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Journal : Bali Journal of Anesthesiology

SURGEONS BEHAVIOR TOWARD PROPHYLAXIS ANTIBIOTICS IN SANGLAH HOSPITAL Suranadi, I Wayan; Sukrama, Dewa Made; Budayanti, Ni Nyoman Sri; Pradhana, Adinda Putra; Amin, Yusuf Sidang
Bali Journal of Anesthesiology Vol 2, No 3 (2018)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.011 KB) | DOI: 10.15562/bjoa.v2i3.102

Abstract

 Background: The emergence of antibiotic resistance is a complicated problem due to many factors, especially its use and abuse. Inappropriate use of antibiotics is very common in both developed and developing countries. The goal of this study was to see the knowledge of the surgeons toward prophylaxis antibiotic at Sanglah Hospital.Methods: This is a descriptive study of 55 surgeons who performed elective surgery at Sanglah Hospital. A questionnaire was filled by the surgeons randomly without prior notice about the study. The information about their behavior toward prophylaxis antibiotics was gathered from medical record of the day.Result: Out of the 55 surgeons participated in this study, 85.5% have followed a training on rational antibiotic use. The level of knowledge about factors that can increase surgical wound infections is quite good (94.4%), while the knowledge regarding factors that can reduce surgical wound infections very low (16.4%). Almost all (92.7%) clean-surgery patients were given prophylactic antibiotics. The most given antibiotic was ceftriaxone (72.7%), the third generation of cephalosporins.Conclusion: The mean knowledge of the surgeons toward antibiotic prophylaxis was 59.8%. The most used antibiotic as pre-surgical prophylaxis was ceftriaxone. And the time of administration for prophylaxis antibiotic was 16-60 minutes prior to surgical incision.
Antimicrobial susceptibility patterns of Acinetobacter baumanii isolates from ICU and non-ICU wards Budayanti, Ni Nyoman Sri; Suranadi, I Wayan; Tarini, Made Adi; Violentina, Gusti Ayu Dianti; Sathya Deva, I Dewa Gde
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.369 KB) | DOI: 10.15562/bjoa.v3i1.147

Abstract

ABSTRACTIntroduction: Acinetobacter baumanii is the most common agent of hospital-acquired infection with the increasing fatality rate due to multidrug-resistant (MDR) strain infection. The magnitude of the problem in Indonesia is unknown. Here, we provide data regarding susceptibility pattern of A. baumanii isolated from a tertiary referral hospital in Bali, Indonesia between 2012 and 2014.Methods: Data were collected retrospectively from culture-based records in the Clinical Microbiology department, Sanglah General Hospital during 2012-2014. A. baumanii was isolated from clinical specimens. Identification and antimicrobial susceptibility test were conducted using micro-dilution method (Vitek-2 Compact system). Isolates that resistant to ≥ 3 antibiotic classes were categorized as multi-drug resistant (MDR) A. baumanii.Results: A. baumanii collected from sputum in intensive care unit (ICU) wards were 7.9%, 11.1%, and 7.0%, while the isolates from sputum in non-ICU wards were 13.1%, 15.6%, and 19.9% in 2012, 2013, and 2014, respectively.  There was a reduced susceptibility of A. baumanii to ciprofloxacin, levofloxacin, ceftazidime, aztreonam, imipenem, ampicillin-sulbactam, and piperacillin-tazobactam in ICU ward. Meanwhile, the susceptibility of A. baumanii to Cotrimoxazole remained high in both ICU and non-ICU ward. MDR A. baumanii is found to be resistant to fluoroquinolones, cephalosporins, aztreonam, aminoglycosides, beta-lactamase inhibitors, and carbapenem. Data were analyzed and presented in a descriptive manner.Conclusion: Three years surveillance showed that the susceptibility of A. baumanii to most common antibiotics was decreasing. MDR A. baumanii was found to be resistant to all classes of common antibiotics mostly from ICU ward isolates. 
Udayana One Health Collaborating Center (OHCC) initiated Bali’s first mass, integrated basic life support training Sudewi, Anak Agung Raka; Budayanti, Nyoman Sri; Wiryana, Made; Senapathi, Tjokorda Gde Agung; Ryalino, Christopher; Pradhana, Adinda Putra
Bali Journal of Anesthesiology Vol 3, No 1 (2019)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (174.494 KB) | DOI: 10.15562/bjoa.v3i1.136

