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Journal : Hubungan Tingkat Pengetahuan Petugas Pengelola Obat dengan Tingkat Ketersediaan Obat Di Puskesmas Kota Malang

The Sensitivity of Amphotericin B, Fluconazole, and Flusitosin to Fungal Pathogens Isolated from Wounds of Diabetic Ulcer Patients Rafika Sari
Pharmaceutical Journal of Indonesia Vol. 7 No. 2 (2022)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2022.007.02.01

Abstract

A diabetic ulcer is a wound caused by infection, ulceration or destruction in people with diabetes mellitus. Mostly, diabetic ulcer found in foot. The purpose of this study was to identify pathogenic fungi in diabetic ulcers and their sensitivity to fungal drugs. The morphological determination of fungal isolates was stained with Lactophenol Cotton Blue. Determination of sensitivity using diffusion discs Kirby Bauer which are classified based on Clinical Laboratory Standard Institute (CLSI) with Amphotericin B, Fluconazole, and Flusitosin. Based on the results of the study found 8 types of pathogenic fungi namely Candida albicans (38.78%), Candida guilliermondii (4.08%), Candida kefyr 10.20%), Candida parapsilosis (10.20%), Fusarium solani (14.29) %), Microsporum audouinii (14.29%), Penicillium sp(2.04%), Trichophyton mentagrophytes (4.08%), and Trichophyton equinum (2.04%). The fungus was identified using Gideon software and the book Description of Medical Fungi. The results of the antifungal sensitivity test showed the results were sensitive to fluconazole. Amphotericin B is intermediate to Candida albicans, Candida guilliermondii, Penicillium sp. and Trichophyton sp. and is resistant to Candida kefyr and Candida parapsilosis. Flusitosin is only an intermediate against Penicillium sp. while other fungal species are immune. The conclusion of this study. The results of diabetic ulcer swabs III and IV indicate the presence of fungal colonies with species of 9 species namely Candida albicans, Candida guilliermondii, Candida kefyr, Candida Parapsilosis, Fusarium solani, Microsporum Audouinii, Penicillium sp., Trichophyton mentagrophytes, and Trichophyton equinum. Antifungal sensitivity tests on all pathogenic fungi showed sensitivity to fluconazole. Amphotericin Bintermediatrics against Candida albicans, Candida guilliermondii, Penicillium sp. and Trichophyton sp. while resistant to Candida kefyrand Candida parapsilosis. Flusitosin is only an intermediate against Penicillium sp. while other fungal species are resistant.
Efektivitas SNEDDS Kombinasi Fraksi Etil Asetat Daun Cengkodok (Melasthoma malabathricum)-Antibiotik terhadap Bakteri Hasil Isolat dari Pasien Ulkus Diabetik Rafika Sari; Pratiwi Apridamayanti; Liza Pratiwi
Pharmaceutical Journal of Indonesia Vol. 7 No. 2 (2022)
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.pji.2022.007.02.05

Abstract

Diabetic ulcer is a condition where there are neurological abnormalities and peripheral arterial vascular disease that causes infection, ulceration, and/or damage to the deepest skin tissue on the feet of people with diabetes mellitus (DM). The long duration of wound healing is due to the wrong use of antibiotics for a long time, and bacteria tend to become resistant to antibiotics. Antimicrobial compound fraction of cengkodok combined with gentamicin and ciprofloxacin antibiotics for prevention and reduction of antibiotic resistance in the cause of diabetic ulcers. The drug preparation is in the form of self nanoemulsifiying drug delivery system (SNEDDS), which is the optimum combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics. The use of SNEDDS in this study is because the SNEDDS made from nanoemulsion formulations has small particle size, large surface absorption, and good dispersion, so that it can be evenly dispersed on the skin and penetrates the skin layer. This study aims to determine the effectiveness of the formulation cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics against B. cereus and S. aureususing the SNEDDS drug delivery system. The test uses the spotless diffusion method without using paper discs. The results showed that the combination of cengkodok leaf fraction with gentamicin and ciprofloxacin antibiotics had better activity against B. cereus and S. aureus than cengkodok leaf fraction, gentamicin and ciprofloxacin only.
Efektivitas Edible Coating Spray Gel Lidah Buaya (Aloe vera) dan Daun Sirih (Piper betle) Sebagai Sanitizer Pangan Afif Fadhil Azmi; Insan Kamil; Yuninta Maulidia; Namira Alifah Fahiratunnisa; Julianti Pramita; Rafika Sari
Pharmaceutical Journal of Indonesia Vol. 8 No. 2 (2023): PJI Vol 8.2
Publisher : Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Daun sirih dan lidah buaya memiliki sifat antibakteri yang dibuktikan dengan adanya kandungan zat aktif dan senyawa organik lainnya. Aktivitas antibakteri pada kedua tanaman tersebut dipengaruhi oleh adanya metabolit sekunder seperti glukomanan dan fenol yang ada pada lidah buaya serta fenol, saponin dan flavonoid pada daun sirih. Penelitian ini dilakukan untuk mengetahui mekanisme serta aktivitas kombinasi gel lidah buaya dan daun sirih dalam bentuk sediaan edible coating spray sebagai sanitizer pangan. Metode yang digunakan adalah eksperimental murni (true experiment design) in vitro dengan desain rancangan acak lengkap (completely randomized design). Kemudian, untuk menguji kinerja aktivitas antibakteri digunakan metode difusi kertas cakram terhadap bakteri Staphylococcus aureus dan Escherichia coli. Hasil penelitian menunjukkan bahwa terdapat aktivitas penghambatan dari sediaan terhadap kedua bakteri uji. Zona hambat yang paling besar dimiliki oleh sediaan dengan konsentrasi 100% dengan kategori hambat sangat kuat terhadap Escherichia coli dan kategori kuat pada Staphylococcus aureus. Uji one way ANOVA dilanjutkan dengan Post Hoc Test menunjukkan angka signifikan p<0,05 yang merepresentasikan adanya perbedaan bermakna pada kebusukan buah terhadap perlakuan kontrol dengan konsentrasi 100%, sedangkan terhadap perlakuan kontrol dengan konsentrasi 50% dan konsentrasi 30% tidak terdapat perbedaan bermakna. Berdasarkan hasil penelitian ini, maka sediaan dalam bentuk edible coating spray efektif meningkatkan ketahanan pangan di masa pandemi dan mengurangi angka kerugian bagi para petani buah dan sayur.