Abstract
Objectives
The incision method operation with a high risk of infection in a clean and clean-contaminated operation requires the use of prophylactic antibiotics to minimize the risk of infection. This study was designed to analyze the effectiveness of prophylactic antibiotics in patients with digestive and oncology surgeries.
Methods
The statistical method used was chi-square to determine the risk factors for infection at surgical site infections (SSI) in patients with digestive and oncology surgeries. This study had received ethical approval from the Ethics Committee of Dr. H. Slamet Martodirdjo Hospital, Pamekasan.
Results
There were 67 patients consisted of 48 digestive surgeries (71.6%) and 19 oncology surgeries (28.4%). The criteria of observation on day 30 showed that as 1 (1.5%) SSI patient experienced purulence, inflammation, and erythema around the surgical wound so an analysis of p>0.05 was carried out so that there was no association with the incidence of SSI during hospitalization, but other factors originating from the patient, such as a lack of personal hygiene at home and lack of nutritious food intake was measured in temperature, pulse, respiration, and white blood cells examination before surgery and 24 h after surgery, all within normal ranges. The qualitative analysis of prophylactic antibiotics using the Gyssen method showed that 31 (46.3%) rationales needed an improvement process.
Conclusions
The widely used prophylactic antibiotics, namely cefazolin and cefuroxime are recommended antibiotics used in incision surgery and rationale used.
Acknowledgment
Authors acknowledge with thanks to Dr. H. Slamet Martordirdjo Pamekasan General Hospital director, the Head of the Inpatient Operating Room of Dr. H. Slamet Martordirdjo Pamekasan General Hospital and Tahir Professorship for their technical and administrative support to conduct this research.
-
Research funding: None declared.
-
Author contributions: All authors have accepted responsibility for entire content of this manuscript and approved its submission.
-
Competing interests: Authors state no conflict of interest.
-
Informed consent: Not applicable.
-
Ethical approval: Not applicable.
References
1. World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva, Switzerland; 2019.http://www.who.int/gpsc/ssi-prevention-guidelines/en/.Search in Google Scholar
2. Butt, SZ, Ahmad, M, Saeed, H, Saleem, Z, Javaid, Z. Post-surgical antibiotic prophylaxis: impact of pharmacist’s educational intervention on appropriate use of antibiotics. J Infect Public Health 2019;12:854–60. https://doi.org/10.1016/j.jiph.2019.05.015.Search in Google Scholar
3. Schweizer, ML, Chiang, HY, Septimus, E, Moody, J, Braun, B, Hafner, J, et al.. Association of bundled intervention with surgical site infection among patients undergoing cardiac, hip, or knee surgery. J Am Med Assoc 2015;313:2162–71. https://doi.org/10.1001/jama.2015.5387.Search in Google Scholar
4. Zimmerman, DE, Shank, BR. Weighing in on antibiotic dosing for surgical site prophylaxis. Am J Health Syst Pharm 2020;77:408–9. https://doi.org/10.1093/ajhp/zxz347.10.1093/ajhp/zxz347Search in Google Scholar
5. Widmaier, EP, Raff, H, Strang, KT. Human physiology: the mechanisms of body function, 13th ed. New York: McGraw-Hill; 2016.Search in Google Scholar
6. Allegranzi, B, Bischoff, P, de Jonge, S, Kubilay, NZ, Zayed, B, Gomes, SM, et al.. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis 2016;16:276–87.10.1016/S1473-3099(16)30398-XSearch in Google Scholar
7. Anderson, DJ, Podgorny, K, Berrios-Torres, SI, Bratzler, DW, Dellinger, EP, Greene, L. Strategies to prevent surgical site infections in acute care hospitals: update. Infect Control Hosp Epidemiol 2017;35:605–27.10.1086/591064Search in Google Scholar
8. Evrilia, SR, Muhtadi, A, Barliana, MI, Winarni, R. An evaluation of ceftriaxone use in the antimicrobial stewardship program for surgical patients at a hospital in Bandung. J Adv Pharm Educ Res 2019;9:53–6.Search in Google Scholar
