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Hubungan Pengetahuan dengan Sikap Ibu tentang Pemilihan Pijat Bayi yang Dilakukan oleh Bidan dan Dukun di Kelurahan Pegirian Kecamatan Semampir Surabaya Putri, Ardelia Savinka Anandrian; Sari, Gadis Meinar; Ningrum, Astika Gita; Puspitasari, Dwiyanti
Indonesian Journal on Medical Science Vol 11 No 2 (2024): IJMS 2024
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70050/ijms.v11i2.477

Abstract

Infant mortality could have been prevented if the baby's condition was healthy and of high quality. One effort to improve the health and developmental stimulation of infants that can be undertaken by the community is by providing stimulation through infant massage. The aim of this research was to determine the relationship between knowledge and the attitude of mothers regarding the selection of infant massage performed by midwives and traditional birth attendants in the Pegirian Subdistrict of Surabaya. The research method used was quantitative analytical observational with a cross-sectional approach. The sample size was 63 respondents using consecutive sampling technique. The research instrument used a questionnaire and was analyzed using the chi-square test. The majority of respondents had good knowledge, with 40 respondents (63.49%), and the majority of respondents chose infant massage by midwives, with 33 respondents (52.38%). The chi-square test results showed a relationship between knowledge and the attitude of mothers regarding the selection of infant massage by midwives and traditional birth attendants (p<0,01). There is a relationship between knowledge and the attitude of mothers regarding the selection of infant massage performed by midwives and traditional birth attendants in the Pegirian Subdistrict of Semampir District, Surabaya City.
Analisis Faktor Resiko Diare pada Balita di Wilayah Kerja Puskesmas Gading Kota Surabaya Perwitasari, Yulinda Ayu; Ningrum, Astika Gita; Puspitasari, Dwiyanti; Fatmaningrum, Widati
Indonesian Journal on Medical Science Vol 11 No 2 (2024): IJMS 2024
Publisher : Unit Penelitian dan Pengabdian Masyarakat Politeknik Kesehatan Bhakti Mulial

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70050/ijms.v11i2.479

Abstract

Various factors can affect the likelihood of toddlers developing diarrhea. Numerous studies have emphasized the role of hygiene factors, including food and beverage hygiene, maternal knowledge, exclusive breastfeeding, and handwashing practices, on toddler diarrhea prevalence. Given that diarrhea can lead to significant adverse events (KLB), identifying root causes is essential to reduce its occurrence in toddlers. This research aimed to determine the risk factors linked to diarrhea in toddlers within the Gading Health Center's operational area in Surabaya City. The study utilized a quantitative analytical observational method with a cross-sectional design. The population included mothers of toddlers aged 0-59 months who had been examined and lived in the Gading Health Center's area, with 125 samples selected through consecutive sampling. A questionnaire focused on variables such as exclusive breastfeeding, knowledge of diarrhea, food and beverage sanitation hygiene, and handwashing practices was used for data collection. The collected data were analyzed using the chi-square test. In the Gading Health Center's operational area in Surabaya City, 52% of toddlers had experienced diarrhea. While no significant correlation was found between toddler diarrhea and mothers' handwashing practices (p=0.065), significant associations were noted between toddler diarrhea and exclusive breastfeeding (p=0.005), maternal knowledge (p<0.001), and food and beverage sanitation hygiene (p=0.007). 
MICROBIAL PATTERN AND ANTIBIOTIC SUSCEPTIBILITY IN PEDIATRIC INTENSIVE CARE UNIT DR. SOETOMO HOSPITAL, SURABAYA A.A.W., I Wayan Putra; Irwanto, Irwanto; Dharmawati, ira; Setyaningtyas, Arina; Puspitasari, Dwiyanti; Wahyu, Agung Dwi; Kuntaman, Kuntaman
Indonesian Journal of Tropical and Infectious Disease Vol. 7 No. 5 (2019)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.415 KB) | DOI: 10.20473/ijtid.v7i5.5737

