scholarly journals PENERAPAN PENGGUNAAN COMFORT SCALE DI RUANG INTENSIVE CARE UNIT DI SATU RUMAH SAKIT SWASTA DI INDONESIA [IMPLEMENTATION COMFORT SCALE IN INTENSIVE CARE UNIT AT ONE PRIVATE HOSPITAL IN INDONESIA]

2021 ◽  
Vol 8 (2) ◽  
pp. 146
Author(s):  
Dwi Christian Silitonga ◽  
Siska Natalia ◽  
Elfrida Silalahi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Private Hospital ◽  
Muscle Tone ◽  
Body Movement ◽  
Sampling Technique ◽  
Purposive Sampling ◽  
Quantitative Descriptive ◽  
Assessment Format

<p><em>The Comfort Scale is a standard pain assessment format for measuring the level of psychological distress in critically ill patients, children under 18 years of age and adults who use sedation and are on a ventilator. This study aims to determine the application of the comfort scale in the Intensive Care Unit room. There are no research been conducted related to the application of the use of the comfort scale in a private hospital in West Indonesia. This research used quantitative descriptive with documentation study. The population in this study were patient medical records. The sampling technique used was purposive sampling and obtained a sample of 75 medical records of patients treated at the Intensive Care Unit (ICU) from January to July 2017 with a level of delirium to coma on a ventilator and using sedation drugs. The results of this study stated that out of 75 patient medical records were 11 (14.67%) the files was fill complete with the assessments comfort scale. There were four items has lower scores: crying (18.7%), body movement (28.0%), muscle tone (21.3%), facial tension (17.3%). There were 10 (13.33%) medical records for which there were no special ICU records. Recommendations for further research to carried out research in the ICU room and examining ICU nurses in conducting pain assessments so that the results of the assessment in comfort scale is accordance with all they have done.</em></p><p><em><br /></em><strong>BAHASA INDONESIA </strong><em>Comfort Scale</em> merupakan suatu standar format pengkajian nyeri untuk mengukur tingkat distress psikologis pada pasien kritis anak-anak dibawah usia 18 tahun dan dewasa yang menggunakan sedasi dan terpasang ventilator. Penelitian ini bertujuan untuk mengetahui penerapan penggunaan comfort scale di ruang <em>Intensive Care Unit</em> (ICU). Sejauh penelitian ini dilakukan, belum ada penelitian terkait penerapan penggunaan <em>comfort scale</em> di satu RS Swasta di Indonesia, sedangkan pendokumentasian erat kaitannya dengan kualitas pelayanan yang diberikan kepada pasien. Desain penelitian ini menggunakan deskriptif kuantitatif dengan studi dokumentasi. Populasi dalam penelitian ini adalah rekam medik pasien. Teknik pengambilan sampel yang digunakan adalah <em>purposive sampling</em> dan diperoleh sampel sejumlah 75 rekam medik pasien yang dirawat di ICU dari bulan Januari hingga Juli 2017 dengan tingkat kesadaran delirium sampai dengan koma yang terpasang ventilator serta menggunakan obat sedasi. Hasil penelitian ini menyatakan bahwa dari 75 rekam medik pasien terdapat 11 (14,67%) file pasien lengkap terisi pengkajian comfort scale. Ada empat item yang mendapatkan nilai rendah : tangisan (18,7%), gerakan tubuh (28,0%), tonus otot (21,3%), tegangan wajah (17,3%). Terdapat 10 (13,33%) rekam medik yang tidak terdapat catatan khusus ICU. Rekomendasi untuk penelitian selanjutnya dapat melakukan penelitian di ruang ICU dan meneliti perawat ICU dalam melakukan pengkajian nyeri sehingga hasil pengkajian comfort scale sesuai dengan yang dilakukan oleh perawat.</p>

scholarly journals The competencies of the shift leader in the intensive care unit setting, in a private hospital group in South Africa

2011 ◽  
Vol 16 (1) ◽  
Author(s):  
Elzabé Nel ◽  
Ann Müller ◽  
Adele Colyn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Early Stage ◽  
Intensive Care Unit Setting ◽  
Cluster Sampling ◽  
Validity And Reliability ◽  
Literature Study ◽  
Quantitative Descriptive ◽  
Hospital Group

