Sri Tumpuk
Department of Medical Laboratory Technology, Poltekkes Kemenkes Pontianak

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Resistance Profile Antibiotics Pathogenic Bacteria from SWAB Wounds of Pontianak City Diabetes Treatment Clinic Patients Azura azura; Sri Tumpuk; Ari Nuswantoro
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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Abstract

Diabetes mellitus (DM) is a type of metabolic disorder where the sufferer has high blood sugar levels due to the body's failure to respond or produces insufficient amounts of insulin, or a metabolic disorder caused by hyperglycemia due to abnormalities in insulin secretion and insulin action or both. One of the complications of diabetes is ulcers, where a superficial infection occurs on the sufferer's skin and becomes a strategic location for bacterial growth. Most of the drugs that are widely used to inhibit or kill bacteria that cause infections in humans are antibiotics which carry the risk of drug resistance. Antibiotic resistance is a growing problem in many parts of the world. Antibiotic resistance can occur due to inappropriate or excessive use of antibiotics. This study aims to determine the susceptibility of pathogenic bacteria to several antimicrobial agents or antibiotics and to determine the percentage of antibiotic resistance in diabetes mellitus patients who experience complications, which will make it easier to choose the right antibiotic for healing. This research uses a descriptive method using samples of bacterial isolates which have been identified as 11 samples of Staphylococcus aureus bacterial isolates, 11 samples of Pseudomonas aeruginosa isolates and 39 samples of Klebsiella pneumoniae bacterial isolates. Antimicrobial susceptibility test (AST) disk diffusion method (Kirby & Bauer test) using Mueller Hinton media. With eight different types of antibiotics, this test was carried out to prove antimicrobial activity by measuring the diameter of the antimicrobial activity inhibition zone. Resistance test results were obtained in Staphylococcus aureus experiencing the highest resistance to the antibiotic Gentamycin (CN) at 63.63%, in Pseudomonas aeruginosa experiencing high resistance to the antibiotic Ampicillin (AMP) at 54.54%, and in Klebsiella pneumoniae experiencing the highest resistance. against the antibiotic Ampicillin (AMP) was 41.02%. Preventing antibiotic resistance in wound healing is very important to ensure antibiotics remain effective in treating infections. Therefore, this research was carried out in order to determine the correct type of antibiotic for healing wounds in diabetes mellitus sufferers.
Analysis of Potassium Levels in Patients with Pulmonary Tuberculosis Who Take Anti Tuberculosis Drugs Laila Kamilla; Qorina Miranti; Linda Triana; Sri Tumpuk
Jurnal teknologi Kesehatan Borneo Vol 4 No 2 (2023): Jurnal teknologi Kesehatan Borneo
Publisher : POLTEKKES KEMENKES PONTIANAK

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jtkb.v4i2.265

Abstract

Pulmonary Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. Pulmonary Tuberculosis is treated with antituberculosis drugs, but these drugs can be toxic to the body and have side effects such as diarrhea, nausea, and vomiting. These side effects can disrupt the body's fluid balance with the loss of potassium. The purpose of this study was to analyze the side effects of taking anti-tuberculosis drugs (OAT) on potassium (K) electrolyte levels in Pulmonary Tuberculosis patients at UPT Puskesmas Perumnas 1. This study used a descriptive design with a cross sectional approach to describe or give an overview of electrolyte levels in Pulmonary Tuberculosis patients who took anti-tuberculosis drugs. The population in this study were 37 Pulmonary Tuberculosis patients, and the samples in this study were 26 Pulmonary Tuberculosis patients who were still on OAT treatment at UPT Puskesmas Perumnas 1. The potassium electrolyte examination method used in this study was the sodium tetraphenylboron method. From the results of the study, it was found that Lung Tuberculosis patients with normal potassium levels amounted to 8 people (30.8%) and Lung Tuberculosis patients who experienced hypokalemia amounted to 18 people (69.2%). The side effects felt from taking OAT were digestive disorders, namely diarrhea totaling 7 people (26.9%), nausea totaling 4 people (15.4%), and vomiting totaling 7 people (26.9%).