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Medication Safety Sebagai Upaya Pencegahan Medication Error dalam Kebidanan 用药安全是防止助产士用药错误的一项努力
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.215
Nina Zuhana, S. Suparni, Y. Permadi
Patient safety is defined as an effort to prevent things that endanger patients in the process of administering drugs. Overall patient safety or prevention and reduction of errors of various risks resulting from such errors. During the process of health services, especially in the treatment of patients, mistakes can be made by health workers. The incidence of Drug Error is a measure of patient safety achievement. The purpose of this study was to analyze the implementation factors of medication safety in an effort to prevent drug errors in obstetrics. The research design chosen is qualitative . This research will be carried out at RSIA Aisyiyah on midwives who work in the inpatient room. Data collection techniques in this study conducted in-depth interviews with 10 informants consisting of midwives in the treatment room. Data analysis is carried out to process qualitative data. Some factors that influence the application of patient safety principles in hospital X include leadership factors, namely lack of supervision from the leadership, lack of human resources for health servants both nurses and pharmacy personnel, workplace environmental factors that are less conducive, unavailability of SPO drug administration with principle 7 correct, socialization that is not carried out consistently and continuously and does not run training or training programs. Some suggestions that may be considered by hospital X in order to provide safe services and in accordance with patient safety principles in drug administration.
患者安全的定义是在用药过程中努力防止危及患者的事情发生。患者的整体安全或预防和减少由这些错误导致的各种风险。在医疗服务过程中,尤其是在治疗病人的过程中,医务工作者可能会犯错误。药物错误的发生率是衡量患者安全成就的一个标准。本研究旨在分析用药安全的实施因素,努力预防产科用药错误。选择的研究设计是定性的。本研究将在艾西雅医疗中心(RSIA Aisyiyah)进行,研究对象是在住院病房工作的助产士。本研究采用数据收集技术,对治疗室的 10 名助产士进行了深入访谈。数据分析用于处理定性数据。影响 X 医院应用患者安全原则的一些因素包括领导因素,即缺乏来自领导层的监督、缺乏护士和药剂人员这两类卫生服务人员的人力资源、不利于工作场所的环境因素、无法获得符合第 7 项原则的 SPO 药品管理、没有持续不断地开展社会化工作以及没有开展培训或培训计划。为提供安全服务并符合患者安全用药原则,X 医院可以考虑以下一些建议。
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引用次数: 0
Characteristic Analysis of Serum Vitamin D Levels with Hba1c in Type 2-Diabetes Mellitus Patients 2 型糖尿病患者血清维生素 D 水平与 Hba1c 的特征分析
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.221
Emma Novita, Mariana Mariana, Hana U, Alya Tsabita, Irma Yolanda, Syafira Yulia Sari
Diabetes is one of the most rapidly growing global health emergencies of the 21st century, it is estimated that 537 million (10.3%) people have diabetes, and this number is expected to reach 643 million (11.3%) in 2030, and 783 million (12.2%) %) in 2045. Vitamin D plays a role in insulin secretion by stimulating beta-cell secretion or facilitating the conversion of pro-insulin to insulin. Therefore, vitamin D deficiency may be involved in the pathogenesis of DM type 2. This study aims to analyze the characteristics, HbA1c level status, and vitamin D level status in DM type 2 patients in primary care. The research was conducted in September 2022 with DM type 2 patients who came to the Plaju Palembang Health Center as research subjects. The results showed that there was a significant relationship between age and HbA1c levels in DM type 2 patients (p=0.020) and there was no relationship between gender, occupation, education level, BMI, abdominal circumference, family history, duration of diabetes, and vitamin D levels with HbA1c levels in DM type 2 patients (p>0.05)
糖尿病是 21 世纪增长最迅速的全球紧急健康问题之一,据估计,全球有 5.37 亿人(10.3%)患有糖尿病,预计到 2030 年这一数字将达到 6.43 亿人(11.3%),到 2045 年将达到 7.83 亿人(12.2%)。维生素 D 通过刺激 beta 细胞分泌或促进原胰岛素转化为胰岛素,在胰岛素分泌中发挥作用。因此,维生素 D 缺乏可能与 2 型糖尿病的发病机制有关。本研究旨在分析基层医疗机构中 DM 2 型患者的特征、HbA1c 水平状况和维生素 D 水平状况。研究于2022年9月进行,以前来Plaju Palembang保健中心就诊的2型糖尿病患者为研究对象。结果显示,DM 2 型患者的年龄与 HbA1c 水平之间存在显著关系(P=0.020),而 DM 2 型患者的性别、职业、教育水平、体重指数、腹围、家族史、糖尿病病程和维生素 D 水平与 HbA1c 水平之间没有关系(P>0.05)。
