Article Per Year (5 Year)
p-Index From 2021 - 2026
1.642
P-Index
This Author published in this journals
All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Medali Jurnal : Media Dental Intelektual MANDALA of Health Journal of Biomedicine and Translational Research INDONESIAN JOURNAL OF PHARMACY Jurnal Kedokteran Gigi Universitas Padjadjaran Journal Of Vocational Health Studies Jurnal Pengabdian Pada Masyarakat Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Health Sains JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Mandala of Health : A Scientific Journal Medical and Health Journal Molekul: Jurnal Ilmiah Kimia
Dwi Utami Anjarwati
Department Of Microbiology, Faculty Of Medicine Universitas Jenderal Soedirman, Purwokerto, Central Java, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Engineering Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

Published : 17 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 17 Documents
Search

 1   2 
THE INFORMATION ON STATUS OF ANTIBIOTIC RESISTANCE CHANGING THE PERCEPTION AND ATTITUDES OF WISELY ANTIBIOTIC USE IN BANYUMAS DISTRICT COMMUNITIES Rahmawati Wulansari; Diyah Woro Dwi Lestari; Dwi Utami Anjarwati; Eman Sutrisna
Mandala Of Health Vol 14 No 2 (2021): Mandala Of Health
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.693 KB) | DOI: 10.20884/1.mandala.2021.14.2.2280

Abstract

The wise use of antibiotics in the Banyumas community is quite alarming. Most of them still buy antibiotics without a doctor's prescription, buy half a prescription and consume antibiotics without finishing it. Good enough knowledge about the dangers of using antibiotics unwisely has not formed a correct perception and attittude of antibiotic use. This study aims to evaluate changes in people's perceptions and attitudes about antibiotic use after being given information related to their resistance status . This research was conducted qualitatively on 10 informants. Retrieval of data through focus group discussion techniques is done before and after providing resistance status information. The results showed that before giving information, perceptions and attitudes towards the use of antibiotics most (80%) of informants were not correct despite having a good level of knowledge. Changes in perceptions and attitudes about the right pattern of antibiotic use wisely occur after being given information about the status of antibiotic resistance they experience. This study can be concluded that the provision of information on the results of the examination of resistance status has a positive effect causing the changing in perception and the right attitude regarding the use of antibiotics wisely in the Banyumas community
Antimicrobial and Antibiofilm Activities of Bacterial Strain P-6B from Segara Anakan Against MRSA 2983 Ari Asnani; Annisa Permata Dinda; Abdi Rahman Nursyamsi; Dwi Utami Anjarwati
Molekul Vol 17 No 1 (2022)
Publisher : Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jm.2022.17.1.5575

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) infection has become a worldwide concern due to the increasing MRSA resistance to antibiotics. This condition encourages the continuous exploration of new anti-MRSA compounds. Thus, this study explored the effect of carbon (starch, glucose, sucrose, lactose) and nitrogen (casein, yeast extract, urea, peptone) sources for the fermentation medium to produce antibacterial and antibiofilm compounds from bacterial strain P-6B against MRSA 2983. The results showed that six-day incubation produced bioactive extracts with the highest antimicrobial activity (11.361 ± 0.860 mm) and the highest activity to inhibit biofilm formation (89.159 ± 0.293% %). In comparison, three-day incubation produced a bioactive extract with the highest activity to degrade biofilm (86.450 ± 3.260%). Glucose was the best carbon source to produce an extract with antibacterial and biofilm inhibition activities. However, starch was the best carbon source to produce an extract with biofilm degradation activity. Urea was the best nitrogen source to produce extracts with antimicrobial and antibiofilm activities. Species identification based on the 16S rRNA gene revealed a 99.78% similarity with Ochrobactrum intermedium strain NBRC 15820 (NR_113812.1). These findings suggested the potency of Ochrobactrum P-6B from Segara Anakan Cilacap as indigenous sources of bioactive compounds with anti-MRSA activities.
Comparison of SARS-CoV-2 Variant Screening and Whole Genome Sequencing at an Indonesian Tertiary Hospitals Hapsari, Rebriarina; Kesumayadi, Irfan; Sari, Desvita; Anjarwati, Dwi Utami; Alfiyuliani, Nesia Hani; Mujahidah, Mujahidah; Sari, Iva Puspita; Hadi, Purnomo
Journal of Biomedicine and Translational Research Vol 9, No 3 (2023): December 2023
Publisher : Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jbtr.v9i3.19147

