Arto Yuwono Soeroto
Departement Of Internal Medicine, Faculty Of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung

Published : 15 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 15 Documents
Search

Knowledge, Attitude, and Practice Survey among Nurses in Dr. Hasan Sadikin General Hospital toward Tuberculosis-Human Immunodeficiency Virus Collaboration Program Sutiono, Helen Oktavia; Soeroto, Arto Yuwono; Lestari, Bony Wiem
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (562.379 KB)

Abstract

Background: One of the barriers on implementation of Tuberculosis-Human Immunodeficiency Virus (TB-HIV) collaboration is lack of health care workers’ knowledge to this program. This study aimed to measure level of knowledge, attitude, and practice among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program and to measure their correlation.Methods: This was a cross-sectional study with total sampling method which started on May–October 2013 at Internal Medicine Department ward in Dr. Hasan Sadikin General Hospital. Knowledge, attitude, and practice of research subjects were measured using modified questionnaire about TB-HIV collaboration program, based on guidelines from WHO and National Ministry of Health.Results: Of 88 respondents, there were no respondent had high level, 33 respondents (38%) had moderate level, and 55 respondents (63%) had low level of knowledge toward collaboration. For attitude, 53 respondents (60%) had positive attitude and 35 respondents (40%) had negative attitude. The study also showed 48 respondents (55%) had positive practice and 40 respondents (46%) had negative practice. The correlation between knowledge and attitude, knowledge and practice, and attitude and practice were not statistically significant (p>0.05).Conclusions: The level of knowledge among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program was low but they showed positive attitude toward the collaboration itself. There was no correlation between knowledge, attitude, and practice among inpatient nurses toward collaboration. Further efforts were needed to improve nurses’ knowledge, attitude, and practice on TB-HIV collaboration.[AMJ.2016;3(1):85–92] DOI: 10.15850/amj.v3n1.715
Knowledge and Attitude about Multidrug-Resistant Tuberculosis among Healthcare Workers in Public Health Centres Lestari, Bony Wiem; Soeroto, Arto Yuwono
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7.445 KB)

Abstract

Background: Multidrug-resistant Tuberculosis (MDR-TB) is a significant public health problem and poses a threat to global tuberculosis (TB) control. In 2015, at least 504 new MDR-TB cases were identified in Indonesia. Treating MDR-TB patients is very challenging. It may take more than two years for MDR-TB treatment. Therefore, it is crucial healthcare workers (HCWs) are knowledgeable about MDR-TB. The aim of this study was to measure level of knowledge and attitude regarding MDR-TB among HCWs in public health centres.Methods: A cross-sectional study was conducted at 73 Public Health Centres in Bandung the capital of West Java Province from August until November 2015. The samples were 73 TB nurses and 32 laboratory staff. A self-administered questionnaire was given comprising 27 knowledge questions and 29 attitude questions. Correlation between knowledge and attitude scores was calculated by Pearson correlation test.Results: The majority of study participants were women (82.9%), married (92.4%), nursing staff (65.7%) with history of TB training (98.1%). Most of the participants were 40-59 years old (69.5%) with working experience in TB programme < 10 years (69.5%). Less than half (38.1%) of study participants had good knowledge. In terms of attitude, more than half (53.3%) of study participants had a positive attitude towards MDR-TB.Conclusions: The level of knowledge among HCWs about MDR-TB is still at an unacceptable level. Certain educational interventions aim to ensure prompt diagnosis, implement infection control and accurate treatment should be established among those HCWs. [AMJ.2016;3(4):509–13]DOI: 10.15850/amj.v3n4.932
Differences of Clinical and Laboratory Presentation in Positive and Negative Acid Fast Bacilli Pulmonary Tuberculosis Patients Muslimah, Amila Hanifan; Soeroto, ArtoYuwono; Rohmawaty, Enny
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.195 KB)