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引用次数: 0
Relationship of Hemoglobin and Muscle Strength with Quality of Life in Patients with Chronic Renal Failure 慢性肾衰竭患者血红蛋白和肌肉力量与生活质量的关系
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.224
Safitri Nur Rahayu, Patwa Amani
The elderly population is vulnerable to degenerative diseases, one of which is Chronic Kidney Disease (CKD). The age of most hemodialysis patients is between 45 and 54 years. Hemoglobin levels and muscle strength in CKD tend to be low which is associated with a decrease in quality of life in CKD. This research is an observational analytical study with a cross-sectional approach. A total of 24 data points from chronic kidney failure patients at Budhi Asih Regional Hospital, Jakarta, were used in this study. Both primary and secondary data were collected. Hemoglobin levels were obtained from medical records, muscle strength was measured using a Camry handgrip dynamometer, and quality of life was assessed through interviews using the Kidney Disease Quality of Life Short Form questionnaire. Statistical analysis was performed using Fisher's exact test with SPSS 29 for Windows, with a p-value of <0.05. Of the 24 study subjects, 20 (83.3%) had anemia, 17 (70.8%) had low muscle strength, and 9 (37.5%) had a poor quality of life. The study's results showed a significant relationship between hemoglobin levels and both muscle strength and the quality of life of chronic kidney failure sufferers, with p-values of 0.012 and 0.022, respectively. There is a relationship between hemoglobin levels and muscle strength and the quality of life of chronic kidney disease sufferers at Budhi Asih Regional Hospital.
老年人易患退化性疾病,慢性肾脏病(CKD)就是其中之一。大多数血液透析患者的年龄在 45 至 54 岁之间。慢性肾脏病患者的血红蛋白水平和肌肉力量往往较低,这与慢性肾脏病患者生活质量的下降有关。本研究是一项横断面观察分析研究。本研究共使用了 24 个数据点,这些数据点来自雅加达布迪阿西地区医院(Budhi Asih Regional Hospital)的慢性肾衰竭患者。研究同时收集了第一手数据和第二手数据。血红蛋白水平通过病历获得,肌肉力量通过凯美瑞手握式测力计测量,生活质量通过肾病生活质量简表问卷进行访谈评估。统计分析使用 Windows 版 SPSS 29 进行费雪精确检验,P 值小于 0.05。在 24 名研究对象中,20 人(83.3%)患有贫血,17 人(70.8%)肌力低下,9 人(37.5%)生活质量较差。研究结果显示,血红蛋白水平与慢性肾衰竭患者的肌肉力量和生活质量之间存在显著关系,P 值分别为 0.012 和 0.022。布迪阿西地区医院慢性肾衰竭患者的血红蛋白水平和肌肉力量与生活质量之间存在关系。
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引用次数: 0
Description of the Incidence of Anemia in Young Women at SMPN 2 Depok, Yogyakarta 日惹德波克第二国家医疗中心(SMPN 2 Depok)年轻女性贫血症发病率描述
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.210
Dani Ferdian, Rohman Hikmat, Yogi Lasril, Abdullah Anshor, T. Triyanto
Anemia is an important problem experienced by many teenagers. Anemia is a lack of red blood cells in the body. Young women are more susceptible to anemia, this is related to their own condition of experiencing menstruation (menstruation) and the result of an unhealthy diet. Therefore, further research is needed to describe anemia in adolescent girls. The aim of this study is to describe the incidence of anemia in adolescent girls at SMPN 2 Depok, Yogyakarta. The method used in this research is descriptive study. The sample in this study used total sampling. The sample was 57 8th grade teenage girls at SMPN 2 Depok, Yogyakarta. data analysis using descriptive analysis. As much as 56.14% of the 51 teenage girls who took part in the activity had anemia or anemia (32 teenage girls). This shows that the incidence of anemia among adolescent girls at SMPN 2 Depok is still high. One of the causes of anemia in adolescent girls is the lack of prevention of anemia in adolescent girls, such as taking blood supplement tablets and consuming foods with balanced nutrition. The incidence of anemia in adolescent girls is still high, so efforts are needed to prevent anemia by schools collaborating with nearby health facilities.
