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Enterocutaneous fistula et cause abdominal tuberculosis in community: An emergency diagnosis challenge Hadi, Siusanto; Ferdinandus, Pieter David Adriaan; Wartiningsih, Minarni; Messakh, Billy Daniel; Agung, Purwakaning Purnomo; Sekarputri , Cempaka Harsa; Gonaldy, Vincent Aurelius
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.627

Abstract

Background: A fistula is defined as an abnormal connection that connects two hollow spaces of the body. Fistula are divided into two categories, internal and external. Abdominal TB can mimicks other diseases including Enterocutaneous fistula that occur due to chron’s disease, malignancy, typhoid or radiation exposure. Tuberculosis is a rare cause of enterocutaneous fistula increasing the needs of clinicians to diagnose TB in an emergency manner. Purpose: To assess clinical manifestation of enterocutaneous fistula in patient with abdominal tuberculosis, and to determine the best emergency diagnosis tools in the progress of diagnosing abdominal tuberculosis. Method: This literature review is guided by the PICOS framework, encompassing materials published from 2000 to 2024. Data were obtained from diverse sources such as PubMed Central, Google Scholar, Science Direct, Elsevier (SCOPUS), scientific journals, articles, and books. The analysis proceeded through three stages: data reduction, presentation, and formulation of conclusions. Studies fulfilling the inclusions criteria were selected. Results: Patient with TB could have enterocutaenous fistula as one of its clinical manifestations, therefore. This study concludes that multiplex PCR shows an outstanding result for its specificity making it highly effective in ruling out non-tubercular diseases with minimum false positive. Conclusion: Enterocutaneous fistula in intestinal tuberculosis often presents without clear thoracic imaging of pulmonary TB, complicating diagnosis. Abdominal TB's non-specific symptoms can mimic other diseases, making CT scans and ultrasonography useful, though not definitive. Laparoscopy, combined with histological examination, remains the most reliable diagnostic tool. Laboratory tests like ADA levels, PCR, and culture are essential in confirming the diagnosis. A diagnostic algorithm and early anti-tubercular therapy can help when test results are inconclusive.
Penerapan PHBS sebagai Upaya Hidup Sehat Masyarakat Desa Peniwen Ariesta Andriani, Nathania Disa; Wartiningsih, Minarni; Kodrat, David Sukardi; Hasianna Silitonga, Hanna Tabita; Suryadarma, Antonius Yansen; Handayani, Lidya; Gonaldy, Vincent Aurelius; Viena, Windi Clara; Mayasari, Dewi; Ginting, Adhitya
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 6 No. 4 (2025): Edisi Oktober - Desember
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v6i4.7025

Abstract

Desa Peniwen menghadapi masalah kesehatan masyarakat berupa rendahnya kesadaran akan Perilaku Hidup Bersih dan Sehat (PHBS) serta tingginya prevalensi penyakit tidak menular (PTM). Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran masyarakat terhadap PHBS melalui edukasi kesehatan dan skrining penyakit metabolik. Metode: Kegiatan meliputi penyuluhan interaktif tentang PHBS, pretest-posttest, serta skrining kesehatan menggunakan glukometer, alat ukur tekanan darah, dan pemeriksaan sederhana lainnya. Hasil: Terdapat peningkatan skor pengetahuan PHBS sebesar 33% (dari 65 menjadi 85). Skrining kesehatan terhadap 51 warga menunjukkan 36% mengalami arthralgia, 22% hipertensi, 6% ISPA, dan 5% diabetes melitus. Analisis menunjukkan hubungan kuat antara merokok dengan hipertensi, serta konsumsi gula berlebih dengan diabetes melitus. Kesimpulan: Edukasi dan skrining kesehatan terbukti efektif meningkatkan pengetahuan masyarakat tentang PHBS serta mendeteksi dini penyakit metabolik. Ke depan, program intervensi berkelanjutan diperlukan untuk memperkuat perilaku hidup sehat di masyarakat.