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All Journal Narra J Journal of International Surgery and Clinical Medicine
Junaidi, Fachrul
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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The Characteristics and Knowledge of Family of Patients with CKD about AV- Shunt At Dr. Zainoel Abidin General Hospital Rivai, Mohammad Arif; Junaidi, Fachrul; Khalilullah, Saif Alvin; Muzakkir, Yumna
Journal of International Surgery and Clinical Medicine Vol. 3 No. 2 (2023): (Available online: December 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i2.43

Abstract

Introduction: Identifying the CKD progression of the patient should be presented with a range of choices for renal replacement treatment. Therefore, establishing vascular access for hemodialysis is significantly correlated with the survival rate of patients as well as knowledge related to access. Thus, in this study, we aim to report the characteristics and knowledge of the family of patients with CKD about AV-shunt at Dr. Zainoel Abidin General Hospital. Method: This research is descriptive research with a retrospective approach. This study evaluated the "Social Demographic and Medical Character" and "Knowledge towards AV Shunt" family of patients with CKD at RSUD Dr. Zainoel Abidin in Banda Aceh.  The samples in this study were all patients undergoing hemodialysis who had carried out AV-shunt at the hemodialysis installation at RSUD Dr. Zainoel Abidin from July 1 to July 31, 2021.  The data were analyzed descriptively by using SPSS. Results: From 80 respondents, an average age of 50.39 ± 12.594. Most AV Shunt care trainers are from doctors, and the rest are from doctors and nurses (6,3%). Regarding our study, 88,8% of the patients' families received education related to the AV-shunt, and only 11,3% did not. Conclusion: Regarding this study, we can conclude that the patient’s family knows about AV Shunt but must still be evaluated to maintain good AV Shunt function.
Systemic manifestation of necrotic erythema nodosum leprosum: A case report of a fatal leprosy Maulida, Mimi; Vella, Vella; Budini, Sulamsih S.; Kamarlis, Reno K.; Junaidi, Fachrul; Pradistha, Aldilla; Bulqiah, Mikyal
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.216

Abstract

Necrotic erythema nodosum leprosum (ENL) is an uncommon manifestation of type 2 lepra reaction, encountered in lepromatous and borderline lepromatous cases of leprosy. Necrotic ENL is associated with the involvement of multiple organs, therefore delayed diagnosis and treatment will lead to complications and poor prognosis. The aim of this case report was to report a challenging case of necrotic ENL misdiagnosed with multiple cellulitis since there were no signs of prior leprosy nor had any antimycobacterial treatment. A 45-year-old man was presented to the surgery department of Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, with complaints of fever, joint pain, and painful tender skin lesions with ulceration over the trunk, extremities, and ears for one month. The patient was diagnosed clinically with multiple cellulitis and underwent a debridement procedure. Clinical improvement was absent, the patient was then consulted to the dermatology department. Physical examination showed normal vital signs, madarosis, inguinal lymphadenopathy, thickening of nerves, and sensation of numbness in both hands and feet. Laboratory examinations on admission showed leucocytosis, anemia, thrombocytopenia, hypoalbuminemia, hypocalcemia, and elevated creatinine and ureum level. A slit skin smears examination yielded positive acid-fast bacilli (AFB) with a bacteriological index (BI) value of 3+ and morphological index (MI) of 72%. The patient was diagnosed with lepromatous leprosywith necrotic ENL reaction. Intravenous methylprednisolone and cefoperazone-sulbactam were given. Multidrug therapy mulitbacillary (MDT-MB) without dapsone, and ofloxacin 400 mg was initiated. On day 17, the patient had septic shock. The patient became unconscious and experienced death. This case highlights that medical professionals should be aware of the various manifestations of necrotic ENL to correctly diagnose and provide treatment as soon as possible to prevent mortality, especially in leprosy-endemic country, Indonesia.
Co-Authors Budini, Sulamsih S. Kamarlis, Reno K. Khalilullah, Saif Alvin Maulida, Mimi Mikyal Bulqiah, Mikyal Muzakkir, Yumna Pradistha, Aldilla Rivai, Mohammad Arif Vella, Vella