Pola Kuman, Hasil Uji Sensitifitas Antibiotik dan Komplikasi Abses Leher dalam di RSUD DR. Soetomo

Denny Rizaldi Arianto, Achmad Chusnu Romdhoni

Abstract


Penelitian ini bertujuan untuk mendapatkan data lokasi, etiologi, hasil kultur kuman dan uji sensitifitas antibiotik serta komplikasi dari penderita abses leher dalam yang di rawat ruang rawat inap bedah teratai THT-KL RSUD Dr. Soetomo periode Januari sampai Desember 2014. Bahan dan metode penelitian yaitu rekam medik penderita. Hasil: Didapatkan 41 penderita. Lokasi di submandibula 13(31,70%), ruang peritonsil 11(26,82%), kombinasi ruang submandibula, parafaring dan retrofaring 11 (26,82%). Etiologi infeksi gigi 14(34,14%), infeksi tonsil akut 8(19,51%), DM 8(19,51%), DM Tipe 2 dan infeksi gigi 10(24,39%), DM disertai infeksi orofaring 1(2,43%). Dari kultur pus didapatkan Staph. Aureus (33,33%), Strep. viridians (28,75%), Kleb. Pneumonia (9,52%). Dari kultur darah didapatkan kuman Strep. viridians (40,00%), Kleb. Pneumonia (20,00%), Acinobacter humanii (20,00%), Staph. Haemolyticus (20,00%). Kultur urin didapatkan Acinobacter humanii dan Staph. haemolyticus masing-masing 50%. Hasil uji sensitifitas antibiotik dari kultur pus didapatkan angka sensitive terhadap Meropenem (87,5%), Ceftriaxone (73,68%), Cefoperazone-sulbactam (70,00%), Cefotaxime (68,75%). Resitensi kuman terhadap antibiotika tersebut diatas secara berurutan 12,50%, 21,05%, 20,00%, 12,5%. Komplikasi sepsis 12(29,26%), obstruksi jalan napas atas (trakeotomi) 6(14,63%). Kesimpulan: Lokasi tersering di submandibula disusul peritonssil, kombinasi submandibula dan parafaring atau retrofaring. Etiologi tersering infeksi gigi disusul tonsil. Penyakit penyerta tersering yaitu DM. Kuman yang sering ditemukan dari kultur pus adalah Staph. aureus dan Strep. viridians. Kuman dari kultur darah terbanyak Strep. viridians, disusul Kleb. pneumonia, Acinobacter humanii, Staph. haemolyticus. Hasil uji sensitifitas terhadap antibiotik dari kultur pus didapatkan angka sensitif tertinggi adalah Meropenem disusul Ceftriaxone, Cefoperazone-sulbactam dan Cefotaxime. Komplikasi tersering sepsis disusul obstruksi jalan nafas atas dan mediastinitis. Sebanyak 4,87% penderita meninggal.


Keywords


Deep neck abscess; germ culture; antibiotic sensitivity test; complications

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Jurnal Ilmiah Kedokteran Wijaya Kusuma 

ISSN: 1978-2071(print); 2580-5967 (online)
Fakultas Kedokteran 
Universitas Wijaya Kusuma Surabaya
Surabaya, Indonesia
 
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All publications by Jurnal Ilmiah Kedokteran Wijaya Kusuma are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License