Abstract

Gram-negative bacterial are known as common pathogen caused infection in Pediatric Intensive Care Unit (PICU). Microbial Pattern and Antibiotic Susceptibility are needed as clinical data for selected appropriate antibiotic therapy. In PICU Dr. Soetomo hospital until now still lacking of Microbial Pattern and Antibiotic Susceptibility data. This descriptive study is to recognized Microbial Pattern and Antibiotic Susceptibility in PICU patients from blood, urine, sputum, stool, cerebrospinal fluid, endotracheal tube, pus swab and pleural fluid culture specimens. Patients whose admitted into PICU without signs of infections were excluded from the study. The inclusion criteria are patients with sign infection as follows: fever < 36,5°C or > 37.5°C, leukocyte < 4000/mm3 or > 10000/mm3, marker infections CRP >10 mg/L or PCT >0,3 ng/mL, bradycardia or tachycardia, tachypnea, infiltrates on chest X-ray, turbid urine, dysuria, thrombophlebitis, abdominal pain or tenderness, and mucous or skin lesion. Medical record data from 2011 to 2016, revealed 1138 patients had positive microbial culture result, wherein positive result came from blood 44.46%, urine 19.15%, sputum 11.59%, stool 8.96%, cerebrospinal fluid 7.50%, endotracheal tube 4.04%, pus swab 2.89%, and pleural fluid 1.41%. The microorganisms found in PICU Dr. Soetomo was dominated with gram negative bacteria. Commonest bacterial that recognized from blood was B. cepacea, urine was E. coli, sputum was P. aeruginosa, Stool was E. coli, Cerebrospinal fluid was S. cohnii, endotracheal tube was K. pneumoniae ESBL, pus swab was S. aureus, and pleural fluid was S. maltophilia. Both gram-negative bacteria and gram-positive bacteria isolates revealed multiple drug resistance to commonly used antibiotic, but still had good susceptibility for antibiotic such as; amikacin, cefoperazone-sulbactam, linezolid, vancomycin and carbapenem group.
PROGNOSTIC FACTORS OF SEVERE DENGUE INFECTIONS IN CHILDREN Baiduri, Senja; Husada, Dominicius; Puspitasari, Dwiyanti; Kartina, Leny; Basuki, Parwati Setiono; Ismoedijanto, Ismoedijanto
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 1 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i1.10721

Abstract

The  incidence of dengue fever increase annually and can increase morbidity and mortality. Dengue fever is mosquito-borne disease and caused by one of four serotype dengue viruses. Severe dengue is characterized either by plasma leakage, fluid accumulation, respiratory distress, severe bleeding, or organ impairment. Mortality and serious morbidity of dengue were caused by several factors including the late recognition of the disease and the changing of clinical signs and symptoms. Understanding the prognostic factors in severe dengue will give early warning to physician thus decreasing the morbidity and mortality, and also improving the treatment and disease management. The aim of this study was to analyze the prognostic factors of severe dengue infection in children. This study was observational cohort study in children (2 months-18 years) with dengue infection according to WHO 2009 criteria which admitted in  Soetomo and Soewandhie Hospital Surabaya. Analysis with univariate, bivariate and multivariate with IBM SPSS Statistic 17. All patients were confirmed by serologic marker (NS-1 or IgM/IgG Dengue). Clinical and laboratory examination such as complete blood count, aspartate aminotrasnferase (AST), alanine aminotrasferase (ALT), albumin, and both partial trombocite time and activated partial trombosit time (PTT and aPPT) were analyzed comparing nonsevere dengue and severe dengue patients. There were 40 subjects innonsevere and 27 subjects with severe dengue infection. On bivariate analysis, there were significant differences of nutritional status, abdominal pain, petechiae, pleural effusion, leukopenia, thrombocytopenia, hypoalbuminemia, history of transfusion, increasing AST>3x, prolonged PPT and APTT between severe and nonsevere dengue group. After multivariate analyzed, the prognostic factors of severe dengue were overweight/obesity (p=0.003, RR 94), vomiting (p=0.02, RR 13.3), hepatomegaly (p=0.01, RR=69.4), and prolonged APTT (p=0.005, RR=43.25). In conclusion, overweight/obesity, vomiting, hepatomegaly, and prolonged APTT were prognostic factors in severe dengue infection in children.Those factors should be monitored closely in order to reduce the mortality and serious morbidity.
SENSITIVITY OF ERYTHROMYCIN AGAINST CORYNEBACTERIUM DIPHTHERIAE Mutahhar, Alif; Puspitasari, Dwiyanti
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 1 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i1.11654

