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Bacterial Profile and Antibiogram of Hospital-Acquired Pneumonia and Ventilator-Associated Pneumonia Patients in ICU of Raden Mattaher Hospital Jambi Sotianingsih Sotianingsih; Samsirun H; Lipinwati Lipinwati
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 26 No. 3 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i3.1596

Abstract

Pneumonia is defined as an inflammation of the lungs caused by microorganisms (bacteria, viruses, fungi, parasites). This research aimed to determine the pneumonia-causing bacteria along with the sensitivity and the antibiotic resistance test. This research was a descriptive study with samples of ICU pneumonia patients at Raden Mattaher Regional Hospital during the study period. All samples were consecutively selected. Samples for blood culture were incubated in the BactAlert device, whereas the sensitivity test was then performed using Vitex instruments. Sputum was previously enriched with BHI media and then cultured on culture media, and sensitivity test with the Vitex instruments was carried out. Of the 354 ICU patients during the study period, 30 patients (11.8%) had pneumonia, but only 19 patients could undergo sputum culture. Five of 19 patients were infected with Gram-positive bacteria, and 14 patients were infected with Gram-negative bacteria. The most commonly found bacteria were Klebsiella pneumonia (36.84%), followed by Acinetobacter baumanii (21.05%) and Pseudomonas aeruginosa (10.53%). Gram-negative bacteria obtained from sputum culture in this study were resistant to almost all antibiotic groups, especially penicillin, cephalosporin, quinolone, and tetracycline groups. Gram-positive bacteria obtained from sputum culture in this study were resistant to the penicillin antibiotic. The most commonly found bacteria were Klebsiella pneumonia (36.84%), followed by Acinetobacter baumanii (21.05%) and Pseudomonas aeruginosa (10.53%). The bacteria cultured from the sputum showed multidrug resistance mainly to the penicillin and cephalosporin antibiotic. This research data can be used to consider the treatment of pneumonia patients to decide more appropriate therapy.
SKRINING FUNGSI KOGNITIF PADA PENDERITA OBESITAS DAN HIPERTENSI DI KLINIK UNJA SMART UNIVERSITAS JAMBI Attiya Istarini; Lipinwati Lipinwati; Mirna Iskandar; Samsirun Halim; Patrick William Gading
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 6 No. 2 (2023): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v6i2.28503

