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All Journal Indonesian Journal of Tropical and Infectious Disease JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Adhima, Fauziah
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Earth & Planetary Sciences Health Professions Medicine & Pharmacology Public Health

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Bacterial Profile and Antibiotic Resistance Pattern among Children with Urinary Tract Infections in Dr. Soetomo Hospital, Surabaya, Indonesia Adhima, Fauziah; Wahyunitisari, Manik Retno; Prasetyo, Risky Vitria; Setiabudi, Rebekah Juniati
Indonesian Journal of Tropical and Infectious Disease Vol. 10 No. 2 (2022)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v10i2.32908

Abstract

Urinary tract infections (UTIs) are the most common infections in pediatric patients characterized by the growth of bacteria in the urine in significant numbers. Antibiotics remain the primary treatment of UTI in children. However, there has been an increase in antibiotic resistance to uropathogens worldwide due to their inappropriate and extensive uses. There is considerable geographical variation in the distribution of bacteria and antibiotic resistance pattern. Thus, to prevent further resistance and provide empirical antibiotic options, this study aims to determine the profile of bacteria and antibiotics resistance pattern among UTI pediatric patients in Dr. Soetomo Hospital. This study was performed by collecting data from the urine culture logbook at the Clinical Microbiology Laboratory of Dr. Soetomo Hospital in July-October 2019. The sample was UTI patients aged one day – 18 years due to bacterial infection with a colony count of   ≥100,000 CFU/ml. In this study, 131 patients showed significant bacterial growth dominated by males and ages one month – 2 years. UTI were caused by gram-negative bacteria (74%) and gram-positive bacteria (26%), with the most bacteria found in each group were Escherichia coli and Enterococcus faecalis. E. coli showed ≥70% resistance to ampicillin, cefazoline, piperacillin, tetracycline, and trimethoprim-sulfamethoxazole. Comorbidities were dominated by hydronephrosis (10.98%), chronic kidney disease (9.79%) and hydrocephalus (8.09%). In conclusion, gram-negative bacteria were the leading cause of UTI in children with E. coli as the most common uropathogen, highly resistant to ampicillin and cefazolin. Gram-positive bacteria were less frequent with varied resistance patterns. Most common comorbidity was hydronephrosis.
MEDICAL SNORKEL-MASK: A REUSABLE PERSONAL PROTECTIVE EQUIPMENT FOR HEALTH WORKERS Manaf, Hafizh Al-Ghifari; Suyudi, Muhammad Arsy Reza; Razaan, Muhammad Farraas; Praba, Venansya Maulina; Al Mufid, Shofiuddin; Adhima, Fauziah; Nugroho, Puguh Setyo
Journal of Community Medicine and Public Health Research Vol. 3 No. 1 (2022): Journal of Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.245 KB) | DOI: 10.20473/jcmphr.v3i1.32810

Abstract

Covid-19 is a new disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The increasing number of cases of Covid-19 has made it difficult for hospitals to handle it, and health workers are at a higher risk of infection by SARS-CoV-2 and urgently need Personal Protective Equipment (PPE) to protect themselves and minimize the spread of the virus. However, the usage of PPE especially face-masks often causes discomfort. Therefore, a new type of face mask has emerged, namely the medical snorkel mask. This mask is designed to cover the entire face and is made by modifying the air circulation section by adding an air filter. The filter used is PALL Ultipor 25 with a HEPA filter capable of filtering up to 0.3 microns in size and has an efficiency of 99.99%. Medical snorkel mask that is used properly are quite efficient in preventing the transmission of Covid-19, with a fitting factor of 142 from pass level 100. This mask also has passed the CO2 toxicity test. The advantages of a medical snorkel mask include protecting the entire face from infectious droplets, preventing direct hand contact with the face, being reusable, and being equipped with an effective air filter by minimizing the potential for filtrate malfunction. Some of the disadvantages of this mask include interfering with the communication process, cannot being used in conjunction with glasses, a buildup of CO2, increasing the work of breathing, and limiting vision. However, some of these weaknesses can be minimized by modifying the mask and maintaining an optimal barrier system. Given the high level of effectiveness and efficiency, medical snorkel masks can be a novel solution to overcome the discomfort of using PPE for health workers in Indonesia. Hopefully, it can reduce the morbidity and mortality of health workers due to exposure to Covid-19.
Co-Authors Al Mufid, Shofiuddin Manaf, Hafizh Al-Ghifari Nugroho, Puguh Setyo Praba, Venansya Maulina Razaan, Muhammad Farraas Rebekah Setiabudi, Rebekah Risky Vitria Prasetyo Suyudi, Muhammad Arsy Reza Wahyunitisari, Manik Retno