Jurnal Berkala Kedokteran
ISSN : 14120550     EISSN : 25485660
Berkala Kedokteran is a journal contains scientific articles from original research and literature review in medical and health scope. It is published twice in a year, on February and September.
Articles 170 Documents
Tinjauan Histologi Sawar Darah Otak Yuliana, Ida
Jurnal Berkala Kedokteran Vol 9, No 1 (2013): April 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i1.924

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Abstract: Blood brain barrier is a membrane which is highly resistant to the diffusion process and separate the blood brain interstitial fluid. The blood brain barrier is a separation between the main compartment nervous system brain, CSF and the third compartment of the blood. Function of the blood brain barrier are protects the central nervous system to maintain homeostasis of blood milieu microenvironment. Blood-brain barrier layer is characterized as a perfect and continuous cell of endothelial cells in the connective by tight junctions. By using electron microscopy showed that the lumen of blood capillaries separated from the extra-cellular space by endothelial cells in the capillary wall (cell cerebral endhothelial), basement membrane outside the cell contains perisit endothelial cells and astrocytes feets are attached to the outer layer of the wall of the capillary. The third component has a specificity in terms of functional morphology and histology. Keywords: blood-brain barrier, endothelial cell,  astrocyte, perisit cell Abstrak: Sawar darah otak adalah suatu membran yang sangat resisten terhadap proses difusi dan memisahkan cairan intersisial otak darah. Sawar darah otak merupakan pemisah antara kompartmen utama susunan saraf otak, LCS dan kompartmen ketiga yaitu darah. Sawar darah otak memiliki fungsi melindungi susunan saraf pusat dari milieu darah mempertahankan homeostasis lingkungan mikro. Sawar darah otak dicirikan sebagai lapisan seluler yang sempurna dan kontinu dari sel endotel yang di ikat oleh tight junction. Dengan menggunakan mikroskop elektron memperlihatkan bahwa lumen kapiler darah dipisahkan dari ruang ekstra seluler oleh sel endotelial di dinding kapiler  (cell cerebral endhothelial), membran basalis di luar sel endotel berisi sel perisit dan kaki-kaki astrosit yang menempel pada lapisan luar dari dinding kapiler. Ketiga komponen tersebut memiliki kekhususan dalam hal morfologi dan fungsional secara histologi. Kata-kata Kunci: sawar darah otak, sel endotel, astrosit, sel perisit
Hubungan Penggunaan Helm dengan Beratnya Cedera Kepala Akibat Kecelakaan Lalu Lintas Darat di RSUD Ulin Bulan Mei - Juli 2013 Lahdimawan, Inas Tsurayya Fadilla; Suhendar, Agus; Wasilah, Siti
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.958

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ABSTRACT: Head injury is one of the leading cause of morbidity and mortality in the world and the seventh cause of mortality in Indonesia . Head injury is one of the most top 10 diseases in Ulin General Hospital. The increasing number of motorcycle leading head injury to occur more often, considering that road traffic accidents are the most frequent cause of head injury. Lack of public awareness in helmet use leads it to be the primary factor of head injury. The objective of the research is to identify the relationship between helmet use and head injury severity caused by road traffic accidents. The method of the research is descriptive analytical with cross-sectional approach and it took place at Ulin General Hospital from May – July 2013. Total samples of 73 people taken based on inclusion criteria. The most frequently age group was between the age 15-24 (41,1%). Males frequently injured than female with male to female ratio was 1,9:1. Most of them were non-helmeted motorcyclist (53,4%). The most frequent head injury severity was mild head injury (64,4%). The data were statistically analyzed by Chi-square test showed p = 0.041 (α = 0.05). Based on the research there is a significant relationship between helmet usage and the severity of head injury caused by road traffic accidents. Keywords: head injury, helmet, road traffic accidents ABSTRAK: Cedera kepala merupakan salah satu penyebab kesakitan dan kematian di dunia dan ke-7 di Indonesia. Cedera kepala termasuk 10 penyakit terbesar di RSUD Ulin Banjarmasin. Meningkatnya angka kendaraan bermotor menyebabkan cedera kepala semakin sering terjadi, mengingat salah satu penyebab tersering cedera kepala adalah kecelakaan lalu lintas. Kurangnya kesadaran masyarakat dalam menggunakan helm menjadi faktor utama terjadinya cedera kepala. Penelitian bertujuan untuk mengetahui apakah terdapat hubungan antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat. Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional bertempat di RSUD Ulin bulan Mei – Juli 2013. Jumlah sampel sebanyak 73 orang  diambil berdasarkan kriteria inklusi. Kelompok usia terbanyak yaitu 15-24 tahun (41,1%). Jenis kelamin laki-laki banyak mengalami cedera kepala daripada perempuan dengan perbandingan 1,9:1. Status penggunaan helm terbanyak adalah tidak menggunakan helm (53,4%). Beratnya cedera kepala terbanyak adalah cedera kepala ringan (64,4%). Data dianalisis statistik dengan uji Chi-square menunjukkan p = 0,041 (α = 0,05). Berdasarkan penelitian yang dilakukan dapat diambil kesimpulan bahwa terdapat hubungan bermakna antara penggunaan helm dengan beratnya cedera kepala akibat kecelakaan lalu lintas darat. Kata-kata kunci: cedera kepala, helm, kecelakaan lalu lintas darat
PERBEDAAN WAKTU REAKSI DAN TINGKAT KELELAHAN ANTARA PEKERJA SHIFT PAGI DAN SHIFT MALAM Rianti, Olivia Dewi; Fakhrurazzy, Fakhrurazzy; Triawanti, Triawanti
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.189

