Pola Kuman dan Uji Sensitivitas Pasien Infeksi Luka Operasi Bedah Digestif RSUP H. Adam Malik Medan Periode Januari-Juni 2015

LAMPIRAN 1
DAFTAR RIWAYAT HIDUP

Nama

: Revin Hira Khairinnisa

Jenis Kelamin

: Perempuan

Tempat / Tanggal Lahir

: Bandung, 11 April 1994

Warga Negara

: Indonesia

Status


: Belum Menikah

Agama

: Islam

Alamat

: Jl. Perjuangan 17, Tanjung Rejo, Medan
Sunggal

Nomer Handphone

: 081220706870

Email

: revinhira@gmail.com

Riwayat Pendidikan


:

1. TK Bahrul Ulum

(1997-1999)

2. SDN Banjarsari II

(1999-2005)

3. SMPN 5 Bandung

(2005-2008)

4. SMAN 2 Bandung

(2008-2011)

Riwayat Organisasi dan Pelatihan :

1. Seminar dan Workshop Medan Emergency Meeting 2013

Universitas Sumatera Utara

LAMPIRAN 2

Universitas Sumatera Utara

LAMPIRAN 3

Universitas Sumatera Utara

LAMPIRAN 4

Universitas Sumatera Utara

LAMPIRAN 5

No. Rekam
Medis

21.65.03
63.74.05
64.14.06
63.39.08
63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

Jenis
Kelamin
L
L
L
L
P
L
P
P

L

Operasi

Kultur

Tanggal
04-05-2015
26-03-2015
13-05-2015
18-02-2015
10-04-2015
22-06-2015
25-06-2015
25-02-2015
06-03-2015

Jenis
Apendiktomi
Laparotomi

Eksisi lokal lesi rektal
Laparotomi
Laparotomi
Laparotomi
Apendiktomi
Laparotomi + Apendiktomi
Laprotomi

63.39.31
63.66.34

L
P

18-02-2015
22-03-2015

Apendiktomi
Laparotomi


Tanggal
07-05-2015
31-03-2015
22-05-2015
24-02-2015
20-04-2015
23-06-2015
26-06-2015
03-03-2015
09-03-2015
18-03-2015
23-02-2015
25-03-2015

63.06.34

P

62.97.36
64.20.38

63.27.40
63.20.53

L
P
L
L

21-01-2015
30-01-2015
23-01-2015
12-05-2015
09-02-2015
27-02-2015

Laparotomi
Laparotomi
Gastrostomi
Laparotomi
Laparotomi

Gastrostomi

26-01-2015
02-02-2015
05-02-2015
13-05-2015
13-02-2015
09-03-2015

63.17.56

L
P

Laparotomi
Anastomosis
Hemikolektomi kanan

06-02-2015


63.66.66

29-01-2015
04-03-2015
24-03-2015

31-03-2015

Bakteri
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli

E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli
K. pneumonia
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli

Universitas Sumatera Utara

63.58.68
63.49.71
64.50.72
63.06.80
26.85.80
62.93.81

P
L
L
L
L
L

17-03-2015
28-02-2015
14-06-2015
20-01-2015
14-05-2015
09-01-2015

Laparotomi
Laparotomi + Apendiktomi
Laparotomi
Laparotomi
Apendiktomi
Laparotomi

06-04-2015
02-03-2015
15-06-2015
11-02-2015
15-05-2015
11-01-2015
12-01-2015

L. gasseri
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
P. aeruginosa

Universitas Sumatera Utara

Tabel 1
No.

No. Rekam
Medis

Jenis
Kelamin

Pola Kuman

1
2
3
4
5
6
7
8
9

21.65.03
63.74.05
64.14.06
63.39.08
63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

L
L
L
L
P
L
P
P
L

10
11

63.39.31
63.66.34

L
P

12

63.06.34

P

13
14
15
16

62.97.36
64.20.38
63.27.40
63.20.53

L
P
L
L

17

63.17.56

L

18

63.66.66

P

19

63.58.68

P

E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli
P. aeruginosa
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli
E. coli