9. Mu, Y, Edwards, JR, Horan, TC, Berrios-Torres, SI, Fridkin, SK. Improving risk-adjusted measures of surgical site infection for the national healthcare safety network. Infect Control Hosp Epidemiol 2011;32:970–86. https://doi.org/10.1086/662016.Search in Google Scholar
10. Ling, ML, Apisarnthanarak, A, Madriaga, G. The burden of healthcare-associated infections in Southeast Asia: a systematic literature review and meta-analysis. Clin Infect Dis 2015;60:1690–9. https://doi.org/10.1093/cid/civ095.Search in Google Scholar
11. Zimlichman, E, Henderson, D, Tamir, O, Franz, C, Song, P, Yamin, CK. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JAMA Intern Med 2013;173:2039–46. https://doi.org/10.1001/jamainternmed.2013.9763.Search in Google Scholar
12. Narulita, L, Bilal, R, Akram, M, Suharjono, S. Analysis of antibiotics on patients surgery, before and after used guidelines for antibiotics (PPAB). J Pharmascience 2020;7:51–61. https://doi.org/10.20527/jps.v7i1.8074.Search in Google Scholar
13. Vincent, JL, Opal, SM, Marshall, JC, Tracey, KJ. Sepsis definitions: time for change. Lancet 2013;381:774–5. https://doi.org/10.1016/s0140-6736(12)61815-7.Search in Google Scholar
14. Volles, DF, Branan, TN. Antibiotics in the intensive care unit: focus on agents for resistant pathogens. North America: Emergency Medicine Clinics; 2008, 26:813–34 pp.10.1016/j.emc.2008.04.006Search in Google Scholar PubMed
15. Haryanti, L, Pudjiadi, AH, Ifran, EKB, Thayeb, A, Amir, I, Hegar, B. Prevalens dan Faktor Risiko Infeksi Luka Operasi Pasca-bedah. Sari Pediatri 2016;15:207–12. https://doi.org/10.14238/sp15.4.2013.207-12.Search in Google Scholar
16. American Pharmacists Association. Drug information handbook a comprehensive resource for all clinicians and healthcare professionals, 22nd ed. Lexi-comp; 2012.Search in Google Scholar
17. Bratzler, DW, Dellinger, EP, Olsen, KM, Perl, TM, Auwaerter, PG, Bolon, MK, et al.. American Society of Health-system P, Infectious Disease Society of A. Society for Healthcare Epidemiology of A 2013;70:195–283. https://doi.org/10.2146/ajhp120568.Search in Google Scholar PubMed
18. Van der Meer, JW, van Kasteren, M, Gould, IM, van der Meer, JWM. Improving prescribing in surgical prophylaxis. In: Antibiotic policies. Boston, MA: Springer; 2005.10.1007/0-387-22852-7_11Search in Google Scholar
19. Purba, AK, Setiawan, D, Bathoorn, E, Postma, MJ, Dik, JWH, Friedrich, AW. Prevention of surgical site infections: a systematic review of cost analyses in the use of prophylactic antibiotics. Front Pharmacol 2018;9:1–18. https://dx.doi.org/10.3389/fphar.2018.00776.10.3389/fphar.2018.00776Search in Google Scholar PubMed PubMed Central
20. Bharath, M, Galagali, JR, Mishra, AK, Mallick, A, Nikhilesh, E. Prophylactic use of antibiotics as per SIGN 104 guidelines versus routine antibiotic prophylaxis for prevention of surgical site infection in clean and clean contaminated ENT surgical procedures: a comparative study. Int J Otorhinolaryngol Head Neck Surg 2020;6:106–11. https://dx.doi.org/10.18203/issn.2454-5929.ijohns20195698.10.18203/issn.2454-5929.ijohns20195698Search in Google Scholar
21. Nguyen, D, MacLeod, WB, Phung, DC, Cong, QT, Nguy, VH, Nguyen, VH, et al.. Incidence and predictors of surgical-site infections in Vietnam. Infect Control Hosp Epidemiol 2001;22:485–92. https://dx.doi.org/10.1086/501938.10.1086/501938Search in Google Scholar PubMed
22. Ling, ML, Apisarnthanarak, A, Abbas, A, Morikane, K, Warrier, A, Lee, KY, et al.. APSIC guidelines for the prevention of surgical site infections. Antimicrob Resist Infect Contr 2019;8:1–8. https://dx.doi.org/10.1186/s13756-019-0638-8.10.1186/s13756-019-0638-8Search in Google Scholar PubMed PubMed Central
23. Xu, S, Li, S, Yan, F, Han, S, Lin, S, Gu, J, et al.. “Sandwich” wound dressing to reduce surgical site infections during sacrococcygeal surgery: a retrospective analysis. J Tissue Viability 2021;30:267–70. https://doi.org/10.1016/j.jtv.2020.07.008.Search in Google Scholar PubMed
24. Magill, SS, O’Leary, E, Janelle, SJ, Thompson, DL, Dumyati, G, Nadle, j, et al.. Changes in prevalence of health care-associated infection in U.S. Hospital. N Engl J Med 2018;379:1732–44. https://dx.doi.org/10.1056/nejmoa1801550.10.1056/NEJMoa1801550Search in Google Scholar PubMed PubMed Central