Abstract

Fatigue is a feeling of weariness or lack of energy that does not decrease when a person rests. The main reason of occupational accidents caused by humans is stress and fatigue. This study aims to analyze the differences of reaction time and fatigue stage between morning shift workers and night shift workers of coal mining department operators in PT. Kaltim Prima Coal. This research was an analytic observational research with cross sectional approach and purposive sampling technique. Data taken from 30 workers of morning shift and 30 workers of night shift who fulfill the inclusion criteria. The results showed that the average reaction time of morning shift workers was 0.81 seconds and 0.89 seconds for night shift workers. The results of questionnaire showed amount of very tired worker category, tired, and less tired on the morning shift workers for each category were 7, 21, and 2, while the night shift workers for each category were 3, 25, and 2. Results of unpaired t-test for reaction time showed no significant difference (p = 0.2) and the results of the Kolmogorov-Smirnov test for fatigue stage showed no significant difference (p = 0.952) between the morning shift workers and night shift workers of mining coal department operators in PT. Kaltim Prima Coal. Keywords: Reaction time, fatigue stage, shift workers
Pola Sensitivitas In Vitro Salmonella Typhi Terhadap Antibiotik Kloramfenikol, Amoksisilin, Dan Kotrimoksazol: Di Bagian Anak RSUD Ulin Banjarmasin Periode Mei-September 2012 Juwita, Silvan; Hartoyo, Edi; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 9, No 1 (2013): April 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i1.915

