Chrysanti Murad, Chrysanti
Department of Microbiology, Faculty of Medicine, Universitas Padjadaran, Bandung

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Gambaran Perilaku Masyarakat dalam Pencarian Pengobatan Infeksi Saluran Pernapasan Akut di Wilayah Kejadian Luar Biasa Avian Influenza Pada Unggas di Jawa Barat Tahun 2014 rachim, widyani; Mutiara, kuswandewi; Murad, Chrysanti
Jurnal Sistem Kesehatan Vol 2, No 1 (2016): Volume 2 Nomor 1 September 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.01 KB) | DOI: 10.24198/jsk.v2i1.10408

Abstract

Infeksi Saluran Pernapasan Akut (ISPA) masih menjadi penyebab utama morbiditas pada anak di dunia, dengan insidensi sebesar 17% pertahun di Indonesia. Virus utama penyebab ISPA adalah virus Influenza, yang memiliki daya mutasi yang cepat dan dapat menyebabkan penyakit endemik seperti infeksi Avian Influenza. Cara masyarakat dalam mencari pengobatan berpengaruh terhadap morbiditas dan mortalitas penyakit ini, sehingga penting untuk diketahui agar dapat dilakukan intervensi. Penelitian ini bertujuan untuk melihat pemilihan pengobatan pada masyarakat dengan ISPA di daerah endemik Avian Influenza pada unggas. Penelitian ini menggunakan desain survey potong lintang deskriptif kuantitatif dengan wawancara menggunakan kuesioner. Jenis data yang digunakan adalah data sekunder pada penelitian di Kabupaten Indramayu dan Majalengka bulan Juli-Desember 2014. Pola pengobatan responden sangat bervariasi. Lebih dari setengah responden (50-70%) memilih mengobati sendiri penyakit mereka dan ke tenaga medis saat penyakit tidak sembuh atau gejala yang dirasakan berat. Pengobatan tahap pertama yang paling banyak dipilih adalah pengobatan sendiri menggunakan obat bebas. Sebagian besar (±80%) mengakhiri pengobatan setelah menemui tenaga medis. Tidak terdapat perbedaan dalam pola pengobatan antar kategori umur balita, anak, dan dewasa. Faktor yang mempengaruhi pemilihan pengobatan antara lain faktor biaya, jarak, dan kondisi sakit keluarga.Kata Kunci. Avian Influenza, Infeksi Saluran Pernapasan Akut, pola pencarian pengobatan.
Gambaran Pengetahuan Masyarakat mengenai Influenza pada Manusia di Kabupaten Indramayu dan Majalengka sebagai Wilayah Kejadian Luar Biasa H5N1 pada Unggas di Jawa Barat Tahun 2014 rahma, shofia safira; Mutiara, kuswandewi; Murad, Chrysanti
Jurnal Sistem Kesehatan Vol 1, No 3 (2016): Volume 1 Nomor 3 Maret 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.935 KB) | DOI: 10.24198/jsk.v1i3.10357

Abstract

Berdasarkan data WHO tahun 2015, Indonesia merupakan negara dengan kasus influenza A H5N1 pada manusia yang terbanyak kedua setelah Mesir. Virus H5N1 dikhawatirkan dapat menimbulkan pandemi berikutnya karena kemampuan virus dalam bermutasi secara cepat dan mengalami perubahan gen. Kurangnya pemahaman dan kesadaran masyarakat mengenai flu burung dan kemungkinan risikonya perlu ditangani untuk mencegah terjadinya pandemi. Penelitian ini bertujuan untuk menilai pengetahuan masyarakat mengenai influenza pada manusia di Kabupaten Indramayu dan Majalengka. Penelitian ini menggunakan desain survei potong lintang deskriptif kuantitatif. Peneliti menggunakan data sekunder pada penelitian yang sudah dilaksanakan di Kabupaten Indramayu dan Majalengka pada Juli – Desember 2014. Subjek penelitian ini adalah penghuni rumah dengan kasus indeks di daerah KLB flu burung dan rumah tangga yang berada di area 200 meter dari rumah tersebut. Teknik pengumpulan data yang digunakan adalah wawancara terstruktur berdasarkan kuesioner pengetahuan mengenai influenza dan kuesioner pengetahuan mengenai flu burung pada manusia. Mayoritas responden memiliki tingkat pengetahuan kurang mengenai influenza (65,5%) dan flu burung pada manusia (74,5%). Banyak responden yang tidak mengetahui penyebab influenza dan flu burung pada manusia, serta gejala flu burung pada manusia. Pemerintah masih perlu meningkatkan pendidikan kesehatan mengenai influenza dan flu burung pada manusia melalui televisi dan penyuluhan.Kata kunci: flu burung, influenza, pengetahuan
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.
Health Belief Model Theory Application on Voluntary Counseling and Testing among Homosexual Men in Bandung Greater Area Nareswara, Argya; Murad, Chrysanti; Afriandi, Irvan
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.3 KB)

