SITUATION USING CARBAPENEM

Objective: To survey the use of carbapenem antibiotics at An Sinh General Hospital. Subjects and methods: retrospective descriptive study on 100 medical records of patients being treated in departments of An Sinh General Hospital from June 1st, 2020 to December 31st, 2020. Results: The carbapenem antibiotic used at An Sinh General Hospital mainly indicated for the treatment of pneumonia accounted for the highest percentage with 53.3%. There were 100% of strains of Haemophilus influenzae; Rhizobium radiobacter; Proteus. cp; Streptococcus mitis, which was also sensitive to carbapenem. 100% strains of Stenotrophomonas maltophilia bacteria was resistant to meropenem; 01 strain of Burkhorderia vietnamiensis was isolated against imipenem; 2 of 3 strains of Staphylococcus aereus isolated were resistant to meropenem. Carbapenem was mainly used in combination regimens. The proportion of the combination in the initial regimen was 100%. The rate of combination of 3 antibiotics was 22.7%. In the replaceable regimen, the combination rate was 82.2%. Conclusion: The carbapenem group was indicated for the treatment of pneumonia. Strains of the bacteria Haemophilus influenzae; Rhizobium radiobacter; Proteus. cp; Streptococcus mitis was also sensitive to carbapenem. Bacteria strains Stenotrophomonas maltophilia, Burkhorderia vietnamiensis and Staphylococcus aereus were resistant to meropenem. Carbapenem was mainly used in combination regimens.

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TÌNH HÌNH SỬ DỤNG KHÁNG SINH CARBAPENEM

Tạp chí Y học Cộng đồng ◽

10.52163/yhcd.v62i4.101 ◽

2021 ◽

Vol 62 (4) ◽

Author(s):

Le Minh Phu

Keyword(s):

Haemophilus Influenzae ◽

Stenotrophomonas Maltophilia ◽

Streptococcus Mitis ◽

Rhizobium Radiobacter

Mục tiêu: Khảo sát tình hình sử dụng kháng sinh nhóm carbapenem tại Bệnh viện Đa khoa An Sinh. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu trên 100 bệnh án của bệnh nhân nằm điều trị tại các khoa của Bệnh viện đa khoa An Sinh trong thời gian từ 01/06/2020 đến 31/12/2020. Kết quả: Nhóm carbapenem sử dụng tại Bệnh viện đa khoa An Sinh chủ yếu được chỉ định để điều trị viêm phổi chiếm tỉ lệ cao nhất với 53,3%. Có 100% các chủng vi khuẩn Haemophilus influenzae; Rhizobium radiobacter; Proteus. cp; Streptococcus mitis còn nhạy cảm với carbapenem. Toàn bộ 100% chủng vi khuẩn Stenotrophomonas maltophilia đề kháng với meropenem; 01 chủng vi khuẩn Burkhorderia vietnamiensis phân lập được đề kháng với imipenem; 2 trong 3 chủng VK Staphylococcus aereus phân lập được đề kháng với meropenem. Carbapenem chủ yếu được sử dụng trong phác đồ phối hợp. Tỷ lệ phối hợp trong phác đồ khởi đầu là 100%. Tỉ lệ phối hợp 3 kháng sinh là 22,7%. Trong phác đồ thay thế, tỷ lệ phối hợp là 82,2%. Kết luận: Nhóm carbapenem được chỉ định để điều trị viêm phổi. Các chủng vi khuẩn Haemophilus influenzae; Rhizobium radiobacter; Proteus. cp; Streptococcus mitis còn nhạy cảm với carbapenem. Chủng vi khuẩn Stenotrophomonas maltophilia, Burkhorderia vietnamiensis và Staphylococcus aereus đề kháng với meropenem. Carbapenem chủ yếu được sử dụng trong phác đồ phối hợp.

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SURVEY ON THE USE OF CARBAPENEM ANTIBIOTICS AT CAN THO CHILDREN’S HOSPITAL

Tạp chí Y học Cộng đồng ◽

10.52163/vjcm.v62i6.170 ◽

2021 ◽

Vol 62 (6) ◽

Author(s):

Bui Dang Lan Huong ◽

Bui Dang Minh Tri ◽

Le Thi Kim Ngan

Keyword(s):