Sensitivitas Terhadap Antibiotik (S)/(R)
Amikacin Ampicillin/
Amoxicillin/
Cefotaxime
Sulbactam Clavulanic Acid
S
R
S
S
S
R
R
R
S
R
R
R
S
S
S
S
S
R
R
R
S
R
S
S
S
R
S
S
S
R
R
R
S
R
S
R
S
R
S
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
S
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
R
R
S
R
S
R
S
R
S
R
S
R
S
R

Universitas Sumatera Utara

20
21
22
23
24

63.49.71
64.50.72
63.06.80
26.85.80
62.93.81

L
L
L
L
L

No.
1
2
3
4
5
6
7
8
9

No. Rekam
Medis
21.65.03
63.74.05
64.14.06
63.39.08
63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

Jenis
Kelamin
L
L
L
L
P
L
P
P
L

10
11

63.39.31
63.66.34

L
P

12

63.06.34

P

13
14
15

62.97.36
64.20.38
63.27.40

L
P
L

E. coli
E. coli
E. coli
E. coli
E. coli
P. aeruginosa

S
S
S
S
S
S

R
R
R
R
R
R

R
S
S
R
R
R

R
S
R
S
R
R

Tabel 2
Pola Kuman
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli

Sensitivitas Terhadap Antibiotik (S)/(R)
Ceftizidime Ceftriaxone Imipenem Cefoperazone
S
S
S
S
R
R
R
R
R
R
S
R
S
S
S
S
R
R
S
R
S
S
S
S
S
S
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
R
R
S
S
S
R
S
S
R
R
S
R

Universitas Sumatera Utara

16

63.20.53

L

17

63.17.56

L

18

63.66.66

P

19
20
21
22
23
24

63.58.68
63.49.71
64.50.72
63.06.80
26.85.80
62.93.81

P
L
L
L
L
L

P. aeruginosa
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
P. aeruginosa

R
R
S
R
R
R
R
R
S
R
S
R
S

R
R
R
R
R
R
R
R
S
R
S
R
R

S
S
S
S
S
S
S
S
S
S
S
S
S

S
S
S
S
S
S
S
S
S
S
S
S
S

Tabel 3
No.
1
2
3
4
5
6
7
8
9

No. Rekam
Medis
21.65.03
63.74.05
64.14.06
63.39.08
63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

Jenis
Kelamin
L
L
L
L
P
L
P
P
L

10

63.39.31

L

Pola Kuman
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli

Sensitivitas Terhadap Antibiotik (S)/(R)
Doxycycline Chloramphenicole Ciprofloxacin Cortimoxazole
R
R
S
R
R
S
R
R
R
R
R
R
S

Universitas Sumatera Utara

11

63.66.34

P

12

63.06.34

P

13
14
15
16

62.97.36
64.20.38
63.27.40
63.20.53

L
P
L
L

17

63.17.56

L

18

63.66.66

P

19
20
21
22
23
24

63.58.68
63.49.71
64.50.72
63.06.80
26.85.80
62.93.81

P
L
L
L
L
L

E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli
P. aeruginosa
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
P. aeruginosa

R
R
R
R
R
R
R
R
S
R
R
R
R
R
R
R
R
R
R
R

Tabel 4
No.
1
2
3
4

No. Rekam
Medis
21.65.03
63.74.05
64.14.06
63.39.08

Jenis
Kelamin
L
L
L
L

Pola Kuman
E. coli
E. coli
E. coli
E. coli

Sensitivitas Terhadap Antibiotik (S)/(R)
Gentamycin Levofloxacin Meropenem Netilmicin
S
S
S
S
R
R
S

S

S

Universitas Sumatera Utara

5
6
7
8
9

63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

P
L
P
P
L

10
11

63.39.31
63.66.34

L
P

12

63.06.34

P

13
14
15
16

62.97.36
64.20.38
63.27.40
63.20.53

L
P
L
L

17

63.17.56

L

18

63.66.66

P

19
20
21
22
23
24

63.58.68
63.49.71
64.50.72
63.06.80
26.85.80
62.93.81

P
L
L
L
L
L

K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli
P. aeruginosa
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
P. aeruginosa

R
S
R
S
R
R
S
S
R
S
R
S
S
R
S
R
S
R
R
R
R
S
S
S
S
S
S

R
S
R
R
S
S
R
R
R
R
R
S
S
R
S
R
S
R
R
R
R
R
S
R
S
R
S

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

R

Universitas Sumatera Utara

Tabel 5
No.
1
2
3
4
5
6
7
8
9

No. Rekam
Medis
21.65.03
63.74.05
64.14.06
63.39.08
63.77.08
64.57.09
64.61.15
63.47.19
63.55.25

