa sampai saat ini belum ada standarisasi terapi vulvodinia, hal ini karena vulvodinia merupakan suatu penyakit dengan berbagai kemungkinan etiologi yang belum pasti.
Kejadian Luar Biasa Skabies Di Dusun Gunung Pentul Susetiati, Devi Artami
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (s) (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1 (s).1620

Abstract

Scabies remains a major public health problem in many developing countries according to data from primary health care. Community knowledge and practices about scabies influenced scabies outbreak. To determine community knowledge and practices of scabies in Gunung Pentul village, Kecamatan Pengasih, Kabupaten Kulonprogo. A cross-sectional study with descriptif analysis was performed in Gunung Pentul village on April 15th,2007. Data was collected by questioners. Questioner comprises of identity, house ’s conditions and environments, 12 questions of knowledge and 20 questions of attitude and practices. Sixty percent of total score considered to be good knowledge and practice. Subjects of this study were 37 persons whereas 14 were being males (n=37,8%). High score of knowledge is 56,8%, low score of knowledge is 43,2%. Whereas high score of practice is 54,1%, low score of practice is 45,9%. The environment of Gunung Pentul village actually was in good condition, but unfortunately the personal higiene was poor according to the lower score of knowledge and practice. Beside that they had no transportation, health service, and lower income.Skabies di negara berkembang merupakan masalah utama kesehatan kulit ditandai dengan adanya laporan kejadian luar biasa (KLB) skabies dari Puskesmas. Pengetahuan dan perilaku mempengaruhi penyebaran penyakit. Pengenalan bentuk lesi kulit dapat mendorong seseorang untuk secepatnya berobat. Pengetahuan mengenai cara penularan dapat membuat seseorang mencegah terjadinya endemik penyakit ini. Penelitian ini bertujuan untuk mengetahui pengetahuan dan perilaku masyarakat Dusun Gunung Pentul, Kabupaten Kulonprogo terhadap latar belakang terjadinya KLB skabies. Desain penelitian ini adalah penelitian deskriptif dengan cara potong lintang dilakukan pada semua subyek yang datang pada acara bakti sosial wabah skabies tanggal 15 April 2007 di Dusun Gunung Pentul. Data dikumpulkan dengan cara pengisian lembar kuesioner. Kuesioner berisi identitas, data rumah tinggal, 12 pertanyaan tentang pengetahuan, dan 20 pertanyaan tentang sikap dan perilaku. Penilaian skor pengetahuan dan perilaku ditentukan dengan cara menetapkan skor baik untuk pengetahuan dan perilaku sebesar nilai 60% dari total skor pertanyaan. Jumlah subyek yang bersedia mengisi kuesioner sebanyak 37 orang dengan 14 diantaranya laki-laki (n=37,8%). Hasil skor tinggi tingkat pengetahuan yaitu 56,8%, skor rendah 43,2%. Sedangkan skor tinggi tingkat perilaku yaitu 54,1%, skor rendah 45,9%. Lingkungan di Dusun Gunung Pentul cukup baik hanya saja kesadaran menjaga kesehatan pribadi masih banyak yang belum peduli. Hal ini terlihat dari skor tingkat pengetahuan dan perilaku yang masih rendah. Selain itu masih ada kendala lain seperti pendapatan per kapita perbulan dibawah UMR, transportasi terbatas dan kurangnya sarana kesehatan.
The role of Malassezia sp, sebum level and Trans Epidermal Water Loss (TEWL) toward the dandruff severity between hijab and non hijab wearing subjects Kristiana Etnawati; Agnes Sri Siswati; Satiti Retno Pudjiati; Devi Artami Susetiati; Dwi Retno Adiwinarni; Affendi Purbananto
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 3 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.968 KB) | DOI: 10.19106/JMedScie/0050032018011

Abstract

Dandruff is a common symptom in adolescence, which possibly due to increasing ofMalassezia sp. colonization, sebum level as well as skin hydration. Wearing hijab ispredicted to increase the humidity and sebum level lead to increase the number ofMalassezia sp. and dandruff severity. A case-control study was conducted on 19 femalewith dandruff who wear hijab and 19 female with dandruff who do not wear hijab, agebetween 18 and 27 years old. The dandruff severity was defined clinically using ascoring system (0-100), only subjects with minimum score of 28 will be included in thisstudy. The sebum and trans epidermal water loss (TEWL) levels were measured withSebumeter and Tewameter from Courage Khazaka. The Malassezia sp. was examinedusing microscopic examination of the squama and culture in the Saboraud medium.There were no significant differences found between hijab and non-hijab groups fordandruff severity. No difference found between two groups for sebum level, Malasseziasp. number microscopically, and Malassezia sp. colonization. Only TEWL level in hijabgroup that was found to be higher than non-hijab group. Wearing hijab does not increasethe dandruff severity, sebum level and colonization number of Malassezia sp. Wearinghijab is found to increase the TEWL level.
Kejadian Luar Biasa Skabies Di Dusun Gunung Pentul Devi Artami Susetiati
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 9, No 1 (s) (2009)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v9i1 (s).1620

