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All Journal Althea Medical Journal Cermin Dunia Kedokteran
Wulan Ardhana Iswari, Wulan Ardhana
Faculty of Medicine, Universitas Padjadaran
Health Professions Medicine & Pharmacology Public Health

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Nurses’ Knowledge of Blood Culture Sampling Procedure Iswari, Wulan Ardhana; Murad, Chrysanti; Parwati, Ida
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (702.001 KB)

Abstract

Background: False-positive blood culture results due to contaminated samples have shown to increasepatients’ health costs, including the use of broad spectrum antibiotics and prolonged hospital length ofstay. While previous research have suggested that increasing staff knowledge on proper specimen collectionlowers contamination rates significantly, staff’s current knowledge of hospital-recommended samplecollection procedure have yet to be assessed in Dr. Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.Methods: This was a cross-sectional descriptive study on 81 Emergency Department nurses in Dr. HasanSadikin General Hospital, Indonesia. Subjects were asked to complete a questionnaire in order to measuretheir knowledge of blood culture sampling procedure in accordance with the hospital’s standard operatingprocedure.Results: Among 81 subjects enrolled, 51 managed to adequately describe the prerequisites in proper bloodculture sampling procedure and their purpose as dictated by Dr. Hasan Sadikin General Hospital’s standardoperating procedure.Conclusions: Up to 67% of nurses conducting blood sampling procedure in Dr. Hasan Sadikin GeneralHospital’s Emergency Department understood the prerequisites of hospital-recommended blood culturesampling procedure and their purpose.
Membedakan Acute Fatty Liver of Pregnancy dan HELLP Syndrome Hutauruk, Nicholas Marco AH; Iswari, Wulan Ardhana; Pardede, Tiarma Uli; Darus, Febriansyah; Puspitasari, Bintari; Santana, Sanny; Abidin, Finekri; Endjun, Judi J
Cermin Dunia Kedokteran Vol 44, No 8 (2017): Obstetri-Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.218 KB) | DOI: 10.55175/cdk.v44i8.739

Abstract

Sindrom HELLP dan Acute Fatty Liver of Pregnancy (AFLP) merupakan komplikasi berat kehamilan. Kedua kondisi ini dapat mengancam jiwa dan diagnosis awal amat penting untuk mencegah kematian. Gejala sindrom HELLP dan AFLP sekilas nampak sama, namun etio-patogenesis serta penanganan keduanya berbeda. Pembahasan kasus ini bermaksud mengingatkan klinisi agar mempertajam diagnosis dan penanganan untuk hasil yang lebih baik. Penanganan yang cepat dan tepat menjadi tantangan bagi dokter umum dan spesialis kebidanan di negara-negara berkembang, di mana kehamilan dengan komplikasi sering kurang tertangani.HELLP syndrome and Acute Fatty Liver of Pregnancy (AFLP) are very serious complications in pregnancy. These conditions are life threatening and early diagnosis is the most important step to prevent mortality. HELLP syndrome and AFLP have similarities in symptoms and clinical appearance but different in etio-pathogenesis and treatment. Even though AFLP is rare, it is associated with high maternal and neonatal mortality. This case serves as a reminder to early diagnosis and treatment for a better outcome. This will be a challenge for general practitioners and obstetrician in developing countries, where pregnancies with complications often remain undersupervised.
USG untuk Deteksi Plasenta Akreta -, Fauzan; Iswari, Wulan Ardhana; Uli Pardede, Tiarma; Darus, Febriansyah; Puspitasari, Bintari; Santana, Sanny; Abidin, Finekri; Endjun, Judi J
Cermin Dunia Kedokteran Vol 44, No 8 (2017): Obstetri-Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.255 KB) | DOI: 10.55175/cdk.v44i8.744

Abstract

Plasenta akreta merupakan implantasi abnormal plasenta pada dinding uterus, merupakan komplikasi pada sekitar 0,9% kehamilan. Diagnosis plasenta akreta dibuat berdasarkan spesimen patologis yang diperoleh setelah histerektomi. Diagnosis plasenta akreta juga dapat berdasarkan USG (ultrasonography) dan MRI (magnetic resonance imaging). Sonografi 2-dimensi konvensional adalah alat skrining yang baik untuk mendeteksi plasenta akreta. USG lebih tersedia daripada MRI, lebih murah, dan non-invasif. Oleh karena itu, USG dapat menjadi modalitas diagnostik pilihan untuk plasenta akreta. Selain itu, sensitivitas sonografi sebesar 86,4%; dibandingkan MRI sebesar 84%.Placenta accreta is an abnormal placental implantation of the uterine wall, a complication of about 0.9% of pregnancies. The diagnosis of placenta accreta is made based on pathological specimens obtained after hysterectomy. The diagnosis of placenta accreta can also be based on ultrasound (ultrasonography) and magnetic resonance imaging (MRI). Conventional 2-dimensional sonography is a good screening tool for detecting placenta accreta. Ultrasound is more available than MRI, cheaper, and non-invasive. Therefore, ultrasound may be the preferred diagnostic modality for placenta accreta. In addition, sonographic sensitivity was 86.4%; compared with MRI of 84%.
Co-Authors Abidin, Finekri Chrysanti Murad, Chrysanti Darus, Febriansyah Endjun, Judi J Fauzan - Hutauruk, Nicholas Marco AH Ida Parwati Pardede, Tiarma Uli Puspitasari, Bintari Santana, Sanny Uli Pardede, Tiarma