Gambaran Pengetahuan dan Sikap Menyikat Gigi pada Siswa-siswi dalam Mencegah Karies di Sdn 005 Bukit Kapur Dumai

Caries became one of the seriously medical problems for students especially for elementary school. Caries was demineralization of the tooth surface because of bacteria. This occured because of the deficiency of child knowledge for mouth and tooth healthy care. One kind of ways to took care of mouth and tooth healthy was to brushing teeth in an exact time and method. This study aim to described about knowledge and attitude to brushing teeth for students to prevent caries. This study has been done in SDN 005 Bukit Kapur Dumai with quantitative descriptive and cross sectional approchment. Samples for this study were students at IV, V and VI grade and amount of the samples at least 156 persons. The data was collected with interview using questionnaire. Based of the age there were (36,54%) at the age of 11 years old and female was (57,69%). The result of this study showed that most score for best knowledge grade was (69,87%) and positive attitude was (79,48%) and it was students at VI grade

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

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

Identifikasi Dan Resistensi Bakteri Methicillin Resistant Staphylococcus Aureus (Mrsa) Dari Ulkus Diabetikum Derajat I Dan II Wagner Di Bagian Penyakit Dalam RSUD Arifin Achmad

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%