25. Ekici, U, Kanlıöz, M, Ferhatoğlu, MF, Kartal, A. A comparative analysis of four different surgical methods for treatment of sacrococcygeal pilonidal sinus. Asian J Surg 2019;42:907–13. https://doi.org/10.1016/j.asjsur.2018.12.011.Search in Google Scholar PubMed
26. Levy, MM, Evans, LE, Rhodes, A. The surviving sepsis campaign bundle: 2018 update. 6th ed. USA: The McGraw-Hill Companies, Inc; 2018.10.1007/s00134-018-5085-0Search in Google Scholar PubMed
27. Mackeen, AD, Packard, RE, Ota, E, Berghella, V, Baxter, JK. Timing of intravenous prophylactic antibiotics for preventing postpartum infectious morbidity in women undergoing cesarean delivery. Cochrane Database Syst Rev 2014;1–53. 10.1002/14651858.CD009516.pub2.10.1002/14651858.CD009516.pub2Search in Google Scholar PubMed
28. Salced, B. Centers for disease control and prevention’s (CDC) surgical site infection (SSI) event. Depress Anxiety 2018;35:8–9.Search in Google Scholar
29. Amábile-Cuevas, CF. Antibiotics and antibiotic resistance in the environment. London, UK: Taylor & Francis Group; 2016:9–17 pp.10.1201/b19549Search in Google Scholar
30. Dellinger, RP, Levy, MM, Rhodes, A, Annane, D, Gerlach, H, Opas, SM, et al.. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock. Intensive Care Med 2012;39:165–228. https://doi.org/10.1097/CCM.0b013e31827e83af.Search in Google Scholar PubMed
31. Lamb, HM, Omrod, D, Scott, LJ, Figgitt, DP. Ceftriaxone an update of its use in the management of community-acquired and nosocomial infections. Drugs 2002;62:1041–89.10.2165/00003495-200262070-00005Search in Google Scholar PubMed
32. Berríos-Torres, SI, Umscheid, CA, Bratzler, DW, Leas, B, Stone, EC, Kelz, RR, et al.. Centers for disease control and prevention guideline for the prevention of surgical site infection. JAMA Surg 2017;152:784–91. 10.1001/jamasurg.2017.0904.10.1001/jamasurg.2017.0904Search in Google Scholar PubMed
33. Oliphant, CM. Antimicrobial regimen selection. In: Lee, KC, Chisholm-Burns, MA, Malone, Bookstaver, PB, Kolesar, JM, editors. Pharmacotherapy principles and practice, 5th ed. New York: McGraw-Hill Professional; 2019:1059–71 pp.Search in Google Scholar
34. Gyssens, IC. Audit for monitoring quality antimicrobial prescription. In: Gould, IM, Meer, VD, editors. Antibiotic policies: theory and practice. New York: Kluwer Academic; 2005.10.1007/0-387-22852-7_12Search in Google Scholar
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Original Articles
- Cost of illness of diabetes mellitus in Indonesia: a systematic review
- Social media health interventions to improve diabetes mellitus patient outcome: a systematic review
- Developing pharmacokinetics–pharmacodynamics model of valproic acid syrup based on prediction of population pharmacokinetics parameter and seizure frequency in Indonesian pediatric epilepsy outpatients
- Acetylcholinesterase inhibitory activity of extract and fractions from the root of Rauvolfia serpentina(L.) Bth.ex Kurz
- Green tea and its active compound epigallocathechin-3-gallate (EGCG) inhibit neuronal apoptosis in a middle cerebral artery occlusion (MCAO) model
- The effects of quercetin on nicotine-induced reward effects in mice
- Resveratrol ameliorates physical and psychological stress-induced depressive-like behavior
- Translation and cross-cultural adaption of an instrument measuring patient’s well-being under treatment for schizophrenia
- Quercetin promotes behavioral recovery and biomolecular changes of melanocortin-4 receptor in mice with ischemic stroke
- Knowledge and attitudes of healthcare professionals on prescribing errors
- Inhibition of Ras and STAT3 activity of 4-(tert-butyl)-N-carbamoylbenzamide as antiproliferative agent in HER2-expressing breast cancer cells
- Predicting the molecular mechanism of glucosamine in accelerating bone defect repair by stimulating osteogenic proteins
- Larvicidal toxicity and parasporal inclusion of native Bacillus thuringiensis BK5.2 against Aedes aegypti
- Synthesis, ADMET predictions, molecular docking studies, and in-vitro anticancer activity of some benzoxazines against A549 human lung cancer cells
