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All Journal Berkala Ilmiah Kedokteran Duta Wacana
Christofer Sathya Wijaya Budi Sarwono
Duta Wacana Christian University
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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BIOFILM FORMATION AND ANTIBIOTIC SUSCEPTIBILITY OF STROKE PATIENT’S URINARY CATHETER ISOLATES AT BETHESDA HOSPITAL, YOGYAKARTA Christofer Sathya Wijaya Budi Sarwono
Berkala Ilmiah Kedokteran Duta Wacana Vol 4, No 2 (2019): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4961.797 KB) | DOI: 10.21460/bikdw.v4i2.146

Abstract

Background: Antibiotic resistance currently challenges infectious disease management, specifically in combating biofilm formation. Biofilm might be developed on urinary catheter, in which stroke patients with urinary tract problem have higher risk of catheter associated urinary tract infection and problems related to antibiotic resistance. Aim: This study describes the microbe types from catheter isolates, measuring the antibiotic susceptibility and biofilm formation, especially in stroke patients at Bethesda Hospital, Yogyakarta. Method: This is a cross-sectional study, describing findings of specimens from stroke patients at Bethesda Hospital, since December 2018 to January 2019. The isolates were identified with standard method, the antibiotic susceptibility were tested with antibiotic disc on MHA medium, and the biofilm formation were assessed using tissue culture plate method. All procedure were done in Microbiology Laboratorium, FK UKDW. Result: Thirty three microbes were isolated from 30 specimens of urinary catheter (63,3% male, 36,3% female). There is 76% isolates incapable of developing biofilm, while 15% is moderate biofilm producer and 9% is strong biofilm producer. The susceptibility test showed 100% resistancy of ampicillin-sulbactam, tetracyclin, ketoconazole, itraconazole, and terbinafine. Around 50% of E. coli and 57% of K. pneumonias isolates is MDR, and 75% of A. baumanii is XDR. Conclusion: Isolated microbes from urinary catheter of stroke patients at Bethesda Hospital is dominated by E. coli, K. pneumoniae, and A. baumanii. Some of the microbes could form strong biofilm, and some of the antibiotics could not be used in the future due to their 100% resistancy on all specimens.
STURGE-WEBER SYNDROME IN AN EPILEPTIC CHILD: A CASE REPORT Christofer Sathya Wijaya Budi Sarwono
Berkala Ilmiah Kedokteran Duta Wacana Vol 6, No 1 (2021): BERKALA ILMIAH KEDOKTERAN DUTA WACANA
Publisher : Faculty of Medicine Universitas Kristen Duta Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21460/bikdw.v6i1.218

Abstract

Sturge Weber Syndrome (SWS) is a congenital neurocutaneous disorder with a facial capillary malformation Port-wine stains (PWS), abnormal blood vessels of the brain (leptomeningeal angioma), or abnormal blood vessels in the eye predisposing to glaucoma. The incidence of Sturge Weber Syndrome (SWS) is a rare entity that accounts about 3 of 1000 births with PWS, 5% of them suffer SWS. We report a case of 5-years-old girl who presented with a three-days history of muscle weakness of right upper and lower limb followed by headache, loss of consciousness, dizziness, with history of hemangioma facial without any symptoms like fever, nausea, vomit, and dysarthria. Patient was a refferal patient from Sarila Husada Hospital Sragen. Head CT-Scan was performed on the admission day on Sarila Husada Hospital Sragen and confirmed by Bethesda Hospital Radiologist revealed a subcortical calcification at frontal lobe and parietal sinistra with mild atrophy at bifrontalis lobes that support SWS.
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