Sanglah Hospital Denpasar Research Articles

The Quantity and Leukocytes Components as Biological Dosimeters on the Radiation Workers at Radiology Installation RSUP Sanglah Hospital Denpasar

Regularly, the radiation monitoring program is applied to all the radiation workers using physical dosimeter, in the TLD form, badge films and others. The monitoring from the biological aspect is called biological dosimeter as an indicator of the organ damages that caused radiation exposure, especially on the radiation workers in the radiology installation RSUP Sanglah Hospital are not much studied. Objective: This study aims are determining of the quantity and leukocytes components differences that caused environmental radiation exposure in direct contact radiation and direct non-contact radiation workers. Data and method: The research data was obtained through the blood test at RSUP Sanglah Hospital Denpasar with diffraction count method. The extent of the leukocyte component is determined by the absolute count method. The population in this study were 70 people with the total sample were 35 direct radiation radiation workers (30 radiograper people, 5 medical physicists) and 35 direct non-contact radiation workers (12 nurses, 18 administrative personnel, 5 medical records) . Results: Generally, the blood cell quantity values (hemoglobin-HGB, RBC-erythrocyte, leukocyte-WBC), as well as the percentage of WBC components (basifil-Baso, eosinophil-Eos, neotrifil-Neo, lymphocytes -Limfo and Monocyte-Mono) for radiation workers and non-radiation workers are in the normal range. However, in the normal range, radiation workers have a wider range than non-radiation workers, indicating that radiation workers have undergone a stochastic radiation effect. While the quantity of blood cells over the age range of radiation workers and non-radiation workers alike shows the stochastic effect tends to appear in the productive age of 31-40 years old. For the age of 21-30 years is still normal caused by a relatively new work mass. But at the age of 41-50 tends to approximate the deterministic effect, this can be understood because the mass of work that has been long enough. Conclusions: For long time in the  radiation field area which increase the deterministic effect the cells of the human body response. Primarily, biological indicators of radiation as a dosimeter are used.  Â

Karakteristik penderita abses peritonsil Di RSUP Sanglah Denpasar periode tahun 2010-2014

Peritonsillar abscesses (PTAs) are collections of purulent material that usually develop outside the tonsillar capsule near the superior pole. Peritonsillar abscess (PTA) is the most common complication of tonsil infections in adults. This research is aimed to know the characteristic of patients with peritonsillar abscess at Sanglah Hospital Denpasar in period 2010-2014. This is a descriptif study using medical records of patients with peritonsillar abscess at Sanglah Hospital Denpasar during January 2010 until December 2014. Twenthy eight patients with peritonsillar abscess were male 64,29%, mean of age 38.29 years, Â 71.43% with sore throat, 100% unilateral, most common aerob culture was streptococcus viridans about 57.13%. The most length of hospital stay was 4 days about 60.71% with average 4.3 days, mostly found without difficulting factors and there is no complication in this study.

Characteristics Sinusitis of out Patients ENT Clinic in Sanglah Hospital, Period January to December 2014

Sinusitis is a very common disease in Indonesia. Indonesian Health Department in 2003 mentioned that nasal and sinus disease is in 25th of 50 major diseases or about 102,817 outpatients in hospitals. Data from the Division of Rinology of ENT Department of RSCM from January to August 2005 as many as 435 patients or about 69% (300 patients) are sinusitis. Knowing the characteristics of sinusitis patients is very helpful for health professionals in making diagnosis and treatment plan for sinusitis patient. However, epidemiological data concerning sinusitis patients in Bali, especially Denpasar is not yet available. It is because of this background that further attention is needed regarding the characteristics of sinusitis patients in Denpasar, especially at Sanglah Denpasar General Hospital (RSUP) from January to December 2014. Descriptive study with retrospective approach, using medical record data of sinusitis patient who went to THT-KL Hospital Sanglah Hospital from January to December 2014. Total of 106 sinusitis patients from January to December 2014. Total 106 sinusitis patients in ENT policlinic Sanglah Hospital Denpasar in the period January to December 2014 were included in this study. We divided the patients into 2 groups based on the cause of sinusitis, Rhinogenic (89 patients) and odontogenic (17 patients) while most of the patients is male as many as 64 patients (60,4%). The most common sinus affected in sinusitis is maxillary sinus as many as 80 patients (75,5%) in rhinogenic sinusitis and as many as 17 patients (16%) in odontogenic sinusitis. The most common onset of sinusitis is chronic in both of the group, as many as 48 patients (45,3%) in rhinogenic and as many as 12 patients (11,3%) in odontogenic. The most common complain of the patient is rhinorea in rhinogenic group as many as 72 patients (80,9%), while all the patient in odontogenic group are complaining of toothache.

