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IDENTIFIKASI DAN RESISTENSI BAKTERI Methicillin resistant Staphylococcus aureus (MRSA) DARI ULKUS DIABETIKUM DERAJAT I DAN II WAGNER DI BAGIAN PENYAKIT DALAM RSUD ARIFIN ACHMAD Meta, Definov Tacsa; Endriani, Rita; Sembiring, Ligat Pribadi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diabetic ulcers is a chronic complications of diabetic mellitus which caused people treated in hospital about 80%. Patients with diabetic ulcers need more care and additional costs. It will be wretched if the infection caused by multidrugs resistant bacterials like Methicillin resistant Staphylococcus aureus (MRSA). This research aimed to identified and understand the resistance of MRSA bacteria from Wagner grade I and II diabetic ulcers at department of Internal Medicine of RSUD Arifin Achmad. Samples were taken with a swab technique and then the bacteria were identified and further resistance test with Kirby-bauer disk diffusion method. This research reported about 6 samples (21,42%) from 28 grade I and II swabs diabetic ulcers are Staphylococcus aureus and 5 samples 83,33% from 6 samples Staphylococcus aureus were identified as MRSA. Antibiotics trimethoprim-sulfamethoxazole, chloramphenicol and gentamycin resistance test results had sensitivity 100% to MRSA bacteria. Followed by ofloxacin 60% and ciprofloxacin 40%.Key words : Diabetes Mellitus, Diabetic ulcers, Methicillin resistant Staphylococcus aureus, Resistance
IDENTIFIKASI BAKTERI BATANG GRAM NEGATIF PENGHASIL Extended Spectrum β Lactamase (ESBL) DARI ULKUS DIABETIKUM DERAJAT I DAN II Waigner DI BANGSAL PENYAKIT DALAM RSUD ARIFIN ACHMAD PROVINSI RIAU Anggriawan, Ferry; Endriani, Rita; Sembiring, Ligat Pribadi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Diabetic ulcers are open wound on the skin surface effect of neuropathy andvascular insufficiency that made the wound are often not felt by the patient , and candevelop into an infection caused by aerobic and anaerobic bacteria . Diabetic ulcersmedical patients are very susceptible infected with antibiotic-resistant bacteria likeESBL -producing bacteria. This descriptive study to detect Gram-negative bacillibacteria producing enzyme Extended spectrum beta - lactamase ( ESBL ) in diabeticulcers, are carried out using a double disc approximation Method ( DAM ) to thenumber of study subjects were 26 people with diabetic ulcers Wagner grade I and II .The results obtained ESBL producing bacteria as much as 16 samples ( 69.57 % )some of them were Citrobacter freundi , Enterobacter sp , Proteus sp , Klebsiella sprespectively – each of them are 3 isolates ( 18.75 % ) , and Pseudomonas sp ,Salmonella sp respectively – each of them are 2 isolates ( 12.5 %) .The results of theantibiotic sensitivity test showed that Gram-negative bacilli bacteria producing ESBLhave high sensitivity toward amikacin and meropenem as much as 16 samples ( 100% ) Antibiotics Betalaktam groups such as ampicillin, and third -generationcephalosporins such as cefotaxcime , ceftriaxone, and ceftazidime factually hadexperienced resistance 100% toward ESBL producing bacteria.Keywordrs : diabetic ulcers , Double disc aproximation Method ( DAM ) , Gram -negative bacilli bacteria , Extended spectrum beta - lactamase ( ESBL )
Gambaran Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Terapi Continuous Ambulatory Peritoneal Dialysis Di RSUD Arifin Achmad Provinsi Riau Dengan Menggunakan Kuesioner KDQOL-SFTM Putri, Rizqina; Sembiring, Ligat Pribadi; Bebasari, Eka
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

