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All Journal Syntax Literate: Jurnal Ilmiah Indonesia Global Health Management Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan Tunas Medika Jurnal Kedokteran & Kesehatan
Indrakusuma, Mohammad Erwin
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Examination of Coliform and Escherichia coli Contamination in Refilled Drinking Water in Cirebon Regency, Indonesia Shonia, Ana Naela; Fitriani, Hikmah; Indrakusuma, Mohammad Erwin
GHMJ (Global Health Management Journal) Vol. 8 No. 2s (2025): Special Issues
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-82s1224

Abstract

Background: Refillable drinking water is a commonly used source of water for the public. Contamination of this water can lead to various diseases, including waterborne diarrhea. Coliform bacteria and Escherichia coli are indicators of faecal contamination and can cause waterborne diseases. This study aims to determine whether Coliform and Escherichia coli are present in refillable drinking water in Cirebon Regency. Aims: To identify the presence of Coliform and Escherichia coli bacteria in refillable drinking water in Cirebon Regency. Methods: This descriptive study employed purposive sampling to collect six samples of refillable drinking water from six different depots located in Cirebon Regency. Each sample was tested four times using various laboratory tests, including Nutrient Agar, Mac Conkey Agar, Gram Staining, IMVIC, and TSIA. Results: All samples showed the presence of Coliform (100%), as shown by the Mac Conkey Agar test indicating lactose fermentation and Gramme Staining revealing rod-shaped bacteria. However, Escherichia coli was not found (0%) in any of the samples. The results of the Mac Conkey Agar test as a lactose fermenter, Gram Staining showing rod-shaped bacteria, and IMVIC tests showed the following profile: Indole +, MR +, VP -, Citrate -, and TSIA: A/A, H₂S -, Gas +. While Escherichia coli was absent, the detection of other Coliforms suggests persistent hygiene issues; Citrobacter freundii and Klebsiella were found to be Coliform bacteria. Conclusion: No Escherichia coli were detected in any of the samples, but Coliform bacteria were found in 6 out of 6 samples (100%). The maintenance of refillable drinking water depots is crucial for public health. Owners must frequently clean and disinfect the reservoirs to prevent contamination. Additionally, authorities are responsible for regularly monitoring the hygiene and sanitation of these depots.
Identification of Bacteria on Classroom Air Conditioner at Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia Surfa, Muhammad Bintang Abdi; Fitriani, Hikmah; Indrakusuma, Mohammad Erwin
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741010

Abstract

Background: Air conditioner became a significant factor in indoor air quality. Poorly maintained Air Conditioners can become breeding grounds for bacteria, leading to health problems and symptoms of Sick Building Syndrome, such as headaches, loss of concentration, dry throat, eye and skin irritation, and acute respiratory infections. Aims: Identify bacteria types and count bacterial colonies on Air Conditioning units in the classrooms of buildings A and B at Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia. Methods: Cross-sectional study using 16 air conditioner samples from lecture rooms at Faculty of Medicine, Universitas Swadaya Gunung Jati. Direct swabs were taken from the air conditioner filters using cotton swabs, which were then identified using McConkey, Blood Agar, and Nutrient Agar media to count bacterial colonies followed by confirmatory bacterial tests using Triple Sugar Iron Agar (TSIA) and Indol, Methyl red, Vogues proskauer, Simmon Citrate (IMVIC) media. Results: Bacterial growth identification tests identified Bacillus sp., Micrococcus sp., Staphylococcus sp., Streptococcus sp., Coryneform/Diptheroid, Enterobacter sp., and Stenotrophomonas sp.. Highest colony count was 402 CFU/cm³ and lowest was 16 CFU/cm³. Conclusion: Bacterial identification on classroom the Air Conditioner revealed that the microbial community in the system was predominantly composed of Gram-positive strains, which were detected more frequently than Gram-negative strains. Received: 24 September 2024  |  Reviewed: 02 November 2024  |  Revised: 30 November 2024  |  Accepted: 15 December 2024.
Correlation between Methicillin-Resistant Staphylococcus aureus Infection with Length of Stay and Mortality at Gunung Jati Regional Hospital, Cirebon, Indonesia: A Case Control Study with Total Sampling Azmi, Ranidaa' Diyaa'; Indrakusuma, Mohammad Erwin; Dewangga, Taufan Herwindo
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741116