- Thymoquinone and its derivatives against breast cancer with HER2 positive: in silico studies of ADMET, docking and QSPR
- Assessment of patient understanding of their conventional cardiac medicines and herbal prepared/derived products: preliminary survey and interviews with selected community-dwelling elderly patients in the Philippines
- The development and validation of the health belief model questionnaire for measuring factors affecting adherence in the elderly with hypertension
- Analysis of the side effect of QTc interval prolongation in the bedaquiline regimen in drug resistant tuberculosis patients
- Shallot skin profilling, computational evaluation of physicochemical properties, ADMET, and molecular docking of its components against P2Y12 receptor
- Analysis of HMGB-1 level before and after providing atorvastatin standard therapy in coronary artery disease patients with type-2 diabetes mellitus compared to without type-2 diabetes mellitus
- Analysis of matrix metalloproteinase-9 levels among acute heart failure patients with ACE inhibitor therapy (Dr. Soetomo Regional General Hospital, Surabaya)
- The correlation between self-related adherence, asthma-related quality of life and control of asthma in adult patients
- Providing counseling through home pharmacy care (HPC) for hemodialysis patients with hypertension in lowering blood pressure
- Community knowledge and attitude in recognizing asthma symptoms and using medication for asthma attacks: a cross-sectional study
- A study of anticoagulant therapy in patients with coronary artery disease
- The association of FKBP5 polymorphism with asthma susceptibility in asthmatic patients
- Gastroprotective effect of fluvoxamine and ondansetron on stress-induced gastric ulcers in mice
- Osteoblast iron genes: real time PCR and microarray hybridization approach under hyperoxia
- Attenuation of hyperplasia in lung parenchymal and colonic epithelial cells in DMBA-induced cancer by administering Andrographis paniculata Nees extract using animal model
- N-nitrosodiethylamine induces inflammation of liver in mice
- AST/ALT levels, MDA, and liver histopathology of Echinometra mathaei ethanol extract on paracetamol-induced hepatotoxicity in rats
- Development, characterization, molecular docking, and in vivo skin penetration of coenzyme Q10 nanostructured lipid carriers using tristearin and stearyl alcohol for dermal delivery
- The effect of Camellia sinensis (green tea) with its active compound EGCG on neuronal cell necroptosis in Rattus norvegicus middle cerebral artery occlusion (MCAO) model
- Hepatoprotective effect of ethanolic extract of sugarcane (Saccharum officinarum Linn.) leaves
- Correlation between the exposure time to mobile devices and the prevalence of evaporative dry eyes as one of the symptoms of computer vision syndrome among Senior High School students in East Java, Indonesia
- The effect of various high-fat diet on liver histology in the development of NAFLD models in mice
- Fabrication and characterization of bovine hydroxyapatite-gelatin-alendronate scaffold cross-linked by glutaraldehyde for bone regeneration
- Health related quality of life among postmenopausal woman with hormone responsive HER2− breast cancer in Indonesia
- Gender differences in the blood glucose type 2 diabetes patients with combination rapid and long acting insulin therapy
- Correlation of dietary iron intake and serum iron with thyroid stimulating hormone (TSH) and free thyroxine (FT4) levels in adult hyperthyroid patients
- The effect of pillbox use and education by pharmacist toward medication adherence in diabetes mellitus patients in a Primary Health Care Center in Mataram
- Variation concentration effect of propyleneglycol, glycerin, and polyethyleneglycol 400 to physical properties and dissolution rate of loratadine liquisolid tablet
- Role of Centella asiatica and ceramide in skin barrier improvement: a double blind clinical trial of Indonesian batik workers
- Secondary metabolite and antipyretic effects of Maja (Crescentia cujete L.) in fever-induced mice
- Hydration effect on kidney function and serum electrolyte in children with tumor lysis syndrome (TLS) and risk of TLS
