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DAU N TE NDA NI ( GON I OTH AL A MU S MA CR O P H YLLU S HOOK . F . &T H O MSON . ), S UATU OBAT T RA DIS ION AL A NTIBA KTER I S U KU D AY A K PUN AN DI KALI M ANTA N TI MU R Wijaya, Viriyanata; Supriyatna, Supriyatna; Milanda, Tiana
FITOFARMAKA: Jurnal Ilmiah Farmasi Vol 3, No 2 (2013): FITOFARMAKA
Publisher : Universitas Pakuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.792 KB) | DOI: 10.33751/jf.v3i2.176

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Penelitian Daun Tendani (Goniothalamus macrophyllus) suatu obat tradisionalantibakteri suku Dayak Punan di Kalimantan Timur telah dilakukan. Penelitiandidasarkan pada penggunaan empirik daun tersebut di komunitas Dayak Punansebagai obat luar. Penelitian bertujuan untuk mengetahui aktivitas ekstrak antibakteridan fraksi daun tendani terhadap Staphylococcus aureusATCC 25923. Prosesekstraksi dan fraksinasi menggunakan berbagai pelarutetanol 70%, n-heksan dan etilasetat. Aktivitas antibakteri diukur dengan metode difusi agar. Penelitianmenunjukkan bahwa ekstrak daun tendani memiliki aktivitas antibakteri padakonsentrasi 20 % (b/v) dengan diameter hambat 22,02 mm. Fraksi etil asetat sebagaifraksi teraktif, memiliki aktivitas antibakteri pada konsentrasi 20% (b/v) sebesar 19,50mm dan pada konsentrasi 30% sebesar 22,30 mm.
REVIEW : STUDI IN-VIVO SEDIAAN TRANSDERMAL KETOPROFEN SEBAGAI ANTIINFLAMASI FADHILA, QONITA ZAHRA; MILANDA, TIANA
Farmaka Vol 16, No 3 (2018): Suplemen (September)
Publisher : Fakultas Farmasi, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jf.v16i3.17764

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ABSTRAK Ketoprofen merupakan obat analgesik yang bekerja sebagai antiinflamasi. Bentuk sediaan transdermal ketoprofen lebih efektif dan lebih nyaman digunakan dibandingkan bentuk sediaan lainnya, karena mampu menghantarkan obat ke dalam sistem aliran darah dengan lebih baik juga efek samping yang ditimbulkan lebih ringan. Pengujian sediaan transdermal ketoprofen secara in-vivo telah dilakukan untuk mengetahui distribusi ketoprofen secara intravena dalam beberapa hewan uji, yang dianalisis menggunakan kromatografi cair kinerja tinggi (KCKT).  Kata kunci: ketoprofen, transdermal, in-vivo, KCKT. ABSTRACT Ketoprofen is an analgesic drug that works as anti-inflammatory. The ketoprofen transdermal dosage form is more effective and more convenient to use than other dosage forms, as it can deliver the drug into the bloodstream system better and the side effects are milder. In-vivo transdermal ketoprofen dosage form analysis has been performed to determine the distribution of ketoprofen intravenously in some test animals, which were analyzed using high performance liquid chromatography (HPLC).  Keywords : ketoprofen, transdermal, in-vivo, HPLC
UJI DAYA HAMBAT EKSTRAK DAUN LIDAH BUAYA (ALOE VERA L.) TERHADAP BAKTERI ESCHERICHIA COLI DAN STAPHYLOCOCCUS AUREUS: REVIEW PUTERI, TERESYA; Milanda, Tiana
Farmaka Vol 14, No 2 (2016): Suplemen
Publisher : Fakultas Farmasi, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.714 KB) | DOI: 10.24198/jf.v14i2.10784

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Resistensi seakan menambah daftar masalah yang belum terselesaikan, sehingga dibutuhkan pembaharuan atau pengembangan obat-obat bahan alam untuk membunuh bakteri dan mencegah terjadinya resistensi. Aloe vera L. memiliki kemampuan antibakteri, antijamur, antivirus, antiinflamasi, dan anti-tumor. Dalam review ini akan dilihat aktivitas antibakteri ekstrak daun lidah buaya terhadap bakteri Staphylococcus aureus dan Escherichia coli. Ekstrak daun lidah buaya memiliki aktivitas antibakteri. Kemampuan tertinggi aktivitas antibakteri terhadap bakteri Staphylococcus aureus terjadi pada konsentrasi 100% dengan rata-rata daya hambat 11,58 mm, sedangkan pada bakteri  Escherichia coli kemampuan tertinggi aktivitas antibakteri terjadi pada konsentrasi 75% dengan rata-rata daya hambat 6,92 mm. 
REVIEW : AKTIVITAS ANTIHIPERLIPIDEMIA ANGKAK HANIFAH, SYIFA; MILANDA, TIANA
Farmaka Vol 17, No 3 (2019): Farmaka (Desember)
Publisher : Fakultas Farmasi, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2077.397 KB) | DOI: 10.24198/jf.v17i3.22075

