Analysis Of Prophylactic Antibiotic Use In Appendicitis Surgery Patients At Muhammadiyah Hospital Ahmad Dahlan City Kediri
DOI:
https://doi.org/10.30994/sjp.v6i2.149Keywords:
Appendicitis, appendectomy, rational drug, prophylaxis, SWIAbstract
Cases of acute appendicitis in Indonesia are 29.9 out of 10,000 per person with preforation appendicitis 20-30%, many factors cause SWI (Surgical Wound Infection) in appendectomy patients, SWI is one of three infections that occur in hospitals there are 14-16%, so it requires rational use of prophylactic antibiotics to prevent infection. Objective: to determine the frequency of SWI and to determine the pattern of use and identify the rationality of patients who use antibiotics for appendicitis surgical prophylaxis at Ahmad Dahlan Kediri Hospital. Methods: A quantitative descriptive research was conducted in 2023 with a total of 44 populations, utilising a cross-sectional design and a total sample approach. Results: 28 out of 44 patients were male, all procedures were performed laparoscopically with a duration of surgery of 1 hour and had a LOS (Length Of Stay) of 3 - 5 days, the majority were acute appendicitis with the most commonly used antibiotic ceftriaxone with a single dose of 17. There were 11 incidents of SWI types of superficial infections. Conclusion: the use of prophylactic antibiotics in appendicitis surgery patients is rational and proves that prophylactic antibiotics are effective in preventing the occurrence of SWI in appendicitis surgery patients at Admad Dahlan Kediri Hospital.