Abstract

ABSTRACTCognitive function is the mental ability or process to gain knowledge and understanding through thought and experience. Hypertension and obesity are risk factors for cognitive disorders, where high blood pressure and excess fat accumulation can cause damage to brain blood vessels. Losing the ability to function cognitively causes humans to lose the ability to integrate with their environment. The aim of this community service is to screen for cognitive disorders in the Jambi University Academic Community who suffer from hypertension and obesity. Implementation of community service activities in August 2023 located at the BPU UNJA SMART Clinic, Jambi University. Types of activities include health education, laboratory examinations and health consultations. There were 43 participants who took part in the entire series of community service activities, most of whom are staff and lecturers at Jambi University. The mean age of participants was 45.6 ± 10.2 years. Of the total participants suffering from hypertension, 11 people (25.6%) and obesity were 27 people (62.8%). From cognitive function screening, all community service participants had normal cognitive function. Of all community service participants who underwent screening, the incidence of obesity was quite high, but there were no cognitive function disorders.Keywords: Screening. Cognitive, hypertension, obesity ABSTRAKFungsi kognitif adalah kemampuan mental atau proses untuk mendapatkan pengetahuan dan pemahaman melalui pikiran dan pengalaman. Penyakit obesitas dan hipertensi adalah faktor resiko terjadinya gangguan kognitif, dimana tekanan darah yang tinggi serta penumpukan lemak berlebih berpengaruh terhadap kerusakan pembuluh darah otak. Sehingga kehilangan kemampuan fungsi kognitif menyebabkan manusia kehilangan kemampuan untuk dapat berintegrasi dengan lingkunganya. Tujuan dari pengabdian Masyarakat ini adalah untuk skrinning gangguan kognitif pada Civitas Akademika Universitas Jambi yang menderitapenyakit obesitas dan hipertensi. Pelaksanaan kegiatan pengabdian masyarakat pada bulan Agustus 2023 yang berlokasi di Klinik BPU UNJA SMART Universitas Jambi. Jenis kegiatan berupa penyuluhan Kesehatan, pemeriksaan laboratorium dan konsultasi Kesehatan. Peserta yang mengikuti seluruh rangkaian kegiatan pengabdian masyarakat berjumlah 43 orang, sebagian besar dari tenaga pendidik dan dosen pengajar. Rerata umur peserta Jambi. Rerata umur peserta 45,6 ±10,2 tahun. D45,6 ±10,2 tahun. Dari keseluruhan peserta yang menderita hipertensi ari keseluruhan peserta yang menderita hipertensi adalah 11 orang (25,6%) dan obesitas adalah 27 orang (62,8%). Dari skrinning fungsi kognitif, seluruh peserta adalah 11 orang (25,6%) dan obesitas adalah 27 orang (62,8%). Dari skrinning fungsi kognitif, seluruh peserta pengabdian masyarakat memiliki fungsi kognitif nopengabdian masyarakat memiliki fungsi kognitif normal. Dari seluruh peserta pengabdian masyarakat yang rmal. Dari seluruh peserta pengabdian masyarakat yang melakukan skrining, kejadian obesitas cukup tinggi, namun belum terdapat adanya gangguan fungsi kognitif. melakukan skrining, kejadian obesitas cukup tinggi, namun belum terdapat adanya gangguan fungsi kognitif.Kata kunci: Skrinning kognitif, hipertensi, obesitas  
PENINGKATAN PENGETAHUAN PENYAKIT HIPERTENSI PADA CIVITAS AKADEMIKA UNIVERSITAS JAMBI DI KLINIK UNJA SMART Attiya Istarini; Lipinwati; Mirna Iskandar; Samsirun Halim; Patrick William Gading
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 1 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v7i1.33375

Abstract

ABSTRACTHypertension management strategies include non-pharmacological therapy such as lifestyle and diet modifications. These two methods are the initial stages in targeting blood pressure reduction. Some of the challenges in controlling blood pressure that arise from individuals include the lack of knowledge about hypertension and the difficulty of changing lifestyle. This community service aims to increase public knowledgeabout hypertension. Implementation of community service activities in August 2023  located at the UNJA SMART Clinic, Jambi University in the form of health education. This service activity was carried out at the UNJA SMART Pratama Clinic involving 43 participants. Before and after implementing health education, a pre-test and posttest were carried out. After carrying out univariate analysis, it was found that participants' knowledge of hypertension had increased by 86%. In Community Service activities at the UNJA SMART Pratama Clinic, there was an increase in participants' knowledge about hypertension, complications and prevention.Keywords: Hypertension, Complications, Knowledge ABSTRAKStrategi tatalaksana hipertensi meliputi terapi non farmakologi seperti modifikasi gaya hidup dan diet. Kedua cara ini merupakan tahap awal dalam target penurunan tekanan darah. Beberapa tantangan dalam pengendalian tekanan darah yang berasal dari individu diantaranya rendahnya tingkat pengetahuan masyarakat mengenai hipertensi dan sulitnya mengubah pola hidup. Tujuan kegiatan ini adalah meningkatkan pengetahuan masyarakat mengenai penyakit hipertensi. Pelaksanaan kegiatan pengabdian masyarakat pada bulan Agustus 2023 yang berlokasi di Klinik UNJA SMART Universitas Jambi berupa penyuluhan Kesehatan. Kegiatan pengabdian ini dilakukan di Klinik Pratama UNJA SMART dengan melibatkan 43 orang peserta. Sebelum dan setelah pelaksanaan penyuluhan kesehatan dilakukan pre-test dan post-test. Setelah dilakukan analisis univariat, didapatkan peningkatan pengetahuan peserta mengenai penyakit hipertensi sebanyak 86%. Pada kegiatan Pengabdian Masyarakat di Klinik Pratama UNJA SMART, terdapat peningkatan pengetahuan peserta mengenai penyakit hipertensi, komplikasi dan cara pencegahnnya. Kata kunci: Hipertensi, Komplikasi, Pengetahuan
IDENTIFICATION OF SCCMEC TYPE IN ISOLATE OF METHICILLIN RESISTANT Staphylococcus aureus (MRSA) IN JAMBI BY USING POLYMERASE CHAIN REACTION (PCR) Humaryanto, Humaryanto; Hanina, Hanina; Lipinwati, Lipinwati; Simanjuntak, Charles Apul
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 2 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i2.12691