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Abstrak Hiperlipidemia adalah kondisi penumpukkan lipid secara berlebih dalam darah, yang disebabkan gangguan metabolisme lipid. Salah satu bahan alam yang diketahui memiliki aktivitas antihiperlipidemia adalah angkak, yaitu produk fermentasi beras oleh Monascus sp. Untuk mengetahui aktivitas antihiperlipidemia angkak, maka dilakukan penelusuran pustaka tentang angkak dari  jurnal nasional mapupun internasional bereputasi secara on line. Berbagai hasil penelitian menunjukkan bahwa angkak dan metabolit sekundernya, yaitu senyawa  monakolin, dapat menurunkan kadar kolesterol total, kadar LDL dan kadar trigliserida serta dapat menaikkan kadar HDL dalam darah. Monakolin, terutama monakolin K, dapat menginhibisi aktivitas (5-hidroksi-3-metilglutaril-koenzim A) reduktase, sehingga menghambat sintesis pembentukan kolesterol di hati, seperti halnya lovastatin. Angkak dapat digunakan dalam pengobatan dislipidemia pada pasien dengan SAMs (statin associated myalgias)  dan mengurangi kejadian kardiovaskular pada pasien jantung koroner dengan infark miokard. Angkak juga aman digunakan sebagai suplemen diet dalam jangka waktu lama, karena tidak memiliki efek toksik terhadap HMG-KoA reduktase. Kata kunci : Hiperlipidemia, Angkak, Monakolin, Lovastatin Abstract Hyperlipidemia is the condition of the accumulation of lipids in excess in the blood, caused by disorders of lipid metabolism. Natural ingredients that are known to have activity antihyperlipidemic is angkak, which is the product of fermentation of rice by Monascus sp. To determine the activity of antihyperlipidemic angkak, then conducted a search of the literature about angkak from national and international journals of repute online. The results of various research shows that angkak and metabolites the secondary, i.e. compounds monakolin, can lower total cholesterol, LDL, triglyceride levels and can increase HDL levels in the blood. Monakolin, especially monakolin K, can inhibit the synthesis of cholesterol formation in the liver, as well as lovastatin. Angkak can be used in the treatment of dyslipidemia in patients with SAMs (statin associated myalgias) and reduce cardiovascular events in patients with coronary heart disease with myocardial infarction. Keywords: hyperlipidemia, Angkak, Monakolin, Lovastatin
Deteksi Gen Resistensi Kloramfenikol (cat) pada Pseudomonas aeruginosa Isolat Klinik dengan Metode Polymerase Chain Reaction Milanda, Tiana; Dewi, Lisa K.; Kusuma, Sri A. F.
Indonesian Journal of Clinical Pharmacy Vol 3, No 4 (2014)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1147.428 KB) | DOI: 10.15416/ijcp.2014.3.4.141