The relationship between bacterial types and antibiotic resistance with the clinical outcomes of sepsis patients in Pediatric Intensive Care Unit at Sanglah Hospital Denpasar, Bali-Indonesia

Background: Sepsis in children could significantly increase the morbidity and mortality rates particularly in the Pediatric Intensive Care Unit (PICU). Moreover, the prevalence of antibiotic resistance is continuously increasing around the world mainly caused by uncontrolled used of antibiotic. Henceforth, this study aimed to determine the relationship between bacterial type and the resistance with clinical outcome of sepsis patients in PICU.Methods: An observational analytic retrospective cohort study using medical record data from January 2015-April 2017 was conducted. All subjects were sepsis patients with positive blood cultures treated at PICU Sanglah Hospital. Factors related to mortality and relative risk (RR) were analyzed using Chi-Square Test with a significance value of p <0.05 with 95% confidence interval (CI).Results: 75 subjects met the inclusion criteria, but only 63 subjects with complete data were enrolled. The gram-negative and MDR bacteria types were detected in 31 (49%) subjects and 33 (52.4%) subjects respectively. The number of deaths was 29 (46%). The most common types of gram-negative bacteria were Pseudomonas aeruginosa (16%) followed by gram-positive Staphylococcus hominis (25%). The most common multi-drug resistant (MDR) bacteria were Staphylococcus hominis. The presence of MDR bacteria significantly increase the mortality (p = 0.015, RR 2.02, 95% CI: 1.096-3.725), whereas gram-negative had no significant mortality impact (p = 0.891: RR 0.96; 95% CI: 0.564- 1.645). Compared to non-MDR bacteria, most MDR related mortality occurred during the first 10 days.Conclusion: MDR bacteria significantly increased the mortality rates in pediatric patient treated in PICU compared to non-MDR ones.Â

REDESAIN PEGANGAN TABUNG SINAR-X YANG ERGONOMIS DI RADIOLOGI RSUP SANGLAH MENURUNKAN KELUHAN MUSKULOSKELETAL, MENGURANGI KELELAHAN UMUM DAN MENINGKATKAN KECEPATAN PEMERIKSAAN

Radiology Installation is a unit of medical support services in a health facility that has a function as a means of patient diagnosis. In RSUP Sanglah there are 5 units of radiology sub-section such as Central Radiology, IRD, Wing Amerta, Central Surgery Room and Cath Lab Room which all have a goal of providing quality diagnostic value to patients and society. Problems occurring within the radiology unit are the incidence of work-related musculoskeletal complaints, increased general fatigue in workers, as well as decreased speed of examination by radiographers in service. This can be caused by a mismatch between the work tool and its users.
 Research has been conducted with intervention of redesign of X-ray tube handling through user anthropometry aims to know how big the effect of X-ray tube grip design improvement to musculoskeletal complaints, general fatigue and increased examination speed by radiographer. The subject anthropometry data is used as the basis for redesigning the X-ray tube handle.
 The design of the study using Treatment By Subject Designs with a large sample of 12 people who became the control group as well as the intervention group. Subjects were subjected to redesigned X-ray tube handles or grips that have been improved in shape and design more ergonomically adapted to the anthropometry of the subject body. Musculoskeletal complaints were assessed with Nordic Body Map questionnaires from NIOSH Japan, generalized fatigue disorder with 30 general fatigue items, and the examination speed by radiographers was obtained by measuring the time of the radiologic treatment on the number of checks performed. Shapiro - Wilk test was performed to determine the normality of data at significance level (? = 0,05). Differential comparative test between pre-repair and post-design improvement of musculoskeletal complaints, general fatigue and speed of examination using paired t-test at significance level ? = 0.05
 It was found that in the intervention group the use of redesigned X-ray tubes could significantly decrease musculoskeletal complaints (p <0.05) by 10.42%, significantly reducing general fatigue by 22.38% (p <0.05 ) and increased the examination rate by 12.50% (p <0.05). Thus it can be concluded that the improved X-ray tube handle design can decrease musculoskeletal complaints, reduce general fatigue and increase the speed of inspection by radiographers at Sanglah Hospital Denpasar.