Newly qualified intensive care nurses are forced into positions of authority and responsibility as shift leaders at an early stage and are not given a chance to consolidate their new knowledge with practice. They have to be responsible and accountable not only for their own actions, but also for those of their staff. The purpose of this study was to explore and describe the competencies of the shift leader in the intensive care unit setting to determine whether there is a gap between what is expected of the shift leader and what is happening in reality. A quantitative, descriptive design was used and cluster sampling was implemented.Questionnaires were used to gather data from three clusters, comprising 11 hospitals from a single private hospital group. Of the 251 questionnaires that were handed out to intensive care personnel (including trained and non-trained staff), 98 were returned, resulting in a response rate of 39%. An in-depth literature study and submission of questionnaires to experts before being administered to respondents ensured validity and reliability. Results were used to describe a typology of the competencies of the shift leader in the intensive care setting and indicated that respondents classified competencies related to the application of the nursing process in the intensive care unit in all its facets as essential competencies. None were classified as a critical competency and only four were classified as specific competencies. All respondents in the three clusters regarded their shift leaders as competent.OpsommingPas-gekwalifiseerde, intensiewesorg-verpleegkundiges word op ’n vroeë stadium as skofleiers in posisies van gesag en verantwoordelikheid geplaas en word nie die kans gegun om hul nuwe kennis met die praktyk te konsolideer nie. Tog moet hulle verantwoordelikheid en aanspreeklikheid aanvaar nie net vir hul eie aksies nie, maar ook vir dié van hul personeel. Die doel van hierdie studie was om die vaardighede van skofleiers in die opset van die intensiewesorg-eenheid te ondersoek en te beskryf om te bepaal of daar ’n gaping bestaan tussen wat van hulle verwag word en wat in werklikheid gebeur. ’n Kwantitatiewe, beskrywende ontwerp is gebruik en ’n trossteekproef is geïmplementeer. Vraelyste is gebruik om data in te samel van drie trosse bestaande uit 11 hospitale van ’n enkele privaathospitaalgroep. Van die 251 vraelyste wat uitgedeel is aan intensiewesorg-personeel (insluitend opgeleide en nie-opgeleide personeel), is 98 terugontvang, wat vertaal na ’n responskoers van 39%. ’n Diepgaande literatuurstudie en voorlegging van vraelyste aan deskundiges voordat dit aan respondente uitgedeel is, het bygedra tot geldigheid en betroubaarheid. Resultate is gebruik om ’n tipologie van die vaardighede van skofleiers in ’n intensiewesorg-eenheid te beskryf en dit het geblyk dat respondente die vaardighede wat verband hou met die verpleegproses in die intensiewesorg-eenheid in al sy fasette as noodsaaklike vaardighede klassifiseer. Geen vaardigheid is as kritiek geklassifiseer nie en slegs vier vaardighede is as spesifieke vaardighede geklassifiseer. Al die respondente in die drie trosse het hul skofleiers as vaardig beskou.

scholarly journals Perfil dos pacientes atendidos no primeiro ano de funcionamento de uma unidade de terapia intensiva: um estudo retrospectivo

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Allana Dupont Gonçalves ◽  
Talía Da Silva Evaldt ◽  
Mariana Freitas Comin ◽  
Karina Cardoso Gulbis ◽  
Valdemira Santina Dagostin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Field Method ◽  
First Year ◽  
Santa Catarina ◽  
Risk Of Death ◽  
Terapia Intensiva ◽  
Quantitative Descriptive ◽  
One Year