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Pseudomonas aeruginosa adalah bakteri oportunistik Gram negatif yang menyebabkan infeksi pada mata, telinga, kulit, tulang, sistem saraf pusat, saluran pencernaan, sistem peredaran darah, jantung, sistem pernapasan, dan saluran kemih. Kloramfenikol saat ini tidak lagi digunakan sebagai obat pilihan karena banyaknya kasus resistensi terhadap antibiotik tersebut. Penelitian ini bertujuan untuk mendeteksi keberadaan gen resistensi kloramfenikol pada P. aeruginosa isolat klinik. Bakteri ini diisolasi dari nanah pasien otitis eksternal di Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung. Metode Polymerase Chain Reaction (PCR-koloni maupun PCR-DNA) digunakan untuk mendeteksi gen resistensi tersebut. Elektrogram dari produk PCR menunjukkan bahwa resistensi P. aeruginosa isolat klinik disebabkan oleh gen cat (317 pb). Berdasarkan hasil penelitian ini, gen cat dapat digunakan untuk mendeteksiresistensi antibiotik kloramfenikol pada pasien otitis eksternal.Kata kunci: cat, gen resistensi kloramfenikol, polymerase chain reaction, Pseudomonas aeruginosa Detection of Chloramphenicol Resistance Genes (cat) in Clinical Isolates of Pseudomonas aeruginosa with Polymerase Chain Reaction MethodPseudomonas aeruginosa is an opportunistic Gram negative bacteria, which may cause infection in eyes, ears, skin, bones, central nervous system, gastrointestinal tract, circulatory system, heart, respiratorysystem, and urinary tract. Recently, chloramphenicol is no longer used as the main option of the therapy due of its resistance case. The aim of this research was to detect the presence of gene which is responsible to chloramphenicol resistance in clinical isolates of P. aeruginosa. These bacteria isolated from pus of external otitis patients in Hasan Sadikin Hospital in Bandung City. Polymerase Chain Reaction (PCR) method (colony-PCR and DNA-PCR) were performed to detect this resistance gene. Electropherogram from PCR products showed that the chloramphenicol resistance in clinical isolates of P. aeruginosa was caused by cat gene (317 bp). Based on this research, cat gene may be used to detect the chloramphenico resistance in patients with external ostitis.Key words: cat, chloramphenicol resistance gene, polymerase chain reaction, Pseudomonas aeruginosa
Monitoring Penggunaan Antibiotik dengan Metode ATC/DDD dan DU90% di RSUD Abepura Jayapura, Indonesia Hasrianna, Hasrianna; Annisa, Nurul; Milanda, Tiana; Pradipta, Ivan S.; Abdulah, Rizky
Indonesian Journal of Clinical Pharmacy Vol 4, No 3 (2015)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.914 KB) | DOI: 10.15416/ijcp.2015.4.3.218

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Tingginya penggunaan antibiotik akan meningkatkan potensi penggunaannya yang tidak rasional dan berdamPak pada tingkat mortalitas, biaya, dan resistensi khususnya dalam lingkungan rumah sakit. Studi observasi dengan data retrospektif telah dilakukan untuk mengevaluasi penggunaan antibiotik dari April 2013–Maret 2014 menggunakan metode ATC/DDD dan DU 90%. Hasil penelitian menunjukkan antibiotik yang masuk ke dalam segmen DU 90% pada periode I adalah kotrikmoksazol 480 mg tablet(40,34 DDD/kunjungan) dan amoksisilin 500 mg tablet (4,53 DDD/kunjungan), periode II adalah sefiksim sirup kering (0,68 DDD/kunjungan), amoksisilin 500 mg tablet (0,41 DDD/kunjungan), siproflokasain 500 mg tablet (0,31 DDD/kunjungan), doksisiklin 100 mg (0,26 DDD/kunjungan), sefiksim 100 mg kapsul (0,15 DDD/kunjungan), sefadroksil 500 mg kapsul (0,12 DDD/kunjungan),seftriakson 1 gr injeksi (0,08 DDD/kunjungan), dan periode III adalah kotrimoksazol 480 mg tablet (74,85 DDD/kunjungan). Tingginya penggunaan antibiotik setiap kunjungan pada penggunaan kotrimoksasol merupakan sebuah tanda ketidakrasionalan dalam penggunaan antibiotik. Diperlukan studi kualititaf untuk mengetahui pola ketidakrasionalan dalam penggunaan antibiotik pada rumah sakit tersebut danmengembangkan model intervensi yang tepat.Kata kunci: Antibiotik, ATC/DDD, DU 90%, rumah sakitMonitoring Use of Antibiotics with ATC/DDD and DU90% Method in Abepura Hospital Jayapura, IndonesiaThe high use of antibiotics will increase its irrational use, affect the mortality rates, costs and resistance, especially in a hospital. We conducted an observational study with retrospective data to evaluate the use of antibiotics from April 2013–March 2014 using the ATC/DDD and DU90% methods. The results showed the antibiotic included DU 90% segment in the first 4 months period were cotrimoxazole tablets 480 mg (40.34 DDD per encounter) and amoxicillin tablets 500 mg (4.53 DDD per encounter), in the second period were cefixime dry syrup (0.68 DDD per encounter), amoxicillin tablets 500 mg (0.41 DDD per encounter), ciprofloxacin tablets 500 mg (0.31 DDD per encounter), doxycycline tablets 100 mg (0.26 DDD per encounter), cefixime tablets 100 mg capsules (0.15 DDD per encounter), cefadroxil tablets 500 mg capsule (0.12 DDD per encounter), ceftriaxone injection 1 g (0.08 DDD per encounter), and during the third period was cotrimoxazole tablets 480 mg (74.85 DDD per encounter). The data showed that cotrimoxazole has the highest rate of utilization per visit which is a signal for irrational use. Qualitative study is needed to describe irrational use of antibiotics in the hospital and to find the appropriate intervention model.Key words: Antibiotics, ATC/DDD, DU 90%, hospital
Deteksi Gen Resistensi Ampisilin (bla) pada Escherichia coli Isolat Klinik dengan Metode Polymerase Chain Reaction Milanda, Tiana; Saragih, Bonar C.; Kusuma, Sri A. F.
Indonesian Journal of Clinical Pharmacy Vol 3, No 3 (2014)
Publisher : Indonesian Journal of Clinical Pharmacy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (205.271 KB) | DOI: 10.15416/ijcp.2014.3.3.98

