Maria Tuntun
Departemen Mikrobiologi, Fakultas Kedokteran Universitas Indonesia, Jakarta

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Faktor Resiko Penyakit Infeksi Menular Seksual (IMS) Tuntun, Maria
Jurnal Kesehatan Vol 9, No 3 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (345.731 KB) | DOI: 10.26630/jk.v9i3.1109

Abstract

Sexually transmitted infections (STIs) are venereal diseases that can be transmitted by 30 types of pathogens through sexual intercourse. The purpose of this study is to find out the risk factors for STI disease in dr. H Hospital. Abdul Moeloek Lampung Province in 2012 - 2016. Type of descriptive analytic research with a cross-sectional design. Research place in RSUD dr. H. Abdul Moeloek Lampung Province, in November-December 2017. The population in this study were patients with STIs recorded in the medical record book of 2012-2016 as many as 191 people and a sample of 186 people. The results of the study obtained 4 types of STIs caused by bacteria, namely gonorrhea, syphilis, condyloma, and bartolinitis. The age range of STI patients is 12-62 years, and the most in the 12-25 year age group is 93 people (50%). The most STI sufferers are men, 100 people (53.8%), with the highest education is high school, which is 121 people (65.1%), more STI patients who work are 102 people (54.8%), and STI sufferers who more from Bandar Lampung, 103 people (55.4%). Risk factors associated with the type of STI are gender (p-value=0.012) and work (p-value=0.012), while age (p-value=0.718), education (p-value=0.368), and residence address (p-value=0.088) there is no relationship with the type of STI.
Perbedaan Nilai PDW, MPV, Dan Jumlah Trombosit Pada Pre Dan Post Hemodialisa Pasien Gagal Ginjal Kronik Ujiani, Sri; Tuntun, Maria; Rentha Hasibuan, Tiatira Magdalena
Jurnal Analis Kesehatan Vol 7, No 1 (2018): JURNAL ANALIS KESEHATAN
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v7i1.911

Abstract

Hubungan Hasil Dipstik Urin (Leukosit Esterase, Nitrit dan Glukosuria) dengan Kejadian ISK pada Pegawai Tuntun, Maria; Aminah, Siti
Jurnal Kesehatan Vol 12 No 3 (2021): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i3.2894

Abstract

A urine test with a dipstick is an alternative test for rapid leukocyte and bacterial tests to support the diagnosis of urinary tract infection (UTI). The purpose of this study was to determine the relationship between the results of the dipstick test (leukocyte esterase, nitrite, and glucosuria) with the incidence of UTI. The research is observational analytic with a cross-sectional design, which was conducted in September-October 2020, at Campus "X". The population is 351 people, with 92 respondents. A urine test was performed with a dipstick and culture. The dipstick test is a screening step, while the culture is used to confirm the microbiological diagnosis of UTI. The results of the study using the dipstick test showed that 17 people (18,48%) were positive for leukocyte esterase, 27 people (29,35%) were positive for nitrite, and 7 people (7,61%) were positive for glucosuria (DM). The results of the urine culture test showed that 20 people (21,74%) had UTI, which consisted of 11 women and 9 men. There is a relationship between leukocyte esterase and nitrite on UTI (p-value 0.00), but there is no relationship between glucosuria and UTI (p-value 0,279). The use of the dipstick test as a screening test for the incidence of UTI has been used, but it is still necessary to continue with a culture test to be able to make a diagnosis of UTI.
Correlation between Neutrophile to Lymphocyte Ratio and D-dimer with COVID-19 Severity Suhesty, Citra; Dinutanayo, Wimba Widagdho; Tuntun, Maria; Hidayat, Hidayat
Jurnal Kesehatan Vol 14 No 2 (2023): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v14i2.3775

