STUDI PENGGUNAAN ANTIBIOTIK SERTA EVALUASI SECARA KUALITATIF PADA PASIEN BEDAH BERSIH TERKONTAMINASI (Penelitian di Rawat Inap SMF Bedah RS Bhayangkara H.S Samsoeri Mertojoso Surabaya)
Clean-contaminated surgery is a surgical procedure which is performed on the digestive tract, biliary tract, urinary tract and respiration, also reproduction except the ovaries or surgery without gross spillage. The potential for infection in this type of surgery is around 3-11%. To anticipate t...
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Format: | Theses and Dissertations NonPeerReviewed |
Language: | English English English Indonesian |
Published: |
2019
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Subjects: | |
Online Access: | http://repository.unair.ac.id/91178/1/FF.FK.62-19%20Alf%20s%20abstrak.pdf http://repository.unair.ac.id/91178/2/FF.FK.62-19%20Alf%20s%20daftar%20isi.pdf http://repository.unair.ac.id/91178/3/FF.FK.62-19%20Alf%20s%20daftar%20pustaka.pdf http://repository.unair.ac.id/91178/4/FF.FK.62-19%20Alf%20s.pdf http://repository.unair.ac.id/91178/ |
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Institution: | Universitas Airlangga |
Language: | English English English Indonesian |
Summary: | Clean-contaminated surgery is a surgical procedure which is
performed on the digestive tract, biliary tract, urinary tract and respiration,
also reproduction except the ovaries or surgery without gross spillage. The
potential for infection in this type of surgery is around 3-11%. To anticipate
the infection, antibiotics can be given to patients before incision or when
other signs of infection are found. However, inappropriate use of antibiotics
today tends to be thecause health problems. Thus, health problems that
occur are antibiotic resistance. From the surveillance results data from Dr.
Soetomo Hospital in 2016, there was an increase in ESBL resistance up to
60%. Therefore, research is needed to determine the pattern of antibiotic
use and the qualitative evaluation of the Gyssens method in surgical
patients. The Gyssens method is suggested by the Indonesia’s Ministry of
Health which all aspects of prescribing will be assessed. This study is a
retrospective observational study on clean-contaminated surgical patients
at Bhayangkara Hospital, H. Samsoeri Mertojoso, Surabaya, period 1
January - 31 December 2018.
The results showed that there were 55 patients who had cleancontaminated
surgery and had received antibiotics where they were 22 for
antibiotic prophylaxis and 50 for antibiotic empirical therapy. The pattern
of the use of prophylactic antibiotics that are widely used in all types of
surgery is ceftriaxone 1 gram intravenously. Likewise with antibiotic
therapy, ceftriaxone 2x1g (IV) is an antibiotic and the most prescribed
regimentation. While the results of the study on evaluation using the
Gyssens method showed 6.9% of antibiotic data on medical records was
incomplete (category VI), 6,9% of non-indicated antibiotics (category V),
48,6% of which have other alternative antibiotics (category IV), 22,2%
giving antibiotics too long/ short (category III), 5,6% administering
antibiotics incorrect dosage/ route/ interval (category II), 9,8%
administration antibiotics are rational (category 0). |
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