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SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Rahayu, Umi Margi; Megasari, Anis Laela
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become strategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. 
SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Umi Margi Rahayu; Anis Laela Megasari
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Abstract

Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become strategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. 
The Correlation Cardiorespiratory Cycling Sport With Physical Endurance wearing personal protective equipment level 3 Tri Widodo; Fatma Risda Hidayanti; Yunifah Yunifah; Aji Saputra; Anis Laela Megasari
Jurnal Perawat Indonesia Vol. 7 No. 1 (2023): May 2023
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jpi.v7i1.1548

Abstract

Latar belakang: Penggunaan APD level 3 dapat mempengaruhi ketahanan fisik perawat yang terlibat dalam tindakan operasi pasien Covid-19. Peningkatan kesehatan dan ketahanan fisik dapat diupayakan salah satunya dengan melakukan olahraga kardiorespiratori. Tujuan: penelitian ini bertujuan mengetahui hubungan olahraga kardiorespirasi bersepeda dengan ketahanan fisik perawat yang menggunakan APD level 3 yang melakukan tindakan operasi pasien Covid-19. Metode penelitian: Jenis penelitian ini adalah deskriptif korelasional dengan rancangan penelitian cross Sectional. Jumlah sampel 30 orang perawat yang terlibat pada operasi di kamar operasi Covid-19 RSUD DR. Moewardi pada periode bulan Juli – September 2021 yang memenuhi syarat sebagai subyek penelitian. Hasil: Hasil analisis dengan uji korelasi Spearman Rank didapatkan nilai koefisien korelasi, r=0.472 dan nilai signifikansi, p value= 0.008 < 0.01. Hasil tersebut menunjukkan bahwa kedua variabel pada penelitian ini memiliki hubungan yang cukup dan memiliki hubungan yang positif/searah. Nilai signifikansi dapat diinterpretasikan bahwa kedua variable memiliki hubungan yang signifikan. Kesimpulan: berdasarkan hal tersebut dapat disimpulkan bahwa ada hubungan yang signifikan antara olahraga kardiorespirasi bersepeda dengan ketahanan fisik saat mengenakan APD level 3 pada perawat di kamar operasi Covid-19 RSUD DR. Moewardi