- Drug utilization study and cost analysis of adult β-thalassemia major patient therapy at Dr. Soetomo General Hospital Surabaya
- The role of hyperbaric oxygen to platelet aggregation in noninsulin-dependent diabetes mellitus (NIDDM)
- Cocrystal formation of loratadine-succinic acid and its improved solubility
- The role of chondroitin sulfate to bone healing indicators and compressive strength
- The effects of quercetin on the expression of SREBP-1c mRNA in high-fat diet-induced NAFLD in mice
- Analysis of stress ulcer prophylaxis drug regimentation in surgical patients
- The stability and irritability study of the chitosan–Aloe vera spray gel as wound healing
- Effectiveness of citicoline in pediatric patients with refractive amblyopia in Surabaya, East Java, Indonesia
- The thermodynamic study of p-methoxycinnamic acid inclusion complex formation, using β-cyclodextrin and hydroxypropyl-β-cyclodextrin
- The effect of chitosan type and drug-chitosan ratio on physical characteristics and release profile of ketoprofen microparticles prepared by spray drying
- The maximum dose and duration in the therapy single use methotrexate to achieve remission by rheumatoid arthritis patients through disease activity score 28 (DAS28)
- Knowledge, attitudes, and practices (KAP) towards COVID-19 among university students in Pakistan: a cross-sectional study
- The impact of glutaraldehyde on the characteristics of bovine hydroxyapatite-gelatin based bone scaffold as gentamicin delivery system
- Analysis of the use of antibiotics profile and factors of surgical site infections study on digestive and oncology surgeries
- Second internal transcribed spacer (ITS-2) as genetic marker for molecular characterization of Sarcoptes scabiei in rabbits from several areas of East Java, Indonesia
- Design of gossypetin derivatives based on naturally occurring flavonoid in Hibiscus sabdariffa and the molecular docking as antibacterial agents
- Discovery of new targeting agents against GAPDH receptor for antituberculosis drug delivery
- The effect of red passion fruit (Passiflora edulis Sims.) fermentation time on its activity against Extended Strain Methicillin-Resistant (ESBL) Escherichia coli and Methicillin-Resistant Staphylococcus aureus (MRSA)
- Antibiotic use on acute respiratory tract infection nonpneumonia and nonspecific diarrhea in Primary Health Care Centre in Banjarbaru City, South Kalimantan, Indonesia
- Screening of anti-HIV activities in ethanol extract and fractions from Ficus fistulosa leaves
- The characteristics of lactic acid bacteria isolated from fermented food as potential probiotics
- Profile of gyrA gene mutation in clinical isolate of levofloxacin resistant Escherichia coli
- Antimicrobial activity of Centella asiatica and Gigantochloa apus
- Drug-related problems of antibiotic use in gastroenteritis related to patient therapy outcomes at Universitas Gadjah Mada Hospital
- The impact of suitability of empirical antibiotics use on therapeutic outcome of respiratory tract infection patients at inpatient wards of Universitas Gadjah Mada Academic Hospital
- Genetic profile mutation rpoB in clinical isolate of rifampicin-resistant Staphylococcus aureus
- Hematological side effect analysis of linezolid in MDR-TB patients with individual therapy
- Adverse drug reaction and its management in tuberculosis patients with multidrug resistance: a retrospective study
- Analysis of prophylactic antibiotic use and risk factor of postoperative infection in urological surgery patients
- Molecular docking studies of Nigella sativa L and Curcuma xanthorrhiza Roxb secondary metabolites against histamine N-methyltransferase with their ADMET prediction
- Prediction of compounds with antiosteoporosis activity in Chrysophyllum cainito L. leaves through in silico approach
- Phyllanthin and hypophyllanthin, the isolated compounds of Phyllanthus niruri inhibit protein receptor of corona virus (COVID-19) through in silico approach
- Cratoxylum sumatranum stem bark exhibited antimalarial activity by Lactate Dehydrogenase (LDH) assay
