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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Indonesian Journal of Biotechnology Pharmacon Majalah Obat Tradisional INDONESIAN JOURNAL OF PHARMACY Paediatrica Indonesiana Jurnal Surya Medika Squalen Bulletin of Marine and Fisheries Postharvest and Biotechnology JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Majalah Farmaseutik JSFK (Jurnal Sains Farmasi & Klinis) PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia) Jurnal Ilmu Kefarmasian Indonesia Jurnal Mandala Pharmacon Indonesia ad-Dawaa : Journal of Pharmaceutical Sciences Indonesian Journal of Hospital Administration Jurnal Ilmiah Kesehatan (JIKA) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Ahmad Dahlan Medical Journal Berita Kedokteran Masyarakat Mandala of Health : A Scientific Journal Journal of Clinical Microbiology and Infectious Diseases Engagement: Jurnal Pengabdian Kepada Masyarakat Indonesian Journal of Biomedicine and Clinical Sciences Indonesian Journal of Pharmacology and Therapy
Titik Nuryastuti
Departemen Mikrobiologi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan (FKKMK), Universitas Gadjah Mada
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Penggunaan Seftriakson Vs Penisilin Pada Pasien Leptospirosis Berat: Tinjauan Naratif Yasin, Nanang Munif; Pujilestari, Dwi; Nuryastuti, Titik
Majalah Farmaseutik Vol 19, No 3 (2023)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v19i3.80477

Abstract

Leptospirosis penyakit demam septik akut yang disebabkan bakteri leptospira interrogan. leptospirosis merupakan salah satu penyebab zoonosis terpenting morbiditas dan mortilitas. Tatalaksana leptospirosis dengan menggunakan panduan yang diatur oleh Kemenkes pada tahun 2017. Antibiotik yang digunakan yakni penisilin atau seftriakson. Studi ini bertujuan untuk mengetahui efektivitas penggunaan antibiotik seftriakson di bandingkan penisilin dengan metode tinjauan naratif menggunakan artikel dari database Cochrane, Pubmed, dan Scopus. Pencarian artikel menggunakan kata kunci, leptospirosis, Weil’s syndrom, penisilin dan Seftriakson, case study, cohort dan Randomized Control Trial (RCT), yang terbit antara tahun 2012 hingga 2022. Hasil penyaringan didapatkan 8 artikel studi yang masuk kriteria inklusi dan eksklusi. Efektivitas antibiotik seftriakson lebih baik dari penisilin. Dengan luaran klinik pasien membaik. Kesimpulan pada studi tinjauan naratif ini, terapi leptospirosis selama rawat inap disesuaikan dengan kondisi klinik pasien. seftriakson dan penisilin merupakan antibiotik yang aman digunakan pada pasien leptospirosis. Penggunaan seftriakson lebih efektif digunakan sebagai pilihan terapi pada leptospirosis berat.
Gambaran Pengobatan Terapi Obat Antituberkulosis (OAT) Pada Pasien TB Koinfeksi HIV Di RSUD Abepura Jayapura Papua Anggraeni, Nuniek; Nuryastuti, Titik; Nurrochmad, Arief
Majalah Farmaseutik Vol 20, No 1 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i1.82706

