No abstract

Dermatophytosis cases have increased significantly in various countries, more than 20-25% of the population were infected by superficial fungal infections. Malabero urban village is a coastal area in Bengkulu city with high temperature and humidity. The daily activities of residents in the area are mostly fishermen, so they are in a watery or wet environment for approximately 12 hours every day. Hence, this research aimed to identify dermatophyte fungi that caused Tinea pedis and Tinea unguium from these coastal communities. The diagnosis of Tinea was based on symptoms and physical examination of the lesion area. Furthermore, specimen collection was carried out by scraping the lesion area, then examined with 20% KOH and fungal culture on sabouraud dextrose agar media. Subjects included 79 people who had symptoms of Tinea pedis and 33 people with symptoms of Tinea unguium. The results of dermatophyte fungi identification were obtained, namely Trichophyton mentagrophytes, Trichophyton rubrum, Trichophyton tonsurans, and Aspergillus niger. Our conclusion is the most identified dermatophyte species is Trichophyton mentagrophytes.

Background: The COVID-19 pandemic is still ongoing, and no one could predict when it would end. In some cases of COVID-19, patients experienced infection by SARS-Cov-2 and other microorganisms, including viruses, bacteria, and fungi.Objective: This study aims to determine Co-infection on clinical symptoms and mortality of COVID-19 patients in Bengkulu City, Indonesia.Methods: We reviewed and analyzed data on patients with confirmed COVID-19 who were co-infected, including basic information, clinical manifestations, radiological and laboratory examinations, to the final status.Results: A total of 105 patients with confirmed COVID-19 participated in this study with various clinical manifestation: mild case (12%), moderate case/ mild pneumonia (52%), severe pneumonia (20%) and critical case (16%). Of the 105 patients, six patients were co-infected with human immunodeficiency virus (HIV) (1 case), Mycobacterium tuberculosis (2 cases), Salmonella thypii (2 cases), bacterial pneumonia, and viral pneumonia (1 case). As many as three of the six patients experienced inferior clinical manifestations and died.Conclusion: The co-infection of other microorganisms in COVID-19 can affect the severity and mortality in COVID-19 patients.

<em>Dengue virus infection (DENV) circulates in various hyperendemic and endemic areas that has increase mortality year by year. Indonesia is the second-largest country which is endemic to dengue infection between 30 other countries in the world. There are four circulating dengue virus (DENV) serotypes, namely DENV-1, DENV-2, DENV-3, and DENV-4. Each serotype shows a different clinical manifestation and severity. This systematic review aims to compare the severity of dengue virus primary infection and  serotype 1,2,3,and 4. Data were collected based on studies of the severity of primary infections caused by various DENV serotypes in Indonesia. Data was searched using a database in the form of Pubmed and Chocrane. The keywords used are (Primary dengue infection OR dengue primary infection) AND (serotype OR serogroup OR serotype dengue)) AND (severity OR severe dengue* OR severity of illness index* OR clinical manifestations OR clinical features OR clinical characteristics) AND Indonesia. Based on search results, we obtained 7 studies out of 699 studies. 7 studies found that there are differences in serotype circulation in Indonesia. DENV-3 is dominant in 7 cities in Indonesia, while DENV-1 is dominant in Surabaya, Bali, and Jambi. Dengue fever shows a greater percentage than DHF / DSS. The proportion of severity is lower in primary infections. </em>