Abstract

ABSTRACT: Incidence of typhoid fever in children is still considered high, especially in the Paediatric Department of RSUD Ulin Banjarmasin, so the effective and efficient treatment was required. The sensitivity test of organisms which tends to be resistance like Salmonella typhi is very important because each region has different sensitivity pattern of Salmonella and change over time. The purpose of this research was to determine the in vitro sensitivity pattern of Salmonella typhi to antibiotics chloramphenicol, amoxicillin, and cotrimoxazole in patients of Paediatric Department of RSUD Ulin Banjarmasin. This research was laboratoric descriptive.Out of 37 blood samples of typhoid fever patients in Paediatric Department of RSUD Ulin Banjarmasin, 20 samples were positive of Salmonella typhi isolate and the samples had undergone sensitivity test to antibiotic chloramphenicol, amoxicillin, and cotrimoxazole. This research was carried out with Kirby-Bauer diffusion method. Result interpretation was based on the formation radical zone of bacteria growth around antibiotic disk and it was compared to the standards of sensitivity by Clinical and Laboratory Standards Institute (CLSI) 2011. The results of this research showed that Salmonella typhi was sensitive to chloramphenicol, (65%); amoxicillin, (15%); and cotrimoxazole, (80%); resistance to chloramphenicol, (10%); amoxicillin, (85%); and cotrimoxazole, (20%); and intermediat to chloramphenicol, (25%). The results of this research suggested that antibiotics chloramphenicol and cotrimoxazole were still sensitive to the bacteria Salmonella typhi, whereas amoxicillin was already resistant. Keywords: amoxicillin, chloramphenicol, cotrimoxazole, Salmonella typhi. ABSTRAK: Angka kejadian demam tifoid pada anak yang masih tinggi khususnya di Bagian Anak RSUD Ulin Banjarmasin, sehingga diperlukan pengobatan yang efektif dan efesien. Uji sensitivitas terhadap organisme yang cenderung mengalami resistensi seperti Salmonella typhi sangatlah penting karena pada masing-masing daerah mempunyai pola sensitivitas Salmonella yang berbeda dan berubah seiring waktu. Tujuan dari penelitian ini adalah untuk mengetahui pola sensitivitas in vitro Salmonella typhi terhadap antibiotik kloramfenikol, amoksisilin, dan kotrimoksazol pada pasien yang berada di Bagian Anak RSUD Ulin Banjarmasin. Penelitian ini bersifat deskriptif laboratorik. Dari 37 sampel darah penderita demam tifoid di Bagian Anak RSUD Ulin Banjarmasin didapatkan 20 isolat positif Salmonella typhi dan telah dilakukan uji sensitivitas terhadap 3 jenis antibiotik yaitu kloramfenikol, amoksisilin, dan kotrimoksazol. Penelitian ini dilakukan dengan metode difusi Kirby-Bauer. Interpretasi hasil berdasarkan pada terbentuknya zona radikal pertumbuhan bakteri di sekitar disk antibiotik dan dibandingkan dengan standar sensitivitas menurut Clinical and Laboratory Standards Institute (CLSI) tahun 2011. Hasil penelitian menunjukkan bahwa Salmonella typhi sensitif terhadap kloramfenikol, (65%); amoksisilin, (15%); dan kotrimoksazol, (80%); resisten terhadap kloramfenikol, (10%); amoksisilin, (85%); dan kotrimoksazol, (20%); dan intermediat terhadap kloramfenikol, (25%). Hasil penelitian ini menunjukkan antibiotik kloramfenikol dan kotrimoksazol masih sensitif terhadap kuman Salmonella typhi, sedangkan amoksisilin sudah resisten. Kata-kata kunci: amoksisilin, kloramfenikol, kotrimoksazol, Salmonella typhi.
Perbandingan Daya Hambat Ekstrak Etanol Dengan Sediaan Sirup Herbal Buah Belimbing Wuluh (Averrhoa bilimbi L.) Terhadap Pertumbuhan Shigella dysenteriae In Vitro Dewi, Intan Kusuma; Joharman, Joharman; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 9, No 2 (2013): September 2013
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v9i2.949

Abstract

ABSTRACT: Sour carambola (Averrhoa bilimbi, L) fruit has antibacterial effect to Shigella dysenteriae. Shigella dysentriae is Gram-negative bacteria caused shigellosis and bloody diarrhea in human. Sour carambola can be used as extract and herbal syrup. This research aims to compare the inhibitory effect between ethanol extract and herbal syrup of sour carambola fruit to against Shigella dysenteriae in vitro. The concentration of ethanol extract and herbal syrup were 60 %,70%, 80% and 90%. Antibacterial effect was tested by Kirby- Bauer diffusion method on Mueller Hinton media and measure the inhibitory zone of  Shigella dysenteriae. The result of inhibitory zone was tested by Kruskal-Wallis and Mann-Whitney post hoc tests with 95% significance level showed  that ethanol extract and herbal syrup of sour carambola showed the differences in concentration of 60% (p < 0,05). The phytochemical screening result showed that ethanol extract of sour carambola contains  flavonoid, saponin, alkaloid and steroid. Keywords: Averrhoa bilimbi, L., ethanol extract, herbal syrup, Shigella dysenteriae ABSTRAK: Buah belimbing wuluh (Averrhoa bilimbi, L.) terbukti memiliki aktivitas antibakteri terhadap Shigella dysenteriae. Shigella dysenteriae merupakan bakteri penyebab shigellosis atau disentri basiler. Buah belimbing wuluh dapat digunakan dalam bentuk ekstrak dan sirup. Penelitian ini bertujuan untuk mengetahui adanya perbedaan daya hambat antara ekstrak etanol dengan sediaan sirup herbal buah belimbing wuluh dalam menghambat pertumbuhan Shigella dysenteriae in vitro. Konsenterasi ekstrak etanol dan sirup herbal buah belimbing wuluh yang digunakan adalah 60%, 70%, 80% dan 90%. Uji antibakteri dilakukan menggunakan metode difusi Kirby-Bauer dengan media Mueller- Hinton dan dilakukan pengukuran zona hambat Shigella dysenteriae. Hasil zona hambat yang terbentuk diuji menggunakan Kruskal Wallis dan post hoc Mann Whitney dengan tingkat kepercayaan 95% dan menunjukkan bahwa ekstrak etanol dan sediaan sirup herbal buah belimbing wuluh memiliki perbedaan bermakna dalam menghambat Shigella dysenteriae pada konsenterasi 60% (p<0,05). Hasil skrining fitokimia ekstrak etanol buah belimbing wuluh menunjukkan adanya kandungan flavonoid, saponin, alkaloid dan steroid.  Kata-kata kunci: Averrhoa bilimbi, L., ekstrak etanol, Shigella dysenteriae, sirup herbal
IDENTIFIKASI JENIS BAKTERI KONTAMINAN PADA TANGAN PERAWAT DI BANGSAL PENYAKIT DALAM RSUD ULIN BANJARMASIN PERIODE JUNI-AGUSTUS 2014 L., Ikhwanda Angga; Prenggono, Muhammad Darwin; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 11, No 1 (2015): Februari 2015
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i1.180

