EVALUASI PENGGUNAAN ANTI BIOTIKA PRE DAN POST OPERATIF PADA TINDAKAN PEMBEDAHAN DI BANGSAL BEDAH INSTALASI RAWAT INAP RUMAH SAKIT UMUM DAERAH ULIN BANJARMASIN PERIODE SEPTEMBER-NOPEMBER 2006

Inaccurate administration of antibiotics in surgical cases will increase bacterial resistance, hypersensitivity reactions, superinfection and extend the maintenance period (Setiawan, 2003). This study aims to evaluate the use of antibiotics pre operative and post operative surgery on the ward Ward D...

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Detalles Bibliográficos
Autores principales: , Sulistyaningtyas Atmini Handayani, Apt, , Prof. Dr. Zullies Ikawati, Apt.
Formato: Tesis
Publicado: [Yogyakarta] : Universitas Gadjah Mada 2011
Materias:
ETD
Descripción
Sumario:Inaccurate administration of antibiotics in surgical cases will increase bacterial resistance, hypersensitivity reactions, superinfection and extend the maintenance period (Setiawan, 2003). This study aims to evaluate the use of antibiotics pre operative and post operative surgery on the ward Ward District General Hospital Ulin Banjarmasin. Treatment Guidel This research is a non-experimental research design with descriptive evaluative data prospectively through a search of medical records of inpatients Hospital Ulin Banjarmasin period September - November 2006. Issues to be evaluated is the suitability of antibiotic selection both pre and post operative with the Standards of Medical Care Surgery and ines From The Medical Letter, (2009) as well as Antibiotics Prophylaxis in Surgery (SIGN, 2009), the appropriateness of dosage, method and duration of the Drug Information Handbook (2011-2012) as well as the effectiveness of the use of antibiotics. Treatment Guidelines From The Medical Letter, (2009) Characteristics of 95 patients (75 men, 20 women), aged 16-60 years most (49 people), dirty operation (59 people), elective operation (67 people), the operation is less than 1 hour (74 people). Pre and post operative antibiotics are widely used Cefotaxim 1 g (32 and 25 cases). Compliance with the Standards of Medical Care in the pre operative 65 cases (68.24%) and post-operative in 63 cases (66.31%), while the dosage, method and duration of in accordance with the Drug Information Handbook (2011-2012) on 54 cases of pre-operative (56.84%) and post-operative in 46 cases (48.42%). Conformity with as well as antibiotics Prophylaxis in Surgery (SIGN, 1999) in pre operative 58 cases (61.05%) and post-operative 59 cases (62.11%), while the dose, how and duration of which in accordance with the Drug Information Handbook (2011-2012) on the pre operative 48 cases (50.53%) and on post-operative 42 cases (44.21%). The effectiveness of pre-operative use of antibiotics is better in an inappropriate or Treatment Guidelines From The Medical Letter, (2009) as well as Antibiotics Prophylaxis in Surgery (SIGN, 2009) with only 7 cases of infection patients (7.39%). Treatment Guidelines From The Medical Letter, (2009) Compliance is higher with the use of Standards of Medical Care in the as well as Antibiotics Prophylaxis in Surgery (SIGN, 2009) both at the pre operative and post operative, incidence of infection is still high (38 persons) and died 2 people.