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Quality Assesment of Antibiotic Prescription for Sepsis Treatment in Intensive Care Unit at Top Referral Hospital in West Java, Indonesia Zulfariansyah, Ardi; Radhiyanti Santoso, Putri Teesa; Adani, Shadrina Dinan
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Background: Sepsis is a common disease in intensive care unit (ICU) with high mortality rate. Administration of antibiotic has an important role to determine the outcome of sepsis patient. This study aimed to evaluate the quality of antibiotic prescription for sepsis treatment in intensive care unit (ICU). Methods: This descriptive study was conducted by retrieving data from 48 medical records of patients with sepsis, severe sepsis, and septic shock admitted to ICUÂ Dr. Hasan Sadikin General Hospital (RSHS) in 2013. The study was conducted from August to October 2014. Empiric therapy in the ICUat RSHS and Surviving Sepsis Campaign (SSC) guidelines in 2012 were used as a standard for antibiotic prescription. The quality of antibiotic prescription was assessed then categorized based on Gyssens criteria. The collected data were analyzed in the form of frequency and percentage and presented in tables.Results: This study discovered that most of the patients had severe sepsis and septic shock. Based on Gyssens criteria, 35% antibiotic uses were included into category 0 (proper); 1.4% category I (improper timing); 10.5% category IIA (improper dosage); 9.1% category IIB (improper interval); 3.5% category IIC (improper route); 12.6% category IIIA (improper duration; too long); 1.4% category IIIB (improper duration; too short); 16.8% category IVA (improper; other antibiotics were more effective); 4.2% category IVD (improper; other antibiotics had narrower spectrum); and 5.6% category V (improper; no indication).Conclusions: There are still improper uses of antibiotic for sepsis, severe sepsis, and septic shock patients in the ICU.Â DOI:Â 10.15850/amj.v4n2.1088

Nutritional Status Among Elderly in Ambulatory Care Setting Nurizky, Karina; Radhiyanti Santoso, Putri Teesa; Apriandi, Muhammad
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Background: Nutritional status is a final outcome from a balance between food intake and bodyâs needs of the nutrients. Elderly is people whose age more than 60 years old. In Indonesia, elderly population has increased. Its phenomena is also known as population aging. Population aging is related to malnutrition in elderly. Malnutrition is defined as the insufficient, excessive or imbalanced consumption of nutrients.The objective of this study was to describe the nutritional status among elderly outpatients in geriatrics clinic of Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive cross-sectional study that used primary data in geriatrics clinic Dr. Hasan Sadikin General Hospital Bandung from September 2013 to October 2013. The sampling method was convenience sampling. This study was done withÂ 43 elderly ( women, n=27 and men, n=16) outpatients.The nutritional status was classified by the questionnaire of Mini Nutritional Assessment into malnourished, risk of malnutrition and without malnutrition (adequate). After collecting the data, it was analyzed by Microsoft Excel in presenting the proportion of the elderly nutritional status.Results: Among all the respondents, 27 (63%) respondents had adequate nutrition and 16 (37%) respondents had risk of malnutrition. There was no respondent who had malnutrition (undernutrition). Conclusions: Majority of elderly outpatients in geriatrics clinic Dr. Hasan Sadikin General Hospital had adequate nutrition.Â DOI:Â 10.15850/amj.v4n2.1087

Refractive Errors in State Junior High School Students in Bandung Nikmah, Sabila Tasyakur; Rifada, Raden Maula; Santoso, Putri Teesa Radhiyanti
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.812 KB)

Background: Uncorrected refractive error is one of the avoidable causes of vision impairment in children and adults. Vision problem in children has been shown to affect their psychological and academic performance. This study aims at identifying and gaining more insights on the characteristic of the refractive errors in state junior high school students in Bandung to avoid uncorrected refractive errors.Methods: A cross-sectional study was conducted in SeptemberâNovember 2015 in state junior high schools in Bandung, West Java, Indonesia. Sample was selected using multistage random sampling technique. Children were examined using tumbling E examination; then students with visual acuity worse than 6/12 underwent Snellen Chart test, refractometry without pupil dilatation, correction with trial lens, then was followed by direct ophthalmoscopy.Results: From a total of 435 children who completed all the examination, 80 children (18.39%) had refractive errors; consisted of 151 eyes (94.38%) with myopia and 9 eyes (5.62%) with astigmatism. Refractive errors were found to be more common in female children (73.7%) than male children (26.3%). Among those with refractive errors, 45 children (56.3%) did not use any corrective glasses before the examination.Conclusions: Routine refractive error test in vision screening examination is needed for students. It is equally important to raise more awareness toward eye disease in community. [AMJ.2016;3(3):545â8]DOI:Â 10.15850/amj.v3n4.936

Computer Vision Syndrome among Call Center Employees at Telecommunication Company in Bandung Nursyifa, Ghea; Santoso, Putri Teesa Radhiyanti; Musa, Ine Renata
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.816 KB)

