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Iris Rengganis
Penatalaksaan alergi obat dan Anafilaksis (artikel Pertemuan llmiah Tahunan llmu Penyakit Dalam 2015)
2015
MK-Pdf
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Iris Rengganis
Anafilaksis: apa dan bagaimana pengobatannya?
Jakarta: Divisi Alergi dan Imunologi Klinik, Departemen Penyakit Dalam, FK UI, 2016
616 IRI a
Buku Teks SO  Universitas Indonesia Library
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Iris Rengganis
Anafilaksis : Apa dan bagaimana pengobatannya
Jakarta: Divisi Alergi dan Imunologi Klinik, Departemen Penyakit Dalam, FK UI, 2016
616 IRI a
Buku Teks SO  Universitas Indonesia Library
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Ramadianty
Peran riwayat atopi pada keluarga terhadap risiko alergi obat = Family history of atopy as a risk factor of drug allergy
"[ABSTRAK
Tujuan Menganalisis peran riwayat atopi pada keluarga terhadap risiko kejadian alergi obat Metode Penelitian kasus kontrol dengan menggunakan data retrospektif pasien rawat inap dan rawat jalan Divisi Alergi dan Imunologi Departemen Ilmu Kesehatan Anak dan Ilmu Kesehatan Kulit dan Kelamin Rumah Sakit Cipto Mangunkusumo tahun 2012 hingga 2014 yang didiagnosis alergi obat Kelompok kontrol adalah anak yang berdasarkan anamnesis tidak pernah mengalami alergi obat dengan usia dan diagnosis utama yang sama dengan subjek Hasil Sebanyak 29 38 2 dari 76 subjek yang mengalami alergi obat memiliki riwayat atopi pada keluarga dan hanya terjadi pada 16 subjek 21 1 pada kelompok kontrol OR 2 3 IK 95 1 13 4 75 Lima dari 6 kasus 83 3 dengan alergi obat berat sindrom Steven Johson nekrolisis epidermal toksik dan syok anafilaksis memiliki riwayat atopi dalam keluarga Riwayat atopi pada ibu merupakan faktor risiko yang dapat berpengaruh pada kejadian alergi obat OR 2 25 IK 95 1 01 5 087 Jika faktor perancu human imunodeffciency virus sepsis dan keganasan dikeluarkan terdapat 20 dari 46 pasien 43 5 anak dengan alergi obat memiliki riwayat atopi dalam keluarga sehingga masih terdapat hubungan yang bermakna antara riwayat atopi pada keluarga dengan alergi obat walaupun dengan power penelitian yang lebih rendah Subjek yang memiliki penyakit atopi tidak memiliki risiko lebih tinggi terhadap kejadian alergi obat dibandingkan dengan subjek yang tidak memiliki penyakit atopi Simpulan Pada penelitian ini subjek dengan risiko atopi pada keluarga memiliki risiko lebih besar untuk terjadinya alergi obat dibandingkan dengan anak non atopi Subjek dengan riwayat atopi pada ibu memiliki risiko lebih tinggi untuk terjadinya alergi obat dibanding dengan riwayat atopi pada ayah dan saudara kandung Kata kunci alergi obat riwayat atopi keluarga faktor risiko ABSTRACT Objective To analyze the role of atopy in the family in child with drug allergyMethods A case control study using retrospective data of inpatient and outpatient clinic Allergy and Immunology Division at Child Health Departement and Dermatovenereology Departement Control group were children who have never experienced drug allergy matched for age and primary diagnosis with the subjectResults A total of 29 subjects 38 2 of 76 patients with drug allergies have family history of atopy compared to 16 subjects 21 1 in the control group OR 2 3 95 CI 1 13 to 4 75 Five in 6 cases with severe drug allergy Steven Jhonson syndrome necrolysis epidermal toxic and anaphylactic shock had a family history of atopy Mother rsquo s atopy plays more important role OR 2 25 95 CI 1 01 to 5 087 compare to father rsquo s and sibling rsquo s atopy After all of confounding factors human immunodeficiency virus sepsis and malignancy were taken out there were 20 in 46 43 5 pasien with drug allergy have family history of atopy so the corelation between history atopy in family still found but power of study decreased Atopy subject were not in a greater risk of drug allergy compare with non atopy subject Conclusions In this study subject with family history of atopy were at greater risk for drug allergy compared to non atopic children Children with a history of atopy mothers have a higher risk for the occurrence of drug allergy history of atopy compared with the father and sibling Keywords drug allergy atopic family history risk factors;Objective To analyze the role of atopy in the family in child with drug allergyMethods A case control study using retrospective data of inpatient and outpatient clinic Allergy and Immunology Division at Child Health Departement and Dermatovenereology Departement Control group were children who have never experienced drug allergy matched for age and primary diagnosis with the subjectResults A total of 29 subjects 38 2 of 76 patients with drug allergies have family history of atopy compared to 16 subjects 21 1 in the control group OR 2 3 95 CI 1 13 to 4 75 Five in 6 cases with severe drug allergy Steven Jhonson syndrome necrolysis epidermal toxic and anaphylactic shock had a family history of atopy Mother rsquo s atopy plays more important role OR 2 25 95 CI 1 01 to 5 087 compare to father rsquo s and sibling rsquo s atopy After all of confounding factors human immunodeficiency virus sepsis and malignancy were taken out there were 20 in 46 43 5 pasien with drug allergy have family history of atopy so the corelation between history