Jenis
Kelamin
L
L
L
L
P
L
P
P
L

10
11

63.39.31
63.66.34

L
P

12

63.06.34

P

13
14
15
16

62.97.36
64.20.38
63.27.40
63.20.53

L
P
L
L

17

63.17.56

L

18

63.66.66

P

19
20

63.58.68
63.49.71

P
L

Pola Kuman
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
E. coli
K. pneumonia
E. coli
E. coli
K. pneumonia
P. aeruginosa
E. coli
P. aeruginosa
A. baumanii
P. aeruginosa
E. coli
K. pneumonia
E. coli
E. coli
E. coli

Sensitivitas Terhadap Antibiotik (S)/(R)
Piperacillin-Tazobactam Tetracycline Polymyxin B
S
S
R
S
S
S
S
S
R
S
S
S
S
S
R
R
S
R
R
R
R
S
S
S
S
S
R

R

R

S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S
S

Universitas Sumatera Utara

21
22
23
24

64.50.72
63.06.80
26.85.80
62.93.81

L
L
L
L

E. coli
E. coli
E. coli
E. coli
P. aeruginosa

S
S
R
S
S

S
S
S

Universitas Sumatera Utara

LAMPIRAN 6

Jenis Operasi * ILO Crosstabulation
% within Jenis Operasi
ILO
Positif
Jenis Operasi

Negatif

Total

Apendiktomi

14.3%

85.7%

100.0%

Laparotomi

17.4%

82.6%

100.0%

3.3%

96.7%

100.0%

Gastrostomi

18.2%

81.8%

100.0%

Hemikolektomi kanan

16.7%

83.3%

100.0%

5.9%

94.1%

100.0%

Laparotomi + Apendiktomi

Anastomosis
Eksisi lokal lesi rektal

100.0%

100.0%

Bedah digestif lainnya
Total

100.0%

100.0%

94.0%

100.0%

6.0%

Jenis Operasi
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Apendiktomi

28

6.4

6.4

6.4

Laparotomi

86

19.7

19.7

26.1

Laparotomi + Apendiktomi

61

14.0

14.0

40.1

Gastrostomi

11

2.5

2.5

42.7

6

1.4

1.4

44.0

17

3.9

3.9

47.9

1

.2

.2

48.2

Bedah digestif lainnya

226

51.8

51.8

100.0

Total

436

100.0

100.0

Hemikolektomi kanan
Anastomosis
Eksisi lokal lesi rektal

Universitas Sumatera Utara

Pola Bakteri
Frequency

Percent

Valid Percent

Cumulative
Percent

E. coli

22

68.8

68.8

68.8

K. pneumonia

5

15.6

15.6

84.4

P. aeruginosa

3

9.4

9.4

93.8

A. baumanii

1

3.1

3.1

96.9

L. gasseri

1

3.1

3.1

100.0

32

100.0

100.0

Valid

Total

Universitas Sumatera Utara

Antibiotik * Sensitivitas Crosstabulation
% within Antibiotik
Sensitivitas
S
Antibiotik

Amikacin
Ampicillin/Sulbactam

R

100.0%

100.0%

3.2%

96.8%

100.0%

Amoxicillin/Clavulanic acid

38.7%

61.3%

100.0%

Cefotaxime

19.4%

80.6%

100.0%

Ceftizidime

29.0%

71.0%

100.0%

Ceftriaxone

19.4%

80.6%

100.0%

Imipenem

96.8%

3.2%

100.0%

Cefoperazone/Sulbactam

87.1%

12.9%

100.0%

Doxycycline

10.0%

90.0%

100.0%

Gentamycin

62.1%

37.9%

100.0%

Levofloxacin

43.3%

56.7%

100.0%

Meropenem

96.7%

3.3%

100.0%

100.0%

100.0%

33.3%

100.0%

100.0%

100.0%

Netilmicin
Piperacillin-Tazobactam

66.7%

Tetracycline

Total

Total

Polymyxin B

100.0%

100.0%

Chloramphenicole

100.0%

100.0%

Ciprofloxacin

100.0%

100.0%

Cortimoxazole

100.0%

100.0%

45.8%

100.0%

54.2%

Universitas Sumatera Utara

Sensitivitas * E. coli Crosstabulation
% within Sensitivitas
E. coli
S
Sensitivitas