贫血是许多青少年都会遇到的一个重要问题。贫血是指体内缺乏红细胞。年轻女性更容易贫血,这与她们自身经历月经(月经)的情况有关,也是不健康饮食的结果。因此,需要进一步研究少女贫血的情况。本研究旨在描述日惹德波克市第二妇幼保健院(SMPN 2 Depok)少女贫血症的发病率。本研究采用的方法是描述性研究。本研究的样本采用总体抽样法。数据分析采用描述性分析。在参加活动的 51 名少女中,高达 56.14% 的人患有贫血或贫血症(32 名少女)。这表明德波克市第二妇幼保健院的少女贫血症发病率仍然很高。少女贫血的原因之一是缺乏对少女贫血的预防,如服用补血药和食用营养均衡的食物。少女贫血症的发病率仍然很高,因此需要学校与附近的医疗机构合作,努力预防少女贫血症。
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引用次数: 0
The Relationship Between The Level of Knowledge and The Way of Handling Burns In Employees of The Fire Department of Palembang City 巴伦邦市消防局员工的知识水平与烧伤处理方式之间的关系
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.223
Qonitah Muhsinah, Tri Suciati, Iqmal Perlianta
Burns are injuries characterized by damage to skin tissue due to direct contact with a source that conducts heat. Some action activities that have a high risk of burns are firefighters. This reflects that the level of knowledge and handling of burns is very important and becomes the main focus as a firefighter. This study aims to determine the relationship between the level of knowledge and how to handle burns on fire department employees in Palembang. This study was an observational analytic study with a case series approach. with a sample of Fire Department Employees in Palembang. The data used is primary data derived from questionnaires. Researchers recorded data such as age, gender, education, level of knowledge of burns, and knowledge of how to treat burns. 180 people met the research criteria. The dominating characteristics were age 26-35 years (58.3%), male (81.7%), female (18.3%), the level of knowledge about burns was in the good category (40.5%). And knowledge of how to handle burns is in the good category (61.7%). Analysis using bivariate analysis found that there was a significant correlation between the level of knowledge and how to handle burns (p=0.000; r=0.452). Most respondents in this study were aged 26-35 years, male and had a Diploma / Bachelor's degree. The level of knowledge about burns and how to handle them was mostly in the good category. In the correlation test, there was a significant correlation between the level of knowledge and how to handle burns.