PENGGUNAAN PAKAIAN DINAS HARIAN BERLENGAN PENDEK DAPAT MENINGKATKAN KENYAMANAN DAN KINERJA RADIOGRAFER DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR

Technological developments increase the clothing industry from a variety of materials, types of fabrics, clothing models used by various professions in the form of work uniforms or daily service clothing (PDH). The convenient use of PDH helps workers improve their performance. This study was conducted to determine the effect of long-sleeved and short-sleeved PDH on the comfort and performance of radiographers at Sanglah Hospital Denpasar. This research was carried out at radiology installation of Sanglah Denpasar Hospital, from May to June 2017. The design of this study was cross-design of two equal period subjects (treatment by subject and two period cross over pre and post-test group design) with a total sample of 16 people. The use of long-sleeved PDH as a control group, short-sleeved PDH as the treatment group. Measurements were performed pre and post on the comfort and performance of radiographers in terms of hand washing time and the number of patients that could be served. Comparison test on comfort and performance using Wilxocon Signed Ranks Test with p <0,05. The results showed that the application short-sleeved PDH increased the subjective comfort y 10.75 or 27.08% (p <0.05), improving the performance of decreasing the time duration score required by hand washing 0,87 or 34,12% p <0.05) and an increase in the number of patients who could be served by 6.31 or 53.98% (p <0.05).
 The applicastion of short-sleeved PDH compared to long-sleeved PDH showed a difference of comfort and radiographer performance at radiology installation of Sanglah Hospital Denpasar. The next PDH manufacturing process for radiographers is recommended using short-sleeved PDH.

Jaw-Winking Marcus Gunn Management in Ophthalmology Department Sanglah Hospital Denpasar

Jaw-Winking Marcus Gunn Management in Ophthalmology Department Sanglah Hospital Denpasar

ANALYSIS OF TOTAL COSTS OF BREAST CANCER CEMOTHERAPY PATIENTS BASED ON USE OF CHEMOTHERAPY REGIMEN ON JKN PATIENTS IN SANGLAH RSUP

<p><em>Breast cancer is the first sequence of most attacking women in Indonesia. The high cost of care and old services is a major problem in the prevention of breast cancer. This study aims to determine the relationship between the total cost of the Sanglah Denpasar hospital with the chemotherapy regimen of breast cancer of JKN patients at Sanglah Hospital Denpasar. Test homogeneity using Levene test method. Test normality using Kolmogorov-Smirnov. One way ANOVA test results showed a significant relationship between chemotherapy therapy regimen (FAC, FAC + PAXUS, FEC, AC, AC + PAXUS) with total real cost in breast cancer chemotherapy patients (p = 0.001). The total rill cost was greater in the group receiving FAC + PAXUS, FEC, and AC + PAXUS regimens than the group receiving FAC and AC therapy regimens. This can be caused by a large pharmaceutical cost component in the FAC + PAXUS, FEC, and AC + PAXUS groups. Pharmaceutical costs account for 76.84-85.80% of the total real cost of breast cancer patients receiving chemotherapy. More drug combination factors can lead to higher total rill costs in patients receiving FAC + PAXUS, FEC, and AC + PAXUS.</em></p>

Reliability test of parkinson's disease cognitive rating scale (PD-CRS) modification in patients with parkinson disease at sanglah hospital Denpasar

Reliability test of parkinson's disease cognitive rating scale (PD-CRS) modification in patients with parkinson disease at sanglah hospital Denpasar

Profil pasien anak-anak dengan leukokoria di RSUP Sanglah Denpasar

Leukocoria is a term to describe the clinical findings of a white pupil reflex, pupil can appear normal on the bright room but shows absence of red reflex on ophthalmoscope examination. Leukocoria can be caused by anomalies in the retinal or refractive media opacities along the visual axis. Leukocoria in the age group of children that must be detected and treated. This writing was intended to get an overview of leucocoria in children from ophthalmology department Pediatric Ophthalmology division of Sanglah Hospital Denpasar. This research was an observational cross sectional study. Data were collected retrospectively without control by recording the characteristics and patient examination data under < 13 years old at Sanglah Hospital. Data on the characteristics of the subjects were analyzed descriptively. Caregorical scale data were described in the form of frequency and percentage while numerical scale data presented in the form of mean and standard deviation. The subjects included 28 children. The majority of patients were male (57.1%), with average age of 38.64±39.86 months and are mostly from Denpasar (21.4%). Unilateral leukocoria has the greatest proportion (53.6%). Diagnosis causing leukocoria mostly were congenital cataracts (39.3%), which unilaterally was the most common in the left eye (18.2%). Diagnosis of retinoblastoma was the second largest cause (17.9%), and unilaterally the most common was the left eye (40%). Retinopathy of prematurity was the smallest cause of leukocoria (7.1). Result of this study emphasize the importance of leukocoria as clinical signs of a disease with a significant visual impact.        Â