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Diphtheria is an acute infection disease caused by Corynebacterium diphtheriae. It remains a problem in Indonesia in a recent several years especially in East Java Province, which suffered from an outbreak of diphtheria in 2011. Erythromycin is the second line antibiotics therapy for diphteria if the patient is allergic to penicillin, also serving as a prophylactic and carrier therapy for contact diphtheria. Erythromycin has been used for diphtheria for a very long time, but there is little recent data on its sensitivity  against C. diphtheriae. The purpose of this study is to identify whether Erythromycin still has a strong antibacterial activity against Corynebacterium diphtheriae by invitro test. This was a descriptive study which observed the sensitivity pattern of erythromycin against Corynebacterium diphtheriae using the Epsilometer test (etest) as a diffusion technique. Samples used in this study were 30 isolates of toxigenic Corynebacterium diphtheriae strain mitis and gravis at the Center for Health Laboratory (BBLK) Surabaya obtained during 2011 until 2014. We retrieved the data based on gender, age, and districts of patients for each of the samples then analyzed them descriptively. In this study, a sensitivity test of 30 toxigenic Corynebacterium diphtheriae isolates revealed that 27 (90%) were sensitive to Erythromycin (average Minimum Inhibitory Concentration/ MIC) <0.016 μg/mL and all were strain mitis, while 3 (10%) had intermediate sensitivity with MIC 1 μg/mL (all were strain gravis). No resistance result was found from the sensitivity test. According to the result, we conclude that Erythromycin still has a strong antibacterial activity against Corynebacterium diphtheriae.
Correlation Between Risk of Febrile Neutropenia Based on Rondinelli Score with Clinical Outcomes in Acute Lymphoblastic Leukemia Patients Alifadiningrat, Dianira Hanum Febia; Puspitasari, Dwiyanti; Hernaningsih, Yetti
Indonesian Journal of Tropical and Infectious Disease Vol. 10 No. 1 (2022)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v10i1.31916

Abstract

Febrile neutropenia (FN) is the most severe complication in patients with blood cancer and chemotherapy. Acute lymphoblastic leukemia (ALL) is the most common type of cancer in children and the most common cause of febrile neutropenia. The low number of neutrophils in ALL patients due to lymphoblast cancer cells and the toxicity of chemotherapy makes patients susceptible to infection which, if not treated immediately, can lead to death. Early risk assessment for infectious complications in FN patients is needed to increase clinician awareness in high-risk patients and eliminate unnecessary therapy for low-risk patients. The Rondinelli scoring system is a reasonably good instrument for predicting severe infectious complications in pediatric patients with ALL who have febrile neutropenia. This study aims to determine the relationship between the risk category for febrile neutropenia (FN) based on the Rondinelli score with clinical outcomes in FN patients with acute lymphoblastic leukemia (ALL) in the Hematology-Oncology division of the child health department of RSUD Dr. Soetomo. This analytic observational study used secondary data FN patients with acute lymphoblastic leukemia (ALL) implementing a total sampling. From 30 samples of pediatric ALL patients with febrile neutropenia at Dr. Soetomo Hospital for June 2018-June 2020 it was found 17 patients (56.7%) had a moderate risk score category, and 13 others were in a low-risk category (43.3 %). Patients were dominated by moderate and severe severity of neutropenia respectively, 43.3%, had neutropenia for 1-7 days (50%), fever less than seven days (66.7%), had a length of stay of 8-14 days, and 15-30 days 33.3% each. Conclusion from this research is that there was a signifi cant relationship between the Rondinelli score category in pediatric ALL patients with FN with the severity of neutropenia p=0.037; R=0.383), duration of neutropenia (p=0.021; R=0.420), duration of fever (p=0.000; R=0.618), and length of stay (p-value 0.005; R=0.496).
Clinical Manifestations and Distribution of Treatment for Pyoderma at a Tertiary Hospital in Surabaya, Indonesia Auliya, Arsya; Astari, Linda; Puspitasari, Dwiyanti; Alinda, Medhi Denisa
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 36 No. 1 (2024): APRIL
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V36.1.2024.12-19

Abstract

Background: Pyoderma is a skin disease caused by infection with Gram-positive bacteria. In Indonesia, this disease has a high prevalence due to inadequate sanitation, climate condition, humidity, and high population density. Patients with pyoderma present in diverse range of symptoms, in the form of clinical manifestation or systemic symptoms. Inadequate management of pyoderma can lead to an escalation in morbidity rates. Therefore, it is important to conducting comprehensive research about clinical profile of pyoderma patients. Purpose: To describe the profile of pyoderma patients in Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Acdemic Hospital Surabaya in January 2016 to December 2018. Methods: This study is a retrospective descriptive analysis using secondary data derived from medical records at Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Academic Hospital Surabaya. Result: The analysis of pyoderma patient at Dermatology and Venereology Outpatient Unit of Dr. Soetomo General Academic Hospital Surabaya in January 2016 to December 2018 reveals a total of 407 patients, predominantly male and the most age category were toddlers. Most clinical diagnosis were furuncles and carbuncles. Among the clinical manifestations, macula was the most frequent primary skin lesion, while erosion predominated among secondary lesions. The most commonly administered therapies were systemic and topical antibiotics. Conclusion: In the period from January 2016 to December 2018, clinical manifestations of pyoderma patients at the Dermatology and Venereology Outpatient Unit of Dr. Soeto...
COMMUNITY DEVELOPMENT INFLUENCE ON PUBLIC'S KNOWLEDGE IN MANDANGIN ISLAND ABOUT ACUTE DIARRHEA AND FUNCTIONAL CONSTIPATION IN CHILDREN Ranuh, Reza Gunadi; Susianto, Steven Christian; Athiyyah, Alpha Fardah; Darma, Andy; Puspitasari, Dwiyanti; Sumitro, Khadijah Rizky; Nesa, Ni Nyoman Metriani; Faizi, Muhammad; Sudarmo, Subijanto Marto
Journal of Community Medicine and Public Health Research Vol. 3 No. 2 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.519 KB) | DOI: 10.20473/jcmphr.v3i2.34285