烧伤的特点是皮肤组织因直接接触导热源而受损。消防员是一些烧伤风险较高的活动。这反映出,作为一名消防员,对烧伤的了解和处理水平非常重要,并成为主要关注点。本研究旨在确定巴伦邦消防部门员工的知识水平与如何处理烧伤之间的关系。本研究是一项观察性分析研究,采用案例系列法。所使用的数据是通过问卷调查获得的原始数据。研究人员记录的数据包括年龄、性别、教育程度、对烧伤的了解程度以及如何治疗烧伤的知识。有 180 人符合研究标准。主要特征是年龄在 26-35 岁之间(58.3%),男性(81.7%),女性(18.3%),对烧伤的了解程度属于良好范畴(40.5%)。对如何处理烧伤的了解属于良好类别(61.7%)。通过双变量分析发现,知识水平与如何处理烧伤之间存在显著相关性(P=0.000;r=0.452)。本研究中的大多数受访者年龄在 26-35 岁之间,男性,拥有文凭/学士学位。受访者对烧伤及如何处理烧伤的了解程度大多属于良好范畴。在相关性检验中,知识水平与如何处理烧伤之间存在明显的相关性。
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引用次数: 0
CRISPR-CAS System: Current Applications and Future Prospect CRISPR-CAS 系统:当前应用与未来展望
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.219
A. Adinda, Irene Ruth Saputra, Rachel Maya
The CRISPR-Cas system is a revolutionary technology that has transformed gene editing and has the potential to revolutionize many fields. It is a bacterial immune system that can be programmed to recognize and cleave specific DNA sequences using Cas proteins and guide RNAs. This technology has numerous biotechnological and bioengineering applications and is simpler to design with high targeting efficiency and multiplex editing capability compared to older gene editing technologies. This review aims to explore the general application, impact on molecular biology and medicine, limitations, and future potential of the CRISPR-Cas system. With its potential to revolutionize medicine, agriculture, and environmental science, the CRISPR-Cas system is a powerful gene editing tool that offers hope for a wide range of applications.
CRISPR-Cas系统是一项革命性技术,它改变了基因编辑技术,并有可能给许多领域带来变革。它是一种细菌免疫系统,可通过编程利用 Cas 蛋白和引导 RNA 识别并切割特定的 DNA 序列。这项技术在生物技术和生物工程领域有着广泛的应用,与旧的基因编辑技术相比,它的设计更简单,具有高靶向效率和多重编辑能力。本综述旨在探讨 CRISPR-Cas 系统的一般应用、对分子生物学和医学的影响、局限性和未来潜力。CRISPR-Cas 系统具有彻底改变医学、农业和环境科学的潜力,是一种强大的基因编辑工具,为广泛的应用带来了希望。
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引用次数: 0
Genetic Conditions Associated with Intellectual Disability in Indonesian Population: A Review 印度尼西亚人口中与智力残疾有关的遗传病:综述
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.220
Z. Maritska, A. M. Ihsan, Ina Rahmawati, Perawati Perawati, Mohammad Hilal Atthariq Ramadhan, B. Prananjaya, Nita Parisa
Intellectual disability (ID) brings challenges to the affected individuals, their families, and the community at large. It is a multifactorial condition with many contributing factors, namely genetics. This review aims to briefly provide several related genetic conditions for ID in the Indonesian population. Literature studies search relevant articles using PubMed and Google Scholar using the terms ‘intellectual disability’, ‘genetics', ‘Indonesian population’. In Indonesia, the prevalence of children with ID is 1–3%, with 62,011 school-aged children affected with Intellectual Disability. Genetics plays a role in around 25–50% of cases. ID in the Indonesian population is associated with several genetic disorders, namely Duchenne muscular dystrophy (DMD), autism spectrum disorder (ASD), fragile X syndrome (FXS), Down syndrome (DS), Apert syndrome, and subtelomeric chromosomal rearrangements. There is limited research on genetics related to intellectual disability in Indonesia, implying further research is needed.
智障(ID)给患者、其家庭和整个社会带来了挑战。它是一种多因素疾病,有许多诱因,其中包括遗传因素。本综述旨在简要介绍印度尼西亚人群中与智障有关的几种遗传情况。文献研究以 "智障"、"遗传学"、"印尼人口 "为关键词,使用 PubMed 和谷歌学术搜索相关文章。在印尼,智障儿童的发病率为 1-3%,有 62011 名学龄儿童患有智障。约 25-50% 的病例与遗传有关。印尼人口中的智障与几种遗传疾病有关,即杜氏肌营养不良症(DMD)、自闭症谱系障碍(ASD)、脆性 X 综合征(FXS)、唐氏综合征(DS)、阿博特综合征和染色体次群重排。在印度尼西亚,与智力残疾相关的遗传学研究十分有限,这意味着还需要进一步的研究。
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引用次数: 0
Curve Analysis After Bracing in Scoliosis Patients 脊柱侧凸患者支撑后的曲线分析
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.209
Rury Tiara Oktariza, Indriyani Indriyani, Ecian Nada Utami, Erwin Maulana
Bracing is one of the scoliosis treatment methods recommended for patients with a curve of 25° to 40° still growing child or with curves less than 25°. Bracing aims to prevent the progression of curvature. This study aimed to evaluate the decrease in the Cobb angle after a 3-month bracing in scoliosis patients. We retrospectively reviewed the medical records of 67 scoliosis patients for age, gender, and the Cobb angle before and after wearing a brace for 3 months. The data was analyzed using a paired t-test with a confidence level of 95%.  The research results showed that scoliosis is predominant in females (76.12%) and at 10-15 years old (60.78%). The mean pre-brace Cobb angle of 24.94° (±7.24) was reduced significantly (P < 0.001) to 16.37° (±7.34). The use of a brace in scoliosis patients, especially teenagers, can correct the curvature of the spine.