Medical Records ◽

Descriptive Study ◽

Combination Regimen ◽

Children's Hospital ◽

Impaired Patient ◽

Patient Status ◽

Children’S Hospital ◽

Combination Regimens ◽

Alternative Regimen

Objective: To survey the use of carbapenem antibiotics at Can Tho Children’s Hospital. Objects and methods: Retrospective-descriptive study on 140 medical records of patients being treated at departments of Can Tho Children’s Hospital during the period from June 1st, 2020 to December 31st, 2020. Results: 26.43% of carbapenems were indicated empirically initiate, 73.57% of carbapenem was indicated in alternative regimens as the presence of microbiological results or worsened or impaired patient status. Carbapenem was mainly used in combination regimens. The proportion of the combination in the initiation regimen was 100%. In which, the proportion of combination regimen between carbapenem and an antibiotic (or vancomycin or gentamicin) was mainly. The rate of combination of three antibiotics was 18.9%. In the replacement regimen, the proportion of combination regimen was 79.6%. Of these, 57.3% of the carbapenem was combined with another antibiotic, most of which was combined with vancomycin. Combination regimen of three or four antibiotics accounted for a low percentage. Conclusion: 26.43% of carbapenem was indicated empirically initiate, 73.57% of carbapenem was indicated in an alternative regimen in the presence of microbiological results or worsened or impaired patient status. Carbapenem was mainly used in combination regimens.

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Descriptive Study of Pediatric Patients with Ileum Stoma at Inpatient Installation of Dr. Soetomo General Hospital Surabaya

JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ◽

10.20473/juxta.v12i12021.1-5 ◽

2021 ◽

Vol 12 (1) ◽

pp. 1

Author(s):

Farihazqa Hafez Mikala ◽

Alpha Fardah Athiyyah ◽

I Gusti Bagus Adria Hariastawa ◽

I Gusti Made Reza Gunadi Ranuh

Keyword(s):

Body Weight ◽

General Hospital ◽

Medical Records ◽

Pediatric Patients ◽

Intestinal Atresia ◽

Descriptive Study ◽

Average Weight ◽

Normal Body Mass Index ◽

Male Patients

Introduction: Ileostomy is needed as an important part of the management of several congenital disorders of the intestine. One of the indication of ileostomy in children is short bowel syndrome, which is caused by intestinal atresia such as ileal atresia and intussusception. Ileostomy is a surgery procedure which consists of creating holes on abdominal walls to release stool. The objective of this study was to determine the description of pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Methods: This was a retrospective descriptive study on medical records in the Central Medical Record Department of Pediatrics and General Surgery Dr. Soetomo General Hospital Surabaya from January 2017 to December 2018. Results: There were 26 pediatric patients who underwent ileostomy in Dr. Soetomo General Hospital Surabaya. Samples from male patients consisted of 57.7%, while female patients consisted of 42.3% with the most common age group was neonates with 57.7%, infants 30.8%, and toddlers 11.5%. There were 30.7% patients with 2.0-2.9 kg body weight, 27% with 3.0-3.9 kg body weight, and 42.3% with more than 4 kg body weight. The outcome showed that repair was needed, or the patient was discharged with periodic follow-up after ileostomy. Conclusion: Ileostomy was performed mostly in neonates with average weight within normal body mass index (BMI) and the highest incidence of pediatric patient with ileum stoma was in pediatric patients.

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MALE URETHRAL STRICTURE CHARACTERISTIC IN DR KARIADI GENERAL HOSPITAL SEMARANG: A DESCRIPTIVE STUDY

Indonesian Journal of Urology ◽

10.32421/juri.v28i2.690 ◽

2021 ◽

Vol 28 (2) ◽

pp. 168-171

Author(s):

Erwin Parulian Pasaribu ◽

Nanda Daniswara ◽

Ardy Santosa ◽

Eriawan Agung Nugroho ◽

M. Adi Soedarso ◽

...

Keyword(s):

Erectile Dysfunction ◽

Learning Curve ◽

General Hospital ◽

Urethral Stricture ◽

Medical Records ◽

Descriptive Study ◽

Definitive Therapy ◽

The Mean ◽

Definitive Surgery ◽

Complications Rate

Objective: This research was conducted to describe male urethral stricture characteristic in Kariadi General Hospital Semarang. Material & Methods: The data is collected retrospectively from the male urethral stricture patient medical records Kariadi General Hospital Semarang between January 2013 until December 2017. The data is analyzed descriptively to describe the characteristics of male urethral stricture patients, patient age, etiology, site, definitive surgery, and complications. Results: Within the period, 171 patients with male urethral stricture. The mean age was 52.11 years (range 9-86). The causes of stricture were trauma in 145 patients (84.8%), infection in 25 patients (14.6%) and iatrogenic in 1 patients (0.06%). Strictures site were posterior in 146 patients (85.4%) and anterior in 25 patients (14.6%). The definitive surgery for strictures were from DVIU in 132 patients (77.2%) and urethroplasty in 39 patients (22.8%). Complications rate were recurrence of stricture 56 patients (32.74%), bleeding 6 patients (3.05%), extravasation 14 patients (8.18%), erectile dysfunction 4 patients (2.34%). Conclusion: Trauma is the leading cause of urethral stricture in Kariadi General Hospital. The most common definitive therapy for urethral stricture in Kariadi General Hospital was still DVIU, but there has been an increase for urethroplasty and we still get the learning curve for it.