Abstract

Background: In 2017, WHO identified Methicillin-Resistant Staphylococcus aureus (MRSA) as a high-priority pathogen due to its antimicrobial resistance. MRSA prevalence has been rising since the 1960s, reaching 20% globally and over 80% in some countries. This increasing prevalence of MRSA is accompanied by higher morbidity, more challenging management with difficult treatment, and prolonged length of stay, and consequently increased mortality risk. Aims: To determine the relationship between MRSA infection with length of stay and mortality at Gunung Jati Regional Hospital, Cirebon, Indonesia. Methods: A case-control study was performed in 46 cases and 92 controls. This study used total sampling including 138 samples, selected population of MRSA patients between 2021-2023 at Gunung Jati Regional Hospital, Cirebon. Data was taken from medical record and WHONET data. Results: The Mann-Whitney test results showed a significant correlation between MRSA infection and the length of stay compared to MSSA infection (p=0.003). Furthermore, the Chi-Square test revealed a significant correlation between MRSA infection and mortality (p=0.019; OR, 2.448; 95% CI, 1.151 – 5.205). Conclusion: Methicillin-Resistant Staphylococcus aureus infection is associated with a longer length of stay and higher mortality compared to Methicillin-Sensitive Staphylococcus aureus infection. Received: 25 September 2024  |  Reviewed: 21 October 2024  |  Revised: 30 November 2024  |  Accepted: 15 December 2024.
POLA BAKTERI PENYEBAB SEPSIS DAN KEPEKAANNYA TERHADAP ANTIBIOTIK DI RUMAH SAKIT DAERAH GUNUNG JATI PERIODE 1 JANUARI-31 DESEMBER 2022 Ramadhani, Chandra Eka; Gasem, Muhammad Hussein; Indrakusuma, Mohammad Erwin; Amaliah, Nihayatul; Indriyati, Rose
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 3 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i3.9617

Abstract

Latar Belakang: Prevalensi 2017 sepsis didunia 48,9 juta dengan mortalitas 11 juta kasus. Pola bakteri penyebabsepsis dan kepekaan antibiotik sangat penting mencegah resistensi dan meningkatnya mortalitas. Tujuan:Mempelajari pola persebaran bakteri dan kepekaannya terhadap antibiotik di Rumah Sakit Daerah (RSD) GunungJati. Metode: Data retrospektif berupa rekam medis, hasil pemeriksaan kultur darah dan uji kepekaan antibiotikdari pasien yang dicurigai sepsis di RSD Gunung Jati selama periode 1 Januari-31 Desember 2022. Penelitiandilaksanakan pada April-Juli tahun 2023. Analisis data dengan World Health Organization (WHO) Net versi 2023sesuai Pedoman Penyusunan Antibiogram Nasional tahun 2022. Hasil: Tiga bakteri terbanyak penyebab sepsisadalah bakteri Gram Negatif; Escherichia coli 26 (24,5%), Klebsiella pneumoniae 18 (17%) dan bakteri GramPositif; Staphylococcus auereus 20 (18,9%). Uji kepekaan antibiotik dengan tingkat Susceptible (≥75 %) padaGram Positif; Amikacin (100%), Linezolid (92%), Rifampicin (87,5%), Vancomycin (84,6%) danTrimethoprim/Sulfamethoxazol (76,2%) sedangkan pada Gram Negatif; Meropenem (96,1%), Ertapenem(89,8%), Amikacin (88,5%) dan Cefepime (76%). Simpulan: Bakteri penyebab sepsis terbanyak adalahEscherichia coli, Stapylococcus aureus dan Klebsiella pneumoniae. Profil kepekaan antibiotik yang baik (≥75 %)pada bakteri Gram Positif; Amikacin, Linezolid, Rifampicin, Vancomycin dan Trimethoprim/Sulfamethoxazolsedangkan pada bakteri Gram Negatif; Meropenem, Ertapenem, Amikacin dan Cefepime.Kata Kunci: Pola Bakteri, Kepekaan Antibiotik, Sepsis
POLA MIKROORGANISME PENYEBAB PERITONITIS GENERALISATA DAN PROFIL SENSITIFITASNYA TERHADAP ANTIBIOTIK DI RSD GUNUNG JATI 2018-2023 Kartiwa, Raniya; Kusumo, Dimas Aryo; Indrakusuma, Mohammad Erwin; Amanah, Amanah
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 7 No 4 (2024): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Prevalensi peritonitis di Indonesia semenjak tahun 2018 berjumlah sekitar 5% dari penduduk Indonesia atau sekitar 150.000 kasus pertahun. Resistensi mengalami peningkatan di setiap tahun disebabkan penggunaan antibiotik yang tidak tepat dan penggunaan jangka panjang. Studi ini bertujuan mengetahui pola mikroorganisme dan sensitivitas antibiotik pada pasien peritonitis generalisata sekunder di RSD Gunung Jati. Penelitian ini merupakan penelitian cohort retrospective, dengan total 100 responden yang terseleksi sesuai inklusi dan eksklusi dan responden didapatkan dari rekam medis dan WHO net. Hasil penelitian dari observasi rekam medis didapatkan pertumbuhan bakteri tertinggi kelompok gram negatif; Escherichia coli (55%), Klebsiella pneumoniae (14%), dan gram positif; Enterococcus faecalis (4%). Uji kepekaan antibiotik dengan tingkat Susceptible (≥75 %) pada Gram Positif; Ampicillin (100%), Cefoxitin (100%), Rifampin (100%), Nitrofurantoin (100%), dan Linezoid (83,3%), pada Gram Negatif; Ertapenem (96,6%), Meropenem (91,5%), Amikacin (91,3%), dan Imipenem (80%). Kesimpulannya bakteri penyebab peritonitis generalisata sekunder terbanyak di RSD Gunung Jati adalah Escherichia coli, Klebsiella pneumonia, dan Enterococcus faecalis. Profil sensitivitas antibiotik yang baik pada bakteri Gram Positif; Ampicillin, Cefoxitin, Rifampin, Nitrofurantoin, dan Linezoid, pada bakteri Gram Negatif; Ertapenem, Meropenem, Amikacin, dan Imipenem Kata kunci : peritonitis sekunder, pola mikroorganisme, sensitivitas antibiotik DOI : 10.35990/mk.v7n4.p352-363
Hubungan Ankle Brachial Index Dengan Lama Penyembuhan Osteomielitis Ekstremitas Bawah di RSUD Waled Athira, Fathin Syadzwana; Indrakusuma, Mohammad Erwin; Putro, Widiyatmiko Arifin
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v7i9.9194