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SARS-CoV-2, a lung-damaging virus, is what causes COVID-19. While a decline in lymphocyte counts suggests immune system harm, a rise in neutrophil counts reflects the severity of the inflammatory response. A high NLR value results from an increase in neutrophils and a decrease in lymphocytes. On the other hand, when plasmin breaks down fibrin to dissolve blood clots, it creates pieces called D-dimers. ARDS is predicted by an elevated D-dimer level. The study's objective was to ascertain how the severity of COVID-19 patients at Dr. H. Abdul Moeloek in 2021 related to NLR and D-dimer levels. Analytical research with a retrospective design is being conducted. The Rank Spearman correlation test and Pearson Chi-Square analyzed medical record data for COVID-19 patients. The study was carried out in Dr. H. Abdul Moeloek in June 2022. 205 COVID-19 patients who underwent NLR and D-dimer testing and were categorized based on the severity of the condition served as the study's subjects. The test findings revealed a substantial connection between NLR and D-dimer (r=0.583), demonstrating a strong and favorable link. NLR and illness severity showed a significant relationship (r=0.49). D-dimer and illness severity also showed a strong connection (r=0.51).
Pengaruh Menstruasi Terhadap Profil Hematologi Pada Siswi SMPN 22 Bandar Lampung Tuntun, Maria; Rahayu, Pudji
Jurnal Analis Kesehatan Vol. 8 No. 2 (2019): JURNAL ANALIS KESEHATAN
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.055 KB) | DOI: 10.26630/jak.v8i2.1860

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Siklus menstruasi dapat mempengaruhi kesehatan remaja putri, seperti ketidakteraturan menstruasi, menoragia, dismenorea dan lain-lain. Tujuan penelitian ini  mengetahui pengaruh menstruasi terhadap profil hematologi pada siswi SMPN 22 Bandar Lampung. Penelitian dilakukan di SMPN 22 Kota Bandar Lampung, dan pemeriksaan profil hematologi dilakukan di laboratorium  rumah sakit Dr.H.Abdoel Muluk Bandar Lampung, pada bulan Oktober – November 2016. Pemeriksaan profil hematologi meliputi jumlah lekosit, jumlah trombosit, jumlah eritrosit, kadar hemoglobin, kadar hematokrit Populasinya adalah seluruh siswi kelas VIII SMPN 22 Kota Bandar Lampung, dan sampelnya sebanyak 68 siswi, yang bersedia di ambil darah venanya. Hasil penelitian menunjukkan korelasi yang sangat lemah dan tidak signifikan (p > 0,05) antara lama menstruasi dengan profil hematologi, yaitu makin lama menstruasi maka makin sedikit jumlah lekosit, dan makin rendah kadar hemoglobin, tetapi  makin banyak jumlah trombosit, jumlah eritrosit, dan kadar hematokrit. Sedangkan hubungan siklus menstruasi dengan jumlah lekosit, jumlah trombosit, dan  jumlah eritrosit menunjukkan korelasi yang sangat lemah. Tetapi hubungan siklus menstruasi dengan kadar hemoglobin dan kadar hematokrit menunjukkan korelasi yang kuat walaupun tidak signifikan (p > 0,05). Korelasi yang signifikan terjadi antara siklus menstruasi dengan jumlah lekosit dan jumlah eritrosit, karena nilai p < 0,05.
Angka Kuman serta Upaya Pencegahan dan Pengendalian Infeksi di Ruang Operasi dan Ruang ICU Beberapa Rumah Sakit di Kota Bandar Lampung Tuntun, Maria; Marhamah, Marhamah
Jurnal Analis Kesehatan Vol. 10 No. 1 (2021): JURNAL ANALIS KESEHATAN
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v10i1.2714