Abstract

Background: Based on bacteria status, tuberculosis is classified into positive and negative acid fast bacilli. This study was conducted to determine the differences of clinical and laboratory presentation in positive and negative acid fast bacilli pulmonary tuberculosis patients.Methods: This study was an observational analytic study with a cross-sectional approach which used 338 medical records of patients with pulmonary tuberculosis at Direct Observational Treatment Short-course(DOTS) clinic Dr. Hasan Sadikin General Hospital from January to December 2012. Data collected were clinical and laboratory presentation for analytic study. Data about comorbid were collected for descriptive data.Results: From 338 medical records, 223 were medical records of patients with pulmonary tuberculosis and 105 medical records of patients with comorbid. Twenty (18.01%) comorbid were Human Immunodeficiency Virus (HIV). Acid fast bacilli negative was more (121, 51.9%) than acid fast bacilli positive (112, 48.1%). Differences of laboratory presentation were found in hemoglobin count (p=0.037), red blood cell count (p=0.022), and erythrocyte sedimentation rate (p=0.006) and not found in white blood cell count (p=0.073), thrombocyte count (p= 0.766), serum glutamic oxaloacetic transaminase (p=0.169), and serum glutamicpyruvic transaminase (p=0.309). Difference of clinical manifestation was not found in fever (p=1), cough (p=0.608), night sweats (p=0.09), dyspnea (p=0.210), and weight loss (p=0.269).Conclusions: Differences between acid fast bacilli positive and negative are found in hemoglobin, red blood cell, and erythrocyte sedimentation rate laboratory examination. The highest comorbid of pulmonary tuberculosis patient is HIV. [AMJ.2016;3(2):286–5]DOI: 10.15850/amj.v3n2.786
Gambaran Perilaku Pencarian Pengobatan Pasien Tuberkulosis di Kota Bandung Hidayat, Dodi; Setiawati, Elsa Pudji; Soeroto, Arto Yuwono
Jurnal Sistem Kesehatan Vol 3, No 2 (2017): Volume 3 Nomor 2 Desember 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.977 KB) | DOI: 10.24198/jsk.v3i2.15005

Abstract

Salah satu fokus utama strategi Directly Observed Treatment Short-Course (DOTS) yaitu penemuan kasus Tuberkulosis (TB). Perilaku pencarian pengobatan masyarakat merupakan hal yang perlu diperhatikan dalam penjaringan kasus TB, karena menjadi salah satu penentu perawatan yang kurang tepat dan keterlambatan diagnosis, sehingga penting diketahui agar dapat dilakukan intervensi. Penelitian ini bertujuan untuk mengetahui perilaku pencarian pengobatan pasien TB, faktor-faktor dalam pencarian pengobatan, serta melihat keterlambatan dalam pencarian pengobatan, diagnosis dan pengobatan pasien TB di Kota Bandung. Penelitian ini menggunakan studi desain observational deskriptif rancangan potong lintang. Menggunakan data primer diambil dari pasien Tuberkulosis yang berobat di Puskesmas Kota Bandung tahun 2016 sebanyak 96 orang. Data diambil menggunakan teknik wawancara terstruktur menggunakan kuesioner yang sudah divalidasi. Perilaku pencarian pengobatan responden bervariasi. Kebanyakan responden memilih berobat ke tenaga kesehatan, seperti puskesmas (62,5%), dokter praktik (20,8%). Faktor yang mempengaruhi perilaku pencarian pengobatan yaitu faktor karakteristik masyarakat, seperti keadaan demografi-sosial, kondisi keluarga, sosial-budaya, pengetahuan, dan stigma. Lama waktu yang dibutuhkan responden untuk mencari pengobatan rata-rata sekitar 24 hari, karena tidak tahu keparahan gejala yang dialami (90,6%). Sebagian besar responden lebih memilih pengobatan ke Puskesmas. Faktor karakteristik masyarakat berperan pada perilaku pencarian pengobatan. Keterlambatan pengobatan terjadi pada masyarakat karena ketidaktahuan tentang TB.Kata Kunci: Pencarian pengobatan, perilaku, Tuberkulosis
PERBANDINGAN ANGKA POSITIVITAS DAN WAKTU DETEKSI PERTUMBUHAN MYCOBACTERIUM TUBERCULOSIS ANTARA MEDIA BIAKAN CAIR KOLOROMETRIK DAN MEDIA PADAT OGAWA PADA SPESIMEN SPUTUM,CAIRAN PLEURA, DAN CAIRAN SEREBROSPINAL Indahwaty, -; Parwati, Ida; Soeroto, Arto Yuwono; Noormartany, -
Majalah Kedokteran Bandung Vol 41, No 2
Publisher : Faculty of Medicine, Universitas Padjadjaran