Abstract

Background: The global COVID-19 pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), experienced a surge in cases with the emergence of the Omicron variant. Despite increasing vaccination coverage, Indonesia witnessed peaks in COVID-19 cases. Variant screening and whole genome sequencing (WGS) play a crucial role in identifying SARS-CoV-2 variants and monitoring their spread.Objective: The objective of this study was to compare variant screening results with WGS data, assess the prevalence of subvariants, and analyze their correlation with demographic and cycle threshold (CT) values.Methods: Between November 7th and 18th, 2022, variant screening and WGS were conducted on samples with CT values below 30. Variant screening utilized the mBioCov-19+ VarScreen assay, while WGS was performed on the Oxford Nanopore Technologies (ONT) platform. Bioinformatics analysis was performed using epi2melabs. Demographic data and CT values were analyzed. Results: Out of 89 subjects, all tested positive for the Omicron variant through variant screening. The variant screening identified two subvariants: Omicron BA.2 (64%) and Omicron B.1.1.529.1 (36%). WGS revealed that the XBB subvariant was the most dominant (52.8%), followed by BQ.1 (22.5%) and BA.5 (13.5%). When VarScreen indicated BA.2, the majority of WGS results showed XBB (82.5%), while for B.1.1.529.1, the majority of WGS results were BQ.1 (59.4%), followed by BA.5 (37.5%). XBB was the most prevalent variant in both females and males, while BQ.1 was more dominant in females (80%). No infections were detected among children aged 1-5 years. All variants had CT values below 24.Conclusion: Variant screening provides accurate and quick results for detecting the Omicron variant in laboratories without WGS capacity. However, it is important to continuously update the screening methodology based on the prevailing circulating variants. During the study period, XBB emerged as the predominant subvariant of the Omicron variant.
IDENTIFICATION OF THE CTX-M GENE IN KLEBSIELLA PNEUMONIAE PRODUCING ESBLS IN UTI PATIENTS AT A PRIVATE HOSPITAL IN PURWOKERTO, BANYUMAS REGENCY, CENTRAL JAVA - CROSS SECTIONAL STUDY Kurniawan, Anang; Setyono, Joko; Utami Anjarawati, Dwi
Journal of Vocational Health Studies Vol. 7 No. 2 (2023): November 2023 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V7.I2.2023.90-94

Abstract

Background: The CTX-M gene in ESBLs-producing Klebsiella pneumoniae is associated with virulence factors and encodes for antibiotic resistance. There are currently 128 different varieties of CTX-M, which gene can hydrolyze beta-lactam medicines like cefotaxime. Purpose: Identify the CTX-M gene in Klebsiella pneumoniae from patients with Urinary Tract Infections (UTI) at a private hospital in Banyumas Region of Central Java, Indonesia. Method: Cross-sectional survey method was employed in this study. The subjects of the study comprised 40 patients with UTI admitted to a private hospital in Banyumas Region, Central Java, Indonesia. Using a direct molecular approach called Polymerase Chain Reaction (PCR) directed against the CTX-M gene, DNA was isolated from isolates cultured in CHROMagarTM ESBLs obtained from catheter urine samples. Result: A total of 4 out of 40 urine samples (10%) tested positive for ESBL-producing Klebsiella pneumoniae. The PCR was performed to detect the CTX-M gene in 100% of the strains. Conclusion: These findings suggest the presence of CTX-M gene found in ESBLs-producing Klebsiella pneumoniae in individuals with urinary tract infections in a private hospital in Purwokerto, Banyumas regency, Central Java, Indonesia. This information can be used to assess antibiotic administration practices.
Psoriasis Vulgaris Complicated by Secondary Tinea Pedis Infection: A Case Report Sylviningrum, Thianti; Anjarwati, Dwi Utami
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.17324

Abstract

Background: The coexistence of psoriasis vulgaris and tinea pedis presents significant diagnostic challenges due to similar clinical presentations. Chronic topical corticosteroid therapy may predispose psoriatic patients to secondary fungal infections through local immunosuppression. Case report: A 34-year-old female presented with a one-year history of erythematous, scaly, thickened lesions on bilateral feet extending above ankles, knees, elbows, and inguinal areas. Initial psoriasis vulgaris diagnosis led to treatment with topical desoximetasone 0.25% twice daily and oral cetirizine once 10mg daily. While other body sites improved significantly, bilateral foot lesions showed minimal response. Skin biopsy revealed characteristic psoriatic features including parakeratosis, Munro microabscesses, and epidermal acanthosis. Lactophenol cotton blue staining demonstrated septate hyphae with conidia consistent with Trichophyton species, confirming concurrent tinea pedis. Treatment was modified to fluconazole 150 mg weekly, topical ketoconazole 2% twice daily, and temporary corticosteroid discontinuation, resulting in significant improvement of foot lesions after three weeks.Summary: This case demonstrates the importance of comprehensive diagnostic evaluation when standard psoriasis treatment fails where the differential treatment response across anatomical sites served as a crucial indicator for further investigation emphasizing systematic approaches incorporating histopathological and microbiological examinations..
Antifungal Activity Test Ethanol Extract Of Awar-Awar Leaves (Ficus septica Burm. F.) to Candida tropicalis As The Cause of Oral Candidiasis In Vitro Bagus, Zahran Uzla Attaqi; Anjarwati, Dwi Utami; Djati, Fanni Kusuma; Ichsyani, Meylida
Jurnal Medali Vol 7, No 2 (2025): Media Dental Intelektual Agustus 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/medali.7.2.136-144