Abstract

Tuberkulosis (TB) merupakan infeksi oportunistik yang banyak terjadi pada orang dengan HIV/AIDS, dan menjadi penyebab kematian utama. Pasien TB memerlukan terapi pemberian obat secara bersamaan dengan 4 macam obat Antituberkulosis (OAT), yang bila disertai dengan adanya koinfeksi HIV akan menambah jumlah pengobatan dengan ARV sehingga berisiko menyebabkan kegagalan terapi karena semakin banyak obat yang dikonsumsi dan dalam jangka waktu yang panjang. Tujuan penelitian ini untuk mengetahui gambaran terapi dan luaran klinik pada pasien TB koinfeksi HIV di RSUD Abepura Jayapura Papua. Analisis data dilakukan secara deskriptif menggunakan metode univariat meliputi data karakteristik subjek, gambaran penggunaan obat dan luaran klinik TB. Sampel terdiri dari 32 pasien TB koinfeksi HIV selama periode 1 Januari 2019 sampai dengan 31 Desember 2021 yang baru terdiagnosis TB dan HIV secara bersamaan, mendapat terapi OAT dan belum pernah mendapat terapi ARV sebelumnya. Kelompok pasien TB koinfeksi HIV lebih banyak ditemukan pada kelompok usia muda dan produktif 18-40 tahun (93,75%), laki-laki (68,75%), pasien yang bersekolah pada tingkat menengah atas (68,75%), pasien yang belum menikah (62,50%), tidak bekerja (56,25%), dan banyak terjadi pada suku papua (90,63%). Lokasi anatomi yang paling banyak terjadi pada paru (75%), sediaan OAT yang paling banyak digunakan dalam bentuk kombipak (84,38%), paduan OAT yang banyak digunakan RHZE (93,75%) dengan durasi 6-8 bulan (50%). Tingkat keberhasilan terapi mencapai 62,5% (pasien sembuh 21,88% dan pengobatan lengkap 40,62%), dengan pasien putus pengobatan 37,5%.
Gambaran Efektivitas Terapi Antiretroviral Paduan Rejimen TLD (Tenofovir + Lamivudin+ Dolutegravir) pada Pasien HIV di RSUP Dr. Mohammad Hoesin Palembang Susanti, Diah; Nuryastuti, Titik; Ikawati, Zullies
Majalah Farmaseutik Vol 20, No 3 (2024)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v20i3.85457

Abstract

Dolutegravir (DTG) merupakan obat Antiretroviral (ARV) golongan integrase inhibitor (INSTI) terbaru yang pada tahun 2019 World Health Organization (WHO) merekomendasikannya sebagai pilihan terapi ARV lini pertama dan kedua pada pasien Human Immunodeficiency Virus (HIV). Di Indonesia, DTG direkomendasikan pada Juli 2020 sebagai penyempurna pedoman rejimen ARV. Tujuan penelitian ini untuk mengetahui gambaran efektivitas terapi ARV paduan rejimen TLD (Tenofovir + Lamivudin + Dolutegravir) yang merupakan rejimen pilihan dan alternatif baru pada pasien HIV di RSUP Dr. Mohammad Hoesin Palembang. Analisis data dilakukan secara deskriptif dengan rancangan kohort retrospektif, menggunakan statistik univariat meliputi data karakteristik subjek dan efektivitas terapi ARV paduan rejimen TLD. Sampel penelitian ini terdiri dari 100 pasien HIV yang mulai menggunakan terapi ARV selama periode 1 April 2020 sampai dengan 30 September 2021. Kriteria inklusi dalam penelitian ini adalah pasien HIV baru yang mendapat terapi ARV paduan rejimen TLD dan berusia ≥18 tahun, sedangkan kriteria eksklusi adalah pasien HIV yang menggunakan terapi ARV paduan rejimen TLD mengganti paduan rejimen sebelum enam bulan terapi. Pasien HIV yang menggunakan paduan rejimen TLD pada penelitian ini lebih banyak berjenis kelamin laki-laki (77%), berusia produktif 20-49 tahun (89%), berpendidikan lulusan SLTA (51,8%), bekerja (68,9%), sudah menikah (48,5%) dan berasal dari luar kota Palembang (55%). Saat awal terdiagnosa HIV, pasien paling banyak pada stadium klinis satu (36,4%), status fungsional kerja (61%) dan ada infeksi oportunistik (61%). Hasil dari pemeriksaan viral load dan CD4 setelah enam bulan terapi yaitu lebih banyak pasien yang viral load < 200 kopi/ml (93,8%) dan kadar CD4 ≥ 200 mm3/sel (66,7%), hal ini menunjukkan bahwa terapi TLD efektif berdasarkan dari respon virologis dan imunologis yang baik. Namun dari hasil analisis hubungan karakteristik dengan viral load dan CD4, nilai P > 0,05 yang artinya karakteristik pasien tidak berpengaruh signifikan terhadap hasil viral load dan CD4 setelah enam bulan terapi.
The profile of bacteria isolated from urine culture of adults with urinary tract infection in Yogyakarta 2007-2022 Aman, Abu Tholib; Nuryastuti, Titik; Aman, Alia Hanifa; Linda, Vitia Ajeng Nur; Mawarti, Yuli
Indonesian Journal of Biomedicine and Clinical Sciences Vol 56 No 3 (2024)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v56i3.15890