atopy in family still found but power of study decreased Atopy subject were not in a greater risk of drug allergy compare with non atopy subject Conclusions In this study subject with family history of atopy were at greater risk for drug allergy compared to non atopic children Children with a history of atopy mothers have a higher risk for the occurrence of drug allergy history of atopy compared with the father and sibling Keywords drug allergy atopic family history risk factors;Objective To analyze the role of atopy in the family in child with drug allergyMethods A case control study using retrospective data of inpatient and outpatient clinic Allergy and Immunology Division at Child Health Departement and Dermatovenereology Departement Control group were children who have never experienced drug allergy matched for age and primary diagnosis with the subjectResults A total of 29 subjects 38 2 of 76 patients with drug allergies have family history of atopy compared to 16 subjects 21 1 in the control group OR 2 3 95 CI 1 13 to 4 75 Five in 6 cases with severe drug allergy Steven Jhonson syndrome necrolysis epidermal toxic and anaphylactic shock had a family history of atopy Mother rsquo s atopy plays more important role OR 2 25 95 CI 1 01 to 5 087 compare to father rsquo s and sibling rsquo s atopy After all of confounding factors human immunodeficiency virus sepsis and malignancy were taken out there were 20 in 46 43 5 pasien with drug allergy have family history of atopy so the corelation between history atopy in family still found but power of study decreased Atopy subject were not in a greater risk of drug allergy compare with non atopy subject Conclusions In this study subject with family history of atopy were at greater risk for drug allergy compared to non atopic children Children with a history of atopy mothers have a higher risk for the occurrence of drug allergy history of atopy compared with the father and sibling Keywords drug allergy atopic family history risk factors, Objective To analyze the role of atopy in the family in child with drug allergyMethods A case control study using retrospective data of inpatient and outpatient clinic Allergy and Immunology Division at Child Health Departement and Dermatovenereology Departement Control group were children who have never experienced drug allergy matched for age and primary diagnosis with the subjectResults A total of 29 subjects 38 2 of 76 patients with drug allergies have family history of atopy compared to 16 subjects 21 1 in the control group OR 2 3 95 CI 1 13 to 4 75 Five in 6 cases with severe drug allergy Steven Jhonson syndrome necrolysis epidermal toxic and anaphylactic shock had a family history of atopy Mother rsquo s atopy plays more important role OR 2 25 95 CI 1 01 to 5 087 compare to father rsquo s and sibling rsquo s atopy After all of confounding factors human immunodeficiency virus sepsis and malignancy were taken out there were 20 in 46 43 5 pasien with drug allergy have family history of atopy so the corelation between history atopy in family still found but power of study decreased Atopy subject were not in a greater risk of drug allergy compare with non atopy subject Conclusions In this study subject with family history of atopy were at greater risk for drug allergy compared to non atopic children Children with a history of atopy mothers have a higher risk for the occurrence of drug allergy history of atopy compared with the father and sibling Keywords drug allergy atopic family history risk factors]"
Fakultas Kedokteran Universitas Indonesia, 2015
TA-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Iris Rengganis
Tatalaksana Anafilaksis (article on CUGP 2017 Current Updates for General Practitioner 2017)
2017
MK-Pdf
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Indah Dewi Lestari
Praktik Kerja di Puskesmas Kecamatan Pulogadung Periode 17 - 28 Oktober 2022, Pemanfaatan Google Spreadsheet untuk Mendeteksi Kesesuaian Dosis Obat Antialergi yang Tersedia di Puskesmas Kecamatan Pulogadung Menggunakan Rumus Clark = Work Practice at The Pulogadung Sub-district Health Center on The Period 17 - 28 October 2022, Utilization of Google Spreadsheet to Detect Appropriate of Antiallergic Drug Doses in Puskesmas Kecamatan Pulogadung Using Clark Formula
"Obat antialergi merupakan salah satu obat yang paling banyak diresepkan di Puskesmas Kecamatan Pulogadung. Klorfeniramin maleat adalah obat antialergi yang menempati urutan kedua obat paling banyak diresepkan di puskesmas tersebut dengan penggunaan selama bulan Oktober 2022 sebanyak 19.003 peresepan. Tingginya jumlah penggunaan obat tersebut perlu menjadi perhatian agar tidak terjadi permasalahan terkait obat (DRPs), seperti ketidaktepatan dosis resep. Penelitian ini bertujuan untuk memanfaatkan Google Spreadsheet sebagai sarana pendeteksi kesesuaian dosis pada obat antialergi pada resep sehingga proses pelayanan resep dapat lebih efisien dan meminimalisir terjadinya DRP. Penyesuaian dosis racikan menggunakan sistem ini dilakukan berdasarkan pedoman dosis yang berlaku serta menggunakan rumus Clark untuk pasien anak. Hasilnya, sistem yang berbasis Google Spreadsheet ini dapat digunakan sebagai sarana penyesuaian dosis obat racikan di Puskesmas Kecamatan Pulogadung dengan lebih efektif dan efisien.