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Escherichia coli merupakan bakteri batang Gram negatif yang dapat menjadi patogen jika jumlahnya meningkat atau berada di luar saluran pencernaan. E. coli yang patogen akan menghasilkan enterotoksin yang menyebabkan diare atau infeksi pada saluran kemih. Ampisilin merupakan salah satu antibiotik pilihan untuk mengatasi penyakit infeksi tersebut. Akhir-akhir ini ampisilin tidak lagi digunakan sebagai obat pilihan karena banyaknya kasus resistensi E. coli terhadap antibiotik tersebut. Penelitian ini bertujuanuntuk mendeteksi keberadaan gen yang bertanggung jawab terhadap resistensi antibiotik ampisilin pada E. coli isolat klinik. Sampel yang digunakan adalah hasil isolasi urin midstream pasien dengan gejala sistitis di Rumah Sakit Hasan Sadikin (RSHS) Bandung. Uji resistensi antibiotik menggunakan metode Polymerase Chain Reaction (PCR), baik PCR-koloni maupun PCR-DNA. Berdasarkan hasil uji resistensi terhadap ampisilin, E. coli hasil isolasi telah resisten terhadap ampisilin. Elektroforesis hasil PCR-koloni dan PCR-DNA menunjukkan bahwa resistensi terhadap ampisilin disebabkan oleh gen bla berukuran 199 pb. Diperlukan pemilihan antibiotik yang selektif dan rasional untuk mencegah resistensi ampisilin pada pasien dengan gejala sistitis.Kata kunci: bla, Escherichia coli, gen resistensi ampisilin, polymerase chain reactionDetection of Ampicillin Resistance Genes (bla) in Clinical Isolates ofEscherichia coli with Polymerase Chain Reaction MethodEscherichia coli is a rod negative Gram which could be pathogenic, if its value increases or located in outer gastrointestinal tract. Pathogenic E. coli will produce enterotoxin which will cause diarrhea or infection in urine tract. Ampicilin was one of particular antibiotics to overcome infection. Ampicilinnowadays is no longer used as first choice medicine, because of its resistance case. The aim of this research was to detect the presence of gene which is responsible to ampicilin resistant E. coli. We used isolated midstream urine from cystitis object in Hasan Sadikin Hospital as samples. Polymerase Chain Reaction (PCR) method (colony-PCR and DNA-PCR) were performed to invenstigate the antibiotic resistency. Based on the result of antibiotic susceptibility testing to ampicillin, E. coli samples were resistant to ampicilin. Electropherogram products of colony-PCR and DNA-PCR showed that the resistance case of ampicilin caused by bla gene (199 bp). Our result suggested that bla gene may be use to detect the ampicilin resistance. Furthermore, selective and rational antibiotic treatment is required toprevent ampicillin resistance in patients with symptoms of cystitis.Key words: Ampicillin resistance gene, bla, Escherichia coli, polymerase chain reaction
The Effect of Anti-Tuberculosis Drugs on the Effectiveness of Anti-Retroviral Therapy in HIV-AIDS Patients Hasriana, Hasriana; Alfian, Sofa D.; Milanda, Tiana; Abdulah, Rizky
Pharmacology and Clinical Pharmacy Research Vol 2, No 1
Publisher : Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.201 KB) | DOI: 10.15416/pcpr.v2i1.16214

