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All Journal Jurnal Kesehatan Cendikia Jenius
Didik Prasetya
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Correlation Between Neutrophil-Lymphocyte Ratio (NLR) and Erythrocyte Sedimentation Rate (ESR) in Pneumonia Patients Ayati, Ismadewi Nur; Ni Luh Gede Puspita Yanti; Didik Prasetya
Jurnal Kesehatan Cendikia Jenius Vol. 2 No. 3 (2025): Agustus
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v2i3.238

Abstract

Pneumonia is an acute lung infection that remains a global public health concern due to its high incidence and mortality rates. Early diagnosis is crucial, and laboratory parameters such as the Neutrophil-Lymphocyte Ratio (NLR) and Erythrocyte Sedimentation Rate (ESR) serve as important indicators of inflammation. This study aimed to determine the correlation between NLR values and ESR levels in pneumonia patients at Bhayangkara Hospital Denpasar. This was a correlational analytic study using a retrospective design. A total of 51 hospitalized pneumonia patients were selected through purposive sampling based on medical records from October to December 2024. The data included NLR and ESR values along with patient characteristics, and were analyzed using the Spearman Rank correlation test. The results showed that most patients had high NLR (78.4%) and high ESR (80.4%) values. The statistical analysis revealed a significant and positive correlation between NLR and ESR with a p-value of 0.000 and a correlation coefficient (r) of 0.582, indicating a moderate-strength association. This suggests that an increase in NLR tends to be followed by an increase in ESR. Conclusion: There is a significant correlation between NLR values and ESR levels in pneumonia patients. These findings support the use of both NLR and ESR as complementary inflammatory markers in the clinical monitoring of pneumonia. Further research using primary data and additional parameters is recommended to provide a more comprehensive picture of the inflammatory status in pneumonia cases.
Overview of Germ Patterns and Sensitivity of Bacteria Causing Urinary Tract Infections in Westerindo Laboratory Nurrus Samsiah, Widiya; Didik Prasetya; Moh.Fairuz Abadi
Jurnal Kesehatan Cendikia Jenius Vol. 3 No. 1 (2025): Desember
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v3i1.276

Abstract

Urinary tract infection (UTI) is a global health problem with high incidence and dynamic bacterial resistance patterns, requiring regular monitoring to ensure appropriate therapy. Irrational antibiotic use may worsen resistance. This study aimed to determine the bacterial patterns and antibiotic sensitivity of UTI pathogens at Westerindo Laboratory in 2023. A retrospective descriptive design with total sampling was applied to 137 patients who underwent urine culture from January to December 2023. Secondary data were obtained from the laboratory information system and analyzed using WHONET. Bacterial identification was performed through culture on Mac Conkey and blood agar, Gram staining, and Vitex 2 testing. Results showed that most respondents were female (55.47%). Of the 18 bacterial species identified, 83.3% were Gram-negative, with Escherichia coli as the predominant pathogen (30.65%), followed by Klebsiella pneumoniae (16.05%), Proteus mirabilis, and Morganella morganii (12.40%). Sensitivity testing of 327 antibiotics revealed 68.5% with high sensitivity, while Meropenem and Tigecycline showed 100% effectiveness against E. coli. Sixteen Extended Spectrum Beta Lactamase (ESBL) isolates were identified. In conclusion, UTIs were mainly caused by Gram-negative bacteria, particularly E. coli, with antibiotic resistance remaining a serious issue. Recommended Local antibiogram data, resistance monitoring, and antimicrobial stewardship are strongly recommended.
Co-Authors Ayati, Ismadewi Nur Moh.Fairuz Abadi Ni Luh Gede Puspita Yanti Nurrus Samsiah, Widiya