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Bridging technology and healthcare: user acceptance of a surgical site infection system Akhmad, Afan Fatkhur; Ulfa, Maria
International Journal of Advances in Applied Sciences Vol 14, No 2: June 2025
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijaas.v14.i2.pp523-532

Abstract

Surgical site infections (SSI) continue to be a problem for surgeons, and unfortunately, SSI information systems are underutilized. This study analyzed the user acceptance of the SSI information system based on the extended technology acceptance model (TAM2). A cross-sectional questionnaire-based study. The variables studied intention to use (IU), perceived ease of use (PEOU), demographic factors (FD), subjective norm (SN), Image (I), job relevance (JR), output quality (OQ), result demonstrability (RD), perceived usefulness (PU). Data were collected by filling out questionnaires and then analyzed using smart-partial least squares (PLS). In total, 61 nurses were included. Most respondents are aged 31-35 (26.23%), and most working periods are between 11-15 years (27.87%). There were significant positive effects on SN to PU (β=0.12; p 0.05). This study concluded that PEOU is the most influential variable in the IU the SSI information system.
Antibiotic Susceptibility Patterns among Indonesian Adults Hospitalized with Pneumonia Akhmad, Afan Fatkhur; Ulfa, Maria; Azuma, Momoyo
Jurnal Respirasi Vol. 10 No. 1 (2024): January 2024
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v10-I.1.2024.6-13

Abstract

Introduction: Pneumonia continues to be a global issue with significant morbidity and mortality rates. Increased multidrug-resistant (MDR) bacterial pneumonia, aging populations, chronically ill patients, and inadequate initial antibiotic therapy increase hospitalized pneumonia patients' morbidity and mortality. This study aimed to analyze the microbiological pattern and choose a therapy based on local antibiotic susceptibility patterns. Methods: From January 2020 to December 2022, a retrospective cross-sectional study was conducted on hospitalized pneumonia patients at Haji General Hospital, Surabaya, Indonesia. Data from medical records were gathered to illustrate patient features, bacterial culture, and antimicrobial susceptibility tests. This study included 172 patients. In this study, no specific statistical analysis was performed. The data were reported as a percentage (%).  Results: The patients were mostly 56-65 years old (36.6%) and male (55.2%). The most common comorbidities were cardiovascular disease (17.3%), and the others were diabetes mellitus (14.0%), cerebral vascular attack (CVA) (10.7%), and coronavirus infection (8.9%). Based on the sputum culture, the bacteria identified were Klebsiella pneumoniae (25.0%), Pseudomonas aeruginosa (20.9%), Acinetobacter baumannii (15.7%), and Escherichia coli (11.6%).  The most common bacteria isolated from sputum cultures was Klebsiella pneumoniae, which was more susceptible to amikacin and meropenem.  Conclusion: Only amikacin was an antibiotic susceptible to four primary pathogens. Rates of resistance to ciprofloxacin and ceftriaxone were high, and these empiric antibiotics should be used with caution in these patients.