ABSTRAKLatar Belakang: Penelitian ini merupakan suatu studi ethnomedicine yang bertujuan untuk mendapatkan data ilmiah mengenai efek penggunaan kayu tumbuhan Biau sebagai salah satu obat diare yang banyak digunakan oleh masyarakat Suku Serawai di Kecamatan Pino Raya. Adapun yang menjadi latar belakang penulisan ini karena Data Dinas Kesehatan Provinsi Bengkulu menunjukkan kasus diare mengalami peningkatan, yaitu sebanyak 50.622 kasus pada tahun 2016 dan 53.348 kasus pada tahun 2017. Selain itu, pemanfaatan tumbuhan obat juga dapat menjadi alternatif dalam mengatasi berbagai efek samping penggunaan antibiotik dan fenomena resistensi antibiotik yang semakin meluas.Metode: Jenis penelitian ini adalah studi analitik eksperimental laboratorium dan menggunakan metode uji difusi cakram (disk diffusion test). Ekstraksi kayu tumbuhan Biau dilakukan dengan metode maserasi menggunakan pelarut etanol 96% selama 5 hari. Hasil ekstraksi kemudian dilakukan uji Minimal Inhibitory Concentration (MIC), dan dilanjutkan uji efektivitas. Parameter yang digunakan adalah diameter zona hambat yang terbentuk disekitar kertas cakram, dan kontrol positif yang digunakan adalah larutan antibiotik siprofloksasin.Hasil: Hasil uji MIC menunjukkan bahwa kayu tumbuhan Biau mempunyai aktivitas sebagai antibakteri yang dilanjutkan dengan pengujian efektivitas. Berdasarkan analisis statistik, konsentrasi 55% merupakan konsentrasi paling efektif untuk bakteri Salmonella typhi dengan diameter 6,20 mm termasuk dalam kategori sedang, dan konsentrasi paling efektif untuk bakteri Shigella dysenteriae adalah konsentrasi 70% dengan diameter 7,66 mm termasuk dalam kategori sedang yang ditandai dengan hasil statistik yang berbeda nyata.Kesimpulan: Ekstrak kayu tumbuhan Biau mempunyai aktivitas sebagai antibakteri dengan konsentrasi 55% sebagai konsentrasi paling efektif untuk bakteri Salmonella typhi dan konsentrasi 70% merupakan konsentrasi paling efektif untuk bakteri Shigella dysenteriae. Kata kunci: Kayu Biau (Psophocarpus sp.), Shigella dysenteriae dan Salmonella typhi. ABSTRACTBackgound: This research is a study of ethnomedicine that aims to obtain scientific data about the effects of the use of Biau wood as one remedy of diarrhea that is widely used by the people of the Serawai Tribe in Pino Raya sub-district. The background of this research is Data from public health office in Bengkulu Province showed that cases of diarrhea have increased from 50,622 cases in 2016 and became 53,348 cases in 2017. In addition, the utilization of medicinal plants can also be an alternative to resolve the various side effects of antibiotic use and antibiotic resistance phenomenon which is increasingly widespread.Methods: This type of research is a laboratory experimental analytical study and used a disk diffusion test method. Extraction of Biau plant wood was done by maceration method using 96% ethanol for 5 days. The extraction results then used to Minimal Inhibitory Concentration (MIC) assay, then effectiveness assay in which both of these assay looked the diameter of inhibition zone formed around the disc paper, and the positive control used ciprofloxacin antibiotic as comparison.Results: MIC test results showed that Biau plant wood had an antibacterial activity which followed by effectiveness assay. Based on the statistical analysis showed that 55% of concentration was the most effective for Salmonella typhi with a diameter of 6.20 mm included in the moderate category and 70% of concentration was the most effective for Shigella dysenteriae with a diameter of 7.66 mm included in the moderate category which was marked by statistically different results.Conclusion: Biau wood extract had an activity as an antibacterial with a concentration of 55% as the most effective concentration for Salmonella typhi and a concentration of 70% as the most effective concentration for Shigella dysenteriae. Keywords: Biau wood (Psophocarpus sp.), Shigella dysenteriae and Salmonella typhi.

ABSTRAKLatar Belakang: Diare merupakan salah satu masalah kesehatan di dunia dan negara berkembang. Mortalitas diare berkisar 17,5-21% dengan ekuivalent 1,5 juta orang setiap tahunnya. Escherichia coli dan Shigella Sp. merupakan patogen utama penyebab diare. Antibioik siprofloksasin yang digunakan untuk mengobati diare memiliki berbagai efek samping. Pemanfaatan tanaman obat merupakan salah satu alternatif untuk mengatasi masalah tersebut. Akar Lauh Putiah merupakan salah satu tanaman obat tradisional yang mempunyai banyak manfaat, salah satunya sebagai antibakteri. Penggunaan akar pada masyarakat Desa Pasar Pino dengan cara meminum air rebusan dari akar Lauh Putiah. Kebiasaan dan pengetahuan tersebut telah secara turun-temurun, namun belum dilatarbelakangi studi ilmiah.Metode: Ekstraksi akar Lauh Putiah dilakukan dengan metode maserasi menggunakan pelarut etanol 96% dan dilarutkan dengan DMSO. Hasil ekstraksi kemudian dilakukan Uji Minimal Inhibitory Concentration (MIC). Setelah dilakukan uji MIC kemudian dilakukan pengujian efektivitas. Kedua uji ini menggunakan metode difusi kertas cakram. Parameter yang digunakan ialah besarnya zona hambat yang terbentuk disekitar kertas cakram, dan kontrol positif yang digunakan adalah larutan antibiotik siprofloksasin 50 µg/ml untuk bakteri Escherichia coli dan bakteri Shigella dysenteriae.Hasil: Hasil pengujian MIC didapatkan bahwa ekstrak akar Lauh Putiah memiliki kemampuan sebagai antibakteri terhadap bakteri Esherichia coli dan Shigella dysentriae. Dari analisis statistik pengujian ANOVA pengaruh ekstrak akar Lauh Putiah menghambat bakteri Escherichia coli dan Shigella sysentriae memiliki nilai Fhitung > Ftabel dengan nilai ? = 0,05 dan kemudian diuji lanjut dengan menggunakan uji Duncan dan didapatkan zona hambat yang efektif konsentrasi yang efektif dalam menghambat pertumbuhan bakteri Escherichia coli adalah konsentrasi 60% (AE3). Pada bakteri Shigella dysentriae didapatkan konsentrasi yang efektif dalam menghambat pertumbuhan bakteri Shigella dysenteriae adalah konsentrasi 87,5% (BE4).Kesimpulan: Ekstrak Akar Tanaman Lauh Putiah (Ficus racemosa L.) memiliki daya hambat terhadap pertumbuhan bakteri Escherichia coli dan Shigella dysentriae. Kata kunci: Escherichia coli, Shigella dysenteriae, Lauh Putiah, Ficus racemosa Linn. ABSTRACTBackground: Diarrhea is one of health problems in the world and developing countries. Diarrhea mortality range is 17.5-21% with an equivalent of 1.5 million people per year. Escherichia coli and Shigella sp. are the main pathogen bacteria that causes diarrhea. Ciprofloxacin is common antibiotic that used to treat diarrhea, but it has various side effects. The use of medicinal plants is an alternative to overcome this problem. Lauh Putiah roots is one of the traditional medicinal plants that has many benefits, one of the benefits is to produce antibacterial compounds. Lauh Putiah roots is used as a medicine for people in Pasar Pino village, it used to heal diarrhea by drinking boiled water from Lauh Putiah roots. These habits have been passed down through generations, but it has not been proofed by scientific studies.Methods: Extraction of Lauh Putiah root was done by maceration method using ethanol 96% and dissolved with DMSO. The extraction results were used to Minimal Inhibitory Concentration (MIC) assay. After MIC assay, effectiveness assay was done. Both of these assay used paper disk diffusion methods. The parameters that used were the amount of inhibition zone formed around the disc paper, and the positive control used ciprofloxacin antibiotic 50 µg/ml for Escherichia coli and Shigella sp.Results: The MIC assay results showed that the roots extract of Lauh Putiah had the ability as an antibacterial against Esherichia coli and Shigella dysentriae. From the statistical analysis of ANOVA test, the effect of Lauh Putiah root extract inhibits Escherichia coli and Shigella sysentriae with a value of Fcount> Ftable with a value of ? = 0.05 and then further tested using Duncan test and found an effective inhibition zone concentration that inhibits growth of Escherichia coli in 60% concentration (AE3) and inhibits growth of Shigella dysentriae  in 87.5% concentration (BE4).Conclusion: Lauh Putiah Root Extract (Ficus racemosa L.) has inhibitory effect on the growth of Escherichia coli and Shigella dysentriae. Keywords:  Escherichia coli, Shigella dysenteriae, Lauh Putiah, Ficus racemosa Linn.

