Penggunaan Antibiotik Profilaksis Pada Pasien Sectio Caesarea

Hardiyanti, Rahma

doi:10.35893/jhsp.v2i1.37

Cited by 4 publications

(6 citation statements)

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“…In accordance with the recommendations of the COVID-19 Accelerated Handling Task Force, rapid tests must be carried out on pregnant women before giving birth, except for referral cases where rapid tests have been carried out or pregnant women who have confirmed COVID-19. Inpartum pregnant women with positive rapid test screening results are still subjected to specimen collection and PCR examination, as well as determination of their status (9). However, the use of the rapid test has to be evaluated since the positive predictive value (PPV) widely varies, ranging from 60% to 100% at 5% prevalence depending on the brand and methods used, such as immunoassays (10,11).…”

Section: Discussionmentioning

confidence: 99%

“…Prophylactic antibiotics are highly recommended before surgery to reduce and prevent the occurrence of SSI by 30-65%. The recommended prophylactic antibiotic is Cefazolin 1 gr (1st generation Cephalosporin) (9,10). The duration of prophylactic antibiotics in cesarean section is recommended no more than 24 hours.…”

Section: Discussionmentioning

confidence: 99%

“…The duration of prophylactic antibiotics in cesarean section is recommended no more than 24 hours. One of the Cephalosporin class drugs given orally is Cefadroxil, which is well absorbed in the gastrointestinal tract and can be given after 24 hours (9).…”

Section: Discussionmentioning

confidence: 99%

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Development of Caesarean Section Clinical Pathway: A Lesson Learned

Sastrawan¹,

Wardhani²

2022

JKB

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Although clinical pathway (CP) is aimed to ensure quality and cost, the development of CP at hospitals is primarily for administrative purposes as it is required by accreditation standards, thus causing high variations in its implementation. This study aimed to develop a clinical pathway for caesarean section and explore the problem during development and implementation test. The selection of caesarean section was based on high volume, risk, and cost. Using participatory action research, the researcher started the program by performing an implementation evaluation, literature review, and regulatory development. The evaluation identified implementation discrepancies and prolonged length of stay. Based on the evaluation and literature review results, the Professional Care Provider (PCP) in the hospital conducted discussions and made suggestions by considering available resources, current practices, and behavior. The main differences of the new clinical pathway are: 1) it is developed based on literature and current practice, and 2) it should be added with notification, explanation, inclusion and exclusion criteria, and references. Before the implementation test, the hospital provide resources, develops a standard operational procedure followed by monitoring and evaluation. Differences in the type of medication and documentation method were found, which then further discussed with all involved PCP to define the agreed solutions. Professional engagement and openness culture that embraces along the process are the main key lesson learned in addition to the understanding that CP development and implementation is a continuous learning process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Development of Caesarean Section Clinical Pathway: A Lesson Learned

Sastrawan¹,

Wardhani²

2022

JKB

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“…Permasalahan yang terjadi pada bedah sesar antara lain infeksi, pendarahan, komplikasi bedah dan morbidly adherent placenta. Sekitar 90% morbiditas pasca operasi disebabkan oleh infeksi Luka Operasi (ILO) (Hardiyanti, 2020). Antibiotik profilaksis bedah sesar merupakan antibiotik yang diberikan pada wanita yang menjalani prosedur bedah sesar sebelum adanya tanda dan gejala suatu infeksi dengan tujuan mencegah terjadinya manifestasi klinik infeksi yang diduga bisa terjadi (Harwiyanti et al, 2022).…”

Section: Pendahuluanunclassified

Analisis Efektivitas Biaya Penggunaan Antibiotik Profilaksis Cefazoline Dan Ceftriaxone Pada Pasien Bedah Sesar Di RSUD Dr Soedomo Trenggalek

Marhenta,

Admaja,

Srihartini

2023

Jurnal Sintesis

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Tindakan bedah sesar semakin meningkat dari tahun ke tahun. Dengan meningkatnya kasus bedah sesar juga meningkatkan faktor resiko terjadinya infeksi pada ibu hamil (ILO). Infeksi luka operasi merupakan komplikasi pasca bedah sesar yang mana meningkatkan angka mortalitas, morbiditas dan biaya yang tinggi. Terapi dengan pemberian antibiotik profilaksis telah terbukti dapat menurunkan resiko infeksi luka pasca bedah. Beragamnya terapi antibiotik profilaksis yang diberikan kepada pasien bedah sesar perlu dilakukan analisis efektivitas biaya untuk mengetahui terapi pengobatan mana yang lebih efektif. Tujuan penelitian ini untuk mengetahui efektivitas biaya pada penggunaan antibiotik profilaksis cefazoline dan ceftriaxone pada kasus bedah sesar di RSUD Dr Soedomo Trenggalek tahun 2020. Penelitian ini merupakan penelitian cross-sectional yang dilakukan secara retrospektif dengan perspektif rumah sakit. Hasil penelitian didapatkan penggunaaan antibiotik profilaksis pada pasien bedah sesar yang menggunakan antibiotik cefazoline lebih cost-effetive dibandingkan dengan antibiotik ceftriaxone berdasarkan nilai ACER yang didapat dari dua outcome terapi sebesar Rp 5.492.629 dan Rp 1.408.306

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“…Research conducted by Andayasari et al in 2014 stated that sectio caesarea deliveries in one government hospital and one private hospital in DKI Jakarta from January 2011-December 2011 reached 59.2%, and premature rupture of membranes contributed 31.4% to sectio deliveries caesarea [11]. Research conducted by Sumelung in 2014 stated that premature rupture of membranes was one of the factors that increased the incidence of sectio caesarea at Liub Kendage Hospital in 2015 [12].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Premature Rupture of the Membrane and Cesarean Delivery: Case from Jakarta, Indonesia

Sihombing

Miqbel

Sirait

2023

AJRID

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Premature rupture of membranes (PROM) is the spontaneous rupture of the membranes before the onset of signs of labor. It can occur both before term (<37 weeks) and after term (> 37 weeks). Caesarean delivery is a surgical technique to deliver the fetus through an incision in the abdominal wall and uterine wall. This procedure is performed to minimize all complications from premature rupture of membranes. This study aims to determine the relationship between premature rupture of membranes and delivery of sectio caesarea at the UKI General Hospital in the 2019 period by using a descriptive content analysis method (analysis of medical records documents) with a cross-sectional approach and obtained 65 samples who experienced premature rupture of membranes. The results showed that 53 samples (81.55%) experienced premature rupture of membranes and performed sectio caesarea, while 12 samples (18.45%) had premature rupture of membranes but did not perform sectio caesarea with p-value = 0.001 (p <0.05) from the results of the chi-square statistical test. From the results of the analysis, it was found that there was a relationship between premature rupture of membranes and delivery of cesarean section at the UKI General Hospital for the 2019 period. It is suggested that patients avoid the factors that can cause premature rupture of the membranes, which have been told by the doctor or health worker and the patient's family to support the patient to remind them to avoid factors that can cause premature rupture of the membranes.

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Penggunaan Antibiotik Profilaksis Pada Pasien Sectio Caesarea

Cited by 4 publications

References 0 publications

Development of Caesarean Section Clinical Pathway: A Lesson Learned

Development of Caesarean Section Clinical Pathway: A Lesson Learned

Analisis Efektivitas Biaya Penggunaan Antibiotik Profilaksis Cefazoline Dan Ceftriaxone Pada Pasien Bedah Sesar Di RSUD Dr Soedomo Trenggalek

Relationship between Premature Rupture of the Membrane and Cesarean Delivery: Case from Jakarta, Indonesia

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