Syok Sepsis Pada Fasitis Nekrotikans Regio Colli Pasca Servikotomi Debridemen Disertai Gangren Radik Multipel Pasca Ekstraksi Gigi Multipel: Laporan Kasus

Widuri, Lila Irawati Tjahjo

doi:10.55497/majanestcricar.v40i1.224

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…Piperacillin/tazobactam is indicated for intra-abdominal infections, pelvic infections, skin and soft tissue infections (Nurmala et al, 2015;Yunita and Sukrama, 2015). Based on the Infectious Disease Society of America (IDSA) guidelines, vancomycin or linezolid plus piperacillin/tazobactam, carbapenems or ceftriaxone, and metronidazole are empirical antibiotics for the treatment of soft tissue and skin infections (Widuri, 2022).…”

Section: Discussionmentioning

confidence: 99%

Bacteriological Profile of Wound Infection and Antibiotic Susceptibility Patterns in a Public Hospital in Surabaya, Indonesia

Ayunur Kholifah,

Wahyu Indriati,

Wahyuni

et al. 2023

J Vocat Heal Stud

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Background: Pyogenic infections that occur can be caused by direct bacterial contamination of the wound, such as infection in a post-surgical wound or infection after trauma. Efforts to control infection can be done with the use of antibiotics. Purpose: To determine the profile of bacteria and antibiotic sensitivity in wound culture in hospitalized patients in Hajj General Hospital Surabaya, East Java in 2021. Method: This study used the Chi-square test and descriptive analysis in the form of distribution tables and percentages using secondary data based on the results of examination of pus culture at the Clinical Microbiology Laboratory in Hajj General Hospital Surabaya, East Java in 2021. Result: The results of research on wound culture samples showed as many as 113 patients (56.22%) with positive culture results, which were predominantly female as many as 59 patients (50.9%) and the highest age category namely at the age of 46-55 years as many as 39 patients (33.6%). Based on bacteria, the most dominant type of bacteria in the Gram-negative group was Escherichia coli ESBL with 21 isolates (26.6%), while Gram-positive bacteria, Staphylococcus aureus, was found in 16 isolates (43.3). The results of antibiotic sensitivity on Gram-negative bacteria were Piperacillin/Tazobactam and Meropenem, and on Gram-positive bacteria Vancomycin and Linezolid were obtained. Conclusion: E. coli and S. aureus are the most important causes of wound infections and the suppressor organisms in this study. Antibiotic susceptibility testing of all isolates showed that the antibiotics amikacin and meropenem were sensitive to Gram-negative bacteria especially ESBL-producing bacteria, and the antibiotics vancomycin and linezolid were sensitive to Gram-positive bacteria especially MRSA.

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Section: Discussionmentioning

confidence: 99%

Bacteriological Profile of Wound Infection and Antibiotic Susceptibility Patterns in a Public Hospital in Surabaya, Indonesia

Ayunur Kholifah,

Wahyu Indriati,

Wahyuni

et al. 2023

J Vocat Heal Stud

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“…Berdasarkan hasil kultur pus luka didapatkan hasil terdapat infeksi bakteri grup A bhemolytic streptococcus yang menyebabkan terjadinya fascitiis nekrotikans (FN). FN merupakan nekrosis yang bersifat progresif di bagian lemak subkutan dan fascia atau lebih dikenal dengan infeksi kulit dan jaringan lunak (skin and soft tissue infection -SSTI) (Widuri, 2022).…”

Section: Hasil Dan Pembahasanunclassified

“…Sepsis berat merupakan sepsis yang disertai dengan disfungsi organ, hipoperfusi dan hipotensi (Purwanto & Astrawinata, 2018). Sedangkan syok sepsis adalah sepsis yang disertai dengan hipotensi menetap yang disertai dengan gangguan sirkulasi, seluler dan metabolik meskipun telah dilakukan terapi cairan dan pemberian vasopressor (Aristo & Putra, 2019;Widuri, 2022). Selain itu pada pasien dengan syok sepsis ditemukan pula asidosis laktat, oliguria serta perubahan akut pada status mental.…”

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Penatalaksanaan Gangguan Perfusi Jaringan Pada Pasien Dengan Syok Sepsis Di Icu : A Case Report

Muzalifah,

Mirwanti

2023

SJRI

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Syok sepsis merupakan kondisi kegawatdaruratan yang mengancam jiwa apabila telat dalam penanganannya. Masalah keperawatan yang dapat ditimbulkan karena syok sepsis adalah gangguan perfusi jaringan dengan hipotensi menetap meskipun telah dilakukan resusitasi cairan. Tujuan penelitian yaitu menggambarkan dan membahas mengenai penerapan penatalaksanaan gangguan perfusi jaringan pada pasien dengan syok sepsis di ICU berdasarkan Surviving Sepsis Campaign (SSC) 2021. Metode yang digunakan yaitu Case Report dengan proses asuhan keperawatan selama 2x24 jam. Ny. H berusia 53 tahun dirawat di ICU dengan diagnosa medis syok sepsis e.c fascitiis nekrotikan dengan MODS ensefalopaty respiratory failure, AKI superimposed CKD dengan metabolik asidosis dan DM tipe II dengan neuropati perifer rooster. Pasien mengalami penurunan kesadaran dengan hipotensi, terdapat luka di lengan kiri, hasil AGD menunjukan asidosis metabolik, terpasang ventilator mode PSV. Hasil dari tindakan yang telah dilakukan berupa skrining dan assessment dengan SOFA score, pemberian resusitasi cairan menggunakan NaCl 0,9%, pemberian vasopressor norepinefrin 0,2 mcg/KgBB/menit, melakukan kultur darah dan kontrol infeksi dengan kolaborasi antibiotik (vancomycin, ampicilin, metronidazole), penggunaan ventilator dengan volume tidal rendah, memberikan penatalaksanaan suportif (transfusi sel darah merah, terapi bikarbonat, terapi heparin). Berdasarkan penatalaksanaan tersebut perfusi jaringan klien mengalami peningkatan dan perbaikan. Penatalaksaan SSC 2021 dapat direkomendasikan sebagai penatalaksanaan pada pasien dengan syok sepsis.

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Syok Sepsis Pada Fasitis Nekrotikans Regio Colli Pasca Servikotomi Debridemen Disertai Gangren Radik Multipel Pasca Ekstraksi Gigi Multipel: Laporan Kasus

Cited by 2 publications

References 14 publications

Bacteriological Profile of Wound Infection and Antibiotic Susceptibility Patterns in a Public Hospital in Surabaya, Indonesia

Bacteriological Profile of Wound Infection and Antibiotic Susceptibility Patterns in a Public Hospital in Surabaya, Indonesia

Penatalaksanaan Gangguan Perfusi Jaringan Pada Pasien Dengan Syok Sepsis Di Icu : A Case Report

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