Factors associated to first line antiretroviral therapy (ART) failure among HIV/AIDS patients at Sanglah Hospital, Bali

Background and purpose: The incidence of first line ART failure is increasing in the South East Asia region. The main referral hospital in Bali has recorded an increased use of second line ART due to the first line ART failure. This study aims to explore risk factors associated to first line ART failure.Methods: A case control study was conducted among people living with HIV and AIDS at Sanglah Hospital Denpasar who started first line ART between 2004 and 2013. Cases were those who diagnosed as having clinical treatment failure and still on treatment in 2015. Controls were those with no treatment failure. Sex and year of ART initiation were matched between case and control. Data were obtained from medical records that include initial regiments, HIV mode of transmission, the WHO HIV clinical stage, CD4 count, opportunistic infections, body mass index, hemoglobin level, and drug substitution at the beginning and during treatment. Risk factors were analysed using logistic regression.Results: Out of 68 HIV/AIDS patients with clinical ART failure, 72.1% were confirmed with immunological and 36.8% were confirmed with virological failure. Median time before treatment failure was 3.5 years. Factors associated to ART failure were HIV clinical stage IV with (AOR=3.43; 95%CI=1.65-7.13) and being widow/widower (AOR=4.85; 95%CI=1.52-15.53). Patients with TB co-infection have a lower risk for treatment failure due to early diagnosis and treatment through TB-HIV program with (AOR=0.32; 95%CI=0.14-0.70).Conclusions: Higher HIV clinical stage at ART initiation increases the risk of treatment failure. HIV-TB co-infection indirectly reduces the risk of treatment failure.

Nutritional status improvement of child with hiv-1 infection within 12 months highly active antiretroviral therapy in Sanglah Hospital Denpasar

Growth failure is a common feature of children with HIV-1 infection. Clinical efficacy of highly active antiretroviral therapy (HAART) in children has been well documented in developed countries, but only few data from developing countries. Highly active antiretroviral therapy shows improvement clinical outcome, immune status, growth parameters in HIV infected children, therefore, decrease morbidity, death and improve quality of life children infected with HIV. The objective of this study was to determine nutritional status improvement of child with HIV-1 infection in 12 months HAART in Sanglah Hospital Denpasar. A retrospective cohort study was conducted at Allergy-Immunology Division/ Department of Child Health, Udayana University Medical School/Sanglah Hospital Denpasar in July 2013. The growth differences before and after HAART was analyzed by paired t-test using SPSS program. A total of 31 children were analyzed. Generally, rerata parameters of nutritional status were increased at any period of measurement. Changes of nutritional status is seen by comparing the nutritional status parameters within a period of 3 months up to 12 months of observation. There were increasing in the mean of weight/age (W/A) from baseline (-2.30) to 12 weeks (-1.61) (mean difference 0.69; 95% CI 0.37 to 1.00; P<0.001), from 12 weeks (-1.61) to 24 weeks (-1.34) (mean difference 0.27; 95% CI 0.09 to 0.45; P=0.003), from 24 weeks (-1.34) to 36 weeks (-1.09) (mean difference 0.25; 95% CI 0.05 to 0.45; P=0.016) and from 36 weeks (-1.09) to 48 weeks (-1.02) (mean difference 0.07; 95% CI -0.07 to 0.20; P=0.351). The mean of height/age (H/A) were also increasing from baseline (-2.85) to 12 weeks (-2.60) (mean difference 0.25; 95% CI 0.01 to 0.50; P=0.049), from 12 weeks (-2.60) to 24 weeks (-2.22) (mean difference 0.38; 95% CI 0.01 to 0.76; P=0.047), from 24 weeks (-2.22) to 36 weeks (-1.76) (mean difference 0.46; 95% CI 0.15 to 0.77; P<0.001), but from 36 weeks (-1.76) to 48 weeks (-1.84) were decreasing (mean difference -0.08; 95% CI -0.31 to 0.14; P<0.001). It can be concluded that HAART has a positive effect on children's growth in 12 months of observation in the form of an increase in generally W/A and H/A from time to time.