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Program Pencegahan dan Pengendalian Infeksi (PPI) di rumah sakit harus dijalankan untuk mencegah dan mengurangi kejadian infeksi pada setiap orang yang berada di rumah sakit. Tujuan penelitian untuk mengetahui angka kuman dan pelaksanaan pencegahan dan pengendalian infeksi (PPI) di ruang operasi dan ruang ICU beberapa rumah sakit di Kota Bandar Lampung. Jenis penelitian ini adalah studi kasus dengan pendekatan kualitatif.  Pengambilan data dengan cara pemeriksaan angka kuman dan wawancara mendalam pada partisipan di ruang operasi dan ruang ICU rumah sakit. Hasil penelitian untuk angka kuman di ruang operasi, masih ditemukan melebihi standar yang seharusnya pada satu rumah sakit. Sedangkan angka kuman di ruang ICU sudah memenuhi standar. Hasil  wawancara dengan partisipan di ruang operasi dan ICU menunjukkan bahwa di ketiga rumah sakit telah terbentuk Tim PPI, dengan tugas utamanya sebagai pengawasan dan monitoring pelaksanaan PPI. Sarana dan prasarana yang mendukung terlaksananya kegiatan ini telah tersedia dan mencukupi, seperti APD, sabun cuci tangan, hand rub, wastafel, air mengalir dan pelaksanaan sterilisasi alat-alat serta sterilisasi ruang operasi. Namun demikian kebiasaan mencuci tangan yang harus dilakukan oleh perawat sebelum dan setelah melakukan tindakan masih belum seratus persen, serta pengisian lembar surveilen belum diisi setiap hari.
Pola Bakteri Kontaminan Serta Resistensinya di ICU dan Ruang Operasi Pada Rumah Sakit di Bandar Lampung Tuntun, Maria
Jurnal Analis Kesehatan Vol. 11 No. 1 (2022): JURNAL ANALIS KESEHATAN
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v11i1.3201

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The ICU and operating rooms are places where sterility must be maintained. The purpose of this study was to determine the pattern of bacterial contaminants and their resistance in the ICU and operating rooms of several hospitals in Bandar Lampung. This type of research is descriptive, with a cross sectional design. Held in September – November 2019, at three hospitals which are BPJS referral hospitals in Bandar Lampung City, Indonesia. Samples were taken in the ICU and operating rooms by swab on walls, floors, beds, officers&#39; clothes, equipment, and air samples. Sample examination includes microscopic examination, isolation, identification andantibiotic sensitivity testing. The results showed that from 54 samples examined, 61 isolates of contaminant bacteria were grouped into 11 bacterial species. The patterns of gram negative contaminants were Proteus morganii (19.7%), Pseudomonas aeroginosa (11.5%), and Proteus mirabilis (9.8%). The Gram positive bacteriawere dominated by Staphylococcus aureus (13.1%). Proteus mirabilis bacteria were resistant (16.7% - 100%) to 9 antibiotics used in this study. Klebsiella pneumonia, E. coli and Staphylococcus aureus, on average were 56.82%, 54.55% and 45.45% resistant to antibiotics. Some bacterial species are still sensitive to ciprofloxacinand meropenem. The conclusion is that pathogenic bacteria are still found on the surfaces of objects in the ICU and operating rooms, and these bacteria are resistant to antibiotics.
Evaluasi Faktor-Faktor Putus Pengobatan Pasien TB di Kota Bandar Lampung Tuntun, Maria; Aminah, Siti; Yusrizal, Yusrizal
Jurnal Analis Kesehatan Vol. 12 No. 2 (2023): Jurnal Analis Kesehatan
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v12i2.4312