Abstract

Local data regarding antimicrobial susceptibility patterns of bacteria from urine culture is limited in Indonesia, particularly in Yogyakarta. This study was conducted to provide epidemiology data of bacteria and their resistance profile, including the profile of bacteria that producing extended-spectrum beta-lactamase (ESBL) and carbapenemase in the urine of patients with urinary tract infection (UTI) in Yogyakarta. A descriptive retrospective study was conducted by assessing laboratory records of urine culture from adult patients at the Microbiology Laboratory, Department of Microbiology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta between 2007 and 2022. Of the 842 urine cultures, 464 (55.11%) isolates were recovered. Among thisolates, 50 (10.78%) were fungi, 67 (14.44%) were Gram-positive bacteria, and 347 (74.78%) were Gram-negative bacteria. Enterococcus sp. (41 (61.19%)) was the most bacteria found in the Gram-positive bacteria group, while Escherichia coli (38.90%) were the most bacteria found in the Gram-negative bacteria group. This study also identified Gram-negative bacteria producing ESBL enzymes (58.70%) and carbapenemases (27.94%). Gram-negative bacteria are the most common bacteria found in urine cultures of adult UTI patients in Yogyakarta, and the resistance profile of these bacteria is concerning.
Non-dermatophytic onychomycosis caused by Fusarium spp. in a 58-year-old agricultural worker: a case report Aminy, Sayyidah A.; Amaia, Devika N.; Soebono, Hardyanto; 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.v4i2.66

Abstract

Introduction: Onychomycosis is a nail infection caused by dermatophytes, non-dermatophytes, and yeast. Fusarium spp. is one of the non-dermatophyte molds that can cause onychomycosis. A superficial infection with these fungi can lead to an invasive infection. Few case reports of onychomycosis caused by Fusarium spp. in Indonesia have been documented. Case description: We present a case of a 58-year-old male patient with a history of hepatitis B, atopic dermatitis, and corticosteroid consumption. Hyperkeratosis with a yellowish color was observed, and small particles of cornified material were discovered beneath both of his great toenails. Onychomycosis is assessed based on clinical symptoms. Mycological examinations were done by KOH examination and culture. Macroscopic examination of the culture revealed a white, cottony-looking mold with a non-pigmented reverse. Microscopic examination showed the septate hyphae, the canoe-shaped macroconidia, and the oval microconidia. We diagnosed onychomycosis caused by Fusarium spp. Based on macroscopic and microscopic examination. The antifungal susceptibility test showed a high MIC against several antifungal agents. Conclusion: It is important to be cautious for onychomycosis caused by Fusarium spp. infection as superficial infection can progress to invasive disease. Given the high prevalence of Fusarium spp. resistance to the antifungal group, antifungal treatment selection should be carefully considered.
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.
Ceftriaxone-and-cefixime-resistant Neisseria gonorrhoeae in a 26-year-old-male with gonococcal urethritis: a case report Prameshwara, Almarissa Ajeng; Prawarni, Vidyadhari Puspa; 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.v4i2.68