Abstract

ABSTRACTBasic Life Support (BLS) is a first-aid training that can be utilized in case of emergency until the victims are retained by medical professionals. Mastering BLS skills can be the difference between life and death. A cardiopulmonary resuscitation (CPR) performed by a passer-by is important to ensure a successful resuscitation in out-of-hospital cardiac arrest. Yet, improving the survival rate for out-of-hospital cardiac arrest is still a major problem. Starting in 2019, Udayana One Health Collaborating Center (Udayana OHCC) will implement the first mass and integrated BLS training in Bali. The goals are to introduce BLS to more people and to produce BLS-friendly environment in Bali.
Co-Authors A. Soebandrio A. Widayati Adhiputra, I Ketut Agus Indra Adinda Putra Pradhana Agus Eka Darwinata Agus Roy Rusly Hariantana Hamid Agus Simahendra Agustinus I Wayan Harimawan Ajeng Diantini, Ajeng Amin, Yusuf Sidang Anggita Dewi Arikandini, Dewa Ayu Putu Aisaka Rajeshi Aryana, I Gusti Putu Suka Bryan Setiawan Candra, I Kadek Bayu Adhi Chandra, Katherine Silvania Christopher Ryalino D A Indah Gitaswari Dave Gerald Oenarta Dea Antariksa Dewa Ayu Agung Anggita Ningrat Dwija, Ida Bagus Nyoman Putra Dyah Pradnyaparmita Duarsa Eriata, Anselmus Helbert Erly Sintya Erly Sintya F. S. Wignall Fedik Abdul Ratam Gusti Ayu Dianti Violentina Hearty Indah Oktavian Hendrawan, Gresya I Dewa Agung Gede Meisha Dhanam I Dewa Ayu Made Dian Lestari I Dewa Made Sukrama I Gede Gita Sastrawan I Gede Pradnya Wisnu Murthi I Gusti Agung Indah Pradnyani R.S I Gusti Ayu Dewi Ratnayanti I Gusti Kamasan Arijana I Gusti Ngurah Kade Mahardika I Gusti Ngurah Mayun I Gusti Nyoman Sri Wiryawan I Made Ady Wirawan I Made Sutha Saskara I Nyoman Hariyasa Sanjaya I Nyoman Wande I Putu Bayu Mayura I Putu Bayu Mayura, I Putu Bayu I Wayan Adi Pranata I Wayan Rivandi Pradiyadnya Mardana I Wayan Sugiritama I Wayan Suranadi I. B. P. Dwija I. K. Sukardika I.K. Suata Ida Ayu Andhira Dewi Suarisavitra Ida Ayu Putu Putri Andari Ida Bagus Gede Adiguna Wibawa Ida Sri Iswari Indramawan Setyojatmiko Indraningrat, Anak Agung Gede K. Subrata K. Wirasandhi Kadek Anggie Wigundwipayana Kadek Dede Frisky Wiyanjana Kadek Karang Agustina Komang Januartha Putra Pinatih Krishna Murprayana Lameng, Imaculata Sonia Vidaryo M. A.C.M. Nusatya Made Agus Hendrayana Made Widianantara Made Wiryana Marco Reeiner N. K. Niti Susila, N. K. N. K. Susilarini Ni Kadek Seri Mahayanti Ni Luh Made Mirah Rahayu Ni Luh Putu Harta Wedari Ni Luh Putu Harta Wedari Ni Luh Putu Harta Wedari, Ni Luh Putu Harta Ni Luh Ranthi Kurniawathi Ni Made Adi Tarini Ni Made Linawati Ni Made Mertaniasih Ni Made Susilawathi Ni Nengah Dwi Fatmawati Ni Nengah Dwi Fatmawati Nyoman Indra Karunia Putri Nyoman Yenny K, Nyoman Pande Putu Januraga Prilandari, Luh Inta Prisela Zharaswati Prisillia Brigitta Putra, I Dw. Gd. Bayu Artha Pratama Putra, Made Dwi Ambara Putu Arya Suryanditha Putu Dian Pratita Lestari Putu Eka Arimbawa Raka-Sudewi A. A. Rastuti, Made Rina Rustawan, I Nengah Tony Saranova, Hilda Sari Kusumadewi Sathya Deva, I Dewa Gde Setiabudy, Marta Shita Diwyani Sudarsa Tjokorda Gde Agung Senapathi V. Wiwing Violentina, Gusti Ayu Dianti Wahyu Hidayati Wibisana, I Dewa Nyoman Adi Ningrat Widowati, I Gusti Ayu Rai - Wijaya, Carolin Winatha, I Gde Pangestu Putrama Winaya, Made Illene Wira Guna, I Gede Bhima Yanti, Ni Komang Semara Yuntari, Gusti Ayu Krisma