Abstract

Scabies remains a major public health problem in many developing countries according to data from primary health care. Community knowledge and practices about scabies influenced scabies outbreak. To determine community knowledge and practices of scabies in Gunung Pentul village, Kecamatan Pengasih, Kabupaten Kulonprogo. A cross-sectional study with descriptif analysis was performed in Gunung Pentul village on April 15th,2007. Data was collected by questioners. Questioner comprises of identity, house ’s conditions and environments, 12 questions of knowledge and 20 questions of attitude and practices. Sixty percent of total score considered to be good knowledge and practice. Subjects of this study were 37 persons whereas 14 were being males (n=37,8%). High score of knowledge is 56,8%, low score of knowledge is 43,2%. Whereas high score of practice is 54,1%, low score of practice is 45,9%. The environment of Gunung Pentul village actually was in good condition, but unfortunately the personal higiene was poor according to the lower score of knowledge and practice. Beside that they had no transportation, health service, and lower income.Skabies di negara berkembang merupakan masalah utama kesehatan kulit ditandai dengan adanya laporan kejadian luar biasa (KLB) skabies dari Puskesmas. Pengetahuan dan perilaku mempengaruhi penyebaran penyakit. Pengenalan bentuk lesi kulit dapat mendorong seseorang untuk secepatnya berobat. Pengetahuan mengenai cara penularan dapat membuat seseorang mencegah terjadinya endemik penyakit ini. Penelitian ini bertujuan untuk mengetahui pengetahuan dan perilaku masyarakat Dusun Gunung Pentul, Kabupaten Kulonprogo terhadap latar belakang terjadinya KLB skabies. Desain penelitian ini adalah penelitian deskriptif dengan cara potong lintang dilakukan pada semua subyek yang datang pada acara bakti sosial wabah skabies tanggal 15 April 2007 di Dusun Gunung Pentul. Data dikumpulkan dengan cara pengisian lembar kuesioner. Kuesioner berisi identitas, data rumah tinggal, 12 pertanyaan tentang pengetahuan, dan 20 pertanyaan tentang sikap dan perilaku. Penilaian skor pengetahuan dan perilaku ditentukan dengan cara menetapkan skor baik untuk pengetahuan dan perilaku sebesar nilai 60% dari total skor pertanyaan. Jumlah subyek yang bersedia mengisi kuesioner sebanyak 37 orang dengan 14 diantaranya laki-laki (n=37,8%). Hasil skor tinggi tingkat pengetahuan yaitu 56,8%, skor rendah 43,2%. Sedangkan skor tinggi tingkat perilaku yaitu 54,1%, skor rendah 45,9%. Lingkungan di Dusun Gunung Pentul cukup baik hanya saja kesadaran menjaga kesehatan pribadi masih banyak yang belum peduli. Hal ini terlihat dari skor tingkat pengetahuan dan perilaku yang masih rendah. Selain itu masih ada kendala lain seperti pendapatan per kapita perbulan dibawah UMR, transportasi terbatas dan kurangnya sarana kesehatan.
Vulvodinia, Diagnosis dan Penatalaksanaan Devi Artami Susetiati
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 10, No 1 (2010)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v10i1.1565