- Endophytic fungi inhabiting Physalis angulata L. plant: diversity, antioxidant, and antibacterial activities of their ethyl acetate extracts
- Exploration of several plants from Baung Forest on bone formation cell models
- In vitro antimalarial activity of Garcinia parvifolia Miq. Stem extracts and fractions on Plasmodium falciparum lactate dehydrogenase (LDH) assay
- Antioxidant and antiviral potency of Begonia medicinalis fractions
- Artocarpus sericicarpus stem bark contains antimalarial substances against Plasmodium falciparum
- Formulation and characterization of Eleutherine palmifolia extract-loaded self-nanoemulsifying drug delivery system (SNEDDS)
- Analytical method for the determination of curcumin entrapped in polymeric micellar powder using HPLC
- Challenges in the provision of natural medicines by community pharmacists in East Java Province, Indonesia
- In vitro and in silico analysis of phytochemical compounds of 96% ethanol extract of semanggi (Marsilea crenata Presl.) leaves as a bone formation agent
- Inhibitory activity of Urena lobata leaf extract on alpha-amylase and alpha-glucosidase: in vitro and in silico approach
- Case Report
- Effect of hydrocortisone on hypocorticolism caused by pituitary adenoma
Articles in the same Issue
- Frontmatter
- Original Articles
- Cost of illness of diabetes mellitus in Indonesia: a systematic review
- Social media health interventions to improve diabetes mellitus patient outcome: a systematic review
- Developing pharmacokinetics–pharmacodynamics model of valproic acid syrup based on prediction of population pharmacokinetics parameter and seizure frequency in Indonesian pediatric epilepsy outpatients
- Acetylcholinesterase inhibitory activity of extract and fractions from the root of Rauvolfia serpentina(L.) Bth.ex Kurz
- Green tea and its active compound epigallocathechin-3-gallate (EGCG) inhibit neuronal apoptosis in a middle cerebral artery occlusion (MCAO) model
- The effects of quercetin on nicotine-induced reward effects in mice
- Resveratrol ameliorates physical and psychological stress-induced depressive-like behavior
- Translation and cross-cultural adaption of an instrument measuring patient’s well-being under treatment for schizophrenia
- Quercetin promotes behavioral recovery and biomolecular changes of melanocortin-4 receptor in mice with ischemic stroke
- Knowledge and attitudes of healthcare professionals on prescribing errors
- Inhibition of Ras and STAT3 activity of 4-(tert-butyl)-N-carbamoylbenzamide as antiproliferative agent in HER2-expressing breast cancer cells
- Predicting the molecular mechanism of glucosamine in accelerating bone defect repair by stimulating osteogenic proteins
- Larvicidal toxicity and parasporal inclusion of native Bacillus thuringiensis BK5.2 against Aedes aegypti
- Synthesis, ADMET predictions, molecular docking studies, and in-vitro anticancer activity of some benzoxazines against A549 human lung cancer cells
- Thymoquinone and its derivatives against breast cancer with HER2 positive: in silico studies of ADMET, docking and QSPR
- Assessment of patient understanding of their conventional cardiac medicines and herbal prepared/derived products: preliminary survey and interviews with selected community-dwelling elderly patients in the Philippines
- The development and validation of the health belief model questionnaire for measuring factors affecting adherence in the elderly with hypertension
- Analysis of the side effect of QTc interval prolongation in the bedaquiline regimen in drug resistant tuberculosis patients
- Shallot skin profilling, computational evaluation of physicochemical properties, ADMET, and molecular docking of its components against P2Y12 receptor
- Analysis of HMGB-1 level before and after providing atorvastatin standard therapy in coronary artery disease patients with type-2 diabetes mellitus compared to without type-2 diabetes mellitus
- Analysis of matrix metalloproteinase-9 levels among acute heart failure patients with ACE inhibitor therapy (Dr. Soetomo Regional General Hospital, Surabaya)
- The correlation between self-related adherence, asthma-related quality of life and control of asthma in adult patients
