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All Journal Jurnal Kedokteran Diponegoro Public Health of Indonesia Jurnal Kesehatan Reproduksi
Nur Farhanah, Nur
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Health Professions Medicine & Pharmacology Nursing Public Health

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ANALISIS FAKTOR-FAKTOR RISIKO YANG MEMPENGARUHI MORTALITAS PADA PASIEN COMPLICATED INTRA ABDOMINAL INFECTIONS Puspitadewi, Elisabeth Sukma; Farhanah, Nur; Mughni, Abdul
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 7, No 2 (2018): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.661 KB) | DOI: 10.14710/dmj.v7i2.21474

Abstract

Latar Belakang: Complicated Intra Abdominal Infections merupakan penyakit infeksi intra abdominal yang membutuhkan perhatian lebih terkait dengan prognosisnya yang buruk dan angka kematian yang cukup tinggi. Faktor-faktor yang mempengaruhi mortalitas pada CIAIs diantaranya adalah jenis kelamin, usia, luas peritonitis, durasi antara diagnosis hingga tindakan operasi, karakter cairan, asal organ, kegagalan organ, dan keganasan.Tujuan: Menganalisis faktor-faktor yang mempengaruhi mortalitas pada pasien CIAIs berdasarkan skor Indeks Peritonitis Mannheim (IPM).Metode: Penelitian observasional analitik dengan metode kohort retrospektif yang dilakukan pada bulan Agustus-September 2017. Sampel kasus merupakan pasien CIAIs yang meninggal setelah dirawat di RSUP Dr. Kariadi Semarang, sedangkan sampel kontrol merupakan pasien CIAIs yang bertahan hidup setelah dirawat di RSUP Dr. Kariadi Semarang. Data diambil dari catatan medis pasien kemudian dianalisis menggunakan univariat, bivariat, dan multivariat dengan SPSS 21.Hasil: Pada penelitian ini didapatkan 32 pasien sebagai kasus dan 19 pasien sebagai kontrol. Setelah dilakukan uji Chi-Square diperoleh nilai kemaknaan hubungan antara variabel dengan mortalitas sebagai berikut: jenis kelamin (p = 0,489 [RR = 1,167]), usia (p = 0,389 [RR = 0,829]), luas peritonitis (p = 0,262 [RR = 1,630]), durasi (p = 0,015 [RR = 1,981]), karakter cairan (p = 0,405 [RR = 0,833]), asal organ (p = 0,443 [RR = 1,148]), kegagalan organ (p = 0,000388 [RR = 2,945]), keganasan (p = 0,611 [RR = 0,790]).Kesimpulan: Variabel durasi dan kegagalan organ memiliki hubungan yang bermakna, sedangkan variabel lainnya berhubungan tidak bermakna.
Perbandingan Luaran Maternal dan Perinatal Kehamilan Terkonfirmasi Covid-19 antara Gelombang Pertama dan Kedua Pandemi Irsan, Raissa Alifia; Farhanah, Nur; Trisetiyono, Yuli; Cahyanti, Ratnasari Dwi
JURNAL KESEHATAN REPRODUKSI Vol 10, No 3 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.81781

Abstract

Background : New cases of COVID-19 continued to emerge due to the new variants. Pregnant women are more susceptible to severe infections.Objective : To compare the effect of COVID-19 infection on maternal and perinatal outcomes in the first and second waves.Method : An analytical observational study with a cross-sectional design was used. Samples were selected by consecutive sampling from the medical record data of RSUP Dr. Kariadi Semarang, Indonesia, with 47 cases during the first wave (1 August 2020 to 14 May 2021) and 47 cases during the second wave (16 May to 30 September 2021). Data were analysed using univariate, chi-square, fisher’s exact, and logistic regression tests with a significant value of p <0,05.Results and Discussion : Pneumonia, ICU admission, and oxygen consumptions were higher in the second than the first wave as 87.23% VS 70.21%; p = 0.044, 36.17% VS 14.89%; p = 0.018, 65.96% VS 12.77%; p < 0.0001 respectively. The severe COVID-19 infection and maternal mortality increased in the second wave (51,06% VS 14,89%; p = 0.009; 29,79% VS 8,51%; p = <0.001). There were no differences in perinatal outcomes between the first and second waves such as fetal distress, fetal growth retardation, low birth weight, nICU admission, and mortality (0.00% VS 8.51%; p = 0.117, 0.00% VS 4.26%; p = 0.495, 12.77% VS 25.53%; p = 0.116, 12.77% VS 21.28%; p = 0.272, 4.26% VS 8.51%; p = 0.677). The incidence of COVID-19 infection in neonates remained low in both waves at 17.02% VS 12.77%; p = 0.562.Conclusion : Even though a high number of severe diseases to maternal deaths were found during the second wave, neonatal COVID-19 infections remained low. 
The Combination Diagnostic Test for Tuberculosis Screening in HIV Patients in Referral Hospitals in Indonesia Murtiani, Farida; Rosamarlina, Rosamarlina; Purnama, Asep; Farhanah, Nur; Utama, Made Susila; Agustin, Heidy; Sarif, Armaji Kamaludi; Widiantari, Aninda Dinar; Hasugian, Armedy Ronny
Public Health of Indonesia Vol. 11 No. 3 (2025): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i3.1094

Abstract

Background: Screening tests are needed to help screen suspected Tuberculosis (TB) pulmonary with HIV positive. With the limitation of specificity of the screening test and the need for combination with laboratory tools to increase that, a combination with standard examination is still needed, especially for limited healthcare facilities. Objective: This study aimed to determine Pulmonary TB screening tests with Human Immunodeficiency Syndrome (HIV) positive. Method: This observational study with a cross-sectional design was conducted in four government hospitals. Study subjects were inpatients and outpatients who met study inclusion criteria (> 14 years of age, HIV positive based on HIV test results, had clinical symptoms of episodic history of fever, and volunteered to take part in the study). Total subjects were 193 people, with episodic history of fever from <24 hours to 120 hours. Result: This study assessed a subject's clinical manifestation, physical examination and X-ray test. The “Night Sweat”, Infiltrates in the Upper Lobe”, “Enlargement of Lymph Nodes and “Left Rhonchi” and their combination have a sensitivity of>85%. Still, only the complete combination has a specificity of> 70%. The combination of “Night Sweat + Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” and then “Enlargement of Lymph Nodes + Left Rhonchi + Infiltrates in the Upper Lobe” can be an alternative for screening Pulmonary TB-HIV positive with history of fever. Conclusion: Pulmonary TB screening in HIV patients with a history of fever can be used by completely combining clinical manifestation, physical examination, and X-ray. the variables "Night Sweat, Enlarged Lymph Nodes, left rhonchi breath sounds and pulmonary upper lobe infiltrates" in a gradual manner. Keywords: Diagnostic Combination Test; HIV-Tb Coinfection; Tuberculosis Screening; Clinical Manifestations in TB-HIV; Pulmonary TB in HIV Patients
Co-Authors Abdul Mughni Agustin, Heidy Armedy Ronny Hasugian Asep Purnama, Asep Irsan, Raissa Alifia Murtiani, Farida Puspitadewi, Elisabeth Sukma Ratnasari Dwi Cahyanti, Ratnasari Dwi rosamarlina, rosamarlina Sarif, Armaji Kamaludi Utama, Made Susila Widiantari, Aninda Dinar Yuli Trisetiyono, Yuli