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Pola Bakteri Ulkus Diabetikum Pada Penderita Diabetes Melitus di RSUD Dr. H. Abdul Moeloek Haula Rizqiyah; Tri Umiana Soleha; Rizki Hanriko; Ety Apriliana
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Diabetes mellitus is a term for heterogeneous of metabolism disturbances for which the main finding is chronic hyperglycaemia. In diabetes mellitus, elevated glycaemic levels increases the risk of microvascular and macrovascular complications. These increase risk of further complications such as peripheral neuropathy which can cause foot ulcerations. Diabetic extremity ulcers develop in approximately 15% of people with diabetes and are a leading cause of hospitalization and amputation among such patient. Diabetic foot ulcer infection followed by amputation contribute dramatically not only to the morbidity among persons with diabetes, but are also associated with severe clinical depression and increased mortality rates. The aim of the study was to determine the bacterial profile of diabetic foot ulcer in RSUD Dr. H. Abdul Moeloek. This study was a descriptive study using a cross sectional study. Sampling was conducted at RSUD Dr. H. Abdul Moeloek and examined in Microbiology-Parasitology Laboratorium in Medicine Faculty of Lampung University. The diabetic foot ulcer swab was taken to identified the bacteria. Bacteria were isolated on nutrient agar, blood agar, Mc Conkey agar, and identified using Gram staining and biochemical test. In the 21 diabetic foot patients, 16 were males (76.2%) and 5 were females (23.8%) and grade-II Wagner’s ulcers were predominant, which is deep ulcer without bony involvement or abscess. In the diabetic foot ulcers cases, 85.7% cases had monomicrobial infections while 14.3% cases had mixed bacterial infection. Gram-positive bacteria accounted for 62.5%. Staphylococcus aureus was the most frequent microorganism yielded (58%). Gram-negative rods accounted for 37.5%. Escherichia coli was the most predominant gram-negative organism (17%). Staphylococcus aureus, Staphylococcus epidermidis, Citrobacter freundii, Escherichia coli, and Proteus mirabilis were found in diabetic foot infections in the present study.
Faktor Risiko Sick Building Syndrome Haula Rizqiyah; Minerva Nadia Putri
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 5 No. 02 (2018): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Di negara maju, orang menghabiskan waktu 90% di dalam bangunan, sehingga bangunan yang sehat dan nyaman merupakan hal yang paling utama. Saat ini, banyaknya pembangunan konstruksi bangunan hemat energi dapat menimbulkan penurunan kualitas udara. Hal ini dikarenakan terjadinya penurunan jumlah oksigen yang masuk, serta ditambah dengan sistem ventilasi yang buruk yang dapat menyebabkan kondisi lingkungan dalam ruangan yang tidak sehat dan nyaman, seperti Sick Building Syndrome (SBS). Tujuan dari studi ini adalah untuk mengidentifikasi faktor risiko penyebab SBS. Tinjauan dilakukan pada bulan Desember 2017-Juni 2018 berupa studi literatur komprehensif terkait faktor risiko penyebab SBS. Hasil yang didapatkan yaitu faktor risiko penyebab SBS dapat diklasifikasikan menjadi 6 kelompok yaitu fisika, kimia, biologi, psikososial, personal, dan lain-lain seperti lokasi tempat tinggal di jalan raya, penggunaan bahan kimia anti serangga, serta hubungan kepemilikan dan umur bangunan.Kata Kunci: faktor risiko, identifikasi, sick building syndrome