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All Journal Berkala Kedokteran Journal Orthopaedi and Traumatology Surabaya (JOINTS) Homeostasis: Jurnal Mahasiswa Pendidikan Dokter
Husna Dharma Putera, Husna Dharma
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Pola Resistensi Bakteri Kontaminan Luka Pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin Periode Juli-September 2013: Tinjauan In Vitro Pola Resistensi Isolat Bakteri Kontaminan Asal Swab Luka Pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin Terhadap Gentamisin, Kloramfenikol, Sefotaksim dan Seftriakson Rihansyah, Akbar; Putera, Husna Dharma; Budiarti, Lia Yulia
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.964

Abstract

ABSTRACT: Surgery, trauma, burns, and other factors can affect the defense/skin barrier against bacterial contamination that can cause infection. The risk of infection must be remained of the rational use of prophylactic antibiotics. Rational use of antibiotic susceptibility test results obtained by antibotic against bacteria. The aim of this research was to figure out the resistance pattern of bacteria contaminant in patient’s wound at Orthopaedic Ward of RSUD Ulin Banjarmasin to selected antibiotics i.e. gentamicin, chloramphenicol, cefotaxime and ceftriaxone from July-September 2013. This was descriptive research. The samples were taken with consecutive sampling technique according to inclusion criteria. This research used wound swab bacteria contaminant isolates i.e. Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, and Streptococcus sp. Antibiotic susceptibility test was done in vitro with Kirby-Bauer diffusion method. The radical zones were measured and compared to CLSI 2011 standard. The antibiotic susceptibility test result showed that Staphylococcus aureus was sensitive to gentamicin (100%) and cefotaxime (66,67%), resistant to chloramphenicol (44,44%); Staphylococcus epidermidis was sensitive to cefotaxime (28,75%), resistant to gentamicin (85,71%) and chloramphenicol (57,14%); Pseudomonas aeruginosa was sensitive to cefotaxime (33,33%), resistant to ceftriaxone (66,67%); Streptococcus sp. was sensitive to cefotaxime (50%), resistant to gentamicin (50%), chloramphenicol (100%) and ceftriaxone (50%). Key words:   Antibiotic susceptibility, wound bacterial contaminant. ABSTRAK: Tindakan operasi, trauma, luka bakar dan beberapa faktor lain dapat mempengaruhi pertahanan/barier kulit terhadap kontaminasi bakteri yang dapat menyebabkan infeksi. Risiko terjadinya infeksi harus tetap diwaspadai dengan penggunaan antibiotik profilaksis yang rasional. Penggunaan antibiotik rasional didapatkan berdasarkan hasil uji kepekaan antibotik terhadap bakteri penyebab. Penelitian ini bertujuan untuk mengetahui pola resistensi bakteri kontaminan pada luka pasien di Bangsal Bedah Ortopedi RSUD Ulin Banjarmasin terhadap beberapa antibiotik yaitu gentamisin, kloramfenikol, sefotaksim dan seftriakson periode Juli-September 2013. Penelitian ini bersifat deskriptif. Pengambilan sampel menggunakan teknik consecutive sampling menurut kriteria inklusi. Penelitian ini menggunakan isolat bakteri kontaminan hasil swab luka pasien yaitu Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, dan Streptococcus sp. Uji kepekaan keempat jenis bakteri tersebut dilakukan secara in vitro dengan metode difusi Kirby-Bauer. Zona radikal yang terbentuk diukur dan dibandingkan dengan standar CLSI 2011. Hasil uji kepekaan antibiotika menunjukkan bahwa Staphylococcus aureus sensitif terhadap gentamisin (100%) dan sefotaksim (66,67%), resisten terhadap kloramfenikol (44,44%); Staphylococcus epidermidis sensitif terhadap sefotaksim (28,75%), resisten terhadap gentamisin (85,71%) dan kloramfenikol (57,14%); Pseudomonas aeruginosa sensitif terhadap sefotaksim (33,33%), resisten terhadap seftriakson (66,67%); Streptococcus sp. sensitif terhadap sefotaksim (50%), resisten terhadap gentamisin (50%), kloramfenikol (100%) dan seftriakson (50%). Kata-kata kunci : Kepekaan antibiotika, bakteri kontaminan luka.
PERBEDAAN JUMLAH ABSOLUT NEUTROFIL DAN MONOSIT PADA DERAJAT CEDERA FRAKTUR TEBRUKA DI RSUD ULIN BANJARMASIN Tinjauan Penelitian Analitik Retrospektif Tahun 2019-2022 Berdasarkan Klasifikasi Gustilo-Anderson Fadhillah, Muhammad Naufal; Putera, Husna Dharma; Hendriyono, Fransiscus Xaverius
Homeostasis Vol 6, No 3 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i3.11453

