Puspa Zuleika
Department of Ear Nose Throat Head and Neck Surgery, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia

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Comparison of Oropharyngeal Microbial Pattern Based on Nasogastric Tube (NGT) Use in Dr. Mohammad Hoesin Hospital Puspa Zuleika; Riezki Indrina Pratiwi; Erial Bahar
Biomedical Journal of Indonesia Vol. 8 No. 1 (2022): Vol 8, No 1, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/BJI.v8i1.137

Abstract

Introduction. A Nasogastric Tube (NGT) is a flexible tube inserted into the stomach through the nose (nares) to preserve nutritional support. The use of NGT is claimed to increase the risk of pathogenic bacteria colonization due to stagnation, ultimately worsening the patient's outcome. Proper identification of bacterial patterns is required as colonization grows to avoid further complications. This study aims to compare oropharyngeal microorganism patterns in patients with NGT to those without NGT at Dr. Mohammad Hoesin Palembang. Methods. A cross-sectional observational study was used. From September 2022 to October 2022, data were collected using primary data from interviews (research questionnaires) and oropharyngeal swab results (bacterial culture) in 42 patients undergoing treatment at Dr. RSUP. Mohammad Hoesin Palembang's ENT department. Results. Positive colonization was found in all patients with NGT (100%) and 90.47% in the group without NGT. P. aeruginosa was the most common pathogen in the NGT group (47.62%). The use of NGT, body weight, height, and body mass index were significant risk factors in the incidence of P. aeruginosa colonization (p=0,012). Conclusion. There is a significant difference in P. aeruginosa colonization between NGT and non-NGT users. NGT use is the most important driving factors of colonization development. However, these findings were not found in colonization in general or specific bacteria categories.
Correlation Between Pharyngeal Residue With Food Consistency In Neurogenic Dysphagia Patients Using FEES At RSMH Palembang Puspa Zuleika; Apriandini Mirdasari Putri; Erial Bahar
Biomedical Journal of Indonesia Vol. 8 No. 2 (2022): Vol 8, No 2, 2022
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/BJI.v8i2.140

Abstract

Introduction. Disorders of swallowing process starting from preparation and bolus transportation called dysphagia. Supporting examination for dysphagia is Fiberoptic Endoscopic Examination of Swallowing (FEES). Aims to determine correlation between pharyngeal residues and food consistency in neurogenic dysphagia patients. Methods. Observational study using cross-sectional design. Data was collected from medical records of 32 patients with neurological disorders complaints swallowing who underwent FEES examination at RSMH January 2021 to July 2022. Statistical analysis using SPSS 24.0. Results. Participants was 32 patients with neurogenic dysphagia with the most male sex, 19 patients (59.4%), the most age group ≥  60 years, 17 patients (53.1%). 18 patients had comorbidities (59.4%) with the highest number hypertension 15 patients (50%). Highest leakage in water group with 9 (37.5%) out of 24 experiments while in the filtered porridge group 12 (37.5%) out of 32 experiments. Highest penetration occurred in water 41.7% and filtered porridge 40.9%. Highest aspiration in filtered porridge was 34.4%. Somers’ d correlation test obtained p value 0.028, there was significant correlation between types of food and degree of residual valleculas, and the strength was very weak (ra value: 0.138). The piriform sinus region, obtained p value 0.014, there was significant correlation between type of food and degree of residual piriform sinus and the value of the strength also very weak (ra 0.153). Conclusion. There is significant correlation between types of food and degree of residual valleculas and piriform sinuses. As food resistance increases, the residual degree of valleculas and piriform sinuses will also increase.