Ketrina Konoralma, Ketrina
Jurusan Analis Kesehatan Politeknik Kesehatan Kemenkes Manado

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IDENTIFIKASI BAKTERI PENYEBAB INFEKSI NOSOKOMIAL DI RUMAH SAKIT UMUM GMIM PANCARAN KASIH MANADO Konoralma, Ketrina
KESMAS Vol 8, No 1 (2019): Volume 8, Nomor 1, Januari 2019
Publisher : Sam Ratulangi University

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Abstract

Infeksi nosokomial atau disebut juga infeksi rumah sakit adalah infeksi yang terjadi  di  rumah  sakit  oleh  kuman  yang  berasal  dari  rumah  sakit.  Angka kejadian infeksi nosokomial di dunia cukup tinggi yaitu 5% per tahun  atau 9 juta dari  190 juta  pasien  yang  dirawat.  Penelitian ini bertujuan untuk mengetahui bakteri penyebab infeksi nosokomial di Rumah Sakit Umum GMIM Pancaran Kasih Manado.                Jenis  penelitian  ini  adalah  deskriptif.   Populasi dan sampel dalam penelitian ini ialah udara, usapan dinding, meja, dan lantai di Ruang Perawatan Hanna dan Ruang ICU Rumah Sakit Umum GMIM Pancaran Kasih Manado sebanyak 21 sampel, dan dilakukan mulai bulan Januari sampai dengan Juni 2017.  Identifikasi bakteri dilakukan di Laboratorium Mikrobiologi Prodi D-III Analis Kesehatan Manado. Hasil penelitian menunjukkan bahwa di  Ruang  ICU  ditemukan  5  spesies  bakteri  yaitu  Vibrio cholerae,  Escherichia  coli,  Klebsiella  pneumoniae,  Coccus  gram  positif  dan  di Ruang  Hanna  ditemukan  9  spesies  bakteri  Pseudomonas  aeruginosa,  Klebsiella pneumoniae, Escherichia coli, Enterobacter sp, Proteus sp, Shigella sp, Yersinia enterocolitica,  Coccus  gram  positif,  Basil  gram  positif. Hasil penelitian ini menyimpulkan bahwa terdapat pertumbuhan  bakteri    di  Ruang  ICU  dan  Ruang  Hanna.  Disarankan  kepada  Rumah  Sakit  Umum  GMIM Pancaran Kasih Manado untuk melakukan tindakan pencegahan dan pengendalian terhadap faktor risiko pertumbuhan bakteri penyebab infeksi nosokomial,  dan bagi tenaga kesehatan untuk memperhatikan personal hygiene serta bekerja sesuai dengan Standar Operasional Prosedur (SOP). Kata kunci: Infeksi nosokomial dan Bakteri.  ABSTRACTNosocomial infection or also called Hospital Infection is infection which occurred in Hospital by Microorganisme which sources from hospital. Nosocomial infection inciden rate in the world was highly that is 5% by years or 9 million from 190 million patients who hospitalization. This research purposed to knowing caused nosocomial bacteria infection in General Hospital GMIM Pancaran Kasih Manado.                Research type is descriptive. Population and sample in this research is air, wall swaps, tables swaps, and floor in Hanna Nursing wards and Intensice Care Unit ward (ICU) General Hospital GMIM Pancaran Kasih Manado as amount 21 samples, and to be done start began January to June mounth 2017. Bacteria identification in Microbiolgy Laboratory of D-III Health Analyst Program of Manado. Research results showing that in ICU was found 5 species of bacteria that is Vibrio Cholerae, Escherichia  coli,  Klebsiella  pneumoniae,  Coccus positive gram and in the Hanna wards was found 9 species Pseudomonas bacteria Klebsiella pneumoniae, Escherichia coli, Enterobacter sp, Proteus sp, Shigella sp, Yersinia enterocolitica,  Coccus  gram  positif,  Basil  gram  positif. Conclussion of the research that there was bacteriae growing in ICU wards and Hanna wards. Suggession on General Hospital GMIM Pancaran Kasih Manado to be done prenvetion and controlling intervention toward risk factors caused bacterie nosocomial infection, and for health provides to personal hygiene precaution and work as suited Standar Operasional Prosedure (SOP). And then for continuos study to performed research use specific media and expanded samples more larger. Key word: Nosocomial Infection and Bacteriae
Multi drugs resistance to Diabetes Mellitus patients with tuberculosis in Manado City Rambi, Elne Vieke; Sukandar, Dyan R; Makalew, Linda Augustien; Tomastola, Yohanis; Konoralma, Ketrina
Jurnal Teknologi Laboratorium Vol 10 No 1 (2021): inpress
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/teknolabjournal.v10i1.286

Abstract

Diabetes mellitus (DM) with pulmonary tuberculosis (TB) is an infectious disease if not educated regularly, there will be a high risk of drug resistance and even some anti-tuberculosis drugs. This study aims to identify anti-tuberculosis drug resistance in DM patients with TB in Manado City. The population in the study types 2 DM patients as amount 80 patients. Based on TCM/GenExpert examination from 47 respondents, there were 17 respondents positive multi drugs resistance rifampicin (RR). Sampling taking based on inclusion criteria, i.e., have had type DM for five years, had suffered TB MDR RR based on GenXpert examination as much as 17 respondents followed in the resistance test with Sputum TB culture and MGIT method. The result of the study showed that MDR DM-TB with MGIT method as followed is obtained from 17 samples, six samples (35.30%) resistance INH 0.4 mg and 1 sample (5.88%) MDR canamycin, and still sensitive INH 0.4 mg and camaycin is ten samples (58.82%). This study results could be used to program planning of prevention and controlling efforts TB-DM in this treatment obedience and regimen anti-tuberculosis medicine for MDR-TB patients.