Abstract

Open fracture is a condition of serious fracture injury where there is a connection between the fracture fragments and the outside world. Traffic accidents are the most frequently reported cause of open fracture cases. Injured soft tissue will experience inflammation which causes increase in inflammatory cells present in the injured area. The variation in the number of leukocytes is related to the severity of the patient's injury. Neutrophils and monocytes are the first types of leukocytes present in the injured area to carry out phagocytosis. This study aims to analyze the difference of the absolute number of neutrophils and monocytes in the degree of open fracture injury based on the Gustilo-Anderson classification at Ulin Hospital, Banjarmasin in 2019-2022 as one of the biological parameters for the initial assessment of the clinical condition of open fracture patients. This study used an analytic observational method with a retrospective cross sectional approach. The sampling technique uses the total sampling method. Data were obtained for 32 subjects for each absolute variable neutrophil and monocyte with 1 subject on type I, 6 subjects on type II and 25 subjects on type III. The results of the comparative analysis test between the degrees of injury obtained p = 0.245 for absolute neutrophils and p = 0.558 for absolute monocytes. The conclusion of this study was that there was no significant difference in the absolute number of neutrophils and monocytes between the degrees of open fracture injury at Ulin Hospital, Banjarmasin in 2019-2022 based on the Gustilo-Anderson classification.
PERBEDAAN GANGGUAN MOBILITAS DITINJAU BERDASARKAN KARAKTERISTIK PASIEN OSTEOARTRITIS LUTUT DI POLI REHABILITASI MEDIK RSUD ULIN BANJARMASIN Sari, Nanda Haliza; Siddik, Muhammad; Sanyoto, Didik Dwi; Arsyiana, Fathia; Putera, Husna Dharma
Homeostasis Vol 7, No 3 (2024)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v7i3.14559

Abstract

Abstrak : Osteoarthritis (OA) is a commonly encountered joint disease resulting from a degenerative and inflammatory process in the area of the joint cartilage. In individuals with this condition, the joint cartilage has worn away, causing an uneven and rough joint surface. The knee joint is particularly susceptible to OA. Knee OA causes primary symptoms of pain and stiffness in the joint, resulting in mobility issues. This study aims to ascertain the differences in mobility impairment based on the characteristics of knee osteoarthritis patients at the Medical Rehabilitation Outpatient Clinic of Ulin Regional General Hospital, Banjarmasin. This research constitutes an analytical observational study with a cross-sectional design, involving a sample comprising all knee OA patients with mobility impairments referred to and recorded at the medical rehabilitation outpatient clinic of Ulin Regional General Hospital, Banjarmasin, during the period of November 2023. The findings of this study revealed that one of the six patient characteristics, namely, the classification of knee OA severity based on Kellgren-Lawrence, is associated with mobility impairment. Keywords : knee osteoarthritis, mobility impairment, patient charactheristics. Abstrak : Osteoartritis (OA) merupakan jenis penyakit sendi yang sering dijumpai dan terjadi akibat proses degeneratif sekaligus peradangan pada daerah tulang rawan sendi. Pada penderita penyakit ini, tulang rawan sendi telah mengalami penipisan atau aus sehingga menyebabkan permukaan rawan sendi menjadi tidak rata dan bergelombang. Sendi pada lutut merupakan sendi yang rentan terkena OA. Penyakit OA lutut menyebabkan gejala utama nyeri dan kaku pada sendi lutut sehingga mengakibatkan masalah gangguan mobilitas. Penelitian ini bertujuan untuk mengetahui perbedaan gangguan mobilitas ditinjau berdasarkan karakteristik pasien osteoartritis lutut di Poli Rehabilitasi Medik RSUD Ulin Banjarmasin. Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional, sampel yang diambil merupakan seluruh pasien OA lutut dengan gangguan mobilitas yang dirujuk dan terdata di poli rehabilitasi medik RSUD Ulin Banjarmasin periode November 2023. Hasil dari penelitian ini didapatkan 1 dari 6 karakteristik pasien yaitu klasifikasi derajat OA lutut berdasarkan kellgren-lawrence memiliki hubungan dengan gangguan mobilitas. Kata-kata kunci: osteoartritis lutut, gangguan mobilitas, karakteristik pasien.
The Profile of Road Traffic Injury-Related Fracture Patient in the Emergency Department of H. Damanhuri Barabai General Hospital Firdaus, Muhammad Nanda; Pratista, Muhammad Bagas; Rahman, Ansari; Putera, Husna Dharma; Noor, Zairin
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i1.2025.37-45

Abstract

Background: Road traffic injuries (RTIs) are a major cause of fractures, posing significant challenges for healthcare systems especially in rural areas. Based on data from to Traffic Corps of the Indonesian National Police published by the Ministry of Transportation, the number of traffic accidents in Indonesia reached 103,645 cases in 2021. Understanding the profile of RTI-related fracture patients is crucial to improve emergency care and guide preventive strategies. This study aims to identify the profile of the RTI-related fracture patient in the emergency department of H. Damanhuri Barabai General Hospital. Methods: This study was retrospective observational. We analysed the medical records of RTI-related fracture patients in Emergency Department of H. Damanhuri Barabai General Hospital during March – July 2023. We observed gender, age, mode of injury, type of fracture and bone involved. Results: There were 91 RTI-related fracture patients from 146 orthopaedic patients recorded. Male had a higher incidence (74%). The highest incidence was observed in 41 – 60 ages group (32%) and 21 - 40 ages group (31%). The most common mode of injury was double traffic injuries (65%) involving motorcycle vs motorcycle (41%). The primary type of fracture was identified as closed fracture (63%). The   bone most involved was tibia (27%). Conclusions: Fractures are common among males during their productive years as a result of traffic injuries. This study provides insights that advance understanding to the prevalence of RTI-related fractures. Additional research is required to develop further overview of RTI-related fractures.
Co-Authors Akbar Rihansyah, Akbar Arsyiana, Fathia Fadhillah, Muhammad Naufal Firdaus, Muhammad Nanda Hendriyono, Fransiscus Xaverius Lia Yulia Budiarti Pratista, Muhammad Bagas Rahman, Ansari Sanyoto, Didik Dwi Sari, Nanda Haliza Siddik, Muhammad Zairin Noor