支撑疗法是脊柱侧弯治疗方法之一,适用于弧度在25°至40°之间、仍在成长中的儿童或弧度小于25°的患者。支撑治疗的目的是防止脊柱弯曲的发展。本研究旨在评估脊柱侧弯患者接受 3 个月矫正后 Cobb 角的减小情况。我们回顾性地查阅了 67 名脊柱侧凸患者的病历,以了解他们的年龄、性别以及佩戴支具 3 个月前后的 Cobb 角。数据采用置信度为 95% 的配对 t 检验进行分析。 研究结果显示,脊柱侧弯患者以女性居多(76.12%),年龄在 10-15 岁之间(60.78%)。使用支具前的平均 Cobb 角为 24.94°(±7.24),使用支具后的平均 Cobb 角明显降低(P < 0.001)至 16.37°(±7.34)。脊柱侧弯症患者,尤其是青少年,使用支具可以矫正脊柱弯曲。
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引用次数: 0
The Relationship Between The Menstrual Cycle and The Incidence of Acne Vulgaris in Female Students at The Faculty of Medicine, Baiturrahmah University Padang Class of 2022 巴东拜图拉玛大学医学院 2022 届女生月经周期与痤疮发病率之间的关系
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.222
Sri Handayani, Irma Primawati, Roland Helmizar, Letvi Mona
Acne vulgaris is a disease that attacks the pilosebaceous unit and can cause non-inflammatory and inflammatory lesions, as well as varying degrees of scarring. In Southeast Asia, the prevalence of acne vulgaris reaches 40-80% of cases. The exact etiology and risk factors for the development of acne vulgaris remain uncertain. However, one factor that is thought to play a role is the fluctuation in estrogen and progesterone that occur during the menstrual cycle in women. This study aimed to determine the relationship between the menstrual cycle and the incidence of acne vulgaris in student at the faculty of medicine, Baiturrahmah University, Padang, class of 2022. The type of research is observational analytics, consist of 48 samples using a consecutive sampling technique. Univariate data analysis is presented and bivariate analysis using the chi-square test. Data processing using the computerized SPSS version 25.0. The highest incidence of acne vulgaris was 75.0% and the highest menstrual cycle was normal was 64.6%. There is relationship between menstrual cycle disorders and the incidence of acne vulgaris (p=0.015) and none the relationship between abnormal menstrual cycles and the incidence of acne vulgaris (p=1.000). There is relationship between menstrual cycle disorders and the incidence of acne vulgaris and there is no relationship between abnormal menstrual cycles and the incidence of acne vulgaris instudent at the Faculty of Medicine, Baiturrahmah University, Padang, Class of 2022.