- Providing counseling through home pharmacy care (HPC) for hemodialysis patients with hypertension in lowering blood pressure
- Community knowledge and attitude in recognizing asthma symptoms and using medication for asthma attacks: a cross-sectional study
- A study of anticoagulant therapy in patients with coronary artery disease
- The association of FKBP5 polymorphism with asthma susceptibility in asthmatic patients
- Gastroprotective effect of fluvoxamine and ondansetron on stress-induced gastric ulcers in mice
- Osteoblast iron genes: real time PCR and microarray hybridization approach under hyperoxia
- Attenuation of hyperplasia in lung parenchymal and colonic epithelial cells in DMBA-induced cancer by administering Andrographis paniculata Nees extract using animal model
- N-nitrosodiethylamine induces inflammation of liver in mice
- AST/ALT levels, MDA, and liver histopathology of Echinometra mathaei ethanol extract on paracetamol-induced hepatotoxicity in rats
- Development, characterization, molecular docking, and in vivo skin penetration of coenzyme Q10 nanostructured lipid carriers using tristearin and stearyl alcohol for dermal delivery
- The effect of Camellia sinensis (green tea) with its active compound EGCG on neuronal cell necroptosis in Rattus norvegicus middle cerebral artery occlusion (MCAO) model
- Hepatoprotective effect of ethanolic extract of sugarcane (Saccharum officinarum Linn.) leaves
- Correlation between the exposure time to mobile devices and the prevalence of evaporative dry eyes as one of the symptoms of computer vision syndrome among Senior High School students in East Java, Indonesia
- The effect of various high-fat diet on liver histology in the development of NAFLD models in mice
- Fabrication and characterization of bovine hydroxyapatite-gelatin-alendronate scaffold cross-linked by glutaraldehyde for bone regeneration
- Health related quality of life among postmenopausal woman with hormone responsive HER2− breast cancer in Indonesia
- Gender differences in the blood glucose type 2 diabetes patients with combination rapid and long acting insulin therapy
- Correlation of dietary iron intake and serum iron with thyroid stimulating hormone (TSH) and free thyroxine (FT4) levels in adult hyperthyroid patients
- The effect of pillbox use and education by pharmacist toward medication adherence in diabetes mellitus patients in a Primary Health Care Center in Mataram
- Variation concentration effect of propyleneglycol, glycerin, and polyethyleneglycol 400 to physical properties and dissolution rate of loratadine liquisolid tablet
- Role of Centella asiatica and ceramide in skin barrier improvement: a double blind clinical trial of Indonesian batik workers
- Secondary metabolite and antipyretic effects of Maja (Crescentia cujete L.) in fever-induced mice
- Hydration effect on kidney function and serum electrolyte in children with tumor lysis syndrome (TLS) and risk of TLS
- Drug utilization study and cost analysis of adult β-thalassemia major patient therapy at Dr. Soetomo General Hospital Surabaya
- The role of hyperbaric oxygen to platelet aggregation in noninsulin-dependent diabetes mellitus (NIDDM)
- Cocrystal formation of loratadine-succinic acid and its improved solubility
- The role of chondroitin sulfate to bone healing indicators and compressive strength
- The effects of quercetin on the expression of SREBP-1c mRNA in high-fat diet-induced NAFLD in mice
- Analysis of stress ulcer prophylaxis drug regimentation in surgical patients
- The stability and irritability study of the chitosan–Aloe vera spray gel as wound healing
- Effectiveness of citicoline in pediatric patients with refractive amblyopia in Surabaya, East Java, Indonesia
- The thermodynamic study of p-methoxycinnamic acid inclusion complex formation, using β-cyclodextrin and hydroxypropyl-β-cyclodextrin
- The effect of chitosan type and drug-chitosan ratio on physical characteristics and release profile of ketoprofen microparticles prepared by spray drying
- The maximum dose and duration in the therapy single use methotrexate to achieve remission by rheumatoid arthritis patients through disease activity score 28 (DAS28)