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Nosocomial infection is an infection by viruses , bacterias, and fungal pathogens that attack a patient undergoing treatment at a hospital. The source of nosocomial infections can be derived from ones body own endogenous flora and cross-infection through the hands of health care workers. The aim of this study was to identify the types of contaminants bacterias on the hands of the nurses of Disease Ward at RSUD Ulin Banjarmasin from June to August 2014. This is a descriptive study with cross sectional approach. A total of 26 samples were selected using total sampling method. The results of the nurses hand swab which had been cultured in an isolation media were viewed using a microscope. Descriptive analysis showed that there were four types of bacteria on the hands of nurses hand swab results: Staphylococcus aureus (53,85%), Staphylococcus epidermidis (34,62%), Escherichia coli (7,69%), and Bacillus sp.(3,84%). Therefore it can be concluded that bacterial contaminants found on the hands of nurses were Staphylococcus aureus, Staphylococcus epidermidis, Escherichia coli, and Bacillus sp. Keywords: nosocomial infection, contaminant bacterias, nurses hand
Efek Pemberian Ikan Saluang (Rasbora Spp.) Terhadap Kadar Kalsium Tulangtikus Putih (Rattus Norvegicus) Malnutrisi Lestari, Rizky Mutiara; Triawanti, Triawanti; Yunanto, Ari
Berkala Kedokteran Vol 12, No 1 (2016): Februari 2016
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v12i1.358

