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All Journal Jurnal Respirologi Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat
Jito, Anggar
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Health Professions Medicine & Pharmacology Public Health

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Extraction of Foreign Body in Left Main Bronchus with Flexible Optical Bronchoscopy in Asymptomatic Needle Aspiration Patient: A Case Report Antika, Puspa; Jito, Anggar
Jurnal Respirologi Indonesia Vol 44, No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.526

Abstract

Background: Foreign body aspiration is one of the most common respiratory and airway emergencies. The incidence is higher in children and obstruction occurrences are common. The late complications might be fatal when ignored. Bronchoscopy as a gold standard modality in diagnosing and treating this condition, now is widely available, and the emerging flexible optic bronchoscopy (FOB) is more commonly used.Case: A ten-year-old girl with a history of needle aspiration arrived at the ER with an asymptomatic condition. Further investigations reveal leucocytosis and a metal-needle-shaped foreign body found approximately in the left main bronchus via chest x-ray and CT scan. Bronchoscopy with FOB was performed under general anesthesia and LMA and successfully evacuated the needle although the pin had infiltrated the mucosal wall.Discussion: Asymptomatic foreign body aspiration is nearly at the same rate as symptomatic one. Management of difficulties and complications increases the longer the foreign body infiltrates the respiratory tract. Early diagnosis with chest x-ray and CT scan is necessary. Prompt and urgent evacuation of the foreign body is required. The use of FOB is associated with a higher success rate and lower complications. FOB is the best modality choice in this case.Conclusion: The foreign body in the respiratory tract may be asymptomatic. Early and proper diagnosis must be worked out as early management of asymptomatic foreign body aspiration. Early FOB can be used as a modality of choice in this case, preventing further damage to the respiratory tract.
STRATEGI 5T DALAM PERCEPATAN ELIMINASI TBC DI KOTA BEKASI Sonoyati, Elisa; Junadi, Purnawan; Jito, Anggar
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.29633

Abstract

Strategi penanggulangan TBC di Indonesia telah berlangsung lama dan permasalahan TBC semakin kompleks dengan tantangan baru. Dalam penemuan kasus, komunitas memainkan peran penting dengan pendampingan pasien selama berobat. Diperlukan sistem jejaring dan penguatan data base melalui inovasi kecamatan Bebas TBC atau KEBAS TBC. Tujuan penelitian ini untuk melakukan Analisis Implementasi Kebijakan KEBAS TBC dengan Tingkat keberhasilan program TBC di Kota Bekasi 2023. Desain dalam penelitian ini termasuk dalam penelitian Non eksperimental, kualitatif wawancara mendalam dengan semi terstruktur kepada pemangku jabatan, puskesmas dan kader di wilayah kecamatan. Peneliti telah melakukan proses pengambilan data primer dengan melakukan wawancara mendalam. Strategi untuk mewujudkan kecamatan bebas Tuberkulosis dengan meningkatkan pemberdayaan masyarakat melalui 5T.  Ukuran dan tujuan dari kebijakan tercantum didalam Peraturan Walikota No 64.A tahun 2020 tentang strategi peningkatan pemberdayaan Masyarakat. Kerjasama lintas sektoral sebagai dasar penanggulangan TBC menjadi tanggung jawab bersama. Alokasi anggaran khusus diperuntukan bagi Dinas Kesehatan yang berfungsi sebagai promotif, preventif, dan kuratif dengan sumber dana APBD, DAK Non Fisik dan Global Fund. Kinerja implementasi Kebijakan adalah capaian target TBC menurut Standar Pelayanan Minimal, kemampuan petugas puskesmas dan kader sudah baik. Beberapa Organisasi menilai bahwa kegiatan masih tanggung jawab Dinas Kesehatan dan bersifat seremonial.  Akses layanan Kesehatan sudah semakin mudah.  Kondisi ekonomi, perilaku sosial dan pengetahuan berperan dalam penanggulangan TB. Implementasi Kebijakan Kecamatan Bebas TBC sudah berjalan dengan komitmen dan dukungan pemerintah daerah sehingga akses layanan menjadi mudah, koordinasi dan Kerjasama lintas sektoral baik. Saat ini diperlukan optimalisasi dari masing-masing pemangku jabatan dan tindak lanjut dari kebijakan tersebut.
Extraction of Foreign Body in Left Main Bronchus with Flexible Optical Bronchoscopy in Asymptomatic Needle Aspiration Patient: A Case Report Antika, Puspa; Jito, Anggar
Jurnal Respirologi Indonesia Vol 44 No 2 (2024)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v44i2.526

Abstract

Background: Foreign body aspiration is one of the most common respiratory and airway emergencies. The incidence is higher in children and obstruction occurrences are common. The late complications might be fatal when ignored. Bronchoscopy as a gold standard modality in diagnosing and treating this condition, now is widely available, and the emerging flexible optic bronchoscopy (FOB) is more commonly used.Case: A ten-year-old girl with a history of needle aspiration arrived at the ER with an asymptomatic condition. Further investigations reveal leucocytosis and a metal-needle-shaped foreign body found approximately in the left main bronchus via chest x-ray and CT scan. Bronchoscopy with FOB was performed under general anesthesia and LMA and successfully evacuated the needle although the pin had infiltrated the mucosal wall.Discussion: Asymptomatic foreign body aspiration is nearly at the same rate as symptomatic one. Management of difficulties and complications increases the longer the foreign body infiltrates the respiratory tract. Early diagnosis with chest x-ray and CT scan is necessary. Prompt and urgent evacuation of the foreign body is required. The use of FOB is associated with a higher success rate and lower complications. FOB is the best modality choice in this case.Conclusion: The foreign body in the respiratory tract may be asymptomatic. Early and proper diagnosis must be worked out as early management of asymptomatic foreign body aspiration. Early FOB can be used as a modality of choice in this case, preventing further damage to the respiratory tract.
Co-Authors Antika, Puspa Purnawan Junadi Sonoyati, Elisa