- Knowledge, attitudes, and practices (KAP) towards COVID-19 among university students in Pakistan: a cross-sectional study
- The impact of glutaraldehyde on the characteristics of bovine hydroxyapatite-gelatin based bone scaffold as gentamicin delivery system
- Analysis of the use of antibiotics profile and factors of surgical site infections study on digestive and oncology surgeries
- Second internal transcribed spacer (ITS-2) as genetic marker for molecular characterization of Sarcoptes scabiei in rabbits from several areas of East Java, Indonesia
- Design of gossypetin derivatives based on naturally occurring flavonoid in Hibiscus sabdariffa and the molecular docking as antibacterial agents
- Discovery of new targeting agents against GAPDH receptor for antituberculosis drug delivery
- The effect of red passion fruit (Passiflora edulis Sims.) fermentation time on its activity against Extended Strain Methicillin-Resistant (ESBL) Escherichia coli and Methicillin-Resistant Staphylococcus aureus (MRSA)
- Antibiotic use on acute respiratory tract infection nonpneumonia and nonspecific diarrhea in Primary Health Care Centre in Banjarbaru City, South Kalimantan, Indonesia
- Screening of anti-HIV activities in ethanol extract and fractions from Ficus fistulosa leaves
- The characteristics of lactic acid bacteria isolated from fermented food as potential probiotics
- Profile of gyrA gene mutation in clinical isolate of levofloxacin resistant Escherichia coli
- Antimicrobial activity of Centella asiatica and Gigantochloa apus
- Drug-related problems of antibiotic use in gastroenteritis related to patient therapy outcomes at Universitas Gadjah Mada Hospital
- The impact of suitability of empirical antibiotics use on therapeutic outcome of respiratory tract infection patients at inpatient wards of Universitas Gadjah Mada Academic Hospital
- Genetic profile mutation rpoB in clinical isolate of rifampicin-resistant Staphylococcus aureus
- Hematological side effect analysis of linezolid in MDR-TB patients with individual therapy
- Adverse drug reaction and its management in tuberculosis patients with multidrug resistance: a retrospective study
- Analysis of prophylactic antibiotic use and risk factor of postoperative infection in urological surgery patients
- Molecular docking studies of Nigella sativa L and Curcuma xanthorrhiza Roxb secondary metabolites against histamine N-methyltransferase with their ADMET prediction
- Prediction of compounds with antiosteoporosis activity in Chrysophyllum cainito L. leaves through in silico approach
- Phyllanthin and hypophyllanthin, the isolated compounds of Phyllanthus niruri inhibit protein receptor of corona virus (COVID-19) through in silico approach
- Cratoxylum sumatranum stem bark exhibited antimalarial activity by Lactate Dehydrogenase (LDH) assay
- Endophytic fungi inhabiting Physalis angulata L. plant: diversity, antioxidant, and antibacterial activities of their ethyl acetate extracts
- Exploration of several plants from Baung Forest on bone formation cell models
- In vitro antimalarial activity of Garcinia parvifolia Miq. Stem extracts and fractions on Plasmodium falciparum lactate dehydrogenase (LDH) assay
- Antioxidant and antiviral potency of Begonia medicinalis fractions
- Artocarpus sericicarpus stem bark contains antimalarial substances against Plasmodium falciparum
- Formulation and characterization of Eleutherine palmifolia extract-loaded self-nanoemulsifying drug delivery system (SNEDDS)
- Analytical method for the determination of curcumin entrapped in polymeric micellar powder using HPLC
- Challenges in the provision of natural medicines by community pharmacists in East Java Province, Indonesia
- In vitro and in silico analysis of phytochemical compounds of 96% ethanol extract of semanggi (Marsilea crenata Presl.) leaves as a bone formation agent
- Inhibitory activity of Urena lobata leaf extract on alpha-amylase and alpha-glucosidase: in vitro and in silico approach
- Case Report
- Effect of hydrocortisone on hypocorticolism caused by pituitary adenoma