Background: The occurrence of Computer Vision Syndrome (CVS) at the workplace has increased withinÂ decades due to theprolonged use of computers. Knowledge of CVS is necessary in order to develop anÂ awareness of how to prevent and alleviate itsprevalence . The objective of this study was to assess theÂ knowledge of CVS among call center employees and to explore the most frequent CVS symptom experiencedÂ by the workers.Methods: A descriptive cross sectional study was conducted during the period of September to NovemberÂ 2014 at Telecommunication Company in Bandung using a questionnaire consisting of 30 questions. Out ofÂ the 30 questions/statements, 15 statements were about knowledge of CVS and other 15 questions wereÂ about the occurrence of CVS and its symptoms. In this study 125 call center employees participated asÂ respondents using consecutive sampling. The level of knowledge was divided into 3 categories: good (76â100%), fair (75â56%) and poor (<56%). The collected data was presented in frequency tabulation.Results: There was 74.4% of the respondents had poor knowledge of CVS. The most symptom experiencedÂ by the respondents was asthenopia.Conclusions: The CVS occurs in call center employees with various symptoms and signs. This situationÂ is not supported by good knowledge of the syndrome which can hamper prevention programs.Â [AMJ.2016;3(2):181â21]DOI:Â 10.15850/amj.v3n2.789

Visual Impairment Screening in Cibeusi Elementary School Students Permana, Dea Aprilianti; Memed, Feti Karfiati; Radhiyanti Santoso, Putri Teesa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.935 KB)

Background: The World Health Organization (WHO) shows that there are around 153 million people with visual impairment due to uncorrected refractive error, mostly in 8â10 years. Screening of visual function in earlier age is important, because it is treatable. Correction of refractive error by using eye-glasses is the easiest and the cheapest way. This study aimed to identify the frequency of visual impairment and eye-glasses-used in children aged eight to ten in Cibeusi Elementary School. Methods: A descriptive study was conducted. This study was held in August 2014. Data were obtained from Cibeusi Elementary School in Jatinangor;Â simple random sampling technique was used to select 8â10 years old students. The total number of respondent was 101 students. Screening for visual impairment was performed using E-Chart. Result: Eleven eyes (5.44%) from a total of 202 eyes had visual impairment. Six (5.94%) students had visual impairment, whereas only 1 (1%) student used eye-glasses for improving his visual function. Visual impairment was considerably high in boy-students aged 8 yearsÂ and was most prevalence in 3rd grade students.Conclusions: There are visual impairments which are not corrected with sunglasses.

Refractive Errors in State Junior High School Students in Bandung Sabila Tasyakur Nikmah; Raden Maula Rifada; Putri Teesa Radhiyanti Santoso
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.812 KB)

Background: Uncorrected refractive error is one of the avoidable causes of vision impairment in children and adults. Vision problem in children has been shown to affect their psychological and academic performance. This study aims at identifying and gaining more insights on the characteristic of the refractive errors in state junior high school students in Bandung to avoid uncorrected refractive errors.Methods: A cross-sectional study was conducted in September–November 2015 in state junior high schools in Bandung, West Java, Indonesia. Sample was selected using multistage random sampling technique. Children were examined using tumbling E examination; then students with visual acuity worse than 6/12 underwent Snellen Chart test, refractometry without pupil dilatation, correction with trial lens, then was followed by direct ophthalmoscopy.Results: From a total of 435 children who completed all the examination, 80 children (18.39%) had refractive errors; consisted of 151 eyes (94.38%) with myopia and 9 eyes (5.62%) with astigmatism. Refractive errors were found to be more common in female children (73.7%) than male children (26.3%). Among those with refractive errors, 45 children (56.3%) did not use any corrective glasses before the examination.Conclusions: Routine refractive error test in vision screening examination is needed for students. It is equally important to raise more awareness toward eye disease in community. [AMJ.2016;3(3):545–8]DOI: 10.15850/amj.v3n4.936

Quality Assesment of Antibiotic Prescription for Sepsis Treatment in Intensive Care Unit at Top Referral Hospital in West Java, Indonesia Shadrina Dinan Adani; Ardi Zulfariansyah; Putri Teesa Radhiyanti Santoso
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Sepsis is a common disease in intensive care unit (ICU) with high mortality rate. Administration of antibiotic has an important role to determine the outcome of sepsis patient. This study aimed to evaluate the quality of antibiotic prescription for sepsis treatment in intensive care unit (ICU). Methods: This descriptive study was conducted by retrieving data from 48 medical records of patients with sepsis, severe sepsis, and septic shock admitted to ICU Dr. Hasan Sadikin General Hospital (RSHS) in 2013. The study was conducted from August to October 2014. Empiric therapy in the ICUat RSHS and Surviving Sepsis Campaign (SSC) guidelines in 2012 were used as a standard for antibiotic prescription. The quality of antibiotic prescription was assessed then categorized based on Gyssens criteria. The collected data were analyzed in the form of frequency and percentage and presented in tables.Results: This study discovered that most of the patients had severe sepsis and septic shock. Based on Gyssens criteria, 35% antibiotic uses were included into category 0 (proper); 1.4% category I (improper timing); 10.5% category IIA (improper dosage); 9.1% category IIB (improper interval); 3.5% category IIC (improper route); 12.6% category IIIA (improper duration; too long); 1.4% category IIIB (improper duration; too short); 16.8% category IVA (improper; other antibiotics were more effective); 4.2% category IVD (improper; other antibiotics had narrower spectrum); and 5.6% category V (improper; no indication).Conclusions: There are still improper uses of antibiotic for sepsis, severe sepsis, and septic shock patients in the ICU. DOI: 10.15850/amj.v4n2.1088