Amikacin
Ampicillin/Sulbactam

R

100.0%

100.0%

4.5%

95.5%

100.0%

Amoxicillin/Clavulanic acid

50.0%

50.0%

100.0%

Cefotaxime

27.3%

72.7%

100.0%

Ceftizidime

27.3%

72.7%

100.0%

Ceftriaxone

27.3%

72.7%

100.0%

Imipenem

95.5%

4.5%

100.0%

Cefoperazone/Sulbactam

86.4%

13.6%

100.0%

Doxycycline

9.5%

90.5%

100.0%

Gentamycin

65.0%

35.0%

100.0%

Levofloxacin

33.3%

66.7%

100.0%

Meropenem

95.2%

4.8%

100.0%

100.0%

100.0%

33.3%

100.0%

100.0%

100.0%

Netilmicin
Piperacillin-Tazobactam

66.7%

Tetracycline

Total

Total

Polymyxin B

100.0%

100.0%

Chloramphenicole

100.0%

100.0%

Ciprofloxacin

100.0%

100.0%

Cortimoxazole

100.0%

100.0%

44.7%

100.0%

55.3%

Universitas Sumatera Utara

K. pneumonia * Sensitivitas Crosstabulation
% within K. Pneumonia
Sensitivitas
S
K. Pneumonia

Amikacin

Total

100.0%

Ampicillin/Sulbactam

100.0%
100.0%

100.0%

80.0%

100.0%

Cefotaxime

100.0%

100.0%

Ceftizidime

100.0%

100.0%

Ceftriaxone

100.0%

100.0%

Amoxicillin/Clavulanic Acid

Imipenem
Cefoperazone/Sulbactam

20.0%

100.0%
80.0%

Doxycycline

100.0%
20.0%

100.0%

100.0%

100.0%

Gentamycin

40.0%

60.0%

100.0%

Levofloxacin

40.0%

60.0%

100.0%

Meropenem

100.0%

Piperacillin-Tazobactam
Polymyxin B
Total

R

80.0%

100.0%
20.0%

100.0%
46.4%

100.0%
100.0%

53.6%

100.0%

Universitas Sumatera Utara

Sensitivitas * P.aeruginosa Crosstabulation
% within Sensitivitas
P.aeruginosa
S
Sensitivitas

Amikacin

100.0%

Total
100.0%

Ampicillin/Sulbactam

100.0%

100.0%

Amoxicillin/Clavulanic acid

100.0%

100.0%

Cefotaxime

100.0%

100.0%

Ceftizidime

100.0%

Ceftriaxone

100.0%
100.0%

100.0%

Imipenem

100.0%

100.0%

Cefoperazone/Sulbactam

100.0%

100.0%

Doxycycline

100.0%

100.0%

Gentamycin

100.0%

100.0%

Levofloxacin

100.0%

100.0%

Meropenem

100.0%

100.0%

Piperacillin-Tazobactam

66.7%

Tetracycline
Polymyxin B
Total

R

33.3%

100.0%

100.0%

100.0%

100.0%
60.5%

100.0%
39.5%

100.0%

Universitas Sumatera Utara

A. baumanii * Sensitivitas Crosstabulation
% within A. baumanii
Sensitivitas
S
A. baumanii

Amikacin

R

100.0%

Total
100.0%

Ampicillin/Sulbactam

100.0%

100.0%

Amoxicillin/Clavulanic Acid

100.0%

100.0%

Cefotaxime

100.0%

100.0%

Ceftizidime

100.0%

100.0%

Ceftriaxone

100.0%

100.0%

Imipenem

100.0%

100.0%

Cefoperazone/Sulbactam

100.0%

100.0%

Doxycyline

100.0%

100.0%

Gentamycin

100.0%

100.0%

Levofloxacin

100.0%

100.0%

Meropenem

100.0%

Piperacillin-Tazobactam
Polymyxin B

100.0%
100.0%

100.0%

Total

42.9%

100.0%
100.0%

57.1%

100.0%



Universitas Sumatera Utara