Desiana Radithia, Desiana
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Oral rinse as a potential method to culture Candida isolate from AIDS patients Radithia, Desiana; Hendarti, Hening T.; Soebadi, Bagus
Dental Journal (Majalah Kedokteran Gigi) Vol 44, No 4 (2011): (December 2011)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.327 KB) | DOI: 10.20473/j.djmkg.v44.i4.p177-180

Abstract

Background: Candida isolate is easily sampled from oral cavity by swabbing directly on the candidiasis lesion, to be smeared onto slides for direct examination or cultured in a growth medium. This method is by far the gold standard for defining candidiasis diagnosis. However it is difficult to apply on sensitive patients and almost impossible on patients showing no clinical appearance of oral candidiasis. AIDS patients are very prone to candida infection and have a tendency of repetitive infection involving mixed species. As many candida species show different susceptibility to anti-fungal agents, it is necessary to identify the species causing the infection in the management of oral candidiasis. Oral rinse is a suggested method to obtain candida isolate to be cultured for further analysis such as species identification. This method is simple and less risky on infection transmission as less tools are required in the procedure. Purpose: This study aimed to assess the application of oral rinse as an alternative method to culture Candida isolate from AIDS patients. Methods: A cross-sectional observative study was conducted in HIV/AIDS in-Patient Facility of Intermediate Care Unit for Infection Disease, Dr. Soetomo Hospital Surabaya. Fourteen stadium 4 AIDS patients matching criteria were swabbed on 1/3-posterior of the tongue, and then given 10 ml phosphate buffer saline to rinse vigorously for 15 seconds. Both specimens were cultured on Sabouraud’s dextrose agar and colony growth was observed. Results: Candida colonies were able to grow from all 14 isolates (100%) by both methods. Qualitatively, cultures from oral rinse specimens were more populated than cultures from swab specimens. Conclusion: Oral rinse is an applicable technique to obtain Candida species isolate. This technique is safe, easy, non-invasive, and needs less tools therefore less risky for HIV transmission.Latar belakang: Isolat Candida mudah diambil dengan cara mengusap lesi candidiasis, baik untuk dioleskan pada kaca preparat untuk pemeriksaan langsung maupun dikultur. Hingga kini, metode tersebut dinyatakan sebagai “standar emas” untuk menentukan diagnosis. Namun kekurangan metode ini yaitu berisiko merangsang muntah pada pasien sensitif, dan hanya bisa dilakukan bila tampak jelas ada lesi. Candidiasis adalah penyakit nosokomial yang sering terjadi. Pasien AIDS sangat rentan terhadap infeksi oportunis ini secara rekuren dan persisten. Identifikasi spesies penyebab harus dilakukan karena berbagai spesies Candida memiliki kerentanan yang berbeda terhadap berbagai jenis antifungal. Oral rinse adalah metode pengambilan isolat Candida yang non-invasif. Isolat yang didapat bisa dikultur dan diidentifikasi, selain itu bisa dilakukan pada pasien yang belum menunjukkan adanya lesi candidiasis untuk menentukan besar risiko pasien terkena candidiasis, sehingga dapat ditentukan perlu tidaknya pemberian profilaksis antifungal. Tujuan: Penelitian ini bertujuan mengamati efektivitas metode oral rinse untuk mengisolasi Candida dari rongga mulut pasien AIDS. Metode: Penelitian observasional dilakukan di bagian Rawat Inap Unit Perawatan Intermediate Penyakit Infeksi RSUD Dr. Soetomo. Swab pada 1/3 posterior lidah dilakukan pada 14 pasien yang memenuhi kriteria, kemudia pasien diberi 10 ml phosphate buffer saline untuk berkumur kuat-kuat selama 15 detik. Spesimen yang didapat melalui kedua metode dikultur pada medium Sabouraud untuk diamati. Hasil: Koloni Candida berhasil dikultur dari 14 spesimen (100 %) melalui kedua metode isolasi. Secara kualitiatif tampak bahwa hasil kultur dari oral rinse tampak lebih subur. Kesimpulan: Oral rinse adalah metode yang dapat diaplikasikan untuk mengisolasi Candida dari rongga mulut pasien. Tekniknya mudah, aman, non-onvasif, dan tidak memerlukan peralatan dan ketrampilan khusus, sehingga mengurangi risiko transmisi HIV.
Fungal inhibitory effect of Citrus Limon peel essential oil on Candida albicans Hernawan, Iwan; Radithia, Desiana; Hadi, Priyo; Ernawati, Diah Savitri
Dental Journal (Majalah Kedokteran Gigi) Vol 48, No 2 (2015): (June 2015)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.332 KB) | DOI: 10.20473/j.djmkg.v48.i2.p84-88

