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Characteristics of Contact Dermatitis Patients (Irritant and Allergic) in RSUD Batara Siang Pangkep District Aidah Nurul Faizah; Nurelly N. Waspodo; Arina Fathiyyah Arifin; Hermiaty Nasruddin; Lisa Yuniati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 9: SEPTEMBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i9.5916

Abstract

Introduction: Contact dermatitis is the occurrence of an inflammation of the skin caused by exposure to a toxin (primary irritant) or by an allergenic material (sensitizer) or by both. At the 2009 meeting of Dermatologists, it was stated that 90% of occupational skin diseases are contact dermatitis, both irritant and allergic. 92.5% of occupational skin diseases are contact dermatitis, 5.4% due to skin infections 2.1% of skin diseases due to other causes. Objective: To study the characteristics of contact dermatitis (irritant and allergic) at Batara Siang Regional General Hospital, Pangkep Regency, South Sulawesi Province in 2022-2023. Methods: This research is quantitative research with descriptive research design. The sampling method is total sampling and as for the samples obtained from medical record data, namely 268 cases of contact dermatitis at Batara Siang Regional General Hospital, Pangkep Regency. Results: The number of contact dermatitis cases was 268 cases consisting of 209 cases of ACD and 59 cases of ICD. Based on gender, the most cases were female in ACD and ICD, namely 41 ACD patients and 17 ICD patients in 2022, 79 ACD patients and 20 ICD patients in 2023. Based on age, 45-64 years old is the most common in ACD and ICD, namely 25 ACD patients and 9 ICD patients in 2022, 47 ACD patients and 11 ICD patients in 2023. Based on occupation, ACD is most common in students, namely 17 patients in 2022 and 32 patients in 2023 and in ICD, the work of housewives is 9 patients in 2022 and 10 patients in 2023. Based on the history of atopy, most of them did not have a history of atopy in both ACD and ICD, namely 69 ACD patients and 25 ICD patients in 2022, 128 ACD patients and 30 ICD patients in 2023. Conclusion: Most characteristics based on gender, age, occupation and atopic history of ACD and ICD in 2022 and 2023 are mostly similar.
POLA PATOGEN DAN ANTIBIOGRAM DI RUMAH SAKIT IBNU SINA MAKASSAR Yani Sodiqah; Lisa Yuniati; Ummi Kalsum
Medika Alkhairaat: Jurnal Penelitian Kedokteran dan Kesehatan Vol 6 No 3 (2024): Desember
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v6i3.261

Abstract

ABSTRAK Infeksi bakteri di lingkungan rumah sakit masih menjadi permasalahan yang signifikan, di mana pola distribusi dan resistensi bakteri mempengaruhi pengelolaan terapi antibiotik. Penelitian ini bertujuan untuk menganalisis distribusi patogen dan antibiogram (pola resistensi antibiotik) pada pasien rawat inap, rawat jalan, dan ICU di RS Ibnu Sina Makassar periode Januari–Juni 2024. Desain penelitian deskriptif dengan pendekatan cross-sectional menggunakan 246 data hasil kultur positif dari berbagai spesimen klinis (sputum, darah, pus, bilas bronkus, urine, jaringan, dan cairan pleura) dianalisis menggunakan software WHONET 2024 versi 5.6 Hasil menunjukkan sputum sebagai spesimen terbanyak (43,1%), diikuti darah (29,3%) dan pus (20,3%). Terdapat perbedaan pola patogen di setiap lokasi penelitian. Untuk isolat gram positif, Staphylococcus sp. mendominasi rawat inap (92%) dan ICU(75%) Patogen utama isolat gram negatif di rawat inap adalah Klebsiella sp. (25%), Salmonella sp (30%) di ICU dan Escherichia coli (50%) di rawat jalan. Antibiogram mengungkap resistensi tinggi terhadap antibiotik beta-laktam pada patogen Gram-positif dan negatif, dengan sensitivitas relatif tinggi terhadap Gentamicin, Levofloxacin, dan Erythromycin. Pola patogen dan antibiogram yang bervariasi antara unit rawat inap, rawat jalan, dan ICU, menekankan pentingnya pemantauan pola resistensi bakteri untuk mencegah penyebaran infeksi dan mendukung pengobatan yang lebih efektif. KATA KUNCI: POLA PATOGEN, ANTIBIOGRAM, ANTIBIOTIK, RESISTENSI, RUMAH SAKIT ABSTRACT Bacterial infections in hospital environments remain a significant concern, as the distribution and resistance patterns of bacteria critically impact the management of antibiotic therapy. This study aimed to analyze the distribution of pathogens and the antibiogram (antibiotic resistance patterns) among inpatients, outpatients, and ICU patients at Ibnu Sina Hospital, Makassar, during the period of January–June 2024. This descriptive study employed a cross-sectional design, utilizing 246 positive culture results from various clinical specimens (sputum, blood, pus, bronchial lavage, urine, tissue, and pleural fluid), which were analyzed using WHONET 2024 software version 5.6. The results revealed that sputum was the most frequently collected specimen (43.1%), followed by blood (29.3%) and pus (20.3%). Distinct pathogen patterns were observed across different hospital units. Among Gram-positive isolates, Staphylococcus spp. dominated in inpatients (92%) and ICU patients (75%). For Gram-negative isolates, Klebsiella spp. (25%) were predominant in inpatients, Salmonella spp. (30%) in ICU patients, and Escherichia coli (50%) in outpatients. The antibiogram revealed a high resistance to beta-lactam antibiotics among both Gram-positive and Gram-negative pathogens, while relatively high sensitivity was observed to Gentamicin, Levofloxacin, and Erythromycin. The varying pathogen distribution and resistance patterns across inpatient, outpatient, and ICU units emphasize the critical need for continuous monitoring of bacterial resistance to prevent infection spread and support more effective treatment strategies. KEYWORDS: PATHOGEN PATTERNS, ANTIBIOGRAM, ANTIBIOTICS, RESISTANCE, HOSPITAL
Literature Review: Ramsay Hunt Syndrome As A Complication Of Herpes Zoster Disease Fitriani, Fitriani; Dian Amelia Abdi; Fransina R. Sarungallo; Lisa Yuniati; Fanny Iskandar
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

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

Abstract

Ramsay Hunt syndrome as a complication of herpes zoster, mostly occurs in immunocompromised patients. Disruption of the immune system plays a role in the reactivation of Varicella Zoster Virus (VZV). After primary varicella infection, VZV remains and is latent in the dorsal sensory ganglion roots. Then, several decades later, this neurotropic virus can reactivate and cause shingles. Ramsay Hunt syndrome is characterized by a triad of facial paralysis, ipsilateral ear pain/otalgia accompanied by facial paralysis, and the appearance of vesicle lesions in the ear according to the dermatome of the facial nerve. The purpose of this study was to determine Ramsay Hunt Syndrome as a complication of Herpes Zoster based on immunity, VZV latency period, age, gender, clinical manifestations, and management. This study used a literature review method with a Narrative Review design. The results obtained 15 journals that included inclusion criteria, namely references in the last 5 years, according to keywords, from scientific journal references, and case report research designs. The results showed that the influence of the immune system plays a major role in the reactivation of VZV, especially in elderly patients because old age causes functional changes in T cells and monocytes that function as a defense against viruses causing VZV reactivation, so Ramsay Hunt syndrome is rarely found in children <6 years. The presence of other risk factors such as a history of malignant lymphoma, HIV infection, history of immunosuppressive therapy, history of chronic disease, history of use of immunosuppressive drugs, or history of habits (consuming alcohol) can be the cause of reactivation of Varicella Zoster Virus (VZV).