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patients who infected by Humman Immunodeficiency Virus (HIV) in developing countries. The purpose of this study was to determine the effect of anti-tuberculosis drugs (ATB) on the effectiveness of anti-retroviral (ARV) therapy in HIV–AIDS infected patients.This study was a prospective cohort study conducted at outpatient clinic of Abepura Hospital during April-June 2015. The data were taken from medical records, which include CD4 level, gender, age, education and stage of disease. Statistical analysis was performed using bivariate and multiple regression analysis. A total of 28 subjects was included in this study (7 HIV patients and 21 TB-HIV patients). The results of bivariate analysis showed that there was no significant difference on general characteristics of patients using ARV-ATB and without ATB. Gender, age, occupation, education and the stage of disease did not affect the value of CD4 patients (p>0.005). The result from paired t-test showed that there was no significant difference in the level of CD4 cell, before and after treatment using ARV (p˃0.912), while therapy with ARV-ATB showed significant differences (p˂0.002). In conclusion, this study showed that the combination of ATB and ARV could increase CD4 level up to 72%. Thus, the use of ATB drugs on ARV patients who infected by TB is recommended to reduce disease burden.Keywords: anti-retroviral therapy , HIV- AIDS, tuberculosis
Assessment of Risk Factors of Hepatotoxicity among Tuberculosis Patients Wardhana, Muhammad F.; Milanda, Tiana; Sumiwi, Sri A.
Pharmacology and Clinical Pharmacy Research Vol 3, No 1
Publisher : Universitas Padjadjaran, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.375 KB) | DOI: 10.15416/pcpr.v3i1.16450

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Tuberculosis is a devastating disease caused by Mycobacterium tuberculosis. If left untreated or not properly treated, it could lead to progressive tissue damage and even death. Short-term chemotherapy containing isoniazid, rifampicin. and pyrazinamide were proven to be very effective in the treatment of TB. However, the concern regarding its potential hepatotoxicity might hinder the completion of treatment. Information regarding risk factor of hepatotoxicity among Indonesian tuberculosis patients were limited. This study aimed to investigate risk factors of hepatotoxicity among Indonesian tuberculosis patients. This was a case-control study with retrospective approach conducted at one of the public hospital in Lampung, Indonesia. We included 320 tuberculosis patients who were classified as case (64 patients who were diagnosed with hepatotoxicity during hospitalization) and control (256 patients). Results of multivariate logistic regression analysis showed that age was significant risk factor of hepatotoxicity (adjusted odds ratio (OR) 1.056, 95% CI 1.0121, 1.091), while longer duration of hospitalization had a 1.4 lower odds of hepatotoxicity compared to control (adjusted OR 0.757, 95% CI 0.682, 0.839) (p<0.005). The results indicated that older patients were more likely to have hepatotoxicity, while patients with shorter duration of hospitalization tend to have higher risk of hepatotoxicity. In conclusion, age was the risk factor associated with hepatotoxicity among tuberculosis patients.Keywords: tuberculosis, hepatotoxicity, age, hospitalization
UJI AKTIVITAS ANTIBAKTERI DARI ISOLAT DAUN TENDANI (Goniothalamus Macrophyllus Hook. f. & Thomson.) Wijaya, Viriyanata; Supriyatna, Supriyatna; Milanda, Tiana
Journal of Tropical Pharmacy and Chemistry Vol 3 No 4 (2016): Journal of Tropical Pharmacy and Chemistry
Publisher : Faculty of Pharmacy, Universitas Mulawarman, Samarinda, Indonesia, 75117

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.546 KB) | DOI: 10.25026/jtpc.v3i4.121

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Tumbuhan tendani (Goniothalamus macrophyllus) secara empiris digunakan sebagai obat luar untuk infeksi kulit pada suku Dayak Punan. Penelitian ini bertujuan untuk mengetahui aktivitas senyawa aktif antibakteri yang terkandung dalam isolat dari fraksi etil asetat Daun G. macrophyllus. Fraksi etil asetat adalah fraksi teraktif yang diperoleh dari hasil pengujian aktivitas antibakteri. Isolat diperoleh dari proses pemisahan dan pemurnian menggunakan kromatografi kolom dan kromatografi lapis tipis preparatif. Isolat diuji dengan menggunakan metode difusi agar. Hasil uji aktivitas antibakteri isolat dengan konsentrasi 1,2 mg/50 μL (2,4 %) terhadap S. aureus ATCC 25923 menghasilkan diameter zona hambat sebesar 7,85 mm. Kata kunci : Goniothalamus macrophyllus, aktivitas antibakteri, Staphylococcus aureus, isolat, senyawa aktif