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Correlation between Duration of Placement of Non-tunneled Hemodialysis Catheter and Positive Bacterial Culture Incidence in Hemodialysis Patients Djajakusumah, Teguh Marfen; Hapsari, Putie; Yarman, Indra Prasetya; Utomo, Hafidh Seno Radi; Lukman, Kiki; Sulastri, Dian; Ulurrosyad, Muhammad Faiz
Majalah Kedokteran Bandung Vol 56, No 1 (2024)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v56.3042

Non-tunneling hemodialysis catheter is one of the most convenient vascular accesses for hemodialysis in End Stage Kidney Disease (ESRD) patients. However, these catheters have the highest morbidity among all available accesses. Current guidelines recommend that non-tunneled hemodialysis catheters be placed for no more than 2 weeks to prevent bacterial contamination. This study was conducted in Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, throughout January-December 2021. A correlation test with a prospective observational analysis design was applied to find the link between the duration of non-tunneled hemodialysis catheter placement and the incidence of positive bacterial culture on the catheter. Pearson correlation test was used to see the strength of the correlation, with a significance limit of 0.05. This study involved 28 subjects. The most common location for catheter placement was in the jugular vein, and laboratory examinations showed no correlation between leukocyte values and positive bacterial culture results. Hypertension and diabetes mellitus were not significant risk factors (p-value 0.887). At ≤14 days of catheter placement, only 1 (6.7%) of the subjects presented a positive culture result. Most of the positive bacterial culture results were found at a duration of 15-30 days of placement, (n=8; 53.3%). The results of the Pearson test showed a p-value of 0.036 and an r-value of 0.399, indicating a significant result with a strong correlation between the two variables. The duration of placement of hemodialysis catheters has a positive correlation with the incidence of positive bacterial cultures, which can increase the risk of systemic infection associated with hemodialysis catheters.

Characteristics of condylar fracture in Dr. Hasan Sadikin Central General Hospital, Bandung from 2020-2024. Wicaksono, Septyan Dwi; Sjamsudin, Endang; Oli'i, Eka Marwansyah; Utomo, Hafidh Seno Radi
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.150-157

Background: Condylar fractures are among the most common mandibular fractures resulting from maxillofacial trauma, primarily caused by traffic accidents, occupational injuries, and sports activities. These fractures can lead to complications such as pain, mandibular deviation, malocclusion, and pathological changes in the temporomandibular joint. This study aims to identify the characteristics of condylar fractures in the Oral Surgery Department of Dr. Hasan Sadikin General Hospital Bandung from 2020 to 2024.Method: A retrospective analysis was conducted using medical records of maxillofacial trauma patients. A total of 111 cases were analyzed based on gender, age, occupation, education level, fracture classification, trauma etiology, and management.Result: Results showed that the majority of patients were male (72%), aged 13–24 years (48,6%), students (51,3%), and had a bachelor’s degree as the educational background (49,6%). The AO classification predominantly involved condylar neck fractures (52,3%), with traffic accidents being the leading cause (51,4%). The most common management method was open reduction and interdental wiring (76,6%). Conclusion: These findings highlight the need for targeted road safety education, strict traffic regulations, and improved preventive measures to reduce the incidence of such injuries. Therefore, an effort must be made to improve the completeness of medical record data in order to support more accurate analysis and the implementation of future research involving more comprehensive data collection.

Characteristics of condylar fracture in Dr. Hasan Sadikin Central General Hospital, Bandung from 2020-2024. Wicaksono, Septyan Dwi; Sjamsudin, Endang; Oli'i, Eka Marwansyah; Utomo, Hafidh Seno Radi
Odonto : Dental Journal Vol 12, No 2 (2025): August 2025
Publisher : Faculty of Dentistry, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/odj.12.2.150-157

Background: Condylar fractures are among the most common mandibular fractures resulting from maxillofacial trauma, primarily caused by traffic accidents, occupational injuries, and sports activities. These fractures can lead to complications such as pain, mandibular deviation, malocclusion, and pathological changes in the temporomandibular joint. This study aims to identify the characteristics of condylar fractures in the Oral Surgery Department of Dr. Hasan Sadikin General Hospital Bandung from 2020 to 2024.Method: A retrospective analysis was conducted using medical records of maxillofacial trauma patients. A total of 111 cases were analyzed based on gender, age, occupation, education level, fracture classification, trauma etiology, and management.Result: Results showed that the majority of patients were male (72%), aged 13–24 years (48,6%), students (51,3%), and had a bachelor’s degree as the educational background (49,6%). The AO classification predominantly involved condylar neck fractures (52,3%), with traffic accidents being the leading cause (51,4%). The most common management method was open reduction and interdental wiring (76,6%). Conclusion: These findings highlight the need for targeted road safety education, strict traffic regulations, and improved preventive measures to reduce the incidence of such injuries. Therefore, an effort must be made to improve the completeness of medical record data in order to support more accurate analysis and the implementation of future research involving more comprehensive data collection.

Closure Techniques and Postoperative Outcomes of Major Lower Limb Amputation in Acute Limb Ischemia Khadafy, Reza; Hapsari, Putie; Utomo, Hafidh Seno Radi
Majalah Kedokteran Bandung Vol 57, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.4149

Amputation, derived from the Latin "amputare," refers to the removal of a body part covered by skin, often necessitated by acute limb ischemia (ALI). Effective wound closure is critical for minimizing complications, length of stay, costs, and the risk of re-amputation. This study compared postoperative outcomes of major lower limb amputation in ALI patients with primary versus delayed wound closure. A descriptive analytic study was conducted at Dr. Hasan Sadikin Hospital, Bandung, Indonesia, from January 2020 to December 2023, analyzing medical records of 46 patients aged 19–85 years, with a predominance of female patients. Thrombosis was the leading cause of ALI (76.1%), and hypertension was the most frequent comorbidity. Significant differences were observed in stump complications and revision surgery rates between primary and delayed wound closure groups (p<0.05), while length of stay and mortality did not show statistically significant differencesy. In conclusion, the study highlights a significant relationship between different wound closure methods and complications, suggesting that choice of closure technique may influence the postoperative outcomes in ALI patients.

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