Abstract

Staphylococcal cassette chromosome mec (SCCmec) is one of the mobile genetic elements of Methicillin-Resistant Staphylococcus aureus (MRSA) that carries many resistance genes and allows SCCmec to move from one bacterium to another. Twelve types of SCCmec have been identified throughout the world. Identification of SCCmec type is needed to determine the pattern of MRSA resistance in a particular region. This study aimed to identify the type of SCCmec MRSA from clinical samples. Specifically, this study was conducted at the Biomolecular Laboratory of the Faculty of Medicine and Health Sciences of Jambi University in June 2018-February 2019. Culture was carried out on 100 clinical specimens of festering wound swabs from inpatients at hopitals in Jambi City. A total of 32 samples of Staphytect plus test positive were tested using Cefoxitin disc diffusion method and MecA Polymerase Chain Reaction (PCR). There were 14 samples identified as MRSA isolates, namely twelve samples (85.72%) of SCCmec type III, one sample (7.14%) of SCCmec type II, and one sample (7.14%) of SCCmec type IVb. The results were different from previous studies where all MRSA isolates (100%) in Indonesia were SCCmec type III, although most SCCmec types were still dominated by SCCmec type III. This study concludes that there has been a shift in the content of SCCmec in MRSA isolate originating from hospitals in Jambi city.
PENINGKATAN PENGETAHUAN MASYARAKAT MENGENAI HIPERTENSI DI PUSKESMAS OLAK KEMANG, DANAU TELUK KOTA JAMBI Attiya Istarini; Lipinwati; Hasna Dewi; Wulandari, Putri Sari; Samsirun Halim; Amatullah, Afifah; Hafizah; Denok Tri Hardiningsih
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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

Abstract

Hypertension significantly increases the risk of heart, brain and kidney diseases, and is one of the top causes of death and disease throughout the world. One of the global targets for noncommunicable diseases is to reduce the prevalence of hypertension by 33% between 2010 and 2030. This Community Service Activity (CSA) was conducted at the Olak Kemang Health Center. The purpose of this Community Service is the prevention and control of Hypertension by increasing the participation and level of knowledge of the community in Danau Teluk Village through health education and blood pressure checks. The activity was attended by 66 participants, participants were given pretest and posttest questions to measure knowledge about hypertension. The results showed an increase in the knowledge of community service participants after being given counseling about hypertension (p-value 0.000).
Kliniko-Sitopatologi Lesi Prekanker Leher Rahim di Klinik Unja Smart Desa Mendalo Darat Kabupaten Muaro Jambi Fairuz, Fairuz; Dewi, Hasna; Nuriyah, Nuriyah; Lipinwati, Lipinwati; Ayudia, Esa Indah; Lestari, Nur Afni
Jurnal Karya Abdi Masyarakat Vol. 5 No. 3 (2021): Jurnal Karya Abdi Masyarakat
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.739 KB) | DOI: 10.22437/jkam.v5i3.16281