Abstract

Vulvodynia is often described as discomfort or burning pain in the vulvar area, occurring in the absence of visible pathology or a specific, clinically identifiable disorder. The aim of this this article is to give more information about vulvodinia, diagnose and management with literature study method. The diagnosis of vulvodynia is made after taking a careful history, ruling out infectious or dermatologic abnormalities, and eliciting pain in response to light pressure on the labia, introitus, or hymenal remnants. Several treatment options have been used, although the evidence for many of these treatments is incomplete. Treatments include oral medications that decrease nerve hypersensitivity (e.g., tricyclic antidepressants, selective serotonin reuptake inhibitors, anticonvulsants), pelvic floor biofeedback, cognitive behavioral therapy, local treatments, and (rarely) surgery. Most women experience substantial improvement when one or more treatments are used. It can be concluded that vulvodinia ’s management until right now has not been standardized yet because of its etiology.Vulvodinia merupakan rasa tidak nyaman pada vulva, kebanyakan pasien merasa nyeri terbakar, stinging, iritasi, dan lecet pada daerah tersebut, keluhan berlangsung kronik tanpa disertai gambaran klinis yang spesifik atau gangguan neurologis. Tujuan penulisan makalah ini adalah untuk menambah wawasan tentang vulvodinia, diagnosis dan penatalaksanaannya dengan metode studi pustaka. Diagnosis vulvodinia ditegakkan berdasarkan anamnesis yang teliti dengan menyingkirkan infeksi atau kelainan kulit dan pemeriksaan rasa nyeri terhadap rangsang tekanan ringan pada labia, introitus, atau sisa-sisa himen. Beberapa pilihan terapi telah digunakan meskipun belum cukup terbukti efektivitasnya. Terapi oral dengan menggunakan obat-obatan yang dapat menurunkan hipersensitivitas saraf (misal antidepresan trisiklik, selective serotonin reuptake inhibitors, antikonvulsan), pelvic floor biofeedback, cognitive behavioral therapy, terapi lokal, dan yang jarang dilakukan adalah terapi bedah. Kebanyakan wanita penderita vulvodinia mengalami perbaikan yang berarti ketika menggunakan salah satu atau kombinasi terapi. Disimpulkan bahwa sampai saat ini belum ada standarisasi terapi vulvodinia, hal ini karena vulvodinia merupakan suatu penyakit dengan berbagai kemungkinan etiologi yang belum pasti.
Profil penyakit kulit pada pelajar sekolah asrama di Kabupaten Magelang, Jawa Tengah Tuntas Rayinda; Devi Artami Susetiati; Sri Awalia Febriana
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.382 KB) | DOI: 10.22146/jcoemph.38312

Abstract

Individuals who live in boarding schools often experience various skin diseases, both infection and non-infectious because of exposure to various risk factors such as hormonal changes, poor hygiene and sanitation, and dense living quarters. To date, data on the prevalence of disease in adolescents in boarding schools are still very limited. This study is an observational cross-sectional study that aims to describe skin diseases that often occur in adolescents who live in boarding schools. Surveys and clinical examinations are carried out by dermatologist. Based on a survey of 1,250 students aged 10 - 16 years, 1,073 students (85.8%) had at least one skin disease. A total of 1,073 cases from 27 different types of skin diseases were found in these students. The five most common skin diseases are dermatophytosis, scabies, acne vulgaris, ecthyma, and pityriasis versicolor. Education, periodic surveys, mass treatment, and interventions to improve hygiene and living conditions are key to success in the management of skin diseases in students living in boarding schools.
Identification of Streptococcus intermedius and Stenotrophomonas maltophilia in recurrent leucorrhoea: a case report Marselinus Edwin Widyanto Daniwijaya; Atthobari; Ade Christanti Putri Sidabutar; Devi Artami Susetiati; Titik Nuryastuti
Journal of Clinical Microbiology and Infectious Diseases Vol. 1 No. 2 (2021): Available Online: December 2021
Publisher : Indonesian Society for Clinical Microbiology (Perhimpunan Dokter Spesialis Mikrobiologi Klinik Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jcmid.v1i2.9

