Study on the Inaccuracy of Prophylactic Antibiotic Use and Analysis Causes of Surgical Site Infection of Surgical Patients at the Depok City Hospital for January-March 2020 Period


Authors : Rahayu Mustika Sari; Ratu Ayu Dewi Sartika; Retnosari Andrajat

Volume/Issue : Volume 6 - 2021, Issue 7 - July

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3zOsTES

Surgery Site Infection [SSI] is an infection of the incision or organ that occurs after surgery. Efforts to prevent this infection are becoming increasingly important with an increasing number of operations. Prophylactic antibiotics are often considered the most efforstless prevention of SSIs. However, inaccuracy in its use can be a risk factor for the occurrence of SSI. This study was aimed to analyze the inaccuracy of prophylactic antibiotic use in surgical patients at the Depok City Hospital in the period January-March 2020. This study was conducted observational with a crosssectional descriptive study design and retrospective data collection. The inaccuracy study of prophylactic antibiotics using the Gyssens method yielded 138 samples [99.28%] in category VI, 83 samples [60.14%] in category IVa, and 52 samples in category IVb [94.54 %]. There are no samples in groups IVb to IIc. Since all of the samples were not delivered on time in Category I, the study ended there with a total of three samples [100 %]. Meanwhile, for the period from 1January to 19 March 2020, the incidence of infection in the surgical area in surgical patients at the Depok City Hospital was 2.87%. Keywords:- Surgical Site Infection; Prophylaxis; Gyssens. Abstract:-Upaya pencegahan terhadap infeksi daerah operasi (IDO) menjadi semakin penting sejalan dengan meningkatnya jumlah operasi. Pemberian antibiotik profilaksis seringkali dianggap sebagai pencegahan IDO yang paling mudah dilakukan. Namun ketidaktepatan dalam penggunaannya dapat menjadi faktor risiko penyebab terjadinya IDO. Tujuan penelitian ini adalah untuk menganalisis ketidaktepatan penggunaan antibiotik profilaksis pada pasien bedah di RSUD Kota Depok pada periode Januari-Maret 2020. Penelitian ini dilakukan secara observasional dengan disain penelitian deskriptif cross sectional retrospektif, sedangkan analisis dilakukan menggunakan metode Gyssens. Hasil penelitian menunjukkan pada kategori VI sebanyak 138 sampel (99,28%), kategori V sebanyak 83 sampel (60,14%) kategori IVa sebanyak 52 sampel (94,54%). Untuk kategori IVb sampai IIc memiliki nilai yang sama yaitu sebanyak 0 sampel. Kategori I semua sampel tidak tepat waktu pemberian sehingga analisa berakhir pada kategori I dengan jumlah 3 sampel (100%). Sedangkan angka kejadian infeksi daerah operasi pada pasien bedah di RSUD Kota Depok periode 1 Januari -19 Maret 2020 sebanyak 2,87%.

Keywords : Gyssens, Infeksi Daerah Operasi, Profilaksis

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