Abstract

Kanker serviks merupakan suatu keganasan yang berkembang di daerah leher rahim. Hampir semua kasus, sebesar 99%, terkait dengan infeksi HPV resiko tinggi. Di Indonesia, angka kejadian kanker berada pada urutan ke-8 di Asia Tenggara, dan urutan ke-23 di Asia. Salah satu skrining kanker serviks yang dapat dilakukan yaitu tes pap smear. Tujuan dari penelitian ini adalah untuk melihat gambaran klinis dan gambaran sitopatologi lesi prekanker leher rahim sesuai dengan klasifikasi Bethesda 2014. Lokasi kegiatan dilakukan di Klinik Unja Smart, Mendalo, Kabupaten Muaro Jambi. Variabel klinis yang dinilai adalah usia, paritas, jenis kontrasepsi, menopause, keluhan, riwayat ginekologi dan status lokalis, sedangkan variabel sitopatologinya adalah gambaran lesi prekanker leher rahim menurut kriteria Bethesda 2014. Didapatkan dari kriteria klinis usia rata-rata adalah 40 tahun, multipara, tidak menggunakan KB dan keluhan terbanyak adalah keputihan. Hasil sitopatologi pap smear terbanyak adalah Negative for intraepithelial lesion or malignancy NILM dan diikuti oleh Servisitis kronis non spesifik (CKNS) di urutan kedua. Kesimpulannya adalah gambaran kliniko-sitopatilogi masih menunjukkan keadaan yang normal.
Mycobacterium Tuberculosis Identification on Suspected Extra Pulmonary Tuberculosis Patients Lipinwati, Lipinwati; Hanina, Hanina; Wulandari, Putri Sari; Iskandar, Mirna Marhami; Istarini, Attiya; Miranda, Melly; Dewi, Hasna; Juniati, Rianita; Fairuz, Fairuz
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 1 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i1.38458

Abstract

Background: Extra Pulmonary Tuberculosis (EPTB) is Tuberculosis infection in organs other than the lungs, like pleura, lymph nodes, abdomen, genitourinary tract, skin, joints and bones, or meninges. The Diagnosis of EPTB is still challenging because symptoms of EPTB is vary, location EPTB is an inaccessible site, and paucibacillary smear. We wanted to know the Mycobacterium tuberculosis identification using the qPCR method on samples of EPTB suspects. Methods: This research was a descriptive research with laboratory experiments. Subjects in this study were all cases of suspected EPTB with clinically diagnosed, thoraks radiographs, colonoscopy, and formalin fixed paraffin embedded (FFPE). DNA extraction was carried out according to  PureLink® Genomic dna extraction kit instructions. The PCR volume 20 ul with 2x QuantiNova SYBR Green PCR Kit, M.tuberculosis Primer IS 6110, and DNA Sample. QPCR temperatures was done with predenaturation at 95 °C for 3 minutes, and followed 45 cycles, consist of denaturation at 95 °C for 15 seconds, annealing at 60 °C for 30 seconds dan extenstion at 72 °C for 30 seconds. PCR was performed with positive and negative controls, and data analysis was based on positive and negative ct controls. Results: From 30 suspect EPTB samples, there are males (56,67%), with age 36-55 yo (50%), site of samples most from gastrointestines (70%), and there are 6 samples (20%) with positive qPCR. Conclusion: qPCR methods can be used for EPTB diagnosis.
Antimicrobial effect of alkaloids extract of Areca catechu L Against Methicillin Sensitive Staphylococcus aureus Bacteria Humaryanto, Humaryanto; Lipinwati, Lipinwati; Hanina, Hanina; Halim, Rita
Riset Informasi Kesehatan Vol 14 No 2 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i2.871