Prevalence and factors associated with human immunodeficiency virus disclosure status in children at Sanglah Hospital Denpasar

A comprehensive management of human immunodeficiency virus (HIV) infection is necessary. Another important challenge is determining the HIV status understanding or disclosing HIV status which can further enhance the adherence to treatment and preventing secondary transmission.The aims of the study were to know the prevalence of HIV status disclosure and factors associated with HIV status disclosure in children.This was a cross-sectional study comprised of 44 caregivers of children with HIV infection at pediatrics outpatient Sanglah Hospital was conducted from February until May 2015. The study participants were caregivers of HIV-infected children age 5 to 12 years. Data analysis was using SPSS 22, statistics using Chi-square test and P-values ≤ 0.05 and 95% CI were considered significant. The prevalence was found 19 children (43.2%) who had partially disclosed their HIV status, with mean age was 7.7 (SD 2.33) years. In univariat analysis, the orphans were more likely to have their status disclosed compare to those who are not orphans (OR 0.28; 95% CI 0.077 to 1.02; P =0.049). There were no significant relations found between HIV clinical stage, nutritional status of the children, the caregiversage, educational status of the caregivers with HIV status disclosure. After multivariate analysis, only non-parent caregivers were associated with HIV disclosure status (OR: 15.6; 95% CI 1.48 to 164.3; P=0.022). Based on this study we conclude the prevalence of HIV disclosure status was 43.2% with partial disclosure status, non-parent caregivers was a factor associated to HIV disclosure status.

The incidence of in-hospital malnutrition in children at Sanglah Hospital Denpasar And its association with length of stay

The incidence of in-hospital malnutrition in children at Sanglah Hospital Denpasar And its association with length of stay

CHARACTERISTICS OF PATIENTS WITH SPEECH AND LANGUAGE DISORDERS AT ENT-HNS CLINIC OF SANGLAH HOSPITAL IN THE PERIOD OF JUNE 2012-JUNE 2013

because it is often caused and accompanied by various problems, and resulting in significant implications. The underlying hearing impairment should be noted by ENT-HNS specialists, to improve its early detection and intervention program, for better final result. Data on patients with speech-language disorders at ENT-HNS clinic at Sanglah Hospital is insufficient. This study is carried out as an effort to collect basic data on the characteristics of patients with speech-language disorders whom referred to ENT-HNS clinic at Sanglah Hospital-Denpasar. Patients with speech-language disorders and complete medical records, whom referred to ENT-HNS clinic at Sanglah Hospital during the period of June 2012 to June 2013 were included in the study. The patients’ data on medical records were analyzed on several aspects, including sex, age, residence, close-related parents, prenatal, perinatal, and postnatal risk factors, and their ENT-HNS evaluation results. Most of the samples were 1-2 years old (44%) and live in rural area (63%). We found 18 patients with no wave V on ABR, 2 patients with effusion otitis media, and 1 patient with autism. Various risk factors were associated with speech and language disorders in literatures. The most common risk factors found in the study were infection during pregnancy (16%), post natal infection (12%), and kernicterus (9%), but we did not find any prenatal, perinatal, and postnatal risk factors in 67%, 81%, and 86% of the patients, respectively. Result of the study shows that there is a delay of hearing impairment evaluation due to limitation of screening program. The most common risk factor of speech-language disorders is infection, during pregnancy or after labor. Type of hearing loss we find are mostly sensorineural.

Karakteristik penderita dengan benda asing dalam esofagus di RSUP Sanglah Denpasar periode Januari 2012- Desember 2013

Impaksi benda asing di esofagus adalah keadaan darurat yang sering ditemukan pada berbagai kelompok umur. Anak-anak dan orang tua adalah kelompok umur yang paling sering mengalami impaksi benda asing di esofagus. Penelitian ini bertujuan untuk memberikan gambaran karakteristik pasien dengan benda asing di esofagus di RSUP Sanglah periode Januari 2012-Desember 2013. Penelitian ini adalah penelitian deskriftif retrospektif. Data dikumpulkan dari rekam medis penderita dengan benda asing di esofagus yang datang ke RSUP Sanglah periode Januari 2012-Desember 2013.  Penelitian ini melibatkan 42 penderita sebagai sampel. Enam belas penderita (38,09%) adalah anak dibawah umur 10 tahun. Perbandingan rasio lelaki dengan perempuan adalah 1,6:1. Odinofagia adalah keluhan utama yang paling sering dijumpai (47,62%). Koin adalah benda asing tersering pada anak (87,50%) sedangkan pada orang dewasa adalah tulang (84,61%). Esofagoskopi kaku adalah prosedur baku yang dilakukan pada kasus benda asing di esofagus. Sfingter krikofaring menjadi tempat yang paling sering tertahannya benda asing di esofagus. Sebagian besar benda asing dapat diekstraksi tanpa komplikasi. Sebagian besar benda asing diekstraksi kurang dari 24 jam (66,67%). Lama perawatan sebagian besar kurang dari 3 hari (42,86%). Karakteristik penderita dengan benda asing di esofagus bervariasi pada populasi anak dan dewasa. Pada anak, koin adalah benda asing yang paling sering, sedangkan  pada orang dewasa adalah tulang. Esofagoskopi adalah prosedur  baku yang dilakukan apabila menemukan kasus benda asing di esofagus. Sebagian besar penderita tidak mengalami komplikasi.Â

