Faktor Faktor Risiko terjadinya Pneumonia pada Stroke Akut di RSUP Dr Hasan Sadikin Bandung

Muhafidzah, Novi Fatni; Mansur, Sobaryati; Pranggono, Emmy Hermiyanti; Wibisono, Yusuf; Juli, Cep; Gamayani, Uni; Gunadharma, Suryani; Cahyani, Aih

doi:10.24244/jni.v10i3.269

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Severe post-stroke infections are associated with an increase risk of death and poorer functional outcome (Learoyd et al, 2017). From a study conducted by Fatni Muhafidzah et al, (2021) it was found that 30 people had pneumonia in acute stroke patients (28.30%).…”

Section: Discussionmentioning

confidence: 99%

Performance of Antibiotic Used in Stroke Patients at Dr Soetomo Academic Hospital Surabaya

Zahroni¹,

Sugianto²,

Mertaniasih³

et al. 2022

IJRP

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Background:The prevalence of stroke in 2018 in Indonesia is 10.9 per mil. Decreased immunity in stroke complications can occur due to bacterial infections. Antibiotics are a treatment modality for bacterial infections that are regulated and monitored for their use to inhibit bacteria that are resistant to antibiotics.Objective: To find out the pattern of antibiotic use in stroke patients at Dr Soetomo Academic Hospital Surabaya.Methods: This is a retrospective study of medical records to determine patterns of antibiotic used based on DDD and DDD/100 patient-days in stroke patients in Seruni room at Dr Soetomo Academic Hospital Surabaya with sampling method is purposive sampling. The sample population is all stroke patients in the Seruni room at Dr Soetomo Academic Hospital Surabaya Indonesia for the period of July -December 2021. Result:The total sample in this study was 166 stroke patients, which were 33.13% taking antibiotics. Pneumonia had the highest frequency of infectious cases affecting stroke patients, accounting for 44 cases (25.6%). The most route of administration was parenteral (92.7%). The most widely used antibiotic was Ceftriaxone with 27.4% (95.5 DDD or 6.04 DDD/100 patient-days). The total value of antibiotic use was 392.17 DDD or 24.8 DDD/100 patient-days and the highest DDD value was Levofloxacin (138 DDD or 8.73 DDD/100 patient-days). Conclusion:Pneumonia became the most of infectious cases found, accounting for 44 cases (25,6%). As many as 33.13% of 166 stroke patients received antibiotic treatment. The most route of administration was parenteral (92.7%). The most widely used antibiotic was Ceftriaxone (27.4% used or 95.5 DDD or 6.04 DDD/100 patient-days). The highest DDD value was Levofloxacin (26% used or 138 DDD or 8.73 DDD/100 patient-days).

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Section: Discussionmentioning

confidence: 99%

Performance of Antibiotic Used in Stroke Patients at Dr Soetomo Academic Hospital Surabaya

Zahroni¹,

Sugianto²,

Mertaniasih³

et al. 2022

IJRP

View full text Add to dashboard Cite

show abstract

“…Penutupan bibir yang tidak normal, inkoordinasi lingual, dan pemicuan refleks menelan yang tertunda atau tidak ada dapat menyebabkan gangguan pada tahap menelan oral dan faring. Gejala disfagia pulih pada sebagian besar penderita dalam waktu satu minggu hingga satu bulan dan hanya bertahan pada sejumlah kecil subjek setelah enam bulan [21] Kejadian pneumonia pada pasien stroke akut lebih banyak ditemukan pada pemakaian NGT, disfagia, stroke infark lokasi SAT, ukuran infark besar, GCS lebih rendah dan derajat keparahan stroke lebih berat [22]. Insiden pneumonia aspirasi karena disfagia akibat stroke sebanyak 19-45% dan terjadi dalam lima hari pertama serangan stroke dan akan pulih dengan sendirinya pada hari ke 10 [23].…”

Section: Hasil Dan Pembahasanunclassified

Intervensi Keperawatan Untuk Pencegahan Kejadian Pneumonia Pada Pasien Stroke

Jerau

2024

JUFDIKES

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Stroke patients are susceptible to respiratory problems and complications in the lungs, namely pneumonia, which most often occurs during stroke treatment. The aims of this study is to review the various literature on interventions that nurses can do to prevent and treat pneumonia in stroke patients. Search methods using electronic databases Science Direct, Scopus, Pubmed, and Google Scholar with a search range of 2017-2022. The inclusion criteria were research conducted on all stroke patients, both ischemic and hemorrhagic, the intervention given was a nursing action, and the outcome assessed was pneumonia. Five articles were reviewed and found several interventions used to prevent and reduce the incidence of pneumonia in stroke patients. Nursing actions that can be done are dysphagia screening and oral care. Conclusion: Dysphagia screening and and oral care can used to prevent and reduce the incidence of pneumonia in stroke patients.

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Incidence of Pneumonia among Stroke Patient in Zainoel Abidin Hospital Banda Aceh – A Descriptive Study

Sofia,

Musadir,

Danial

2024

Health, sciences

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Background: Stroke is an acute and focal neurological deficit syndrome resulting from vascular injury (infarction, bleeding) in the central nervous system. Apart from that, stroke causes the second number of deaths in the world with the highest morbidity and the incidence increases in young and middle age (<55 y.o). In 2018, the prevalence of stroke in Aceh was 13.389 people. On the other hand, pneumonia is the most common non-neurological complication in the acute phase of stroke. In severe brain injury, it causes sympathetic overactivity which causes Systemic Inflammatory Response Syndrome (SIRS). The aim of the research is to provide a descriptive overview of the incidence of pneumonia in stroke patient including gender, onset, stroke classification, complications/comorbidities, use of antibiotics and length of treatment. Method: Quantitative research type with a descriptive design with a cross-sectional study and purposive sampling approach. The population is medical records of stroke patients who experienced pneumonia during the treatment period for the period January-December 2023 and samples were taken in the Medical Records Room at RSUD dr. Zainoel Abidin Banda Aceh. Results: This study showed that the dominant age of SAP was over 55 years and 60 cases of ischemic stroke (77.9%) and 17 cases (22.1%) of hemorrhagic stroke was male patient. The highest stroke onset is 1-7 days. The main comorbid factors were hypertension and diabetes mellitus. The use of antibiotics was 3rd generation cephalosporins. Conclusion: the incidence of pneumonia in stroke sufferers was influenced by age, gender and comorbid factors.

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Faktor Faktor Risiko terjadinya Pneumonia pada Stroke Akut di RSUP Dr Hasan Sadikin Bandung

Cited by 3 publications

References 15 publications

Performance of Antibiotic Used in Stroke Patients at Dr Soetomo Academic Hospital Surabaya

Performance of Antibiotic Used in Stroke Patients at Dr Soetomo Academic Hospital Surabaya

Intervensi Keperawatan Untuk Pencegahan Kejadian Pneumonia Pada Pasien Stroke

Incidence of Pneumonia among Stroke Patient in Zainoel Abidin Hospital Banda Aceh – A Descriptive Study

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