Anti-allergy drugs are one of the most prescribed drugs at Pulogadung District Health Center. Chlorpheniramine Maleate is an antiallergic drug that ranks as the second most prescribed drug at Pulogadung District Health Center prescribed 19,003 prescriptions on October 2022. The high amount of this drug use must be a concern so that drug-related problems (DRPs) do not occur, such as inaccurate prescription dosages. This study aims to utilize Google Spreadsheet to detect the suitability of dosages for anti-allergic drugs on prescriptions so that the prescription service process can be more efficient and minimize the occurrence of DRP. Adjustments to the dosage of concoctions using this system are based on the applicable dosage guidelines and use the Clark formula for pediatric patients. As a result, this Google Spreadsheet-based system can be used as a means of adjusting the dosage of concoction drugs at the Pulogadung District Health Center more effectively and efficiently."
Depok: Fakultas Farmasi Universitas Indonesia, 2023
PR-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Anesia Tania
Sebaran obat penyebab dan polimorfisme gen hla-b pada erupsi obat alergik tipe sindrom stevens-johnson dan nekrolisis epidermal toksik : studi pada lima rumah sakit di Jakarta = Causative drugs and hla-b polymorphism in drug induced stevens johnson syndrome and toxic epidermal necrolysis cutaneous : a study in five hospital in Jakarta
"ABSTRAK
Latar belakang: Erupsi obat alergik EOA tipe sindrom Stevens-Johnson dan nekrolisis epidermal toksik SSJ/NET adalah EOA berat yang jarang terjadi namun dapat mengancam nyawa. Tata laksana utama EOA tipe SSJ/NET saat ini adalah menghentikan pajanan obat penyebab. Di beberapa negara Asia, polimorfisme gen HLA-B telah digunakan sebagai metode skrining pada pemberian obat berisiko tinggi. Tujuan: Mengetahui sebaran obat penyebab dan polimorfisme gen HLA-B pada pasien EOA tipe SSJ/NET di Jakarta. Metode: Studi potong lintang ini dilakukan pada bulan April ndash; Juni 2017 di RSCM, RS Persahabatan, RS Fatmawati, RSUD Koja, dan RSUD Tarakan. Pemilihan sampel dilakukan secara total sampling pada pasien EOA tipe SSJ/NET di 5 RS tersebut selama 2 tahun. Dilakukan anamnesis dan penentuan obat dengan algoritma ALDEN dan pemeriksaan typing gen HLA-B dengan metode PCR ndash;SSOP. Hasil: Didapatkan 22 subjek dengan median usia 45,5 tahun dan sebagian besar perempuan. Obat penyebab tersering yang ditemukan adalah karbamazepin. Pada subjek, alel HLA-B yang tersering adalah HLA-B 15:02 dan HLA-B 18:01. Alel HLA-B 15:02 ditemukan pada lima 72 dari tujuh SP dengan obat penyebab karbamazepin. Simpulan: Obat penyebab EOA tipe SSJ/NET yang paling sering ditemukan pada SP adalah karbamazepin, dengan 5 dari 7 SP memiliki gen HLA-B 15:02.