Abstract

Background: Oral candidiasis is an infection in the oral cavity caused by Candida tropicalis, a non-Candida albicans (NCAC) species with the highest virulence. The first-line treatment for oral candidiasis is nystatin; however, it may cause side effects. One alternative treatment for oral candidiasis is the use of Ficus septica Burm. F. leaves, which contain active compounds such as saponins, tannins, flavonoids, and triterpenoids, all of which have potential antifungal properties. This study aims to evaluate the antifungal activity ethanol extract of awar-awar leaves to Candida tropicalis as the cause of Oral Candidiasis in vitro. Method: This experimental laboratory study used a posttest-only control group design, comparing the treatment groups with ethanol extract of Ficus septica burm. F leaves at concentrations of 4%, 8%, 16%, and 32% with a positive control group (nystatin) and a negative control group (Dimethyl sulfoxide). Antifungal activity was tested using the microdilution broth method to determine the Minimum Inhibitory Concentration (MIC) and the spread plate method to determine the Minimum Bactericidal Concentration (MBC). Colony growth of C. tropicalis was measured using the Total Plate Count (TPC) method, followed by calculating the inhibition percentage. Result: The analysis of this study showed that the MIC of Ficus septica Burm F leaf extract was at a concentration of 32%, and the MBC of the extract was also at a concentration of 32%, with a 100% inhibition percentage. Significant differences (p ≤ 0.05) were found between the concentrations of the ethanol extract of Ficus septica leaves.Conclussion: The conclusion of this study is that the ethanol extract of Ficus septica Burm. F leaves has antifungal activity in inhibiting the growth of C. tropicalis, the cause of oral candidiasis, with the most effective concentration being 32% with 100% inhibition.
Penilaian Dampak Pengelolaan Antimikroba terhadap Rasionalitas Antibiotik di Rumah Sakit Tersier Agustina, Nenden Nursyamsi; Fitrianto, Agus; Santosa, Qodri; Naufalin, Rafa; Maulena, Ufik; Anjarwati, Dwi Utami
Majalah Kedokteran Indonesia Vol 73 No 6 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.6-2024-821

Abstract

Introduction: Irrational use of antibiotics can lead to antibiotics resistance, necessitating efforts for prevention. The implementation of an Antimicrobial Stewardship Program aims to mitigate inapproriate antimicrobial prescribing. This study aims to compare antibiotic rationality based on quantity, quality, and total cost of antimicrobial utilization following the Antimicrobial Stewardship Program in a tertiary hospital setting.Methods: This was a cross-sectional study. Data were obtained from the medical record of 120 patients hospitalized in the pediatrics ward and classified into two groups: post-program and control. The quantity of antibiotic utilization was measured using Anatomical Therapeutic Chemical/Defined Daily Dose (ATC/DDD). Antibiotic rationality was assessed using Gyssens modified category. Normality was evaluated using the Kolmogorov-Smirnov test and analyzed with an independent t-test.Results: There was 10% increase of prudent antibiotic use and a 30.61% reduction in total cost in the post-program study group. However, there was no significant difference in the quantity of antimicrobial utilization in both groups (p=0.06).Conclusion: The program improves the rationality of prudent antibiotic prescription and reduces the total cost of antimicrobial utilization.
Co-Authors Abdi Rahman Nursyamsi Ade Hasan Basri Agus Fitrianto, Agus Agustina, Nenden Nursyamsi Alfiyuliani, Nesia Hani Anang Kurniawan Annisa Permata Dinda Anton Budhi Darmawan Anton Budi Darmawan, Anton Budi Ari Asnani Bagus, Zahran Uzla Attaqi Desvita Sari, Desvita Diyah Woro Dwi Lestari Eman Sutrisna Fajar Wahyu Pribadi Fanni Kusuma Djati Fareza, Muhamad Salman Gembong Satria Mahardhika Gembong Satria Mahardhika Hermin Prihartini I Dewa Sang Ayu Putu Peramiarti IDSAP Peramiarti Idsap Peramiarti Joko Setyono Joko Setyono Kesumayadi, Irfan Kurniawan, Anang Lantip Rujito Maulena, Ufik Metta Ayu Susanti Metta Ayu Susanti Meylida Ichsyani Mujahidah Mujahidah Mujahidah, Mujahidah Naufalin, Rafa Purnomo Hadi Qodri Santosa, Qodri Rahmawati Wulan Sari Rahmawati Wulansari Rani Afifah Nur Histiyani Rebriarina Hapsari Rizka Hidayati Sari, Iva Puspita Setiawati, Setiawati Thianti Sylviningrum Titik Nuryastuti Vitasari Indriani Wahyu Siswandari