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

Abstract

Biakan merupakan pemeriksaan baku emas untuk diagnosis tuberkulosis (TB). Pertumbuhan M. tuberculosis pada medium padat memerlukan waktu 3-4 minggu, sedangkan pada medium cair lebih cepat tumbuh. Penelitian ini bertujuan membandingkan angka positivitas dan waktu deteksi pertumbuhan M. tuberculosis antara medium cair kolorimetrik dan medium padat Ogawa. Penelitian dilakukan di Laboratorium Patologi Klinik RSHS periode Juni- Desember 2007. Subjek penelitian adalah penderita tersangka TB paru, pleura, atau meningen. Analisis statistik menggunakan chi square dan independent t test. Spesimen penelitian terdiri dari 71 sputum, 24 cairan pleura, dan 20 cairan serebrospinal (CSS). Pada medium cair biakan positif M. tuberculosis dari sputum adalah 69%, cairan pleura 41,7%, CSS 60%; pada medium padat dari sputum 52,1%, cairan pleura 25%, CSS 20%. Angka positivitas medium cair berbeda bermakna untuk sputum dan CSS (p<0,05). Rerata waktu deteksi pertumbuhan pada medium cair untuk sputum 15,2 (±8,7) hari, cairan pleura 8 (±12,7) hari, CSS 13,5 (±19,5) hari. Rerata waktu deteksi pertumbuhan pada medium padat untuk sputum 23 (±9) hari, cairan pleura 36 (±18,3) hari, dan CSS 32 (±11,4) hari. Waktu deteksi pertumbuhan M. tuberculosis pada medium cair berbeda bermakna untuk sputum dan cairan pleura (p<0,05). Medium cair memberikan angka positivitas lebih tinggi dan waktu deteksi pertumbuhan M. tuberculosis lebih cepat dibandingkan medium padat, sehingga baik untuk diagnosis TB.Kata kunci: M. tuberculosis, sputum, cairan pleura, CSS, medium padat, medium cair, angka positivitas, waktu deteksi pertumbuhanCOMPARISON OF THE POSITIVITY AND MEAN DETECTION TIME OF MYCOBACTERIUM TUBERCULOSIS GROWTH USING COLORIMETRIC LIQUID MEDIA AND OGAWA SOLID MEDIA WITH SPECIMENS FROM SPUTUM, PLEURAL FLUID AND CEREBROSPINAL FLUIDCultivation is the gold standard in diagnosing tuberculosis (TB). M. tuberculosis needs 3-4 weeks to growth in solid media, but it is growing faster in liquid media. The aim of this study was to compare the positivity rate and detection time of M. tuberculosis growth using colorimetric liquid and Ogawa solid media. This study did in Laboratory of Clinical Pathology Hasan Sadikin Hospital during June-Desember 2007. The subject was pulmonary, pleuritis or meningitis TB patients. The statistic analyzed using chi square and independent t test. The specimens were 71 sputums, 24 pleural fluids, 20 cerebrospinal fluids (CSF). The positivity rate of liquid media for sputums were 69%, pleural fluids 41.7%, CSF 60%. The positivity rate of solid media for sputums were 52.1%, pleural fluids 25%, CSF 20%. The positivity rate in liquid media was significant for sputum and CSF (p=0..05). The mean detection time in liquid media for sputums were 15.2 (±8.7) days, pleural fluids 8 (±12.7) days, CSF 13.5 (±19.5) days. The mean detection time in solid media for sputums 23 (±9) days, pleural fluids 36 (±18.3) days, CSF 32 (±11.4) days. The mean detection time in liquid media was significant for sputum and pleural fluid (p=0.05). The positivity rate and detection time of M. tuberculosis growth in colorimetric liquid media are higher and faster than in Ogawa solid media, so it is better for diagnosing TB.Key words: M. tuberculosis, sputum, pleural fluid, CSF, liquid media, solid media, positivity rate, mean detection time DOI: http://dx.doi.org/10.15395/mkb.v41n2.262
Knowledge, Attitude, and Practice Survey among Nurses in Dr. Hasan Sadikin General Hospital toward Tuberculosis-Human Immunodeficiency Virus Collaboration Program Helen Oktavia Sutiono; Arto Yuwono Soeroto; Bony Wiem Lestari
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (562.379 KB)