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In children, acute diarrhea and functional constipation (FC) are still more prevalent in Indonesia, especially in isolated islands, and need comprehensive management. This study aimed to determine the effect of community development from the Department of Child Health Faculty of Medicine, Universitas Airlangga, Surabaya, on Mandangin Island's public knowledge about acute diarrhea and functional constipation in children. This cross-sectional study was conducted on 29 subjects from Mandangin Island, Sampang, Indonesia on 17th February 2022. Subjects were given education and dissemination as community development by pediatricians via hybrid and could ask questions and discuss at the end of the presentation. The subject's knowledge was measured using a pre-and post-test questionnaire about children's acute diarrhea and functional constipation. Each questionnaire (diarrhea and functional constipation) consisted of 5 questions, with a minimum score of 0 and the maximum score of 100. The subject's knowledge was compared before and after the webinar using Paired T-Test and p<0,05 was measured as significant. We assessed the subject's age, gender, occupation, and last education. There was a significant increase in public knowledge about diarrhea (26,9±18,7; 55,1±24,3; p=0.000) and functional constipation pre-and post-webinar (24,8±18,2; 48,3±24,2; p=0.000). These findings support the importance of community development with education about acute diarrhea and functional constipation in children.
Effectiveness of Video Conferencing Education in Childhood Functional Gastrointestinal Disorders Knowledge in Limited Resource Health Care Workers Puspitasari, Dwiyanti; Ranuh, Reza Gunadi; Athiyyah, Alpha Fardah; Darma, Andy; Sumitro, Khadijah Rizky; Nesa, Ni Nyoman Metriani; Susianto, Steven Christian; Faizi, Muhammad; Sudarmo, Subijanto Marto
Journal of Community Medicine and Public Health Research Vol. 4 No. 1 (2023): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v4i1.40163

Abstract

Childhood Functional Gastrointestinal Disorder (FGID) knowledge is important for healthcare workers (HCWs), particularly in isolated islands, such as Mandangin island, Sampang, Indonesia. Video conferencing technology has been globally used as medical education media to educate among HCWs. This study examined the effectiveness of video conferencing technology about Childhood FGID in limited resources HCWs. This cross-sectional study was conducted among 20 HCWs from Mandangin's community health center along with community medicine by the Department of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital. The subject was assessed for general characteristics and FGID pre-test to examine HCWs' knowledge before the seminar through video conferencing. FGID pre-test was consisted of seven questions and randomized for FGID post-test after the seminar and the question-answer part was done. The pre-and post-test was compared using the Wilcoxon rank sum test using SPSS version 20.0. Among 20 subjects, 80% were female, and 45% had the last education of Diploma Degree (D-3). There was a significant difference between pre-and post-test among subjects (p<0,05), of which 16 (80%) subjects had an increase in post-test compared to the pre-test result. Health education using videoconferencing technology effectively increased knowledge about childhood FGID in limited resources healthcare workers and expected to be a sustainable program in the community health center.
Direct Health Education Effect on Mandangin Island Public's Knowledge of The Most Common Diseases in Children Athiyyah, Alpha Fardah; Ranuh, Reza Gunadi; Darma, Andy; Puspitasari, Dwiyanti; Sumitro, Khadijah Rizky; Faizi, Muhammad; Sudarmo, Subijanto Marto
Journal of Community Medicine and Public Health Research Vol. 4 No. 2 (2023): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v4i2.40956