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Abstract: Effect of giving saluang fish (rasbora spp.) on bone calcium of malnutried rat’s (rattus norvegicus). Malnutrition due to lack of calcium is vital especially in young age because it can damage body’s function. Calcium is source of bone’s development and play some role in motoric function. This research aims on analyzing the difference of calcium level in malnutrition rats and rats feeded with saluang fish. This is an experimental study with posttest only with control group design, consist of malnutrition (M) group, standard feeding (P) group, and saluang (S) group. The bone’s calcium level is measured using titrimetry method. The average result of bone’s calcium level are M=1,00 mg/gram, P=1,68 mg/gram, and S=1,23 mg/gram respectively. Kruskal-Wallis test shows a significant result (p<0,05). Mann-Whitney test shows the standard feeding group have the highest calcium level among other groups. This research concludes that giving saluang fish (Rasbora spp.) for 4 weeks can not repair the bone’s calcium level due to malnutrition if compared to standard feeding.Keywords : saluang fish, bone’s calcium level, malnutrition. Abstrak: Efek pemberian ikan saluang (rasbora spp.) terhadap kadar kalsium tulang tikus putih (rattus norvegicus) malnutrisi. Malnutrisi akibat kurangnya asupan kalsium yang sangat dibutuhkan terutama usia dini dapat mengganggu berbagai fungsi tubuh. Fungsi kalsium bagi tubuh adalah sebagai nutrisi untuk pertumbuhan tulang, serta menunjang perkembangan fungsi motorik agar lebih optimal dan berkembang dengan baik. Tujuan penelitian ini untuk menganalisis perbedaan kadar kalsium tulang tikus putih malnutrisi yang diberi ikan saluang dan yang tidak diberi ikan saluang. Penelitian ini merupakan penelitian eksperimental dengan posttest-only with control group design, terdiri dari kelompok malnutrisi (M), kelompok pemberian ikan saluang (S), kelompok pemberian pakan standar (P) yang diukur dengan menggunakan metode titrimetri. Rerata kadar kalsium tulang masing-masing kelompok adalah 1,00 mg/gram tulang, 1,23 mg/gram tulang, dan 1,68 mg/gram tulang. Uji Kruskal-Wallis menunjukkan perbedan signifikan (p<0,05). Uji Mann Withney menunjukkan pada kelompok pakan standar memiliki kadar kalsium tulang yang lebih tinggi dibandingkan dengan saat malnutrisi. Berdasarkan hasil penelitian yang dilakukan dapat diambil kesimpulan bahwa pemberian ikan saluang (Rasbora spp.) selama 4 minggu tidak berpengaruh secara bermakna terhadap peningkatan kadar kalsium tulang tikus putih malnutrisi dibandingkan dengan pakan standar. Kata-kata kunci: ikan saluang, kalsium tulang, malnutrisi
Penerapan Kaidah Fiqih dalam Penetapan Hukum Islam Bedah Mayat Kedokteran Husairi, Ahmad
Jurnal Berkala Kedokteran Vol 10, No 1 (2014): Februari 2014
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i1.938

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Abstract: The medical autopsy is a post-mortem that is performed for the benefit of the medical world. On the one hand, the corpse is the body that must be respected. On the other hand, the medical profession can not be separated from the implementation of the post-mortem. Therefore, the Islamic jurisprudence of post-mortem should be determined by careful consideration in order to obtain the best benefit. Since the Islamic jurisprudence of medical autopsy was not stated in the Quran and hadith, ijtihad method should be performed. The rules of Islamic jurisprudence is the rule that is reliable in addressing different issues of Islamic jurisprudence, including the issues of Islamic jurisprudence of medical autopsy. Thus, the rules of Islamic jurisprudence can be applied in consideration of determination of Islamic jurisprudence of medical autopsy. Keywords: autopsy, Islamic jurisprudence of autopsy, the rules of Islamic jurisprudence Abstrak: Bedah mayat kedokteran merupakan bedah mayat yang dilakukan untuk kepentingan dunia kedokteran. Di satu sisi, mayat merupakan jasad yang harus dihormati. Di sisi lain, profesi kedokteran tidak dapat terlepas dari pelaksanaan bedah mayat. Oleh karena itu, hukum Islam bedah mayat perlu ditetapkan dengan pertimbangan yang mendalam agar dapat diperoleh kemaslahatan yang terbaik. Berhubung hukum bedah mayat kedokteran tidak ada disebutkan dalam Al-qur’an dan hadits, metode ijtihad harus dilakukan. Kaidah fiqih merupakan kaidah yang cukup andal dalam menjawab berbagai masalah hukum Islam, termasuk masalah hukum bedah mayat kedokteran. Dengan demikian, kaidah fiqih dapat diterapkan dalam pertimbangan penetapan hukum Islam bedah mayat kedokteran. Kata kunci: Bedah mayat, hukum Islam bedah mayat, kaidah fiqih
GAMBARAN ANGKA KEJADIAN KOMPLIKASI PASCA ANESTESI SPINAL PADA PASIEN SEKSIO SESARIA Hayati, Mardhiyah; Sikumbang, Kenangan Marwan; Husairi, Ahmad
Berkala Kedokteran Vol 11, No 2 (2015): September 2015
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v11i2.140

