Tanudjaja, George Nicolaus
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DIFFERENCES IN SEBORRHOEIC DERMATITIS AREA SEVERITY INDEX IN IMMUNOCOMPROMISED AND NON IMMUNOCOMPROMISED PATIENTS Rossa Amanda, Theresia Dellia; Anggowarsito, Jose L.; Tanudjaja, George Nicolaus
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 2 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i2.5482

Abstract

Background: Seborrhoeic Dermatitis (DS) is a papulosquamous skin disorder with a predilection for areas rich in sebaceous glands, scalp, face and body. Seborrheic dermatitis in immunocompromised patients is clinically different from non-immunocompromised seborrheic dermatitis patients. Seborrheic dermatitis is one of the clinical symptoms and is most often found in immunocompromised patients such as individuals who have HIV/AIDS compared to seborrheic dermatitis patients in general.Objective: To determine the difference in seborrhoeic dermatitis area severity index in immunocompromised and non-immunocompromised patients.Method: This research design uses analytical observational with a cross sectional approach. The population of seborrheic dermatitis patients was 70 people with 35 immunocompromised patient respondents and 35 non-immunocompromised respondents. Data collection starts from September 22 to October 26 2023. Seborrheic dermatitis examination is carried out on the face and scalp by comparing the area affected by seborrheic dermatitis with the surrounding area and then assessing the degree of the area affected by seborrheic dermatitis using SDASI. The assessment of the area of the lesion is multiplied by the sum of the erythema, scale and papule scores with a severity classification, namely: Mild: 0-7.9, Moderate: 8-15.9, Severe: >16. The results of the examination will be recorded and a score for the severity of seborrheic dermatitis on the face and scalp will be calculated.Results: Seborrhoeic dermatitis in 35 immunocompromised respondents and 35 non-immunocompromised respondents. The results obtained from the seborrheic dermatitis patient group were immunocompromised patients, namely 14 respondents with mild degrees (40.0%), 17 respondents with moderate degrees (48.6%), and four respondents with severe degrees (11.4%) while in the group of non-immunocompromised patients there were 20 respondents with mild degrees. (57.1%), 11 respondents had a moderate degree (31.4%), and four respondents had a mild degree (11.4%). The results of research analysis using the independent T-test showed that there was a difference in SDASI in immunocompromised and non-immunocompromised patients with a value of p = 0.040 (p < 0.05).Conclusion: there are differences in SDASI in immunocompromised and non-immunocompromised patients.
Perbandingan Kejadian Pneumonia Gram Negatif pada Lansia dan Dewasa Muda Rawat Inap di RSUD dr. Saiful Anwar: Studi Cross-Sectional Ramadhan, Andhika Firnanda; Sutandhio, Silvia; Darmadi, Epriyanto Tri; Wihanto, Laura; Tanudjaja, George Nicolaus
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 1 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss1.2397

Abstract

Pneumonia menjadi masalah kesehatan yang serius pada kelompok usia lanjut karena berkontribusi besar terhadap angka kesakitan dan kematian di rumah sakit. Lansia memiliki risiko lebih tinggi mengalami infeksi saluran pernapasan akibat penurunan fungsi sistem imun, berkurangnya elastisitas paru, serta adanya penyakit penyerta. Kondisi ini membuat respon tubuh terhadap infeksi menjadi lebih lemah. Kasus pneumonia akibat bakteri Gram negatif seperti Klebsiella pneumoniae, Pseudomonas aeruginosa, dan Escherichia coli semakin sering ditemukan dan memiliki tingkat resistensi antibiotik yang tinggi sehingga menyulitkan penatalaksanaan klinis. Penelitian ini bertujuan menganalisis hubungan usia lanjut dengan kejadian pneumonia yang disebabkan oleh bakteri Gram negatif di RSUD dr. Saiful Anwar Malang. Penelitian menggunakan desain observasional analitik dengan pendekatan potong lintang dan memanfaatkan data sekunder rekam medis pasien pneumonia periode Januari 2023 hingga Mei 2024. Sebanyak 74 pasien memenuhi kriteria dan dibagi menjadi kelompok dewasa muda usia 19 sampai 59 tahun serta kelompok lanjut usia usia 60 tahun ke atas. Hasil analisis menunjukkan proporsi pneumonia Gram negatif jauh lebih tinggi pada kelompok lansia dibandingkan dewasa muda dengan Uji Chi-Square menunjukkan hubungan yang bermakna secara statistik p = 0.000 (p <0.05) dengan nilai odds ratio yang tinggi. Temuan ini menunjukkan bahwa usia lanjut merupakan faktor risiko penting terhadap pneumonia Gram negatif dan menegaskan perlunya pencegahan infeksi serta penggunaan antibiotik yang rasional pada pasien lansia di rumah sakit.