ABSTRACT
Background Stevens Johnson syndrome and toxic epidermal necrolysis is a very rare but life threatening type of cutaneous drug eruption. The principle management of SJS TEN is withdrawal of causative drug and preventing reexposure to said drug. In other countries in Asia, spesific HLA B allele has already been utilized as a screening method to prevent SJS TEN. Objective to acquire data regarding causative drugs and HLA B allele polymorphism in SJS TEN patient in Jakarta. Method This cross sectional study was performed in RSCM, RS Persahabatan, RS Fatmawati, RSUD Koja, and RSUD Tarakan from April to June 2017. The sampling method is total sampling of all patient in all five hospital from March 2015 to March 2017. Subject fulfilling the inclusion and exclusion criteria was interviewed and their blood sample was taken for DNA extraction. The DNA was examined with PCR SSOP and Luminex technology for high resolution HLA B typing. Results We studied 22 subjects. The median age was 45,4 years old 14 74 and female gender predominate. The most common causative drug in this study is carbamazepine. HLA B 15 02 and HLA B 18 01 were the most common allele in all subjects. HLA B 15 02 was found in five 72 out of seven subjects whose condition was caused by carbamazepine. Conclusion The most common causative drug of SJS TEN in five hospitals in Jakarta is carbamazepine, with five 72 out seven subjects had HLA B 15 02 allele. "
2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Karnen Garna Baratawidjaja
Mengenal alergi
Jakarta: Badan Penerbit Fakultas Kedokteran Universitas Indonesia, 2013
616.97 KAR m
Buku Teks SO  Universitas Indonesia Library
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Budi Utama
Efek pemberian vitamin d terhadap kadar il-10, ifn-? dan histamin pada kultur pbmc pasien rinitis alergi = Effect of vitamin d on il 10 ifn and histamine levels on pbmc cultur of allergic rhinitis patients
"ABSTRAK
Latar belakang. Rinitis Alergi adalah penyakit inflamasi yang disebabkan oleh reaksi alergi pada pasien atopi. Tungau debu rumah TDR merupakan aeroalergen tersering yang mensensitisasi reaksi alergi. Pada tahun 1988 reseptor vitamin D VDR , berhasil di klon. Reseptor vitamin D berlokasi di beberapa jaringan dan sel tubuh manusia, termasuk di peripheral blood mononuclear cells PBMCs dan limfosit T yang telah teraktivasi. Riset yang lebih jauh memperlihatkan bahwa vitamin D mempunyai beberapa efek dari pengaturan sitokin terhadap beberapa sel yang berbeda dari sistem imun. Vitamin D dapat menekan respon Th1 dan Th2. Sel Th1 dan Th2 menghambat perkembangan satu sama lain.Tujuan. Melihat pengaruh pemberian Vitamin D terhadap kadar IL-10, IFN-? dan histamin pada kultur PBMC pasien rinitis alergiMetode. Sampel merupakan darah segar whole blood penderita rinitis alergi yang telah dilekukan prick test, serta diiisolasi dengan metode Ficoll. Bahan biologis tersimpan yang berupa supernatan kultur. Kultur sel limfosit sebelum perlakuan, diberi pendedahan tanpa atau dengan 1,25 OH 2D3 100 nM, waktu inkubasi 7 hari, dengan penambahan PHA dan alergen tungau pada hari ke-4. Kultur sel-sel PBMC dari pasien RA setelah perlakuan, dilakukan harvest pada hari ke-7, kemudian supernatanannya dialikuot untuk diukur kadar sitokin IFN-? dan IL-10, dan diuji secara statistik untuk melihat pola dari tiap parameter.Hasil: Pemberian alergen tungau tanpa vitamin D menyebabkan meningkatnya kadar histamin serta menurunkan kadar IL-10 dan IFN-?. Pemberian vitamin D pada kultur sel PBMC yang telah diberi alergen tungau menyebabkan peningkatan kadar IL-10 dan penurunan kadar IFN-? dan histamin.Simpulan: Menurunnya kadar histamin dan IFN-? terhadap stimulasi alergen tungau pasien rinitis alergi yang diberi vitamin D cenderung berhubungan dengan meningkatnya kiadar IL-10.