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Epidemiology of Intra-Cerebral Hemorrhage in Young Adult Patients

JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga ◽

10.20473/juxta.v11i22020.65-68 ◽

2020 ◽

Vol 11 (2) ◽

pp. 65

Author(s):

Melisa Melisa ◽

Asra Al Fauzi ◽

Anggraini Dwi Sensusiati

Keyword(s):

Young Adults ◽

Young Adult ◽

Basal Ganglia ◽

Intracerebral Hemorrhage ◽

Ct Scan ◽

General Hospital ◽

Medical Records ◽

Descriptive Study ◽

Hematoma Volume ◽

Observational Descriptive Study

Introduction: This study aimed to define the CT scan imaging of young adult intracerebral hemorrhage (ICH) patients in Dr. Soetomo General Hospital, Surabaya.Methods: This was an observational descriptive study. The data were collected retrospectively with medical records of 18 to 45 years old ICH patients who were treated in Dr. Soetomo General Hospital, Surabaya between 2014 and 2017. The collected data were then presented into tables.Results: 207 patients were identified in this study. The locations of the ICH were basal ganglia (45.89%), lobar (41.55%), thalamus (10.63%), brainstem (8.7%), cerebellum (4.83%), and others (3.86%). The volume of ICH varied from less than 30 cc (66.67%), 30 to 59 cc (27.54%), and more than 60 cc (5.8%). Conclusion: The CT scan imaging of young adults ICH mainly had hematoma volume less than 30 cc and was mostly located in basal ganglia area then followed by lobar area.

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Accuracy Between CURB-65 Score and PSI in Determining The Prognosis of Community-Acquired Pneumonia Patients at H. Adam Malik General Hospital, Medan

Respiratory Science ◽

10.36497/respirsci.v1i3.25 ◽

2021 ◽

Vol 1 (3) ◽

pp. 174-181

Author(s):

Fransisco Sentosa Pakpahan ◽

Syamsul Bihar ◽

Fajrinur Syarani ◽

Putri Chairani Eyanoer

Keyword(s):

General Hospital ◽

Medical Records ◽

Pneumonia Severity Index ◽

Severity Index ◽

Descriptive Study ◽

Community Acquired Pneumonia ◽

Initial Assessment ◽

Pneumonia Severity ◽

Assessment Scores ◽

Admission Data

Background: Community-Acquired Pneumonia (CAP) is an important problem associated with morbidity and mortality. An accurate initial assessment is required before starting management of a CAP patient to determine the prognosis of the patient as early as possible. The CURB-65 score and PSI (Pneumonia Severity Index) are initial assessment scores that can be used. This study aimed to compare the accuracy between the CURB-65 score and the PSI in determining the prognosis in CAP patients at H. Adam Malik General Hospital Medan. Method: A descriptive study was conducted on 76 patients diagnosed with CAP. Each patient was assessed for their CURB-65 score, PSI class and mortality within 30 days of admission. Data were collected through patient medical records diagnosed CAP in 2018 and performed statistical analysis using 2x2 tables. Results: The CURB-65 ≥3 score showed accuracy (71.0%), sensitivity (53.8%), and specificity (89,2%). The CURB-65 ≥ 2 score showed accuracy (75.0%), sensitivity (82.1%), and specificity (67.6%). Meanwhile, the Class IV-V PSI showed accuracy (77.6%), sensitivity (87.2%) and specificity (67.6%). Conclusion: The accuracy of the PSI is higher when compared to the CURB-65 score in determining the prognosis of CAP patients at H. Adam Malik General Hospital Medan. Although PSI is more accurate, CURB-65 is simpler, easier and less expensive to use

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GAMBARAN ULTRASONOGRAFI BATU EMPEDU PADA PRIA & WANITA DI BAGIAN RADIOLOGI FK UNSRAT BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE OKTOBER 2012- OKTOBER 2014

e-CliniC ◽

10.35790/ecl.3.1.2015.7399 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Patrick C. D. Gagola ◽

Joan F. J. Timban ◽

Ramli Hadji Ali

Keyword(s):