Abstract

Background: One of the barriers on implementation of Tuberculosis-Human Immunodeficiency Virus (TB-HIV) collaboration is lack of health care workers’ knowledge to this program. This study aimed to measure level of knowledge, attitude, and practice among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program and to measure their correlation.Methods: This was a cross-sectional study with total sampling method which started on May–October 2013 at Internal Medicine Department ward in Dr. Hasan Sadikin General Hospital. Knowledge, attitude, and practice of research subjects were measured using modified questionnaire about TB-HIV collaboration program, based on guidelines from WHO and National Ministry of Health.Results: Of 88 respondents, there were no respondent had high level, 33 respondents (38%) had moderate level, and 55 respondents (63%) had low level of knowledge toward collaboration. For attitude, 53 respondents (60%) had positive attitude and 35 respondents (40%) had negative attitude. The study also showed 48 respondents (55%) had positive practice and 40 respondents (46%) had negative practice. The correlation between knowledge and attitude, knowledge and practice, and attitude and practice were not statistically significant (p>0.05).Conclusions: The level of knowledge among inpatient nurses in Dr. Hasan Sadikin General Hospital toward TB-HIV collaboration program was low but they showed positive attitude toward the collaboration itself. There was no correlation between knowledge, attitude, and practice among inpatient nurses toward collaboration. Further efforts were needed to improve nurses’ knowledge, attitude, and practice on TB-HIV collaboration.[AMJ.2016;3(1):85–92] DOI: 10.15850/amj.v3n1.715
Differences of Clinical and Laboratory Presentation in Positive and Negative Acid Fast Bacilli Pulmonary Tuberculosis Patients Amila Hanifan Muslimah; ArtoYuwono Soeroto; Enny Rohmawaty
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.195 KB)

Abstract

Background: Based on bacteria status, tuberculosis is classified into positive and negative acid fast bacilli. This study was conducted to determine the differences of clinical and laboratory presentation in positive and negative acid fast bacilli pulmonary tuberculosis patients.Methods: This study was an observational analytic study with a cross-sectional approach which used 338 medical records of patients with pulmonary tuberculosis at Direct Observational Treatment Short-course(DOTS) clinic Dr. Hasan Sadikin General Hospital from January to December 2012. Data collected were clinical and laboratory presentation for analytic study. Data about comorbid were collected for descriptive data.Results: From 338 medical records, 223 were medical records of patients with pulmonary tuberculosis and 105 medical records of patients with comorbid. Twenty (18.01%) comorbid were Human Immunodeficiency Virus (HIV). Acid fast bacilli negative was more (121, 51.9%) than acid fast bacilli positive (112, 48.1%). Differences of laboratory presentation were found in hemoglobin count (p=0.037), red blood cell count (p=0.022), and erythrocyte sedimentation rate (p=0.006) and not found in white blood cell count (p=0.073), thrombocyte count (p= 0.766), serum glutamic oxaloacetic transaminase (p=0.169), and serum glutamicpyruvic transaminase (p=0.309). Difference of clinical manifestation was not found in fever (p=1), cough (p=0.608), night sweats (p=0.09), dyspnea (p=0.210), and weight loss (p=0.269).Conclusions: Differences between acid fast bacilli positive and negative are found in hemoglobin, red blood cell, and erythrocyte sedimentation rate laboratory examination. The highest comorbid of pulmonary tuberculosis patient is HIV. [AMJ.2016;3(2):286–5]DOI: 10.15850/amj.v3n2.786
Knowledge and Attitude about Multidrug-Resistant Tuberculosis among Healthcare Workers in Public Health Centres Bony Wiem Lestari; Arto Yuwono Soeroto
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7.445 KB)

Abstract

Background: Multidrug-resistant Tuberculosis (MDR-TB) is a significant public health problem and poses a threat to global tuberculosis (TB) control. In 2015, at least 504 new MDR-TB cases were identified in Indonesia. Treating MDR-TB patients is very challenging. It may take more than two years for MDR-TB treatment. Therefore, it is crucial healthcare workers (HCWs) are knowledgeable about MDR-TB. The aim of this study was to measure level of knowledge and attitude regarding MDR-TB among HCWs in public health centres.Methods: A cross-sectional study was conducted at 73 Public Health Centres in Bandung the capital of West Java Province from August until November 2015. The samples were 73 TB nurses and 32 laboratory staff. A self-administered questionnaire was given comprising 27 knowledge questions and 29 attitude questions. Correlation between knowledge and attitude scores was calculated by Pearson correlation test.Results: The majority of study participants were women (82.9%), married (92.4%), nursing staff (65.7%) with history of TB training (98.1%). Most of the participants were 40-59 years old (69.5%) with working experience in TB programme < 10 years (69.5%). Less than half (38.1%) of study participants had good knowledge. In terms of attitude, more than half (53.3%) of study participants had a positive attitude towards MDR-TB.Conclusions: The level of knowledge among HCWs about MDR-TB is still at an unacceptable level. Certain educational interventions aim to ensure prompt diagnosis, implement infection control and accurate treatment should be established among those HCWs. [AMJ.2016;3(4):509–13]DOI: 10.15850/amj.v3n4.932
Ethionamide Modulates of Thyroid Stimulating Hormone, Thyroxine, and Triiodothyronine Levels in White Ratstimulating Hormone (TSH), Thyroxine (T4), and Triiodothyronine (T3) Serum are potentially modulated Level by Ethionamide in Rats ronny lesmana; Fani Rahma Yenita; Prayudi Santoso; Hanna Goenawan; Arto Yuwono Soeroto; Yuni Susanti Pratiwi; Nova Sylviana; Iwan Setiawan; Vita Murniati Tarawan; Unang Supratman
Jurnal Veteriner Vol 21 No 3 (2020)
Publisher : Faculty of Veterinary Medicine, Udayana University and Published in collaboration with the Indonesia Veterinarian Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (141.585 KB)