Abstract

Background: Oral candidiasis is an opportunistic infections due to Candida albicans that often found in people with HIV/AIDS. Anti-fungi, polyne and azole, are used in the treatment of oral candidiasis, but often cause persistence and recurrence. Citrus Limon peel contains terpenoids capable of inhibiting the synthesis of ergosterol, a component of the fungal cell wall that helps to maintain cell membrane permeability. Essential oil derived from citrus limon peel, thus, is expected to inhibit the growth of Candida albicans. Purpose: This research was aimed to know how essential oil derived from citrus Limon peel can inhibit the growth of Candida albicans. Method: This research was a laboratory experimental research carried out in three phases. First, essential oil was made with cold pressing method, and then the concentration of 100% was diluted to 50%, 12.5%, 6.25%, 3.125%, 1.56% and 0.78%. A test was conducted on the culture of Candida albicans in Sabouraud broth, accompanied by control (+) and (-). Second, the dilution of essential oil was conducted to alter the concentration with inhibitory power, from the strongest one to the weakest one, and then it was tested on the culture of Candida albicans. Third, spreading was carried out from liquid culture to agar media in order to measure the number of colonies. Result: Candida albicans did not grow on media with 100% essential oil treatment, but it grew on media with 50% essential oil treatment. In the second phase, dilution of 100%, 90%, 80%, 70%, 60% and 50% was conducted. The growth of Candida albicans was found on the treatment media of 60% and 50%. On the agar media, the growth occurred in the cultured medium treated with 70%. Conclusion: The minimum inhibitory power of essential oil derived from citrus Limon peel against Candida albicans was in the concentration of 80%. Essential oil derived from citrus Limon peel has antifungal effect and potential as a therapeutic agent for oral candidiasis.
The effect of ethyl acetate fraction of Citrus limon peel on mesenchymal cell proliferation and polybacterial growth Marinna, Astrid; Hadi, Priyo; Radithia, Desiana
Dental Journal (Majalah Kedokteran Gigi) Vol 48, No 3 (2015): (September 2015)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.407 KB) | DOI: 10.20473/j.djmkg.v48.i3.p144-149

Abstract

Background: Oral diseases remain to be global health problem. The common therapy involved the use of modern medicines with their various side effects. Citrus limon are potentials as anti-inflammatory, anti-fungal, anti-oxidant, anti-viral and anti-bacterial. Purpose: The purpose of this study was to determine the effect of ethyl acetate fraction of citrus limon peel extract on human gingival mesenchymal cell proliferation and palm commensal polybacterial growth. Method: This study was experimental study with post test only control group design. Citrus limon peel extracted and partitioned in order to obtain ethyl acetate fraction of 3.125%, 2.75%, 2.375%, 2%, and 1.5625%. Toxicity test was performed after 24 hours using the MTT Assays. Cell viability was measured by optical density formazonand read by ELISA reader 620 nm. Results: All treatment groups showed less than 60% cell viability. The highest cell was 19.36 (1.5625% concentration) and the lowest was 12.65 (3.125% concentration). The highest anti-bacterial inhibition value was 8.9125 mm (3.125% concentration) and the lowest was 6.0625 mm (1.5625% concentration). Conclusion: The higher concentration of ethyl acetate fraction Citrus limon peel extract, the higher toxicity and inhibitory properties against commensal palm polybacteria.
Allergic contact cheilitis due to lipstick Ravitasari, Yatty; Radithia, Desiana; Hadi, Priyo
Dental Journal (Majalah Kedokteran Gigi) Vol 48, No 4 (2015): (December 2015)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (392.075 KB) | DOI: 10.20473/j.djmkg.v48.i4.p173-176