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Abstract

Chronic renal failure is an end stage of renal disease that can be treated by dialysis, which one of them is Continuous Ambulatory Peritoneal Dialysis (CAPD). CAPD is a dialysis technique uses peritoneal membrane as dialysis membrane that splits between dyalisate in peritoneal membrane with blood plasm in peritoneal vessels. CAPD as a theraphy for chronic renal failure patients can be examined by KDQOL-SFTM questionnaire to measures its effect on patients’ quality of life. This research helds on purpose to get a representation of Continuous Ambulatory Peritoneal Dialysis (CAPD) patients’ life quality. This is a descriptive method of research with cross sectional approachment and had implemented on February 2014. About 47 chronic renal failure patients have been undergoing CAPD therapy. Research results showed most of respondents is dominated by male respondents (59,57%). Results from respondent by age category indicated that category 18-44 years old and category 45-64 years old are relatively equal ini amount. Category by ethnic showed that most of respondents are Malay ethnic (31,91%). Respondents have been educated and got undergraduated and degree: D1/D2/D3/S1 (53,19%). Most of respondents have been married (93,61%) and work as a housewife, retired and unemployed (36,17%). CAPD has been used as theraphy for about 1-5 years by most respondents (72,34%). Most chronic renal failure patient who undergo CAPD therapy at RSUD Arifin Achmad Riau Province (76,59%) have hight value of quality of lifeKey word: chronic renal failure, Continuous Ambulatory Peritoneal Dialysis , quality of life
PROFIL PASIEN HEMODIALISIS INISIASI DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI – DESEMBER 2017 Tubella, Elsa; Sembiring, Ligat Pribadi; Fridayenti, Fridayenti
Jurnal Ilmu Kedokteran Vol 12, No 2 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (80.215 KB) | DOI: 10.26891/JIK.v12i2.2018.113-118

Abstract

Hemodialysis is defined as the process of separation, filtering, or cleansing of blood through a semipermeablemembrane in patients renal failure. Indication of hemodialysis for both diseases is clinical conditions in addition tolaboratory results, such as signs of fluid overload, electrolyte imbalance, metabolic acidosis, and signs of anemia. Thisstudy purposed to describe the profile of patients initiation hemodialysis in RSUD Arifin Achmad Riau Province PeriodJanuary-December 2017. This research was a retrospective descriptive. This study used 94 samples. The number ofmale patients were higher than female patients (60.6%). The most age group was 40-59 years (57.4%). Second degree ofhypertension was 46,8%. The study showed 92.55% of patients had anemia, 50% had hyperkalemia, 56.4% hadhyponatremia, and 41.5% had acidosis. Patients consisted of 81.9% chronic kidney disease, and 18.1% acute renalfailure.
KONSTIPASI PADA KEHAMILAN Sembiring, Ligat Pribadi
Jurnal Ilmu Kedokteran Vol 9, No 1 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (29.308 KB) | DOI: 10.26891/JIK.v9i1.2015.7-10

Abstract

Constipation is a condition often found in pregnant women and can lead to various complications. Based onpathophysiology, constipation can be classified into constipation due to structural abnormalities and functionalconstipation. Constipation in pregnant women is classified as the functional constipation caused by hormonal factors,changes in diet, growth of fetus, decrease in physical activities and the position of the defecation. The management ofconstipation during pregnancy take precedence on non pharmacological therapy. Pharmacological therapy (laxatives)that can be used is the bulk-forming agents and osmotic laxatives, however, they are only when absolutely necessaryand are not for long term use. The reasons are to avoid dehydration and electrolyte imbalance in pregnant women.
Peningkatan peran serta masyarakat dalam upaya pencegahan dan pengobatan tuberkulosis di Sentajo Raya, Kabupaten Kuantan Singingi Endriani, Rita; Nazriati, Elda; Sembiring, Ligat Pribadi
Riau Journal of Empowerment Vol 2 No 1 (2019)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.748 KB) | DOI: 10.31258/raje.2.1.16

Abstract

Pengabdian kepada masyarakat ini bertujuan melakukan peningkatan peran serta masyarakat dalam pencegahan dan pengobatan tuberkulosis (TB) melalui pelatihan kader kesehatan dan pembentukan pos TB desa di wilayah kerja puskesmas Sentajo Raya. Metode kegiatan ini berupa kegiatan pelatihan kader, pembentukan Pos TB Desa dan monitoring evaluasi. Hasil kegiatan ini adalah kader kesehatan yang sudah mendapat pelatihan dan dilantik sebagai kader TB sebanyak 30 orang. Semua kader TB mendapatkan buku modul TB, buku saku kader dan sertfikat. Kader TB harus mampu berperan dalam pencegahan dan pengobatan TB di desanya masing-masing. Pembentukan pos TB desa pertama di wilayah kerja Puskesmas Sentajo Raya adalah Desa Pulau Kopung Sentajo. Pada monev di desa Pulau Kopung Sentajo telah terbentuk pos TB desa di ?Pojok Kegiatan Kependudukan Desa?. Monev dilaksanakan berupa diskusi dengan kader dan kepala desa mengenai kegiatan yang sudah dilaksanakan dan masalah yang dihadapi oleh kader. Pada monev diberikan buku kegiatan kader, kartu PMO dan Bannner TB untuk pos TB desa. Kegiatan ini dapat terlaksana dengan baik dan mendapat dukungan penuh dari pemerintah dan masyarakat. Mereka berharap kegiatan dan kerjasama yang sudah terjalin ini dapat dilanjutkan.