Abstract

Background: The number of human immunodeficiency virus (HIV) cases is high and is constantly increasing. Homosexual men as a transmission niche is not only significant in terms of numbers, but also in natural aspects of anal sex, tropism of HIV-1, and high-risk behavior. Voluntary Counseling and Testing (VCT) is important for accelerating diagnosis and management plan; yet the uptake on high-risk population in Indonesia is low. A behavior-reasoning theory, Health Belief Model (HBM), attempts to explain whether or not individuals engage in certain health behavior. This study tries to assess participation rate of VCT, to portray HBM variables perception, and to depict significance of HBM variables towards VCT uptake or VCT intention. Methods: This study was conducted in October-November 2014 using cross-sectional design; 127 respondents were gathered according to Respondent Driven Snowball Sampling. This study used an internet-based questionnaire derived from Champion’s 1984 mammogram HBM questionnaire. Privacy and compensation were obtained. The Chi square test and logistic regression of HBM variables were done. Results: The VCT uptake was low (15.7%). Certain sexual experience and commitment were significant (Commitment to Men p=0.027, Oral Sex experience with men p=0.001, Anal Sex Experience with men p=0.038). Chi Square test revealed significance on Perceived Susceptibility, Perceived Benefit, and Cues to Action. Conclusions: Uptake of VCT is considerably low compared with total high risk population and other similar studies. Personal Susceptibility to HIV/AIDS is recommended to be emphasized; while VCT Benefit and Cues to Action in young homosexual men communities are better encouraged. [AMJ.2016;3(4):595–604]DOI: 10.15850/amj.v3n4.945
Predictor of Mortality in Acquired Immunodeficiency Syndrome Patients with Central Nervous System Opportunistic Infections Lestari, Agustina; Dian, Sofiati; Murad, Chrysanti
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.685 KB)

Abstract

Background: Indonesia’s increase of acquired immunodeficiency syndrome (AIDS) cases is one of the fastest. Mortality cases of AIDS also increase per year. Central nervous system (CNS) opportunistic infection is one of the most likely manifestations on advanced stage of Human immunodeficiency virus (HIV)/AIDS patients. Common CNS opportunistic infections are toxoplasma infection and tuberculous meningitis (TBM). The study aimed to analyze the predictor of mortality in AIDS patients with CNS opportunistic infections.Methods: This study reviewed 151 medical records from AIDS patients with CNS opportunistic infection admitted to the Department of Neurology, Dr. Hasan Sadikin General Hospital Bandung from 2007-2012. This study was conducted from April to November 2013. Patients’ clinical manifestations (seizure, headache, altered consciousness), laboratory examination (CD4+ level count) and treatment history (antiretroviral or ART and cotrimoxazole) were collected. Chi-square and logistic regression test were used to determine the mortality predictor in patients.Results: Mortality rate was 37.7%. Clinical manifestations from patients were seizure 29.8%, altered consciousness 66.2%, and headache 88.7%. Patients had cotrimoxazole treatment 44.4% and 38.4% patients had ART. CD4+ level count data from 86 patients were obtained, 94% had CD4+ level count ≤200. Bivariate analysis showed altered consciousness had significant mortality predictor (Odd ratio (OR): 29.944; 95% Confidence interval (CI) 6.9–129.945; p<0,0). Multivariate analysis showed ART had highest predictive mortality value (OR: 2.968; 95% CI 1.236–7.126; p=0.015).Conclusions: Altered consciousness and no antiretroviral treatment are mortality predictors in AIDS patients with CNS opportunistic infections. [AMJ.2016;3(4):577–82] DOI: 10.15850/amj.v3n4.942
Oral Health Care and Aspiration Pneumonia Salma, Yasmin Hanifa; Murad, Chrysanti; Megantara, Imam
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.347-358

Abstract

Background: Oral health care is important to prevent aspiration pneumonia. Poor oral hygiene in elderly patients heightens the risk of aspiration pneumonia due to the growth of potential periodontopathogen bacteria. This literature review aims to describe the effect of oral health care on the incidence of pneumonia and/or the number of oral bacteria.Method: The literature search was conducted based on the PRISMA guideline with the PICO framework by utilizing electronic search engines in databases: PubMed, Cochrane's Library, and Google Scholar from March through May 2024. All articles to be reviewed were ‘’full text” published from 2014 to 2024. An eligibility assessment was conducted based on inclusion and exclusion criteria; thus, seven articles were selected.Result: Mechanical tooth and mouth cleaning, in addition to using mouthwash and moisturizing agents, effectively reduces the risk of aspiration pneumonia in the elderly.Conclusion: Oral health care with mechanical and pharmacological interventions are deemed appropriate to be given to elderly individuals to prevent aspiration pneumonia.
Epidemiology and population-based incidence of influenza in two communities, Bandung district, West Java, Indonesia, 2008–2011 Agustian, Dwi; Mutyara, Kuswandewi; Murad, Chrysanti; M. Uyeki, Timothy; B. Kartasasmita, Cissy; Simoes, Eric AF.
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.981