Abstract

Osteomielitis adalah suatu peradangan pada tulang yang disebabkan oleh infeksi. Insiden osteomielitis di Indonesia adalah sekitar 0,5-2,4 kasus per 100.000 orang. Salah satu pemeriksaan yang digunakan sebagai indikator kapasitas fungsional pembuluh darah pada tungkai bawah dapat dilakukan dengan pemeriksaan Ankle Brachial Index. American Heart Association (AHA) mendefinisikan ABI sebagai perbandingan tekanan darah sistolik yang diukur pada arteri di pergelangan kaki dan arteri brachial. Tujuan penelitian ini untuk menganalisis hubungan Ankle Brachial Index dengan lama penyembuhan osteomyelitis ekstremitas bawah di RSUD Waled. Metode penelitian ini metode observasional menggunakan desain cross sectional. Data responden pasien osteomielitis diambil sebanyak 19 sampel di RSUD Waled pada bulan Juli tahun 2023. Penelitian ini dianalisis dengan uji univariat dan bivariat menggunakan uji Spearman untuk menganalisis hubungan Ankle Brachial Index dengan lama penyembuhan osteomielitis ekstremitas bawah di RSUD Waled. Data responden pasien osteomielitis dengan ABI <0,90 sebanyak 6 orang (31,6%) dan responden dengan nilai ABI 0,90-1,40 sebanyak 13 orang (68,4%). Analisis hubungan dengan uji spearman diperoleh nilai koefisien korelasi sebesar -0,527 dengan nilai p value sebesar 0,010 (p< 0,05) yang memiliki makna terdapat hubungan antara Ankle Brachial Index dengan lama penyembuhan osteomielitis ekstremitas bawah. Kesimpulan penelitian ini terdapat hubungan antara Ankle Brachial Index dengan lama penyembuhan osteomielitis ekstremitas bawah di RSUD Waled.
Co-Authors Amaliah, Nihayatul amanah amanah Athira, Fathin Syadzwana Azmi, Ranidaa' Diyaa' Dewangga, Taufan Herwindo Gasem, Muhammad Hussein Hikmah Fitriani Indriyati, Rose Kartiwa, Raniya Kusumo, Dimas Aryo Putro, Widiyatmiko Arifin Ramadhani, Chandra Eka Shonia, Ana Naela Surfa, Muhammad Bintang Abdi