Abstract

Introduction: Leucorrhoea or fluor albus a whitish vaginal discharge is commonly found in reproductive women with familiar symptoms such as itching, with or without distinctive odor. Several factors are responsible for leucorrhoea including infectious and non-infectious factors. Streptococcus intermedius and Stenotrophomonas maltophilia are bacteria that cause infections that are rarely found in vaginal discharge. Case description: A 23-year-old woman, with a history of recurrent vaginal discharge, presented herself in the outpatient clinic dermatology and venereology RSUP Dr. Sardjito, with the main complaint of vaginal discharge. On the previous visit to the outpatient clinic, she was diagnosed with vulvovaginal candidiasis and received Azithromycin, ketoconazole.  Microbiology culture of the vaginal swab results in two bacterial infections Streptococcus intermedius and Stenotrophomonas maltophilia. Conclusion: A rare finding on the identification of Streptococcus intermedius and Stenotrophomonas maltophilia in outpatients with recurrent leucorrhoea. These findings suggest that Streptococcus intermedius and Stenotrophomonas maltophilia which is an uncommon profile of microorganism could also be assumed to be involved in recurrent leucorrhoea in this case report. Other pathogenic organisms should be considered since there limitation in the identification process in diagnostic of the patient.
Streptococcus agalactiae caused a Secondary Infection in Sexually Transmitted Infections : Case Report Nurpagino, Bombong; Apriyanto, Muchammad; Susetiati, Devi Artami; Nuryastuti, Titik
Ahmad Dahlan Medical Journal Vol. 5 No. 1 (2024): May 2024
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Streptococcus agalactiae is a gram-positive coccus bacterium that is rarely reported to cause genital infections in males. This study discusses case of a young man with lesions on the genital as a secondary infection caused by Streprococcus agalactiae. A 25-year-old man came to the dermatology and venereology clinic of Dr. Sardjito General Hospital, complaining of a wound on the penis that had not healed in the last 3 months ago, The patient has a history of having sex with men without using a condom and frequently changing partners. The patient was known to be infected with HIV (Human Immunodeficiency Virus) and the results of the IgG HSV-2 (Herpes Simplex Virus-2) serological examination were positive. The results of microbiological examination of the wound bed swab sample showed the growth of Streptococcus agalactiae. Previously the patient received antiretroviral therapy, clindamycin oral, and erythromycin cream. The wound on the penis got better, but before the wound completely recovered, the patient did not visit anymore. Streptococcus agalactiae secondary infection in cases of sexually transmitted infections is a rare case. In this case, the finding of Streptococcus agalactiae can be considered as a pathogen. In cases of sexually transmitted infections with sores on the genital, a microbiological examination is recommended to determine the causative microorganism, and an antibiotic sensitivity test to determine the therapy.  
Neisseria gonorrhoeae and Chlamydia trachomatis coinfection in a 20-year-old man with recurrent urethritis: a case report Prawarni, Vidyadhari Puspa; Prameshwara, Almarissa Ajeng; Susetiati, Devi Artami; Nuryastuti, Titik
Journal of Clinical Microbiology and Infectious Diseases Vol. 4 No. 2 (2024): Available online : 1 December 2024
Publisher : Indonesian Society for Clinical Microbiology (Perhimpunan Dokter Spesialis Mikrobiologi Klinik Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jcmid.v4i2.67

Abstract

Introduction: Neisseria gonorrhoeae and Chlamydia trachomatis are the two pathogens most commonly reported to cause sexually transmitted infections (STIs) worldwide. Coinfection between these two pathogens has been widely reported, but the incidence is still rarely reported due to challenges in diagnosis to prove the involvement of the two pathogens simultaneously. The molecular diagnostic approach is an effective option for this case and optimizing this method will able to help clinicians deciding management for the patients and prevent the spreading of the disease. This study aimed to present a case of N. gonorrhoeae and C. trachomatis coinfection in a 20-year-old man with recurrent urethritis. Case Description: A 20-year-old man presented to the Dermatology and Venereology clinic at Dr. RSUP. Sardjito with purulent discharge from the penis started a week prior. From the anamnesis and physical examination, the doctors suspected this patient with N. gonorrhoeae infection. N. gonorrhoeae was detected by microscopic examination, culture, and Real-Time Polymerase Chain Reaction (RT-PCR) examination, while C. trachomatis was also detected in RT-PCR. The patient was treated with azithromycin 1-gram single dose and cefixime 400 mg single dose. Discussion: The World Health Organization (WHO) reported that the incidence of STIs is always increasing. Most STIs are usually asymptomatic, but it can be presented as urethritis in male patients. For females, it can be given as leucorrhoea, pelvic inflammatory disease (PID), or other pregnancy complications. N. gonorrhoeae and C. trachomatis are the two main pathogens always reported annually and often found as coinfection. Due to the virulence factors of these bacteria, N. gonorrhoeae and C. trachomatis are very hard to diagnose with conventional culture methods, and the molecular approach is now an effective option to detect them and help prevent recurrence. Conclusion: Coinfection of N. gonorrhoeae and C. trachomatis is a case that is quite often encountered in clinical practice, but the incidence is rarely reported due to supporting examination methods to help confirm the presence of these two microorganisms are still limited. In cases of suspected infection by N. gonorrhoeae, C. trachomatis, or both simultaneously, the most recommended microbiological examination is to use molecular diagnostics such as PCR.
Co-Authors Ade Christanti Putri Sidabutar Affendi Purbananto Agnes Sri Siswati Anggraheni, Radijanti Apriyanto, Muchammad Arvianty, Intan Atthobari Dwi Retno Adiwinarni Febriana, Sri Awalia Imtihani, Hajar Kholidah, Siti Nurhayati Kristiana Etnawati Luthfiandi, Mochammad Rifky Marselinus Edwin Widyanto Daniwijaya Niken Trisnowati Nurmastuti, Hafidzah Nurpagino, Bombong Prameshwara, Almarissa Ajeng Prawarni, Vidyadhari Puspa Puspitasari, Monika Satiti Retno Pudjiati Satiti Retno Pudjiati Titik Nuryastuti Tuntas Rayinda Yolanda Pitra Kusumadewi