Abstract

Background: Cheilitis is a common problem of unknown etiology. A possible cause of cheilitis is contact allergy. Drugs, lipsticks, sunblock and toothpaste are the most common implicated allergens. Allergic contact cheilitis is a chronic superficial inflammatory disorder of the vermilion borders characterized by desquamation due to delayed-type hypersensitivity reaction. Purpose: We report a management of Allergic contact cheilitis due to lipsticks. Case: A 21-year-old woman had a history of atopic allergy to eggs, milk, and chicken presented with sore, dry, fissured, scaled and sometimes bleeding lip, over a 3-month period after application of a lipstick. Her symptoms persisted despite treatments with hydrocortisone cream. The patient provided a detailed history and underwent physical examination and patch tests to cosmetic components and patch test to her own lipstick. The patient had strongly-positive result to the tested lipstick. A diagnosis of allergic contact cheilitis was made based on the history and clinical findings. Case management: Patient was advised to avoid wearing lipstick. To relieve symptoms, treatment was initiated with combined topical corticosteroid, antibiotic, and moisturizer. Conclusion: Contact allergy patients should be tested for both cosmetic component series and their own lipsticks to exclude exfolliative cheilitis, infection, or light actinic cheilitis as causal agents.
Human-leukocyte antigen typing in Javanese patients with recurrent aphthous stomatitis Ernawati, Diah Savitri; Soebadi, Bagus; Radithia, Desiana
Dental Journal (Majalah Kedokteran Gigi) Vol 43, No 1 (2010): (March 2010)
Publisher : Faculty of Dental Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (392.658 KB) | DOI: 10.20473/j.djmkg.v43.i1.p26-30

Abstract

Background: Recurrent aphthous stomatitis (RAS) is a common oral disorder that despite extensive researches, the etiology of this phenomenon is still unknown. Because this phenomenon has been observed more often in families than in individual cases, genetic influence has been investigated in most researches. Purpose: The aim of study was to evaluate the association between human leukocyte antigen (HLA) and RAS in Javanese more precisely. Method: The analysis of HLA-A, and HLA-B in 85 Javanese RAS patients and 71 healthy control subjects, were performed by using the standard NIH microlymhocytotoxicity technique. Immunohistochemistry was performed for identification of HLA-DR and HLA- DQ antigen using monoclonal antibodies anti HLA-DR and DQ. Result: Our result revealed a close association between HLA-A9 and HLA-B35 RAS subject. A significant increase in the frequency of some antigens such as HLA-A9 (72,94%, p < 0,05;RR = 2,21), HLA-A24 (65,82%; RR = 1,24) and HLA-B35 in subjects with RAS was observed. Analysis with Immunohistochemistry HLA-DR, HLA-DQ is expressed on the surface of epithelial cells membrane of oral mucosa and macrophages in both major and minor RAS patients. Conclusion: HLA antigens are involved in susceptibility to RAS and the phenotypes were difference with other previous studies. HLA- linked genetic factors may play a role in the development of RAS.Latar belakang: Stomatitis aftosa rekuren (SAR) merupakan salah satu gangguan di rongga mulut yang paling sering terjadi. Fenomenapenyakit ini masih belum jelas dan masih membutuhkanpenelitian yang lebih lanjut. Faktor keturunan lebih sering daripada kasus individual. Pengaruh faktor genetik telah diteliti oleh beberapapeneliti. Tujuan: Tujuan penelitian ini untuk mengetahui adanya kaitan HLA dengan SARpada suku jawa secara lebih tepat. Metode: Analisis HLA-A, HLA-Bpada 85penderita RAS dan 71 penderita kontrol yang berasal dari suku Jawa dihitung dengan menggunakan teknik NIH Micro Lymphocytotoxicity. Teknik Imunohistokimia dilakukan untuk mengidentifikasi antigen HLA-DR, HLA DQ dengan menggunakan antibodi monoklonal HLA-DR & DQ. Hasil: Menununjukkan hubungan yang kuat antara HLA-A9 dan HLA-B-35 pada pasien SAR. Terdapat peningkatan yang signifikan dari beberapa antigen seperti HLA-A9 (72,94%, p < 0,05, RR = 2,21), HLA-A24 (65,82%, RR = 1,24) dan HLA-B35 pada pasien SAR yang di observasi. Analisis dengan Imunohistokimia tampak HLA-DR, DQ diekspresikan pada permukaan membran sel dan makrofag pada pasien SAR mayor maupun minor. Kesimpulan: Antigen HLA terlibat dengan kepekaan terjadinya RAS, dan fenotipnya berbeda dengan hasil penelitian sebelumnya HLA dan faktor genetik berperan penting pada terjadinya SAR.
PENGARUH PEMBERIAN ZnSO4 1 % TOPIKAL TERHADAP EKSPRESI MMP-9 DAN JUMLAH FIBROBLAS PADA PENYEMBUHAN ULKUS TRAUMATIKUS TIKUS WISTAR DIABETES MELITUS Hidayat, Lukman Hakim; Hadi, Priyo; Radithia, Desiana
E-Prodenta Journal of Dentistry Vol 2, No 2 (2018)
Publisher : Fakultas Kedokteran Gigi UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.718 KB) | DOI: 10.21776/ub.eprodenta.2018.002.02.4

