GAMBARAN TATA LAKSANA TERAPI PASIEN OSTEOMIELITIS DI RSUP SANGLAH APRIL 2015 - OKTOBER 2016 SEBUAH STUDI DESKRIPTIF
| Main Authors: | Adidharma, Anak Agung Gde Bagus, Asmara, Anak Agung Gde Yuda, Dusak, I Wayan Suryanto |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Universitas Udayana
, 2020
|
| Online Access: |
https://ojs.unud.ac.id/index.php/eum/article/view/70656 https://ojs.unud.ac.id/index.php/eum/article/view/70656/38457 |
Daftar Isi:
- ABSTRAK Osteomielitis yakni suatu kondisi peradangan pada tulang yang melibatkan beberapa organisme. Organisme yang dapat terlibat adalah mikobakteri dan bakteri pyogenik. Osteomielitis merupakan suatu kasus gawat darurat bidang orthopaedi. Sehingga, penatalaksanaannya harus segera dilakukan. Tujuan dari penelitian ini untuk mengetahui penatalaksanaan pasien osteomielitis di RSUP Sanglah April 2015-Oktober 2016. Desain yang digunakan yakni deskriptif retrospektif. Populasi yang digunakan adalah semua pasien dengan osteomielitis di RSUP Sanglah, Denpasar April 2015-Oktober 2016 dengan menggunakan metode random sampling dan didapatkan 15 sampel. Penelitian ini menggunakan data sekunder berupa rekam medis. Hasil dari analisis rekam medis didapatkan sebagian besar kasus ditemukan pada laki-laki (66,7%), sedangkan lebih sedikit pada perempuan (33,3%). Jumlah terbanyak kelompok usia pada penelitian ini yakni kelompok usia <18 tahun dan 40-49 tahun (26,7%). Onset terbanyak yang ditemukan yakni osteomielitis kronis (53,3%) dengan sebaran organisme terbanyak yakni Staphylococcus aureus (50%) dan 4 pasien osteomielitis (26,7%) memiliki riwayat pasca operatif dengan lokasi terbanyak yang terpapar yaitu pada cruris (26,7%) sedangkan tata laksana yang umum dilakukan yakni adanya kombinasi antara antibiotik, antipiretik serta tindakan operatif (66,7%). Diperlukan pemahaman yang baik terkait apa itu osteomielitis, faktor risiko serta gejala yang dapat terjadi bagi masyarakat umum. Disamping hal tersebut perlu disertakan edukasi mengenai apa saja bahaya yang dapat timbul dari penyakit osteomielitis. Serta secara digital diperlukan pembuatan arsip yang lengkap, sehingga diharapkan pencarian data rekam medis menjadi lebih mudah dan mengurangi insiden kehilangan. Kata Kunci: Osteomielitis, Tata Laksana, Operatif dan Non-Operatif.
- ABSTRACT Osteomyelitis was a condition that made an bone inflammatory due to organism infections. The organism that can involved were microbacteria and pyogenic bacteria. Osteomyelitis was one of the emergency in orthopedic department. Therefore, the management of osteomyelitis must done quick and appropriate. The aim of this study were to determine the management of osteomyelitis at Sanglah General Hospital on April 2015-Oktober 2016. This study was a descriptive retrospective that using secondary data. This study was using population of osteomyelitis patients on medical records, this study also using random sampling methods that produced 15 samples. The tools or source that be used in this researched were medical records. Result of analysis data from medical records showed the major case found in mens (66.7%) and in woman (33.3%). We also found that the biggest age group were <18 years and 40-49 years (26.7%). Most onset was chronic osteomyelitis (53.3%) and then most bacterial that we found was Staphylococcus aureus (50%) also 4 patient (26.7%) had history of post operative with the most location that we found was cruris (26.7%) which were most therapy that used in patient were the combination between some antibiotic, antipyretic, and then operative procedures. There were needed an knowledge about what was osteomyelitis, its risk factor, and then clinical manifestation that might happened for people. Other that, people must be educated about what was serious condition that might happened included its dangerous complications. And then, its must used digital system for better recording therefore searching for medical records can become more easier and then avoiding lost of data. Keywords: Osteomyelitis, Management, Operative and Non operative