寻常痤疮是一种侵犯皮脂腺单位的疾病,可引起非炎症性和炎症性皮损,以及不同程度的瘢痕。在东南亚,寻常型痤疮的发病率高达 40-80%。寻常型痤疮的确切病因和发病风险因素仍不确定。不过,一个被认为起作用的因素是女性月经周期中雌激素和孕激素的波动。本研究旨在确定巴东拜图拉玛大学医学系 2022 届学生的月经周期与寻常痤疮发病率之间的关系。研究类型为观察分析,采用连续抽样技术,由 48 个样本组成。对数据进行了单变量分析,并使用卡方检验进行了双变量分析。数据处理使用计算机 SPSS 25.0 版本。寻常型痤疮的最高发病率为 75.0%,月经周期正常的最高发病率为 64.6%。月经周期紊乱与寻常性痤疮的发病率有关系(P=0.015),月经周期异常与寻常性痤疮的发病率无关系(P=1.000)。月经周期紊乱与寻常痤疮的发病率有关系,月经周期异常与寻常痤疮的发病率无关系。
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引用次数: 0
Comparison of Germ Patterns between Cholesteatom Tissue and Tympanic Cavum Mucosa Tissue in COSM with Cholesteatom at Dr. Mohammad Hoesin Hospital, Palembang 比较巴伦邦 Mohammad Hoesin 医生医院 COSM 中胆脂瘤组织与鼓膜腔粘膜组织的胚芽模式
Pub Date : 2024-06-10 DOI: 10.32539/sjm.v7i1.218
Resti Ramdani, Abla Ghanie, Fiona Widyasari, Ahmad Hifni, Irfannuddin Irfannuddin
Chronic Suppurative Otitis Media (CSOM) is middle ear inflammation due to infection characterized by otorrhea through perforation of the tympanic membrane that occurs for more than three months. Identifying bacterial patterns in CSOM is essential for managing CSOM patients with cholesteatoma. Proper administration of antibiotics is crucial to overcome infection and prevent widespread resistance. To compare the germ patterns between cholesteatoma tissue and tympanic cavum mucosal tissue in CSOM patients with cholesteatoma. This observational study has a cross-sectional design, and data collection was carried out using primary data taken from 27 CSOM patients with cholesteatoma who underwent mastoidectomy surgery with a total of 54 research samples taken from the examination of cholesteatoma tissue swabs and tympanic cavum mucosal tissue from August to October 2023. From the reliability coefficient between the two tissues using the Cohen's Kappa technique, there is a significant concordance in the germ pattern between the tympanic cavum mucosa tissue and the tympanic cavum mucosa of 0.580 (Moderate) p<0.005, with Pseudomonas aeruginosa, Proteus mirabilis and Klebsiella pneumoniae with a significance value of 0.656 (Good) p<0.001. There is a significant concordance in the germ pattern between cholesteatoma tissue and tympanic cavum mucosa tissue in CSOM cases with cholesteatoma. The most common bacteria in both tissues are Gram-negative, namely Pseudomonas aeruginosa, proteus mirabilis, and Klebsiella pneumoniae.
慢性化脓性中耳炎(CSOM)是由于感染引起的中耳炎,其特点是鼓膜穿孔引起的耳痛,病程超过三个月。识别 CSOM 中的细菌模式对于治疗患有胆脂瘤的 CSOM 患者至关重要。正确使用抗生素对于克服感染和防止广泛耐药性至关重要。研究目的:比较患有胆脂瘤的 CSOM 患者的胆脂瘤组织和鼓室粘膜组织的细菌模式。本观察性研究采用横断面设计,数据收集采用原始数据,取自2023年8月至10月期间接受乳突切除手术的27例CSOM胆脂瘤患者的胆脂瘤组织拭子和鼓室黏膜组织检查,共54份研究样本。从采用科恩卡帕技术对两种组织进行的信度系数来看,鼓膜腔粘膜组织与鼓膜腔粘膜组织在菌型上存在显著的一致性,其显著值为0.580(中)P<0.005,其中铜绿假单胞菌、奇异变形杆菌和肺炎克雷伯菌的显著值为0.656(良)P<0.001。在有胆脂瘤的 CSOM 病例中,胆脂瘤组织和鼓室粘膜组织的细菌模式有明显的一致性。两种组织中最常见的细菌均为革兰氏阴性菌,即铜绿假单胞菌、奇异变形杆菌和肺炎克雷伯菌。
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引用次数: 0
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Sriwijaya Journal of Medicine
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