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The spinal anesthesia is mostly used for cesarean section. The use of spinal anesthesia may cause the complications during and after surgery. The purpose of the research was to describe the incidence complications after spinal anesthesia on the first and third day after cesarean section in Ulin Hospital Banjarmasin. The method of the research is descriptive. The data were obtained from the medical records of the patient and questionnaire sheets. The sampling was used in consecutive sampling with the total of research subjects are 47 patients. The result of the research showed the incidence complications on the first day after spinal anesthesia is back pain 19(42.3%), nausea and vomit 6(13.4%), and headache 1(2.2%). The third day after spinal anesthesia is back pain 5(11%), nausea and vomit 24.4%), and headache 1(2.2%). The conclusion of the research is the image of the incidence complications after spinal anesthesia on the first day and third day at Ulin Hospital Banjarmasin shows back pain as the most complaints. Keywords: complications after spinal anesthesia, spinal anesthesia, Ulin Hospital Banjarmasin.
Uji Sensitivitas Isolat Bakteri Pasien Urolithiasis di Ruang Perawatan Bedah Rsud Ulin Banjarmasin terhadap Antibiotik Terpilih Pertiwi, Strata; Rahman, Eka Yudha; Budiarti, Lia Yulia
Jurnal Berkala Kedokteran Vol 10, No 1 (2014): Februari 2014
Publisher : Pendidikan Dokter Universitas Lambung Mangkurat

Show Abstract | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i1.929

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ABSTRACT: Urinary tract infection (UTI) is defined as the presence of microorganisms in urine which is marked with significants bacteriuria. Urinary tract infection is very common condition that occurs in both women and men in all ages. Urinary tract stone (Urolithiasis) can lead to the development of bacteriuria. Bacterial resistance to antibiotics has long recovery from UTI. The aim of this research was to find out bacterial sensitivity urinary tract infection in patients urolithiasis to selected antibiotic in Surgical Treatment Ulin General Hospital Banjarmasin period Juni-Agustus 2013. The selected antibiotics were ceftriaxone, levofloxaxin and gentamicin. The research was a descriptional research. The subject of this research is all patients urolithiasis with complication urinary tract infection in Surgical Treatment Ulin General Hospital Banjarmasin period Juni-Agustus 2013. The sampling technique in this research was consecutive method. The sensitivity test to antibiotic test in the research used Kirby-Bauer method and analyzed according to CLSI 2011 standard. Based of the research can be concluded that bacteria that sensitive to selected antibiotics in succession is levofloxaxin 61,54%, seftriaxone 15,38% and gentamicin 15,38%. Percentage of bacteria that resisten to antibiotic seftriaxone 23,8%. Keywords: bacteriuria, gentamicin, urinary tract infection (UTI), in vitro, levofloxaxin, seftriaxone, urolithiasis ABSTRAK: Infeksi saluran kemih (ISK) didefinisikan sebagai adanya mikroorganisme dalam urin yang ditandai dengan bakteriuria bermakna. Infeksi saluran kemih merupakan kondisi yang sangat umum terjadi baik pada wanita maupun pria pada semua usia. Batu saluran kemih (urolithiasis) dapat menyebabkan perkembangan bakteriuria. Resistensi bakteri terhadap antibiotik menyebabkan lamanya penyembuhan dari ISK. Penelitian ini bertujuan untuk mengetahui sensitivitas bakteri penyebab ISK pada pasien urolithiasis terhadap antibiotik terpilih di Bagian Perawatan Bedah RSUD Ulin Banjarmasin periode Juni-Agustus 2013. Antibiotik terpilih yaitu seftriakson, levofloksasin dan gentamisin. Penelitian ini merupakan penelitian deskriptif murni sensitivitas isolat bakteri Escheriachia coli, pseudomonas sp., dan proteus sp. dari pasien urolithiasis dengan ISK terhadap antibiotik uji terpilih. Subjek penelitian ini adalah seluruh pasien urolithiasis dengan komplikasi infeksi saluran kemih di ruang perawatan bedah RSUD Ulin Banjarmasin periode Juni-Agustus 2013. Teknik pengambilan sampel pada penelitian ini adalah consecutive method. Uji sensitivitas antibiotik pada penelitian ini menggunakan metode Kirby-Bauer dan dianalisa sesuai dengan standar CLSI 2011. Berdasarkan penelitian yang telah dilakukan dapat disimpulkan bakteri yang sensitif terhadap antibiotik terpilih secara berturut-turut adalah levofloksasin 61,54%, seftriakson 15,38%, dan gentamisin 15,38%. Persentase bakteri yang resisten terhadap antibiotik seftriakson 23,8%. Kata-kata kunci: bakteriuria, infeksi saluran kemih (ISK), in vitro, levofloksasin, gentamisin, seftriakson, urolithiasis

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