Nutritional Status Among Elderly in Ambulatory Care Setting Karina Nurizky; Putri Teesa Radhiyanti Santoso; Muhammad Apriandi
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Nutritional status is a final outcome from a balance between food intake and body’s needs of the nutrients. Elderly is people whose age more than 60 years old. In Indonesia, elderly population has increased. Its phenomena is also known as population aging. Population aging is related to malnutrition in elderly. Malnutrition is defined as the insufficient, excessive or imbalanced consumption of nutrients.The objective of this study was to describe the nutritional status among elderly outpatients in geriatrics clinic of Dr. Hasan Sadikin General Hospital Bandung.Methods: This study was a descriptive cross-sectional study that used primary data in geriatrics clinic Dr. Hasan Sadikin General Hospital Bandung from September 2013 to October 2013. The sampling method was convenience sampling. This study was done with 43 elderly ( women, n=27 and men, n=16) outpatients.The nutritional status was classified by the questionnaire of Mini Nutritional Assessment into malnourished, risk of malnutrition and without malnutrition (adequate). After collecting the data, it was analyzed by Microsoft Excel in presenting the proportion of the elderly nutritional status.Results: Among all the respondents, 27 (63%) respondents had adequate nutrition and 16 (37%) respondents had risk of malnutrition. There was no respondent who had malnutrition (undernutrition). Conclusions: Majority of elderly outpatients in geriatrics clinic Dr. Hasan Sadikin General Hospital had adequate nutrition. DOI: 10.15850/amj.v4n2.1087

Computer Vision Syndrome among Call Center Employees at Telecommunication Company in Bandung Ghea Nursyifa; Putri Teesa Radhiyanti Santoso; Ine Renata Musa
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.816 KB)

Background: The occurrence of Computer Vision Syndrome (CVS) at the workplace has increased within decades due to theprolonged use of computers. Knowledge of CVS is necessary in order to develop an awareness of how to prevent and alleviate itsprevalence . The objective of this study was to assess the knowledge of CVS among call center employees and to explore the most frequent CVS symptom experienced by the workers.Methods: A descriptive cross sectional study was conducted during the period of September to November 2014 at Telecommunication Company in Bandung using a questionnaire consisting of 30 questions. Out of the 30 questions/statements, 15 statements were about knowledge of CVS and other 15 questions were about the occurrence of CVS and its symptoms. In this study 125 call center employees participated as respondents using consecutive sampling. The level of knowledge was divided into 3 categories: good (76–100%), fair (75–56%) and poor (<56%). The collected data was presented in frequency tabulation.Results: There was 74.4% of the respondents had poor knowledge of CVS. The most symptom experienced by the respondents was asthenopia.Conclusions: The CVS occurs in call center employees with various symptoms and signs. This situation is not supported by good knowledge of the syndrome which can hamper prevention programs. [AMJ.2016;3(2):181–21]DOI: 10.15850/amj.v3n2.789

Visual Impairment Screening in Cibeusi Elementary School Students Dea Aprilianti Permana; Feti Karfiati Memed; Putri Teesa Radhiyanti Santoso
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.935 KB)

Background: The World Health Organization (WHO) shows that there are around 153 million people with visual impairment due to uncorrected refractive error, mostly in 8–10 years. Screening of visual function in earlier age is important, because it is treatable. Correction of refractive error by using eye-glasses is the easiest and the cheapest way. This study aimed to identify the frequency of visual impairment and eye-glasses-used in children aged eight to ten in Cibeusi Elementary School. Methods: A descriptive study was conducted. This study was held in August 2014. Data were obtained from Cibeusi Elementary School in Jatinangor; simple random sampling technique was used to select 8–10 years old students. The total number of respondent was 101 students. Screening for visual impairment was performed using E-Chart. Result: Eleven eyes (5.44%) from a total of 202 eyes had visual impairment. Six (5.94%) students had visual impairment, whereas only 1 (1%) student used eye-glasses for improving his visual function. Visual impairment was considerably high in boy-students aged 8 years and was most prevalence in 3rd grade students.Conclusions: There are visual impairments which are not corrected with sunglasses.

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