Abstract

Diabetes mellitus adalah penyakit yang berdampak pada proses penyembuhan luka di dalam mulut. Pada penderita diabetes melitus, aktifitas prolifrasi fibroblast menurun dan aktifitas enzim kolagenese serta MMP-9 meningkat, sehingga penyembuhan ulserasi pada rongga mulut akan menjadi lebih lama. Zinc sulfat merupakan mineral yang dapat meningkatkan sinyal antar sel, proliferasi komponen penyembuhan, serta migrasi komponen pada tahapan penyembuhan.  Tujuan: untuk menganalisis pengaruh pemberian zinc sulfat 1% secara topikal pada ekspresi MMP-9 dan jumlah sel fibroblas jaringan mukosa mulut hewan coba pada kondisi diabetes mellitus, yang mengalami ulkus traumatikus. Metode: Pada penelitian ini hewan coba (48 ekor tikus wistar) berusia 2-3 bulan dan berat badan 150-200 gram, dibagi menjadi empat grup. Untuk mendapatkan tikus diabetes, maka subjek diinduksi dengan streptozotocin (30mg) yang dilarutkan dalam 1,33 ml buffer (asam sitrate). Untuk membuat ulser pada jaringan mukosa mulut, maka dilakukan dengan menempelkan burniser panas selama 10 detik pada mukosa bibir subjek. Pada setiap periode ekperimen (hari ke-5 dan ke-7) dilakukan pengambilan jaringan mukosa, dan dilanjutkan dengan pembuatan preparat histologi. Pada preparat histologi digunakan pengecatan HE untuk mengidentifikasi dan menghitung jumlah fibroblast, sedangakan IHS untuk mengidentifikasi dan menghitung ekspresi MMP-9. Metoda statistik one-way Anova digunakan untuk analisis perbandingan antara grup perlakuan dan grup kontrol. Signifikansi didasarkan pada nilai p&lt;0.05. Hasil: Pemberian zinc sulfat 1% secara topikal pada ulkus traumtikus pada tikus diabetes mengakibatkan terjadi peningkatkan jumlah fibroblas (p&lt;0,05) dan menurunkan ekspresi MMP-9 (p&lt;0,05) yang diamati pada setiap periode eksperimen yang ditetapkan dalam penelitian ini. Kesimpulan: Zinc sulfat 1% dapat mempercepat proses penyembuhan ulkus traumatikus pada hewan coba dengan kondisi diabetes mellitus. Kata kunci : diabetes melitus, ulkus traumatikus, zinc sulfat , MMP-9, fibroblas.
Management of recurrent aphthous ulceration with iron deficiency anemia : a case report Yuskhaidir, Yuskhaidir; Radithia, Desiana; Ernawati, Diah S.
Journal of Case Reports in Dental Medicine Vol 1, No 3 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1305.36 KB) | DOI: 10.20956/jcrdm.v1i3.102

Abstract

Objective: Recurrent aphthous Ulceration (RAU) is a common oral mucosal disease characterized by recurrence and painful ulcers in non-keratinized oral mucosa.. A teenage girl aged 18 years 7 months comes with complaints of a lot of ulcers in the oral cavity. The patient said that she had had ulcers since 3 years ago, had no history of allergies, and with a weight that dropped below normal according to BMI standards. From intra oral examination multiple ulcers appear on the labial mucosa, buccal mucosa, painful gingiva and atrophy on the tongue.Methods : Patients undergo complete blood tests with Hb results of 10.8 g / dL (N: 11.7?15.3 g / dL), Eosinophils 5% (N: 2-4%), Neutrophils 42%, lymphocytes 42%, monocytes 8%, hematocrit 33%, MCV 68 fL, MCH 21 pg,  MCHC 31 g / dL.Results : Based on history, clinical examination and laboratory examination, a diagnosis of recurrent aphthous ulceration related to iron deficiency anemia can be established with a differential diagnosis of minor type recurrent aphthous stomatitis. The results of the examination with a TIBC value of 437.1 H, Serum iron 48.61 L, and ferritin 62.71 L. Patients treated with non-steroidal anti-inflammatory mouthwash and multivitamins. Patients are instructed to increase intake of foods containing iron, fruits and vegetables and avoid fatigue or adequate rest.Conclusions : Therapy RAU with a food-based approach and a drug-based approach chlorine dioxide, Iron Polymaltose Complex, folic acid and vitamin c Key words : Recurrent aphthous ulceration, hemoglobin, iron deficiency anemia