Gall Bladder ◽

General Hospital ◽

Medical Records ◽

Ultrasound Examination ◽

Secondary Data ◽

Descriptive Study ◽

Age Group ◽

Men And Women ◽

Upper Abdominal ◽

The Right

Abstract: Gallstone is a disease which has symptoms as discovery of one or several hard as a stone masses contained in the gallbladder (cholecystolithiasis) or in the choledochus duct (choledocholithiasis). The examination which is often used in the diagnosis of gallstone is ultrasound imaging. Ultrasound can provide a clear picture if there is a stone located in the gall bladder, making it easier for doctor to determine the patient's diagnosis. The purpose of this study is to describe the ultrasound results gallstones in men and women in the Department of Radiology, Medical Faculty of Sam Ratulangi Univesity, General Hospital Prof. Dr. R. D. Kandou Manado period from October 2012 to October 2014. This study is a retrospective descriptive study by using secondary data from medical records contained in the department of radiology general hospital Prof. Dr. R. D. Kandou Manado period from October 2012 to October 2014. Overall results of ultrasonography gallstones found 225 cases, with the highest incidence in the period from October 2013 to October 2014 as many as 149 cases (66.2%). People with gallstones by sex, most commonly found in women with 124 cases (55.1%). Most people with gallstones in the age group 46-55 years (26.2%). Patients who present with pain in the right upper abdominal area should certainly cause through ultrasound examination to help the diagnosis, ruling out the possibility of regional abnormalities in other organs and prevent worsen cause gallstones.Keywords: ultrasound gallstones, gallstonesAbstrak: Batu empedu merupakan suatu penyakit dengan gejala ditemukannya satu atau beberapa massa keras seperti batu yang terdapat di dalam kandung empedu (cholecystolithiasis) atau dalam duktus choledochus (choledocholithiasis). Pemeriksaan yang sering digunakan dalam penegakan diagnosis batu empedu adalah pemeriksaan imaging salah satunya adalah Ultrasonografi. Ultrasonografi dapat memberikan gambaran yang jelas apabila terdapat batu yang berlokasi di kandung empedu. Sehingga mempermudah dokter untuk menentukan diagnosis pasien. Tujuan penelitian ini untuk mengetahui gambaran hasil Ultrasonografi batu empedu pada pria & wanita di Bagian Radiologi FK UNSRAT/SMF Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode Oktober 2012- Oktober 2014. Penelitian ini merupakan penelitian deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik yang terdapat di Bagian Radiologi BLU RSUP Prof. Dr. R. D. Kandou Manado Periode Oktober 2012- Oktober 2014. Keseluruhan hasil Ultrasonografi batu empedu ditemukan 225 kasus, dengan kejadian terbanyak pada periode Oktober 2013- Oktober 2014 sebanyak 149 kasus (66,2%). Penderita batu empedu berdasarkan jenis kelamin, paling banyak ditemukan pada wanita dengan 124 kasus (55,1%). Penderita batu empedu terbanyak pada kelompok umur 46 – 55 tahun (26,2%). Gagola, Timban, Hadji Ali: Gambaran ultrasonografi batu...rasa nyeri pada daerah perut kanan atas sebaiknya dipastikan penyebabnya melalui pemeriksaan Ultrasonografi untuk membantu mendiagnosis, menyingkirkan kemungkinan kelainan pada daerah organ lainnya dan mencegah memberatnya penyebab batu empedu.Kata kunci: ultrasonografi batu empedu, batu empedu

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Risk Factor Of Substitution ARV First Line People Living With HIV/AIDS In General Hospital Buleleng Bali

STRADA JURNAL ILMIAH KESEHATAN ◽

10.30994/sjik.v9i1.240 ◽

2020 ◽

Vol 9 (1) ◽

pp. 190-197

Author(s):

Luh Putu Desy Puspaningrat ◽

Gusti Putu Candra ◽

Putu Dian Prima Kusuma Dewi ◽

I Made Sundayana ◽

Indrie Lutfiana

Keyword(s):

Risk Factor ◽

General Hospital ◽

Medical Records ◽

Secondary Data ◽

District General Hospital ◽

People Living With Hiv ◽

First Line ◽

The Past ◽

Factor Substitution ◽

Living With Hiv

Substitution is still a threat to the failure of ARV therapy so that no matter how small it must be noted and monitored in ARV therapy. The aims was analysis risk factor substitution ARV first line in therapy ARV. This study was an analytic longitudinal study with retrospective secondary data analysis in a cohort of patients receiving ARV therapy at the District General Hospital of Buleleng District for the period of 2006-2015 and secondary data from medical records of PLHA patients receiving ART. Result in this study that the percentage of first-line ARV substitution events is 9.88% (119/1204) who received ARV therapy for the past 11 years. Risk factors that increase the risk of substitution in ARV therapy patients are zidovudine (aOR 4.29 CI 1.31 -2.65 p 0.01), nevirapine (aOR1.86 CI 2.15 - 8.59 p 0.01) and functional working status (aOR 1.46 CI 1.13 - 1.98 p 0.01).

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