Abstract

Introduction: Gonorrhoea is the most prevalent sexually transmitted infection (STI) in Indonesia. The increasing resistance of Neisseria gonorrhoeae to antibiotics has prompted the World Health Organization (WHO) to classify gonorrhoea as an urgent public health threat. Reports of resistance to third generation extended-spectrum cephalosporins (ESCs), such as cefixime and ceftriaxone, against N. gonorrhoeae are rare in Indonesia. This study aims to present a case of cefixime and ceftriaxone resistance in a 26-year-old man with gonococcal urethritis. Case Description: A 26-year-old man presented to an STI clinic with a two-week history of increased urethral discharge. He reported a history of sexual activity with multiple partners. Physical examination revealed mucopurulent exudate and thick greenish-white pus from the external genitalia. Microscopic examination of a urethral smear identified numerous polymorphonuclear cells (>10 PMN/high-power field) and Gram-negative intracellular diplococci. Bacterial culture confirmed the presence of Gram-negative diplococci consistent with N. gonorrhoeae. Polymerase chain reaction (PCR) testing further confirmed N. gonorrhoeae. Susceptibility testing revealed resistance to both cefixime and ceftriaxone. The patient was treated with dual therapy, consisting of a single oral dose of azithromycin (1 g) and cefixime (400 mg). Complete symptom resolution was achieved within one week. Conclusion: Third-generation ESCs, including injectable ceftriaxone and orally administered cefixime, are the most commonly used antibiotics for gonorrhoea treatment. Resistance to these drugs represents a significant global health threat. Discrepancies between antibiotic susceptibility test results and clinical outcomes highlight the need for further investigation into underlying factors contributing to treatment efficacy.
The Marine Actinobacterium Streptomyces sp. BTA 1-131 as a Potential Producer of Anti-Nontuberculous Mycobacterial (Anti-NTM) Paramita, Ni Luh Putu Vidya; Atikana, Akhirta; Sukmarini, Linda; Untari, Febriana; Prayoga, Muhammad Bagas; Maulidia, Faiqoh Nur; Ratnakomala, Shanti; Lisdiyanti, Puspita; Nuryastuti, Titik; Hertiani, Triana
Squalen, Buletin Pascapanen dan Bioteknologi Kelautan dan Perikanan Vol 19, No 3 (2024): December 2024
Publisher : :Agency for Marine and Fisheries Research and Human Resources, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15578/squalen.882

Abstract

Nontuberculous mycobacteria (NTM) are environmental microorganisms, also known as opportunistic pathogens, found in patients with pulmonary tuberculosis. The emergence of antibiotic resistance is increased by prolonged antibiotic treatment for NTM infections. Therefore, alternative sources of new antibiotics are essential for the treatment of NTM infections. A marine actinobacterium, Streptomyces sp. BTA 1-131, isolated from a marine sponge, Melophlus sarasinorum, has been reported as a potential source of antibacterials and anticancer agents. The present study aimed to investigate the potential of Streptomyces sp. BTA 1-131 against two NTMs: Mycobacterium smegmatis and Mycobacterium fortuitum. Streptomyces sp. BTA 1-131 was fermented in three cultivation media (SYP, ISP2, and YS), and the secondary metabolites were extracted using methanol. The bioactivity screening showed inhibition of all methanolic extracts against the growth of M. smegmatis and M. fortuitum. The methanolic extract, which could inhibit both mycobacteria, was a crude extract derived from SYP liquid medium fermentation. The isolated compounds in this study were preliminarily identified using thin-layer chromatography (TLC). The TLC results showed different potential compounds in the crude extracts of Streptomyces sp. BTA 1-131 also highlighted the impact of the fermentation medium on the production of metabolites from Streptomyces. This study also added knowledge about the importance of the Indonesian marine actinobacterium Streptomyces sp. BTA 1-131 as a promising producer of anti-NTM compounds.
Perbandingan antara Efektivitas Penggunaan Fluorokuinolon VS Beta-Laktam dan/atau Makrolida pada Pasien Pneumonia Komunitas Rawat Inap: Sebuah Kajian Literatur Riandika, Andi Amelia Sari; Yasin, Nanang Munif; Nuryastuti, Titik
Majalah Farmaseutik Vol 21, No 1 (2025)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v21i1.94339