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Latar Belakang: Kasus TB yang terus meningkat dari tahun ke tahun, perlu mendapat perhatian serius. Pemerintah telah mencanangkan bebas TB di tahun 2050, hal ini semakin mendorong masyarakat untuk mensukseskan program tersebut. Salah satu penanggulangan penyakit TB adalah mengatasi kegagalan pengobatan pasien TB. Metode: Jenis penelitiannya kualitatif analitik, desain case control. Populasinya seluruh pasien TB yang gagal pengobatan dan tercatat pada buku register TB 04. Sampel pada kelompok kasus adalah pasien TB yang gagal pengobatan sebanyak 35 pasien, kelompok kontrolnya yaitu pasien TB yang selesai pengobatan sebanyak 35 pasien. Pengumpulan data menggunakan kuisoner. Pengolahan data menggunakan uji Chi square dan analisis multivariate. Hasil penelitian didapatkan pasien TB sebagai kelompok kasus terbanyak dengan jenis kelamin laki-laki (68,57%), berumur produktif (57,14%), berpendidikan dasar (48,57%), bekerja sebagai buruh/wiraswasta (54,29%), terbanyak berpenghasilan 1-3 juta perbulannya (37,14%), tidak merokok (62,86%), mempunyai PMO (91,43%), jarak rumah pasien TB ke PKM 1-2 km sebanyak 74,29%, ada dukungan keluarga (97,14%), serta kunjungan pasien TB ke PKM yang sesuai sebanyak 54,29%. Dari semua faktor tersebut, yang mempunyai hubungan dengan kegagalan pengobatan pasien TB yaitu jarak ke puskesmas dan kunjungan ke puskesmas dengan p value < 0,05. Saran: puskesmas agar lebih mengawasi pasien TB yang tidak aktif dalam pengobatan.
Perancangan Aplikasi TB Berbasis Android: “TB REMAIND” Tuntun, Maria; Aminah, Siti; Yusrizal CH, Yusrizal CH
Jurnal Analis Kesehatan Vol. 13 No. 2 (2024): Jurnal Analis Kesehatan
Publisher : Department of Health Analyst, Politeknik Kesehatan, Kementerian Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jak.v13i2.4794

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Data pasien TB yang mengalami kegagalan pengobatan masih ada, walaupun dalam jumlah kecil. Pengobatan TB membutuhkan waktu yang panjang, dan sering menyebabkan efek samping yang cukup berbahaya. Kondisi ini sering menyebabkan ketidaknyamanan pasien minum obat, sehingga butuh bantuan alarm yang dapat mengingatkan minum obat pada jam yang sama setiap harinya. Tujuan penelitian ini merancang aplikasi TB berbasis android yang mudah digunakan oleh pasien TB dalam mengingat minum obat yang diberi nama “TB Remaind”. Rancangan aplikasi ini memiliki fitur-fitur utama, yaitu pengingat jadwal minum obat (alarm), menyimpan data efek samping yang terjadi, informasi mengenai penyakit TB, layanan kesehatan. Pengguna aplikasi dirancang ada empat dengan hak akses sesuai klasifikasinya (role) yaitu Pasien, Kader, Petugas Kesehatan dan Administrator.
the Antibacterial Potential of Gynura procumbens Against UTI Pathogens Aminah, Siti; Tuntun, Maria
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4784

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Cases of urinary tract infections (UTIs) in Indonesia continue to increase. According to data from the Ministry of Health (2014), UTI cases reach 90–100 per 100,000 population annually. The incidence of UTI is mainly caused by bacterial infections, particularly Escherichia coli and Klebsiella pneumoniae. One of the medicinal plants with pharmacological potential is the connected leaf (Gynura procumbens (Lour.) Merr.). This research aims to determine the effectiveness and impact of Gynura procumbens leaf extract at concentrations of 25%, 50%, 75%, and 100% in inhibiting the growth of E. coli and Klebsiella pneumoniae. This research employed an experimental and completely randomized design (CRD). The independent variables were the concentrations of Gynura procumbens extract, and the dependent variables were the UTI-causing bacteria (E. coli and Klebsiella pneumoniae). Each concentration treatment (25%, 50%, 75%, and 100%) was repeated six times. The results showed that the average inhibition zone for E. coli was 6.33 mm at 25%, 6.91 mm at 50%, 9.39 mm at 75%, and 13.24 mm at 100% concentration. For Klebsiella pneumoniae, the average inhibition zone was 6.56 mm at 25%, 7.53 mm at 50%, 12.50 mm at 75%, and 15.54 mm at 100%. One-way ANOVA analysis resulted in a p-value of 0.000, indicating that Gynura procumbens leaf extract significantly inhibits the growth of UTI-causing bacteria (Klebsiella pneumoniae and Escherichia coli).