https://talenta.usu.ac.id/jetromi/issue/feedJournal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)2025-11-01T00:00:00+07:00jetromijetromi@usu.ac.idOpen Journal Systems<p align="justify">The Journal of Endocrinology, Tropical Medicine and Infectious Diseases (JETROMI) is an internationally targeted official publication with indexed by Scopus. It publishes peer reviewed articles online in an open access format. The journal will encourage both empirical and theoretical of Endocrinology, Tropical Medicine and Infectious Diseases in clinic and research. It is a peer-reviewed journal has online and ISSNs. It represents the initiative and effort of the members of the Faculty of Medicine, Universitas Sumatera Utara. The purpose of this Journal is to bring together researcher, lecturer, practitioners, health policy maker, and students interested in Endocrinology, Tropical Medicine and Infectious Diseases. The publication is particularly committed to the development of interpretative approaches to the above to mentioned issues. It does not restrict its remit to any particular methodological or theoretical orientation, but publishes both scholarly papers and more speculative pieces designed to further understanding and debate.</p> <p align="justify">The Articles in Journal of Endocrinology, Tropical Medicine and Infectious Diseases will be reviewed by experts. This journal publishes original research, review articles and case reports. We accept submissions from all over the world. All submitted articles are not in the condition of being submitted to other journals and have never been published elsewhere.</p>https://talenta.usu.ac.id/jetromi/article/view/20207Analysis of Differences in Germ Patterns in Pus Culture and Tissue Culture Examination in Patients with Diabetic Foot Ulcers at H. Adam Malik General Hospital, Medan2025-03-19T09:14:59+07:00Roni Ananda Perwira Harahapdr.roni.a.p@gmail.comFranciscus Gintingfranciscusginting@usu.ac.idLenni Evalena Sihotanglennisihotang74@gmail.com<p><strong>Background:</strong> Diabetic foot ulcer (DFU) is one of the chronic complications of diabetes mellitus that can increase the risk of amputation and lead to high treatment costs if the infection is not properly managed. Identifying the etiology of the infection is crucial for determining effective treatment. However, in Indonesia, particularly at H. Adam Malik General Hospital in Medan, there has been no clear study focusing on identifying diabetic foot infection patterns based on tissue culture. The Infectious Diseases Society of America (IDSA) 2023 recommends using tissue culture techniques for bacterial identification, moving away from pus cultures. <strong>Objective:</strong> This study aims to analyze the differences in infection patterns obtained through pus culture and tissue culture in patients with diabetic foot ulcers. <strong>Methods:</strong> This prospective descriptive study involved 41 patients treated at H. Adam Malik General Hospital, Medan. Ulcer samples were collected using two methods: sterile swabs for pus culture and tissue samples for tissue culture. The culture results were analyzed using the Kruskal-Wallis statistical test to compare the differences in bacterial patterns.</p> <p><strong>Results:</strong> Gram-negative bacteria dominated both culture methods, with <em>Pseudomonas spp</em> being the most common in pus cultures and <em>Escherichia coli</em> in tissue cultures. A significant difference was found between the two methods in bacterial identification (p < 0.05).<strong>Conclusion:</strong> There is a significant difference between tissue culture and pus culture in diabetic foot ulcers, particularly in the number and types of bacterial isolates, with a p-value of 0.002. This difference is not coincidental, supporting IDSA’s recommendation to prioritize tissue culture over swab culture. These findings are consistent with other studies in the field.</p>2025-11-04T00:00:00+07:00Copyright (c) 2025 Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)