Abstract

Multidrug-Resistant Tuberculosis (MDR-TB) infection is not solely caused serious impact for patient and cause long recovery process. Multidrug-Resistant Tuberculosis needs specific treatment approach using second-line TB drugs. Ethionamide as one of medication used in MDR-TB are known to cause greater side effects compared to the first-line drugs. One of side effect like hypothyroidism is remain unclear. There is limited study about role of ethionamide cause hypothyroidism. In this present study, 24 male, wistar rats were divided into three groups: ethionamide group; positive control positive (propylthiouracil) and negative control group (received distilled water only) and treated accordingly for 12 week. Under ketamine and xylazine anesthesia, blood sample were collected from retroorbital vein at 8 and 12 week, put in EDTA tube and stored -20Ë%C until use. After last sampling, rat were sacrificed using CO2 chamber. Our data showed that thyroid stimulating hormone (TSH) levels in ethionamide group is increased from 8 weeks to 12 weeks significantly, but there is no significant changes in control groups. Thyroxine (T4) levels is trend decreased from 8 weeks to 12 weeks compared to control groups. There is no change of Triiodothyronine (T3) levels. Effect of ethionamide on thyroid hormone (T3 and T4) levels was not prominent and there were no significant changes observed. Interestingly, we observed an increase of TSH level after ethionamide treatment. Taken together, 12 week treatment of ethionamide tablet might potentially modulate thyroid hormone (T3 and T4) levels that is reflected from an increase of TSH levels in the plasmas feed back negative mechanism.
Gambaran Perilaku Pencarian Pengobatan Pasien Tuberkulosis di Kota Bandung Dodi Hidayat; Elsa Pudji Setiawati; Arto Yuwono Soeroto
Jurnal Sistem Kesehatan Vol 3, No 2 (2017): Volume 3 Nomor 2 Desember 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.977 KB) | DOI: 10.24198/jsk.v3i2.15005

Abstract

Salah satu fokus utama strategi Directly Observed Treatment Short-Course (DOTS) yaitu penemuan kasus Tuberkulosis (TB). Perilaku pencarian pengobatan masyarakat merupakan hal yang perlu diperhatikan dalam penjaringan kasus TB, karena menjadi salah satu penentu perawatan yang kurang tepat dan keterlambatan diagnosis, sehingga penting diketahui agar dapat dilakukan intervensi. Penelitian ini bertujuan untuk mengetahui perilaku pencarian pengobatan pasien TB, faktor-faktor dalam pencarian pengobatan, serta melihat keterlambatan dalam pencarian pengobatan, diagnosis dan pengobatan pasien TB di Kota Bandung. Penelitian ini menggunakan studi desain observational deskriptif rancangan potong lintang. Menggunakan data primer diambil dari pasien Tuberkulosis yang berobat di Puskesmas Kota Bandung tahun 2016 sebanyak 96 orang. Data diambil menggunakan teknik wawancara terstruktur menggunakan kuesioner yang sudah divalidasi. Perilaku pencarian pengobatan responden bervariasi. Kebanyakan responden memilih berobat ke tenaga kesehatan, seperti puskesmas (62,5%), dokter praktik (20,8%). Faktor yang mempengaruhi perilaku pencarian pengobatan yaitu faktor karakteristik masyarakat, seperti keadaan demografi-sosial, kondisi keluarga, sosial-budaya, pengetahuan, dan stigma. Lama waktu yang dibutuhkan responden untuk mencari pengobatan rata-rata sekitar 24 hari, karena tidak tahu keparahan gejala yang dialami (90,6%). Sebagian besar responden lebih memilih pengobatan ke Puskesmas. Faktor karakteristik masyarakat berperan pada perilaku pencarian pengobatan. Keterlambatan pengobatan terjadi pada masyarakat karena ketidaktahuan tentang TB.Kata Kunci: Pencarian pengobatan, perilaku, Tuberkulosis