Abstract

Pneumonia komunitas merupakan infeksi pneumonia yang diperoleh dari lingkungan masyarakat atau dari luar rumah sakit, di mana rejimen antibiotik pasien dengan pneumonia komunitas adalah monoterapi fluorokuinolon (FK) atau dengan kombinasi beta laktam (BL) dan  makrolida (MD). Review ini membandingkan efektivitas penggunaan antara monoterapi FK dengan BL±MD pada pasien dewasa pneumonia komunitas yang dirawat inap. Studi kontrol terandomisasi dilibatkan dalam review artikel ini mengikuti daftar checklist PRISMA. Hasil review dari 6 studi kontrol terandomisasi menunjukkan bahwa monoterapi dengan FK memiliki efektivitas yang serupa dengan terapi rejimen BL+MD pada pasien pneumonia komunitas mild hingga moderate. Monoterapi BL, rejimen BL+MD, dan monoterapi FK memiliki efektivitas yang serupa pada pasien pneumonia komunitas mild hingga moderate dan yang dirawat inap di ruangan non intensive care unit (non-ICU). Monoterapi MD tidak kalah dengan monoterapi FK dari segi efektivitas pada pasien pneumonia komunitas bakterial mild hingga moderate. Kesimpulannya, antara monoterapi FK, monoterapi BL, monoterapi MD, dan kombinasi BL+MD memiliki profile efektivitas yang serupa.
Identifikasi Faktor yang Mempengaruhi, Mikroorganisme, dan Sensitivitas Antibiotik Pada Pasien Ulkus Kaki Diabetik : Kajian Literatur Maulidiah, Rizka; Yasin, Nanang Munif; Nuryastuti, Titik
Majalah Farmaseutik Vol 21, No 2 (2025)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v21i2.94342