Secondary infection with the dengue virus causes mild to severe manifestations. The distribution of dengue virus serotypes varies in various areas and can change over time. There are four dengue serotypes, namely DENV-1, DENV-2, DENV-3 and DENV-4. Objectives: To knew the distribution of virus serotypes in an area and determined the pathogenesis of the disease, which can cause severe manifestations in patients with secondary infections. Methods: The data taken is the severity of secondary infections and dengue serotypes. The literature search was performed on PMC and Cochrane. Search criteria were performed using keywords (secondary infection * OR secondary dengue infection *) AND (Dengue Virus * OR Dengue Infection * OR Dengue * OR DENV) AND (Serotype * OR Serogroup) AND (severe dengue * OR severity * OR severity of illness indexs * OR dengue fever * OR dengue haemorrhage fever * OR dengue shock syndrome * OR DF * OR DHF * OR DSS *) AND (Indonesia *). Results: Literature study search found 387 literature with five studies conducted the analysis. From the results of the analysis, it was found that secondary infections were more common in patients with recurrent dengue infection with serotype 2 (DENV-2), serotype 3 (DENV-3) and serotype 4 (DENV-4). Conclusion: Secondary infection of dengue virus serotype 2 (DENV-2) and serotype 3 (DENV-3) can cause severe dengue infection.Keywords:  Dengue Virus, Indonesia, Secondary Infection, Serotype, Severity

Coronavirus Disease-19 (Covid-19) is a disease that has become a global epidemic.  The World Health Organization (WHO) has declared Covid-19 a pandemic. Indonesia declared the status of the Covid-19 disease to be an Emergency Response. Supporting the social distancing, the right strategy is needed to continue implementing health services amid the Covid-19 pandemic. This activity aimed to provide knowledge related to Covid-19 to the community and health consultations and medical advice through applications (teleconsultation) to minimize patients queuing at Health Service Facilities directly. The activity partners were the Indonesian Medical Association (IDI) Bengkulu City Branch, Bengkulu City Health Office, and the Indonesian Red Crescent (BSMI) Bengkulu City Region. The method of this activity was to provide socialization, health consultation and medical advice through applications (teleconsultation) regarding the spread, transmission and prevention of Covid-19 from May 1 to August 31 2020. The number of participants was 41 people from Bengkulu City. The highest number of diseases consulted were acute respiratory infections (38.7%.) and Covid-19 independent protocol consultation (31.58%.) Teleconsultation can be continued and developed into a patentable application. Application development is indispensable in responding to the challenges of the health world in the digital era.