Introduction. Gallstones (cholelithiasis) and gallbladder stones (choledocholithiasis) are still a public health problem because of the high incidence rate. Management of stones in common bile duct (CBD) is done with history taking about patient complaints and tracking patient history such as yellow appearance, physical examination, laboratory examination, and imaging examination before, during and after surgery. Of the many imaging assessment that can be done, in practice not all can be done because these tests are expensive, complicated, risk of morbidity and mortality. A scoring system that includes many parameters can be very useful for many surgeons to be able to assess the presence of gallbladder stones. Methods. The study was an analytic observational study with a cross sectional study design carried out in the digestive surgery polyclinic and the inpatient installation of Dr. Moh Husein general hospital, Palembang from September 2018 to May 2019. The sample of this study was all patients suspected of having gallbladder stones that met the inclusion and exclusion criteria. Results: Receiver operating characteristic (ROC) analysis of scoring on bile duct stone diagnosis had a cut-off of> 4 with a sensitivity value of 100% and a specificity of 75%. In the Fisher's Exact analysis test and it was found that the scoring had a significant relationship to the diagnosis of bile duct stones with an odd ratio (OR) value of 12.52. Conclusion. The use of a scoring system can predict the incidence of gallbladder stones.
Antibiotik profilaksis diberikan untuk mencegah Infeksi Daerah Operasi (IDO) Penelitian ini bertujuan untuk mengkaji pola penggunaan antibiotik profilaksis terhadap angka kejadian IDO. Penelitian cross-sectional ini menggunakan data medical record dan pengamatan langsung. Observasi IDO diamati secara langsung luka pascaoperasi, yang pertama diruang perawatan pada saat ganti perban, observasi kedua dilakukan di poliklinik bedah pada saat kontrol berulang. Infeksi Daerah Operasi diklasifikasikan menjadi tiga jenis, yaitu IDO insisional superfisial, IDO insisional dalam, IDO organ/rongga. Hasil penelitian ini menunjukkan angka kejadian IDO pada pasien bedah digestif sebesar 17,5% memenuhi kriteria diagnosa IDO superficial. IDO ditemukan paling cepat hari ketiga dan paling lama pada hari kelima pasca operasi. Jenis antibiotik profilaksis dan lama penggunaan antibiotik profilaksis tidak mempunyai hubungan bermakna terhadap angka kejadian IDO (p>0,05). Akan terapi waktu pemberian antibiotik mempunyai hubungan bermakna terhadap angka kejadian IDO (p<0,05).
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