Inayati Inayati
Instalasi Farmasi Rumah Sakit PKU Muhammadiyah Yogyakarta

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PENGARUH UMUR DAN PENYAKIT PENYERTA TERHADAP RESIKO INFEKSI LUKA OPERASI PADA PASIEN BEDAH GASTROINTESTINAL Imaniar Noor Faridah; Tri Murti Andayani; Inayati Inayati
Pharmaciana Vol 2, No 2 (2012): Pharmaciana
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.361 KB) | DOI: 10.12928/pharmaciana.v2i2.668

Abstract

Surgical Site Infection/SSI is the result of the contamination of bacteria whichenter the body during surgery. High risk of SSI is occured in gastrointestinal surgeryand influenced by the characteristics of the patients such as age and comorbidity sincethey deal with immunity system of the body. The research was aimed to identity theinfluence of age and comorbidity to the high risk of SSI in gastrointestinal surgerypatients. The research was a cross sectional research conducted prospectively at PKUMuhammadiyah Hospital Yogyakarta from January to March 2012. The researchsubjects were all inpatients undergoing gastrointestinal surgery, having visiblesurgical site and using antibiotic to prevent surgical site infection. There are 68patients in the research. Data that were analyzed comprised the characteristics ofpatients such as age and congenital disease to the risk of surgical site infection. Theresult of this research indicated that 2 patients (2,94%) suffering SSI. Based on the age,SSI happened to 2 patients in the age range of 41-60 years old. However, based on thestatistical result, there was no correlation between age and the existence of SSI(p>0.05). SSI also occured in 2 patients with comorbidity. However, there wascorrelation between the existence of comorbidity and SSI (p<0.05).
THE ANALYSIS OF THE ANTIBIOTIC USE TOWARDS SURGICAL SITE INFECTION ON THE PATIENTS OF GASTROINTESTINAL SURGERY AT PKU MUHAMMADIYAH HOSPITAL YOGYAKARTA Imaniar Noor Faridah; Tri Murti Andayani; Inayati Inayati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 2
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.65

Abstract

Surgical Site Infection / SSI is the result of the contamination of bacteria which enter the body as the surgery is in progress. High risk of Surgical Site Infection occurs in gastrointestinal surgery and is influenced by some characteristics, such as the use of antimicrobial prophylaxis. This research was aimed at identifying the use of antibiotics, identifying the percentage of the occurrence of Surgical Site Infection on the patients of gastrointestinal surgery. The research is a cross sectional research conducted prospectively at PKU Muhammadiyah Hospital Yogyakarta. The research subjects were all inpatients suffering gastrointestinal surgery and using antibiotic during the period of January until March 2012, and there are 68 patients fulfill the inclusion criteria. The inclusion criteria of the research is inpatient suffering gastrointestinal surgery, surgical site is visible, and use antibiotic for preventing Surgical Site Infection. Data that were analyzed comprised the use pattern of prophylactic antibiotics both perisurgery and post-surgery, and the analysis of the occurrence of Surgical Site Infection. The result of the research indicated that prophylactic antibiotics that was given to 14 patients with the most frequently used antibiotic was ceftriaxone (7.35%); perisurgical antibiotics that was given to 16 patients with the most frequently used antibiotics was the combination of ceftriaxone and metronidazole (8.82%), post-surgical antibiotics was given to all patients intravenously or orally in which the most frequently used intravenous antibiotics was ceftriaxone (30.88%) and the most frequently used oral was the quinolones (33.33%) and the most frequently used antibiotic type was cefadroxil (25%). The Surgical Site Infection occurred to 2 patients (2.94%) in contaminated surgery, with the comorbidity of non-diabetic, and they did not use prophylactic antibiotics.Key words: gastrointestinal surgery, occurrence of surgical site infection, prophylactic antibiotics
THE EFFECTIVENESS AND COST ANALYSIS OF ZINC TREATMENT ON THE CHILDREN WITH ACUTE DIARRHEA IN PKU MUHAMMADIYAH YOGYAKARTA HOSPITAL IN 2011 Sudewi Mukaromah Khoirunnisa; Tri Murti Andayani; Inayati Inayati
JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Vol 2, No 4
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jmpf.93

Abstract

Diarrhea is the second leading cause of death among children in the world and medical cost to deal with diarrhea is significantly high. WHO and UNICEF recommend the use of zinc to treat diarrhea on children. This research was aimed to assess of diarrhea the influence of giving zinc supplement on the duration, length of stay and frequency, and to identify the amount of direct medical cost borne by the patient who used utilizing zinc in order to treat diarrhea. This research was conducted with non-experimental descriptive design. Data were taken retrospectively from medical record and financial office of PKU Muhammadiyah Yogyakarta Hospital. The research subjects were child patients aged 1 - < 15 years old suffering from acute diarrhea, used antibiotic, had no other diseases, and treated as inpatient during the period of January 1 until December 31st 2011. The number of samples that met the inclusion criteria were 67 patients for each zinc and control group. The data were analyzed based on the characteristics of patients, diarrhea duration in the hospital, length of stay, diarrhea frequency and amount of medical cost. Data were analyzed descriptive quantitatively and statistically to compare the means of variables between both groups. The research result indicated that the group receiving zinc had shorter diarrhea duration of ±0.45 day (p<0.05), shorter length of stay of ±0.09 day (p>0.05), and lower diarrhea frequency from the second to the fourth day of the treatment (p<0.05). In regard to cost analysis, the total medical cost of zinc group was lower than that of control group (p<0.05) accounts for IDR. 1,155,407. However, it could not be concluded that the use of Zinc was effective. The use of zinc was effective in treating acute diarrhea on inpatients children.Keywords: zinc, acute diarrhea, effectiveness, direct medical cost