Abstract

Pneumonia, diarrhea, and other infectious diseases are some of the most common diseases found in children. Although preventable, the morbidity and mortality rate in children caused by these common diseases are relatively high, and the poor regions are disproportionally affected. Comprehensive health education for adults and parents can effectively prevent these common diseases, especially in remote areas. This study aimed to determine the effect of health education as community development program from the Gastroenterology Division of the Department of Child Health Faculty of Medicine Universitas Airlangga on Mandangin Island public's knowledge about the most common diseases in children. This cross-sectional study was conducted on 61 subjects from Mandangin Island on 4th October 2022. The subjects were assessed on their characteristics and given a pre- and post-health education questionnaire to evaluate their knowledge. The questionnaire was composed of five questions with a minimum score of 0 and a maximum of 100. Results from the pre- and post-test questionnaires were compared using the Paired T-Test method and processed with SPSS; p <0.05 was considered significant. There was a significant increase in public knowledge about the most common diseases in children with a p-value of 0.002 (64.26±31.44; 76.9±22.63). These findings support the importance of health education in the public's knowledge of the most common diseases in children.
Co-Authors A.A.W., I Wayan Putra Abu Rohiman Alifadiningrat, Dianira Hanum Febia Alpha Fardah Athiyyah Amanah Fatmadani Suwarno Amor Peraten Ginting Andy Darma Annisa Fira Salsabila Arguni, Egi Arina Setyaningtyas Aris Wiji Utami Aryati Aryati Atika Atika Auliya, Arsya Ayu Citra Gestari AYU WULANSARI Ayuningtyas, Jayanti Febry Ayush Khangai Baiduri, Senja Bangkit Putrawan Basuki, Setio Catarina Rani Desy Primayani Devi Maya Arista Dewi, Maharani Sita Dharmawati, Ira Dhasih Afiat Dwi Pawestri Dominicus Husada Edward Adijaya Rusli Egi Arguni Elfrida A. Rachmah Erna Supatmini Ernawati Ernawati Esti Yunitasari Eveline Irawan Ferisca Maya Kurnia Wardhani Firdaus, Hema Rizkyana Hammam Izza Rofiqi Hanik, Elya Umi Haq, Arini Hartono Kahar, Hartono Hilwana, Lutifta Husada, Dominicius I Gusti Made Reza Gunadi Ranuh Ida Fitriawati Ida Safitri Laksanawati Inna Fairuuza Firdaus Innayah, Reza Nidaul Irwanto Irwanto Ismoedijanto Januarti, Catur Ifda Juniastuti Juniastuti Jusak Nugraha Kartina, Leny Kevin Sastra Dhinata Khadijah Rizky Sumitro Khadijah Rizky Sumitro Kristina Marbun Kuntaman Kuntaman Linda Astari, Linda Lutfi Dewanda Nugroho Maesarah Maesarah ManikRetno Wahyunitisari Medhi Denisa Alinda, Medhi Denisa Mohammad Sjaifullah Noer Muhammad Faizi Muhammad Faizi, Muhammad Muhammad Miftahussurur Mustikasari, Rahma Ira Mutahhar, Alif Nadya Khuswatun Khasanani Nesa, Ni Nyoman Metriani Ni Nyoman Metriani Nesa Ni Nyoman Metriani Nesa Ningrum, Astika Gita Ninik Asmaningsih Soemyarso Ninik Darsini Parwati S. Basuki Parwati Setiono Basuki Perwitasari, Yulinda Ayu Prastiya Indra Gunawan Pratiwi, Maurin Pudji Lestari Purwanta, Marijam Puspa Wardhani Putri, Ardelia Savinka Anandrian Raissa Manika Purwaningtias Ratni Indrawanti Rebekah Setiabudi, Rebekah Regitha Adit Pramesty Reza Gunadi Ranuh Reza Gunadi Ranuh Risa Etika, Risa Risky Vitria Prasetyo Riza Noviandi Rizkiya Candra Sari Rochmanti, Maftuchah Rochmanti Rokhmah Ayu Suliasih Rusli, Musofa Sacharissa Zerlina Tsarwah Thirafi Safitri, Emilia Samira - Assegaf Saraswati Dewi Sari, Gadis Meinar Sri Utami Sri Utami Steven Christian Susianto Steven Christian Susianto Sudarmo, Subijanto Marto Sulistiawati Sulistiawati Sumitro, Khadijah Rizky Sunny Mariana Samosir Susianto, Steven Christian Tirthaningsih, Ni Wajan Tuksin Jearanaiwitayakul Wahyu, Agung Dwi Wahyul Anis Wahyuni Mahmud Date Widati Fatmaningrum Widodo Darmowandowo Winni Aprillia Putri Woro Setia Ningtyas Yetti Hernaningsih Yuni Hisbiiyah Zaky Firmawan El-Hakim