| dc.contributor.advisor | HABIB, INAYATI | |
| dc.contributor.advisor | BUDIANTORO, TRI | |
| dc.contributor.author | SARI, DEWI PUSPITA | |
| dc.date.accessioned | 2019-07-12T03:07:02Z | |
| dc.date.available | 2019-07-12T03:07:02Z | |
| dc.date.issued | 2019-01-18 | |
| dc.identifier.uri | http://repository.umy.ac.id/handle/123456789/27924 | |
| dc.description | Latar belakang: Cesarean section merupakan prosedur pengambilan janin dalam rahim melalui insisi dinding perut segmen bawah rahim. Prosedur ini berisiko infeksi daerah operasi 5 – 20 kali lebih besar daripada persalinan normal. Risiko infeksi daerah operasi bisa ditekan dengan pemberian antibiotik profilaksis. Penelitian ini diperlukan untuk mengevaluasi ketepatan penggunaan antibiotik profilaksis pada pasien yang menjalani prosedur cesarean section.
Metode: Penelitian dilakukan secara non-eksperimental (observasional) terhadap 118 kasus pasien yang didapatkan dari data retrospektif. Rancangan analisis menggunakan metode deskriptif sedangkan metode evaluasi menggunakan diagram Gyssens.
Hasil: Hasil analisis dari 118 kasus dengan presentase terbanyak; 1. Profil pasien; usia pasien 20 – 34 tahun (60,2%), usia kehamilan 37 – 41 minggu (93,2%), riwayat kehamilan kedua (36,4%), riwayat melahirkan sekali (39%), tidak ada riwayat sesar sebelumnya (75,4) dan riwayat sesar sebagai indikasi terbanyak dilakukannya operasi sesar (20,3%). 2. Profil peresepan; antibiotik profilaksis yang diresepkan ceftizoxim 1 gram (67%), rute pemberian IV (100%), waktu pemberian antibiotik profilaksis < 60 menit sebelum operasi (46,6) dan durasi pemberian antibiotik profilaksis selama 12-24 jam (45,8%). Hasil evaluasi dengan diagram Gyssens diperoleh 118 peresepan masuk dalam kategori IV A yaitu ada antibiotik lain yang lebih efektif meskipun outcome terapi baik.
Kesimpulan: Evaluasi kualitatif penggunaan antibiotik profilaksis dengan metode Gyssens pada kasus cesarean section di bangsal kebidanan dan kandungan RSUD Kota Yogyakarta pada bulan Januari – Juni 2017 diperoleh ketepatan pemberian antibiotik profilaksis pada 118 pasien masuk kategori IV A yang berarti ada antibiotik lain yang lebih efektif meskipun outcome pasien baik | en_US |
| dc.description.abstract | Background: Cesarean section is a procedure for taking the fetus in the womb through the incision of the abdominal wall of the lower uterine segment. This procedure has a risk of infection in the operating area 5 - 20 times greater than normal labor. The risk of infection in the operating area can be reduced by giving prophylactic antibiotics. This study is needed to evaluate the accuracy of the use of prophylactic antibiotics in patients undergoing the cesarean section procedure.
Methods: The study was conducted non-experimental (observational) on 118 cases of patients obtained from retrospective data. The design of the analysis used is descriptive method while the evaluation method uses Gyssens diagram.
Result: The results of the analysis of 118 cases with the highest percentage; 1. Profile of the patient; age of patients 20-34 years (60.2%), gestational age 37-41 weeks (93.2%), history of second pregnancy (36.4%), history of once-childbirth (39%), no previous cesarean history (75.4) and history of cesarean delivery as the most indications for cesarean section (20.3%). 2.Prescribing profile; prophylactic antibiotics prescribed ceftizoxim 1 gram (67%), IV administration route (100%), prophylactic antibiotic time <60 minutes before surgery (46.6) and duration of prophylactic antibiotics for 12-24 hours (45.8%) . The evaluation results with the Gyssens diagram obtained 118 prescriptions included in category IV A, namely there were other antibiotics that were more effective even though the therapeutic outcome was good.
Conclusion: Qualitative evaluation of the use of prophylactic antibiotics with the Gyssens method in the case of cesarean section in the obstetrics and obstetric wards of Yogyakarta City Hospital in January - June 2017 obtained the accuracy of prophylactic antibiotics in 118 patients in category IV A which meant that there were other antibiotics more effective despite good patient outcomes . | en_US |
| dc.publisher | FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH YOGYAKARTA | en_US |
| dc.subject | Qualitative evaluation, prophylactic antibiotics, Gyssens, cesarean section | en_US |
| dc.title | EVALUASI KUALITATIF PENGGUNAAN ANTIBIOTIK PROFILAKSIS PADA KASUS CESAREAN SECTION DI BANGSAL KEBIDANAN DAN KANDUNGAN RSUD KOTA YOGYAKARTA | en_US |
| dc.type | Thesis | en_US |
