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Hubungan Penggunaan Antibiotik Terhadap Angka Kejadian Infeksi Luka Operasi pada Pasien Apendektomi di Rumah Sakit Atma Jaya
Bibliografi
Author:
MAURIEN, HELVI
;
Soeselo, Daniel Ardian
(Advisor);
Tjoa, Enty
(Examiner);
Cokro, Fonny
(Ketua Sidang)
Topik:
ANTIBIOTICS
;
SURGICAL SITE INFECTION
;
appendectomy
;
surgical site infection
;
antibiotic
;
apendektomi
;
infeksi luka operasi (ILO)
;
antibiotik.
Bahasa:
(ID )
Penerbit:
Fakultas Kedokteran Unika Atma Jaya
Tempat Terbit:
Jakarta Utara
Tahun Terbit:
2016
Jenis:
Theses - Karya Tulis Ilmiah Kedokteran (KTI-FK)
Fulltext:
KTI Helvi Maurien (2013060005).pdf
(2.46MB;
26 download
)
Ketersediaan
Perpustakaan FK
Nomor Panggil:
KTI-FK-1124
Non-tandon:
tidak ada
Tandon:
1
Lihat Detail Induk
Abstract
Background. Appendectomy is the removal of appendix vermiformis. Appendectomy can be classified in to clean contaminate until dirty surgical wound. Antibiotics are often used in appendectomy. Surgical site infection is one of the complications after appendectomy.
Objectives. This study aims to understand the relationship between antibiotics and the incidence of surgical site infection after appendectomy, and bacteria that may cause appendicitis in patients also the pattern of bacterial sensitivity to various antibiotics.
Methods. This study used descriptive and analytical prospective design with a total of 94 patients selected by purposive sample during 8 months from January – August 2016 at Atma Jaya Hospital. Only twenty nine patients meet the inclusion and exclusion criteria.
Results. The majority of the samples were male (52.1%). 17 – 25 years age groups most often have appendicitis (31.9%). Escherichia coli is the most common cause of appendicitis (65.5%), which is very sensitive to the antibiotic meropenem and fosfomycin yet resistant to antibiotic oxacilin. The incidence of surgical site infection is 24.1%. The use of antibiotics in patients after appendectomy in accordance with the test result of bacterial culture sensitivity pattern almost half of the overall appendectomy patients (48.2%).
Conclusions. The surgical site infection in appendectomy patients is higher when using antibiotics that are not in accordance with the result of bacterial culture sensitivity pattern. However, test results of Fisher analysis showed no significant relationship between the use of antibiotics in accordance with the bacterial culture sensitivity pattern with the incidence of surgical site infection in patients after appendectomy.
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