Refi Syifa Ghinanda
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Studi Deskriptif Pasien Multi Drug Resisten Tuberculosis di Rsu Cut Mutia Kabupaten Aceh Utara Tahun 2019-2022 Cut Khairunnisa; Muhammad Sayuti; Refi Syifa Ghinanda; Zikra Ihtasya Annabila
Malahayati Nursing Journal Vol 5, No 2 (2023): Volume 5 Nomor 2 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i2.7928

Abstract

ABSTRACT Tuberculosis is an infectious disease that is still a global health problem. The long period of treatment for tuberculosis results in patients not completing treatment until completion, giving the wrong drug, both the wrong dose and type of drug, poor drug quality, and lack of drug supply which are the causes of multi-drug resistant tuberculosis (MDR TB) cases. MDR-TB is a type of tuberculosis that is resistant to the two most powerful tuberculosis drugs, namely Isoniazid and Rifampicin. The Ministry of Health of the Republic of Indonesia in 2021 stated that there were 7921 confirmed cases and 4590 enrolled cases of MDR/RR TB. This study aims to analyze the characteristics and determinants associated with MDR TB patients undergoing treatment. This study used a retrospective descriptive study design, total sampling was carried out on MDR TB patients undergoing treatment at RSU Cut Mutia in the period 2019 to 2022 as many as 40 samples. The results of the study found that the average age of MDRTB patients was 45.5 years. The most gender was male at 70%, with normal nutritional status at 65% with a history of previous treatment failure of 65%. As many as 75% of MDRTB patients do not have comorbid diseases, and the guideline for the use of long-term OAT is the most dominant, which is 65%. Keywords: MDR-TB, Characteristics, Determinant Factors  ABSTRAK Tuberkulosis merupakan penyakit infeksi yang masih menjadi permasalahan kesehatan dunia. Lamanya periode pengobatan tuberkulosis mengakibatkan penderita tidak menyelesaikan pengobatan sampai selesai, pemberian obat yang salah, baik kesalahan dosis maupun  jenis obat, kualitas obat yang buruk serta persediaan obat yang kurang menjadi penyebab timbulnya kasus multi drug resisten tuberkulosis (MDR TB). TB-MDR merupakan jenis tuberculosis yang kebal terhadap dua obat tuberculosis paling kuat yaitu Isoniazid dan Rifampisin. Kementerian Kesehatan Republik Indonesia tahun 2021 menyatakan terdapat 7921 kasus terkonfirmasi dan 4590 kasus enroll TB MDR/RR. Penelitian ini bertujuan untuk menganalisis karakteristik dan factor determinan yang berhubungan selama penderita MDR TB menjalani pengobatan. Penelitian ini menggunakan desain studi deskriptif retrospective, pengambilan sampel dilakukan secara total sampling pada pasien MDR TB yang menjalani pengobatan di RSU Cut Mutia dalam rentang waktu 2019 hingga 2022 sebanyak 40 sampel. Hasil penelitian dijumpai usia rata-rata penderita MDRTB 45,5 tahun. Jenis kelamin terbanyak adalah laki-laki sebesar 70%, status gizi normal 65% dengan riwayat gagal pengobatan sebelumnya sebesar 65%. Sebanyak 75% penderita MDRTB tidak memiliki penyakit komorbid, serta panduan penggunaan OAT jangka panjang paling dominan yaitu sebanyak 65%. Kata Kunci: MDR-TB, Karakteristik, Faktor Determinan
Tinea Corporis Et Cruris Refi Syifa Ghinanda; Mohd Mimbar Topik
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 2 (2024): April : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i2.3679

Abstract

Dermatophytes themselves are filamentous fungi with the ability to attack keratinized tissue such as skin, hair and nails. Classically, dermatophytes are divided into three genera, namely Trichophyton, Epidermophyton, and Microsporum. Dermatophyte infections are generally limited to the stratum corneum of the epidermis, especially in tropical areas with hot conditions that are ideal for the growth of dermatophytes, especially in moist areas of the body. National epidemiological data on tinea corporis for Indonesia is still not available. According to data on dermatophytosis cases found in the Skin and Venereology Mycology Division of Dr. Soetomo Surabaya for the 2014-2016 period, it was found that the percentage of tinea corporis cases was 56.1%, followed by tinea cruris at 34.3%, and tinea capitis at 6.4%. Predisposing factors for this disease in the host include lack of hygiene and immunocompromised conditions. Fold areas including the groin and armpits are more susceptible to infection due to excessive sweating and friction. Environmental factors that put a person at a higher chance of contracting the disease include high humidity, high temperatures and tight clothing. The clinical manifestation is the presence of a characteristic circular lesion, usually with firm borders, pink to erythematous with raised edges. As the lesion develops, the central area of ​​the lesion is usually calmer (central healing) and the lesion is annular with a scaly edge area. Supporting examinations were carried out with KOH solution. Management in general is in the form of educating patients to wear light and loose clothing and keep the skin clean and dry. Specific management includes administering topical antifungals or systemic antifungals