Characteristics of Preterm Birth Cases at Sanglah Hospital Denpasar (Period from 1 January to 31 December 2016)

Characteristics of Preterm Birth Cases at Sanglah Hospital Denpasar (Period from 1 January to 31 December 2016)

Factors associated to first line antiretroviral therapy (ART) failure among HIV/AIDS patients at Sanglah Hospital, Bali

Background and purpose: The incidence of first line ART failure is increasing in the South East Asia region. The main referral hospital in Bali has recorded an increased use of second line ART due to the first line ART failure. This study aims to explore risk factors associated to first line ART failure.Methods: A case control study was conducted among people living with HIV and AIDS at Sanglah Hospital Denpasar who started first line ART between 2004 and 2013. Cases were those who diagnosed as having clinical treatment failure and still on treatment in 2015. Controls were those with no treatment failure. Sex and year of ART initiation were matched between case and control. Data were obtained from medical records that include initial regiments, HIV mode of transmission, the WHO HIV clinical stage, CD4 count, opportunistic infections, body mass index, hemoglobin level, and drug substitution at the beginning and during treatment. Risk factors were analysed using logistic regression.Results: Out of 68 HIV/AIDS patients with clinical ART failure, 72.1% were confirmed with immunological and 36.8% were confirmed with virological failure. Median time before treatment failure was 3.5 years. Factors associated to ART failure were HIV clinical stage IV (AOR=3.43; 95%CI=1.65-7.13) and being widow/widower (AOR=4.85; 95%CI=1.52-15.53). Patients with TB co-infection have a lower risk for treatment failure due to early diagnosis and treatment through TB-HIV program (AOR=0.32; 95%CI=0.14-0.70).Conclusions: Higher HIV clinical stage at ART initiation increases the risk of treatment failure. HIV-TB co-infection indirectly reduces the risk of treatment failure.

The Distribution of Peritonsillar Abscess Patients in Sanglah Hospital Denpasar at 2010 until 2017

The Distribution of Peritonsillar Abscess Patients in Sanglah Hospital Denpasar at 2010 until 2017

Agreement Analysis of Energy and Protein Contents during Medical Nutrition Therapy at Sanglah Hospital Denpasar

Background and purpose: Medical nutrition therapy at Sanglah Hospital, Denpasar consists of diet prescription, food labelling, food portion, and food serving. Nutrition assessment has been carried out based on the minimum service standards of Sanglah Hospital Denpasar in 2013, but agreement assessment of energy and protein contents has never been performed in the provision of medical nutrition therapy. The study was conducted to determine the compatibility of energy and protein contents of the diet prescription until the food is served in hospitalized patients who received medical nutrition therapy at Sanglah Hospital Denpasar.Methods: This is a cross-sectional study involving 50 samples of food served with prescribed diet by clinical nutrition specialists at Sanglah Hospital selected by consecutive sampling. Data were collected using observation sheets filled by surveyors and analyzed using Bland Altman Test.Results: There was compatibility of the contents of energy and protein in the provision of medical nutrition therapy of diet prescription with food labelling (energy r=0.43; p=0.04, protein r=0.48; p=0.02), food labelling with food portion (energy and protein r=1.00; p=0.00), food portion with the food serving (energy r=0.48; p=0.03, protein r=0.50; p=0.01), and from diet prescription until the food is served (energy r=0.52; p=0.04, protein r=0.57; p=0.02). Although there is a strong agreement, there is mean value difference which is clinically acceptable.Conclusion: Energy and protein content in the prescribed diet until the food is served at Sanglah Hospital were compatible. The medical nutrition therapy is appropriate and should be evaluated continuously to improve the quality of services at the tertiary level.