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Journal : Jurnal Kedokteran Meditek

Evaluasi Terapi Antibiotik pada Pasien yang Didiagnosis Sepsis di ICU RSUD dr. Mohamad Soewandhie berdasarkan Metode Gyssens Ristanti, Safira; Adiwinoto, Ronald Pratama; Wijaya, Rike Andy; Putro, Saptono
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3536

Abstract

ABSTRACT In the high-stakes world of Intensive Care Units (ICUs), the judicious application of empirical antibiotic therapy is crucial for managing sepsis in critically ill patients, as its misuse is often linked with unfavorable patient outcomes. Thus, timely and precise treatment strategies are indispensable. This study was designed to evaluate the rationality of such treatments among sepsis patients at RSUD Dr. Mohamad Soewandhie between January 2021 and September 2024. Using an observational and descriptive approach, researchers scrutinized secondary data from 120 patient medical records, with expert reviewers employing the Gyssens method to assess treatment rationality. Findings revealed that 60% of patients received appropriate empirical antibiotic therapy, most commonly intravenous Ceftriaxone. Alarmingly, culture and antibiotic sensitivity tests were conducted on only 18 patients, yielding 11 positive results, and among these were 19 gram-negative and 2 gram-positive bacterial isolates, with a troubling 67.9% being multidrug-resistant organisms (MDRO). Despite the empirical therapy's rationality, the study noted a concerning mortality rate of 81.67%, possibly owing to delays in obtaining culture results and the use of outdated local guidelines for antibiotic therapy in sepsis management, highlighting gaps in existing approaches. Keywords:Empirical Antibiotic Therapy, Intensive Care Unit, Sepsis, Septic Shock, Gyssens Method
Co-Authors A.A. Ketut Agung Cahyawan W Ali Djamhuri Alif Purwoko, Alif Amita Sri Devi, Amita Sri Anak Agung Istri Sri Wiadnyani Ananto Aji Ananto Aji, Ananto Andi Irwan Benardi Andi Irwan Benardi, Andi Irwan Anisa Ristiyani, Anisa Apik Budi Santoso Ariyani Indrayati Astutik, Erna Puji Berliana, Arla Janitra Budi Nur Sidiq, Wahid Akhsin Devy Monica, Devy Dewi, Aliffina Yulianoor Rinto Dewi, Fransiska Novita Dina Widya Erista, Dina Widya Dwi Amri Wibowo, Dwi Amri Dwi Jatmiko, Dwi Edi Kurniawan Erni Suharini Farida, Annis Farida, Annis Hariyanto HARIYANTO HARIYANTO Hary, Kurniawan Indra Heri Tjahjono Hisnindarsyah, Hisnindarsyah I KETUT TIRKA NANDAKA Juhadi Juhadi Khomang Sukmana, Khomang Kukuh Indarto, Kukuh Lukman Hakim M. Nurropik, M. Nurropik Maharani, Evanita Maharani, Evanita Moch. Arifien, Moch. Muh Sholeh Muhammad Rivai Naryatmojo, Deby Luriawati Nasichah, Almaulida Dianatun Nasichah, Almaulida Dianatun Novia Retno Ningsih, Novia Retno Novida Muslimmah, Novida Nur Amaliawati, Nur NUR FAUZIYAH Nurul Arofah, Nurul Nuryani, Marsha Wulan Prasanta, Arsi Surya Prasanta, Arsi Surya Prasetya, Nadya Riski Prasetya, Nadya Riski Puji Hardati Puji, Hardati Puji, Hardati Purnomo, Susetyo Hadi Rahma Hayati Rahma Hayati Rahmajati , Jaka Putra Rahmat, Chairul Rianandini, Prisca Anindya Rima Dipahada, Rima Risaldo, Hendi Ristanti, Safira Rizal Ichsan Syah Putra, Rizal Ichsan Rofiatul, Ulya Meiliana Romantika, Shinta Ronald Pratama Adiwinoto Safitri Nur Rahmi, Safitri Nur Satwika, Susetya Wicaksono Satyanta Parman Shintasiwi, Fitri Amalia Shohibbudin Shohibbudin, Shohibbudin Simbolon, Andri Sumihar Sriyanto Sriyono Sriyono Sriyono Sriyono Sriyono Sriyono Sulistiawan, Fani Sunarko Sunarko Sutardji Sutardji Suyana Suyana, Suyana Syadiah, Dea Halimatus Syadiah, Dea Halimatus Tjaturahono Budi Sanjoto Tri Wahyu Sarwiyata Tukidi Tukidi, Tukidi Ulia, Nafi’atul Ulia, Nafi’atul Wahyu Setyaningsih WAHYU SETYANINGSIH Wasino Wasino Wijaya, Rike Andy Wimas Hasan Febrianto Wimas Hasan Febrianto, Wimas Hasan Yametis, Joshua Vincent Gerar Yoga Yuniadi