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Rationality of Prescription of Antibiotics in Patients with Acute Upper Respiratory Tract Infection Hertina Silaban; Welita Selyn Dami; Erica Gilda Misnawati Simanjuntak; Daniel Reinaldo Parsaoran Situmorang; Jimmi M. P. Aritonang
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6520

Abstract

Acute upper respiratory tract infection is an infectious disease caused by microorganisms, one of which is bacteria, so antibiotics are given. Rational use of antibiotics can provide benefits for recovery and does not cause harm that can cause problems or threats to the health of sufferers. Inappropriate administration of antibiotics can hurt patients, one of which is antibiotic resistance. Objective to obtain an overview of the rationality of antibiotic prescription in patients with acute upper respiratory tract infections at the Baun Health Center, Kupang Regency in 2020. This study was conducted using non-experimental research that is descriptive by taking medical record data retrospectively. Sampling was carried out using the non-probability sampling technique and the purposive sampling type, namely determining the sample based on certain considerations where the sample must meet the inclusion criteria, the number of cases of acute upper respiratory tract infections in 2020 was 226 cases. Data collection using secondary data, namely data obtained from medical records of patients with acute upper respiratory tract infections in 2020 at the Baun Health Center, Kupang Regency. The data obtained will be analyzed descriptively quantitatively, including: the percentage of rational and irrational antibiotic prescriptions, the frequency of types of antibiotics used. Acute upper respiratory tract infections (URTIs) in Baun Health Center mostly occurred in the 20–44 years age group (32.7%) and were more often experienced by women (59.3%), with the most common diagnosis being rhinosinusitis (48.2%); The most commonly used antibiotic was amoxicillin monotherapy, given to 89.4% of patients; The use of antibiotics showed 100% accuracy of indication and patient, 90.3% accuracy of drug, 65% accuracy of dose, and 55.3% rationality of use. Most in the 20–44 years age group (28.3%) and women (39.3%). Acute upper respiratory tract infections (URTIs) at the Baun Health Center, Kupang Regency, occurred most in the 20–44 years age group and were more often experienced by women, with rhinosinusitis as the most common diagnosis. Antibiotic use was dominated by amoxicillin monotherapy. Evaluation of the appropriateness of antibiotic use showed quite good results in terms of indications, patient selection, and type of drug, but there were still shortcomings in the appropriateness of dosage and overall rationality of use. The rationality of treatment was most often found in the 20–44 years age group and in female patients.
The Calm Before the Storm: Wellens Syndrome Revisited Nolly O. H Rantung; Nurul Azria; Jeremy P. D. Suling; Hertina Silaban
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6908

Abstract

Wellens syndrome is a characteristic electrocardiographic pattern indicating a critical stenosis of the left anterior descending (LAD) coronary artery and is a warning sign for an impending anterior myocardial infarction. Early recognition is crucial, as this pattern typically appears when the patient is pain-free and cardiac biomarkers are standard, which can potentially mislead clinicians. This case report aims to highlight the importance of recognizing the pattern of Wellens Syndrome through the clinical description of patient Mr. A, a 61-year-old male with hypertension and chronic kidney disease who presented with chest pain that has subsided. We present a 61-year-old Melanesian man with a history of hypertension and stage 3 chronic kidney disease, who had recent anginal chest pain that resolved upon evaluation. On examination, blood pressure was 154/80 mmHg, heart rate 78/min, respiratory rate 20/min, temperature 36.7°C, oxygen saturation 99% on room air, and minimal pitting oedema in both legs. The ECG obtained showed biphasic T waves in leads V2–V4 with the patient feels no chest pain at all, consistent with a type A Wellens pattern. Troponin T was negative (< 40 ng/L), and no ST elevation or pathologic Q waves were observed. Chest X-ray showed cardiomegaly. Coronary angiography revealed a critical stenosis in the proximal LAD. The patient underwent percutaneous coronary intervention with stent placement to the proximal LAD. Wellens syndrome represents a “pre-infarction” state that should be identified to prompt urgent revascularization before extensive myocardial infarction occurs. This case underscores the importance of recognizing Wellens syndrome as “the calm before the storm” and avoiding conservative management that could lead to adverse outcomes.
Bioactivity of Breadfruit Leaf Extract (Artocarpus Altilis) Fri Rahmawati; Hertina Silaban; Claudia Zenith Azriza
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.513

Abstract

Breadfruit leaves (Artocarpus altilis) contain various secondary metabolites such as flavonoids, tannins, terpenoids, and alkaloids which are potential bioactive compounds for therapeutic purposes. This study is an experimental laboratory research aimed at identifying bioactive compound groups and evaluating the antibacterial and antioxidant activities of breadfruit leaf extract. Extraction was carried out using the maceration method with 96% ethanol p.a as solvent. Identification of bioactive compounds was analyzed by Gas Chromatography Mass Spectrometry (GC-MS) method, antibacterial testing by the disc diffusion method, and antioxidant evaluation using a modified Ferric Reducing Antioxidant Power (FRAP) assay. The test bacteria used were Klebsiella pneumoniae and Staphylococcus aureus, gentamicin and chloramphenicol as positive controls. Ascorbic acid was used as the positive control for the antioxidant assay. The GC-MS analysis revealed the presence of active compounds such as Tricyclo [4.3.0.0(7,9)] nonane, trans-11-tetradecenyl acetate, ethyl tridecanoate, α-farnesol isomer, vitamin E, and β-sitosterol. The extract showed antibacterial activity against both tested bacteria, with the smallest effective concentrations of 50 mg/mL for K. pneumoniae and 25 mg/mL for S. aureus, resulting in inhibition zones of 0.3125 mm and 1.5375 mm, respectively, although these values did not meet the sensitivity criteria. The antioxidant activity test showed a potential antioxidant value of 9.84 mg AAE/g extract, using ascorbic acid as the standard curve.