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Rovina Ruslami, Rovina
Department of Pharmacology and Therapy, Faculty of Medicine Universitas Padjadjaran
Articles
2
Documents
Health Seeking Behavior among Patients with Tuberculosis in Dr. Hasan Sadikin General Hospital Bandung, Indonesia in November 2012

Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Abstract

Background: Dr. Hasan Sadikin General Hospital is the main referral hospital in West Java, Indonesia, treating yearly 1.000 tuberculosis cases of whom most  are in severe condition. The severity of the disease is probably affected by the poor patient’s health seeking behavior.The objective of this study was to assess the pattern of patients with tuberculosis’s health seeking behavior before being treated in Dr. Hasan Sadikin General Hospital, Bandung.Methods: A descriptive study was  carried out in November 2012 on 56 patients in the Drug Observed Treatment Shortcourse (DOTS) Clinic at Dr. Hasan Sadikin General Hospital (RSHS) to assess the number and type of health services visited prior to RSHS. The inclusion criteria were patients who were diagnosed with TB for the first time, aged at least 19 years old. The data were collected using an open-ended questionnaire and presented as percentage.Results: A total of 32 respondents (57%) sought for initial treatment by going to professional health care centers (the medical doctors, puskesmas, or hospitals), the rests sought for traditional treatment (7%), self-treatment (29%), or no medication prior to the treatment at RSHS (7%). Fifty five percent of respondents did more than one type of health seeking behavior. The average time between the first complaint until the respondents got treatment was 5 months.Conclusions: The patients with tuberculosis’s treatment seeking behavior is various prior to the treatment at RSHS and there are still patients who seek treatments  to the non-profesional health care. DOI: 10.15850/amj.v2n3.490

Studi Kualitas Air Reverse Osmosis Secara Mikrobiologi pada Dua Unit Hemodialisis di Kota Bandung

Jurnal Sistem Kesehatan Vol 1, No 3 (2016): Volume 1 Nomor 3 Maret 2016
Publisher : Universitas Padjadjaran

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Abstract

Kontaminasi bakteri pada air reverse osmosis (RO) yang digunakan untuk hemodialisis (HD) dapat menyebabkan respon inflamasi, termasuk inflamasi kronis. Pasien HD memiliki risiko kematian yang tinggi akibat kejadian kardiovaskular yang berkaitan erat dengan inflamasi kronis. Penelitian ini bertujuan untuk mengetahui gambaran kualitas air RO dan jenis bakteri kontaminan pada saluran distribusi unit HD di Kota Bandung secara mikrobiologi. Enam belas sampel air diambil dari unit HD di dua rumah sakit (RS) pada bulan September 2014, sebelas sampel dari unit HD di RS A dan lima dari unit HD di RS B, secara langsung pada titik sebelum dan sesudah proses RO. Sampel air diinokulasi pada Reasoner’s agar (R2A), koloni bakteri yang tumbuh kemudian diisolasi dan diidentifikasi di laboratorium Mikrobiologi Rumah Sakit Pendidikan (RSP) Unpad. Sampel air dari RS A menunjukkan pertumbuhan koloni bakteri 213-1473 cfu/mL. Sampel dari RS B menunjukkan pertumbuhan koloni 0-99 cfu/mL. Pada identifikasi didapatkan 12 spesies bakteri yang terdiri dari 8 spesies batang gram negatif, 3 spesies kokus gram positif, dan 1 spesies batang gram positif. Kualitas air RO unit HD RS A masih rendah karena hitung koloni yang tinggi dan perlu segera diperbaiki, pada RS B masih dalam batas yang diperbolehkan.Kata kunci: Hemodialisis; kontaminasi bakteri; reverse osmosis