Abstract

Komplikasi yang dapat terjadi pada pasien diabetes yaitu adanya ulkus yang berisiko terjadi infeksi yang dapat berkibat gangguan neurologis dan pembuluh darah perifer pada bagian ekstremitas bawah. Ulkus ditandai dengan terjadinya kerusakan kulit yang disertai dengan menghilangnya epitel yang bisa meluas hingga dermis dan lapisan yang lebih dalam. Penulisan artikel ini bertujuan melihat faktor yang mempengaruhi, mikroorganisme, dan sensitivitas antibiotik pasien ulkus diabetikum.  Penelitian ini dilakukan dengan metode PRISMA dengan mencari data pada database seperti Scopus. Hasil yang didapatkan dari review yaitu faktor yang dapat mempengaruhi komplikasi ulkus diabetik diantaranya yaitu usia, jenis ulkus, kedalaman dan derajat ulkus, kekambuhan, tingkat obesitas, BMI, penggunaan antibiotik yang tidak tepat, dan osteomielitis mempunyai hubungan dengan infeksi MDR pada pasien infeksi kaki diabetik bakteri gram negatif yang sering ditemukan yaitu Pseudomonas aeruginosa, Klebsiella penumonia, Proteus mirabillis, dan Escherichia coli. Sedangkan bakteri gram positif yang sering ditemukan yaitu Staphylococcus aureus dan Enterococcus faecalis. Bakteri gram negatif mempunyai sensitivitas yang baik terhadap amikasin, sedangkan vancomysin, teicoplanin, dan tigecycline mempunyai sensitivitas yang baik pada bakteri gram positif.
Co-Authors . Mursiti Abu Tholib Aman Ade Christanti Putri Sidabutar Afdina Melya Ganes Febiyanti Aflifia Birruni Sabila Aisyah Nur Sapriati Altaufik Ngani Amaia, Devika N. Amalia Setyati Aman, Alia Hanifa Aminy, Sayyidah A. Andi Ameilia Sari Riandika Anggraeni, Nuniek Annisa Aulia Savitri Annisa Somaningtyas Anton Pratama Apriyanto, Muchammad Arief Nurrochmad Arta Farmawati As, Musdalifa Asysyifa, Azzahra Atikana, Akhirta Atthobari Avanilla Fany Septyasari Ayu Rahayu Bastiaan P. Krom, Bastiaan Bastian P. Krom Cicilia Widhi Astuti Cindy Elvionita Daniwijaya, Edwin Widyanto Daru Estiningsih Dessy Kurnia Sari Devi Artami Susetiati Dewi Anggraini Dewi Purbaningsih Dhannia Fitratiara Diah Susanti Dicky Moch Rizal Dicky Moch Rizal Diyan Ajeng Rossetyowati Diyan Ajeng Rossetyowati Djoko Wahyono Djoko Wahyono Domas Fitria Widyasari Dwi Aris Agung Nugrahaningsih Dwi Cahyani Ratna Sari Dwi Utami Anjarwati Dwikisworo Setyowireni E. Elsa Herdiana Murhandarwati Edwin W. Daniwijaya Eggi Arguni Elya Antariksana Bachmida Emi Rusdiyati Endang Estriningsih Ervina Damayanti Estiningsih, Daru Estriningsih, Endang Eti Nurwening Sholikhah Firdhani Satia Primasari Fita Rahmawati Fita Rahmawati Galang Ridha Allatief Hakim, Mohamad Saifudin Hamzah, Hasyrul Hananun Zharfa Hanifah Handi Virawan Hanggoro Tri Rinonce Hardyanto Soebono Henk J. Busscher Henk J. Busscher, Henk J. Henny C. van der Mei Henny C. van der Mei, Henny C. Hera Nirwati Ika Puspita Sari Ika Puspita Sari Ika Puspita Sari IKA PUSPITA SARI Ika Puspita Sari Ika Puspita Sari Ika Puspita Sari Ika Puspitasari Ika Puspitasari Ika Puspitasari Ika Puspitasari Ilma Tazkiya Iman Iman Ishak SKM., MPH IWAN DWIPRAHASTO Jaya, Sudi Indra Kholidah, Siti Nurhayati Kris Kurniawan Kuwat Triyana LINDA SUKMARINI Linda, Vitia Ajeng Nur Lucky Herawati Luthvia Annisa Mansyar, Putri Purnama Sari Marselinus Edwin Widyanto Daniwijaya Maulidia, Faiqoh Nur Maulidiah, Rizka Mawarti, Yuli Meilia Nhadia Amalia Mubasysyir Hasanbasri Mujahidah, Mujahidah Mukhriani, Mukhriani Munifah Wahyuddin Mursiti, Mustofa, Handry Darussalam, Titik Nuryastuti, Mursiti, Mustofa Mustofa Nanang Munif Yasin Ni Luh Putu Vidya Paramita Niken Puspitasari Ning Rintiswati Nunung Yuniarti Nunung Yuniarti Nurkhalika, Rachmi Nurpagino, Bombong Nurrahma, Bira Arumndari Prameshwara, Almarissa Ajeng Praseno Praseno Pratama, Anton Prawarni, Vidyadhari Puspa Prayoga, Muhammad Bagas Primasari, Firdhani Satia Pujilestari, Dwi Purnomo, Galih Santo PUSPITA LISDIYANTI Qonita Imma Irfani Rachma Dewi Isnaini Putri Rahmawati, Fita Rakhmat Ari Wibowo Rebriarina Hapsari Retno Wahyuningrum Rina Susilowati Rina Triasih Ritmaleni, Ritmaleni Rizal Fauzi Rizka Humardewayanti Asdie Rizka Humardewayanti Asdie Rizqi Nurul Khasanah Roel Kuijer Roel Kuijer, Roel SAMUEL BUDI Sapriati, Aisyah Nur Setiawati, Setiawati SHANTI RATNAKOMALA Subagus Wahyuono Supriyati Susi Iravati Syarifa, Cut Alima Sylvia Utami Tunjung Pratiwi Takushi Kaneko Tatang Irianti Teguh Triyono Tina Amnah Ningsih Titi Ira Pangestuti Tri Murti Andayani Tri Murti Andayani Tri Ratnaningsih Tri Wibawa Triana Hertiani Tristina Devi Azzahra Untari, Febriana Vera Olfiana Wahyuddin, Munifah Widodo, Irianiwati Wihda Yanuar Wihda Yanuar Yanuar, Wihda Yeli Trimayanti Yolanda Pitra Kusumadewi Yusrizal Djam’an Saleh ZULLIES IKAWATI