ABSTRACT
Background. Allergic rhinitis is an inflammatory disease caused by an allergic reaction in atopic patients. House dust mites TDR are the most common aeroalergens that sensitize allergic reactions. In 1988 vitamin D receptor VDR , successfully in clones. Vitamin D receptors are located in several tissues and human body cells, including peripheral blood mononuclear cells PBMCs and activated T lymphocytes. Further research has shown that vitamin D has some effects of cytokine regulation on several cells different from the immune system. Vitamin D can suppress Th1 and Th2 responses. Th1 and Th2 cells inhibit the development of each other. Aim.To identify the Effect of Vitamin D On IL 10 IFN and histamine levels on PBMC Cultur of Allergic Rhinitis PatientsMethod. The sample is fresh blood whole blood of allergic rhinitis patients who have been prick tested, and isolated by Ficoll method. Pre treated lymphocyte culture, treated with or without 1,25 OH 2D3 100 nM, and incubated for 7 days, with addition of PHA and allergen mites on day 4. Cultures of PBMC cells from RA patients after treatment were harvested on day 7, then the supernatant was dialyzed for measured levels of IFN and IL 10 cytokines using elisa kits and tested statistically to see patterns of each parameter.Result. Giving allergen mites without vitamin D causes increased levels of histamine and lowers levels of IL 10 and IFN . Provision of vitamin D in PBMC cell culture that has been given allergen mites causes increased levels of IL 10 and decreased levels of IFN and histamine.Conclusion. Reduced levels of histamine and IFN against allergen mite stimulation of allergic rhinitis patients given vitamin D tend to be associated with increased IL 10 levels."
2017
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Arinda Putri Pitarini
Perubahan Kualitas Hidup, Jumlah Eosinofil Mukosa Hidung dan Kadar Interleukin 5 (IL 5) Serum Pada Pasien Rinitis Alergi Persisten Sedang Berat Sebelum dan Setelah Terapi Medikamentosa = Changes in Quality of Life, Eosinophil Number of Nasal Mucosa and Interleukin 5 (IL 5) Serum Level in Moderate-Severe Allergic Rhinitis Patient Before and After Medicamentosa Therapy
"Latar belakang: Rinitis alergi (RA) merupakan suatu kelainan hidung yang sering memengaruhi kualitas hidup penderitanya. Perubahan kualitas hidup pasien RA secara subjektif dapat diukur dengan kuesioner mini RQLQ dan secara objektif dengan hitung jumlah eosinofil pada mukosa hidung dan kadar IL 5 serum. Tujuan: Mengetahui karakteristik subjek RA dan mengetahui perubahan kualitas hidup, jumlah eosinofil mukosa hidung dan kadar interleukin 5 pada pasien rinitis alergi persisten sedang berat sebelum dan setelah terapi medikamentosa. Metode: Pre eksperimental yang bersifat analitik sebelum dan setelah terapi dengan jumlah subjek RA persisten sedang berat sebanyak 33 orang. Subjek diminta untuk mengisi kuesioner Mini RQLQ, dilakukan kerokan mukosa hidung dan pengambilan darah sebelum dan 2 minggu setelah terapi. Hasil: Didapatkan 14 subjek berjenis kelamin laki-laki dan 19 subjek perempuan dari 33 subjek penelitian dengan rerata usia 32,55 ± 11,67. Sebanyak 31 dari 33 subjek mengalami perubahan bermakna dari kualitas hidup, seluruh subjek mengalami perubahan jumlah eosinofil yang bermakna dan 30 dari 33 subjek mengalami perubahan kadar IL 5 yang responsif setelah terapi selama 2 minggu. Kesimpulan: Kualitas hidup pasien RA persisten sedang berat dapat diukur dengan menggunakan kuesioner mini RQLQ dan jumlah eosinofil mukosa hidung dan kadar IL 5 dapat digunakan untuk evaluasi terapi RA namun tidak untuk pemeriksaan penunjang rutin.
Background: Allergic rhinitis (AR) is a nasal disorders that frequently affects the quality of life. Changes in quality of life AR patient can be measured subjectively using mini RQLQ and objectively by eosinophil count of nasal mucosa and IL 5 level. Objectives: To find the subject characteristic of AR and quality of life, eosinophil count of nasal mucosa and IL 5 level changes of moderate-severe AR patient before and after medicamentosa therapy. Methods: Pre experimental analytic study before and after therapy with 33 subjects of moderate-severe AR. All subjects were asked to fill out Mini RQLQ, collect nasal scrapping and blood specimens before and 2 weeks after therapy. Result: Fourteen subjects were male and 19 were women out of 33 subjects, with mean age 32,55 ± 11,67 years. Thirty one out of 33 subjects had significant quality of life changes, all subjects had significant changes of eosinophil nasal scrapping and 30 out of 33 subjects had significant changes of IL 5 level after 2 weeks of medicamentosa therapy. Conclusion: Allergic rhintis patient quality of life can be measured by mini RQLQ and eosinophil nasal scrapping and IL 5 level can be used for therapy evaluation but not for routine examination."
2014
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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