Abstract

Background: Infection caused by the bacterium Metihcillin Sensitive Staphyloccous aureus (MSSA) is still one of the infections that often occurs in humans. The emergence of various cases of resistance of MSSA bacteria to various antibiotics both in the community and in hospitals (nosocomial infections), has triggered the development of herbal medicines, one of which is the areca nut (Areca catechu L) which is thought to have antibacterial effects. The purpose of this research was to determine the antimicrobial effect of alkaloids in areca nut extract against MSSA bacteria. Method: Areca nut was extracted with 96% ethanol using the maceration method and continued with areca nut seeds and fractionation of the alkaloid active substances with ethanol-water, n-hexane and ethyl acetate (1:1) solvents. The sensitivity test of bacteria using the Kirby Bauer disc diffusion method with duplex repetitions. Amoxcillin clavulanat used as standard antimicrobial of antimicrobial test. Results: The extract components contained are alkaloids, flavonoids and tannins. Furthermore, the resistance test of MSSA bacteria to areca nut alkaloid extract and the amoxicillin antibiotic disc gave results of an average inhibitory zone diameter of 20.33 mm (strong activity) and 22.80 mm (strong activity). Conclusion: MSSA bacteria showed sensitivity to areca nut alkaloid extract with strong activity.
HANDS ON TRAINING FOR PRE-ANALYTIC SAMPLE OF HISTOPATHOLOGY AND CYTOLOGY EXAMINATION IN JAMBI CITY Quzwain, Fairuz Chatib; Dewi, Hasna; Lipinwati; Hanina; Miftahurrahma
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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

Abstract

The pre-analytic stage is an important stage in the anatomical pathology examination. in the specimen are prepared by the assistant nurse surgeon or clinician or laboratory analyst who receives the cytology sample, so it is necessary to provide correct and appropriate information for them and training in handling these samples is carried out. This activity is carried out to improve the understanding of health workers in managing samples and tissues at the pre-analytical stage. In this training, a standard operating procedure (SOP) for pre-analytical handling of histopathology and cytology samples will also be prepared, which is expected to be recognized by the association as an SOP for its members that applies in Jambi province. The method implemented is direct training on tissue and fluid samples and evaluation is carried out by assessing the pre-test and post-test after the activity is carried out. The results of the activity assessment showed a significant increase in the understanding and knowledge of the participants in the activity by looking at the increase in the pre-test and post-test scores. There is an increase in the understanding and knowledge of the training participants regarding the management of tissue and fluid samples at the pre-analytical stage.
MANAGEMENT OF SCABIES IN ISLAMIC BOARDING SCHOOLS: DEVELOPMENT OF EARLY DETECTION CADRES WITHIN THE TAHTUL YAMAN COMMUNITY HEALTH CENTER AREA, JAMBI CITY, 2024 Hanina; Fitriyanti, Fitriyanti; Lipinwati; Hasna Dewi; Ahmad Syauqy; Attiya Istarini; Ivo Amrina Rasyada
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 1 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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

Abstract

ABSTRACT Scabies is a skin disease that is often found in Indonesia caused by Sarcoptes scabei. The prevalence of scabies in Islamic boarding school environments in Jambi is around 4.9%. Sandra Widaty et al. from the Faculty of Medicine, University of Indonesia, have developed a Deskab (Early Detection of Scabies) form that can be used by ordinary people (cadres) very easily, and the results are relatively similar to those carried out by medical personnel. The method is to present cadres and resource persons, conduct a pretest, provide scabies material, posttest, and training on how to directly apply the Deskab form by cadres and be assessed by a doctor. There were 18 participants from four Islamic boarding schools. The majority of participants were male (67%) and adults (19-59 years) (67%). The average pretest and posttest score was 79.64 (80%) and 83.78 (83%). The average score for the Deskab results is 95.12 (95%), and all cadres have a score above 79. All cadres are declared to have passed and are expected to be able to carry out early detection screening on santri so that efforts to control scabies in the work area of the Tahtul Yaman Health Center can be realized as planned. Keywords: scabies, Deskab, cadre, boarding school