Abstract

Influenza surveillance is important for monitoring influenza virus circulation and disease burden to inform influenza prevention and control measures.  The aim of this study was to describe the epidemiology and to estimate the incidence of influenza in two communities in West Java, Indonesia, before and after the 2009 H1N1 pandemic. A population-based surveillance study in the community health care setting was conducted to estimate the annual incidence of influenza. A real-time reverse transcription polymerase chain reaction (RT-PCR) assay was used for influenza case ascertainment. A population census was implemented to calculate the population at risk and estimate community health care utilization rate. The mean annual incidence of influenza A and B, adjusted for healthcare utilization, was 1.6 (95%CI: 1.3–2.0) and 0.7 (95%CI: 0.5–1.0) per 1000 persons, respectively, with the most affected group being young and school-age children. The annual cumulative incidence of influenza A for children under five in 2009, 2010, and 2011 was 7.0 (95%CI: 4.4–11.2), 10.6 (95%CI: 7.3–15.4), and 6.3 (95%CI: 3.8–10.2). For influenza B was 4.3 (95%CI: 2.4–7.8), 2.0 (95%CI: 0.8–4.7), and 0.4 (95%CI: 0.1–2.8), respectively. This study highlights that the incidence of influenza among young and school-age children is consistently higher compared to adults and the elderly throughout these periods. These populations are potential targets for influenza vaccination in Indonesia.
Oral Health Care and Aspiration Pneumonia Salma, Yasmin Hanifa; Murad, Chrysanti; Megantara, Imam
Odonto : Dental Journal Vol 11, No 2 (2024): December 2024
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.11.2.347-358

Abstract

Background: Oral health care is important to prevent aspiration pneumonia. Poor oral hygiene in elderly patients heightens the risk of aspiration pneumonia due to the growth of potential periodontopathogen bacteria. This literature review aims to describe the effect of oral health care on the incidence of pneumonia and/or the number of oral bacteria.Method: The literature search was conducted based on the PRISMA guideline with the PICO framework by utilizing electronic search engines in databases: PubMed, Cochrane's Library, and Google Scholar from March through May 2024. All articles to be reviewed were ‘’full text” published from 2014 to 2024. An eligibility assessment was conducted based on inclusion and exclusion criteria; thus, seven articles were selected.Result: Mechanical tooth and mouth cleaning, in addition to using mouthwash and moisturizing agents, effectively reduces the risk of aspiration pneumonia in the elderly.Conclusion: Oral health care with mechanical and pharmacological interventions are deemed appropriate to be given to elderly individuals to prevent aspiration pneumonia.
ANGKA KEJADIAN DAN KARAKTERISTIK LESI PATOLOGI CALICIVIRUS PADA KUCING (Felis catus) DI VEE VET BANDUNG PERIODE AGUSTUS-SEPTEMBER 2024 Arifah, Kaila Nurul; Khairani, Shafia; Murad, Chrysanti; Felani, Yulita Nurul Hikmah
Jurnal Sain Veteriner Vol 43, No 2 (2025): Agustus
Publisher : Faculty of Veterinary Medicine, Universitas Gadjah Mada bekerjasama dengan PB PDHI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jsv.101759

Abstract

Feline calicivirus merupakan penyakit akibat virus yang sangat menular pada kucing. Penyakit ini menyerang saluran pernapasan bagian atas. Feline calicivirus memiliki angka morbiditas yang tinggi dengan gejala yang umumnya serupa dengan penyakit lain. Penelitian ini bertujuan untuk mengetahui angka kejadian serta karakteristik lesi patologi feline calicivirus pada kucing di Vee Vet Bandung periode Agustus – September 2024. Metode penelitian ini dilakukan dengan mengambil data langsung kepada seluruh kucing yang datang ke Vee Vet Bandung periode Agustus-September 2024 dengan keluhan lesi pada mulut dan gangguan pernapasan bagian atas. Pengambilan data dilakukan dengan melakukan uji rapid test dan mendokumentasikan lesi untuk mengetahui bentuk serta lokasi lesi pada kucing dengan kriteria yaitu, hasil positif rapid test feline calicivirus, terdapat lesi pada mulut, dan terdapat gangguan pernapasan bagian atas. Selanjutnya, data akan diolah pada microsoft excel yang kemudian akan dibahas secara deskriptif. Hasil penelitian menunjukan bahwa angka kejadian dari feline calicivirus di Vee Vet Bandung periode Agustus-September 2024 tergolong sangat rendah yaitu 0.05%. Hasil tersebut didapatkan dari 4 pasien terdiagnosa feline calicivirus dengan seluruh populasi kucing yang datang sebanyak 722 pasien. Karaktersitik lesi patologi yang muncul pada seluruh kucing terdiagnosis feline calicivirus adalah seluruh kucing memiliki lesi pada mulut berupa ulser kemerahan khususnya pada bagian lidah dan mukosa mulut serta tidak terjadi nekrosis ataupun edema baik itu di wajah atau pawpad.