Introdução: A unidade de terapia intensiva é um setor onde o risco de morte é constante e há grande número de procedimentos de alta complexidade. Objetivos: Analisar o perfil dos pacientes internados na UTI de um hospital de um município no Extremo Sul Catarinense, após um ano de abertura do setor. Métodos: O estudo desenvolvido foi de abordagem quantitativa, do tipo descritivo, retrospectivo, com o uso do método documental e de campo. Foram incluídos no estudo, todos os prontuários de pacientes internados no primeiro ano de funcionamento de UTI (2019/2020), num total de 293 prontuários. Resultados: Realizada em uma UTI, composta por 10 leitos, sendo 2 de isolamento, com aparato tecnológico atual, sendo tecnologias de ponta. Mostraram que foram internados mais homens, com idade entre 60-74 anos, casados, alfabetizados e católicos, com sepse, com HAS e DM como comorbidades, originados na região dos municípios da região Carbonífera de Santa Catarina, a maioria em ventilação mecânica, em uso de vasodilatadores, com alta por melhora. Conclusão: Conhecer o perfil dos pacientes internados na UTI permite melhor planejamento do exercício profissional na promoção a saúde, prevenção ou recuperação.Palavras-chave: Unidade de terapia intensiva, perfil, pacientes, enfermagem Profile of patients treated in the first year of operation of an intensive care unit: a retrospective study ABSTRACTIntroduction: The intensive care unit is a sector where the risk of death is constant and there are many procedures of high complexity. Objective: To analyze the profile of patients admitted to the ICU of a hospital in a municipality in the Extreme South of Santa Catarina, after one year of opening of the sector. Methods: The study was conducted using a quantitative, descriptive, retrospective approach, using the documentary and field method. All medical records of patients admitted in the first year of ICU operation (2019/2020) were included in the study, totaling 293 medical records. Results: Performed in an ICU, composed of 10 beds, being 2 of isolation, with current technological apparatus, being state-of-the-art technologies. They showed that more men, aged between 60-74 years, married, literate and catholic, with sepsis, with SAH and DM as comorbidities, originated in the Carbonífera region of Santa Catarina state, the majority in mechanical ventilation, in use of vasodilators, with discharge for improvement. Conclusion: Knowing the profile of patients hospitalized in the ICU allows better planning of professional exercise in health promotion, prevention, or recovery.Keywords: Intensive care unit, profile, patients, nursing

scholarly journals Profil penderita sepsis di ICU RSUP Prof. Dr. R. D. Kandou Manadoperiode Desember 2014 – November 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Rheza N. Tambajong ◽  
Diana C. Lalenoh ◽  
Lucky Kumaat
Keyword(s):  
Intensive Care Unit ◽  
Severe Sepsis ◽  
Intensive Care ◽  
Medical Records ◽  
Cardiac Death ◽  
Sampling Method ◽  
Geriatric Patients ◽  
Pathogenic Microorganisms ◽  
Purposive Sampling ◽  
The Past

Abstract: Sepsis (blood poisoning) is an acute and serious clinical condition due to the presence of pathogenic microorganisms or their toxins in the bloodstream. The incidence of sepsis continues to rise over the past three decades. Although the knowledge of pathophysiology and therapy has developed supported by specific antibiotic therapy, sepsis is still the main cause of non-cardiac death in Intensive Care Unit (ICU). This study was aimed to determine the profile of patients with sepsis and its classification in the ICU. This was a descriptive retrospective study. Samples were determined by using non-probability sampling method, the purposive sampling method. Samples were septic patients at ICU Prof. Dr. R. D. Kandou Hospital Manado obtained from data of the medical records from December 2014 to November 2015. The results showed that there were 35 septic patients consisted of 16 males (46%) and 19 females (54%); most were geriatric patients. There were 29 patients (82.8%4 patients) diagnosed as sepsis; 4 patients (11.4%) as severe sepsis; and 2 patients (5.7%) as septic shock. Of the total 35 patients, there were 12 survivors (34.3%) and 23 deaths (65.7%)Keywords: septic patients Abstrak: Sepsis adalah kondisi klinis akut dan serius yang muncul akibat adanya mikroorganisme patogen atau toksinnya dalam aliran darah. Kejadian sepsis terus meningkat selama tiga dekade terakhir, Meskipun pemahaman patofisiologi dan terapi meningkat serta didukung oleh terapi antibiotik yang spesifik, sepsis dilaporkan tetap menjadi penyebab dari kematian non-cardiac di Intensive Care Unit (ICU). Penelitian ini bertujuan untuk mendapatkan profil penderita sepsis dan klasifikasinya di ICU. Jenis penelitian ialah deskriptif retrospektif. Sampel penelitian ialah pasien ICU RSUP Prof. Dr. R. D. Kandou Manado dengan diagnosis sepsis dan klasifikasinya diperoleh dari data di Bagian Rekam Medik periode Desember 2014 – November 2015. Besar sampel ditentukan dengan metode purposive sampling. Hasil penelitian mendapatkan total 35 sampel dengan sepsis terdiri dari 16 orang laki-laki (46%) dan 19 orang perempuan (54%); sebagian besar ialah pasien geriatri. Pasien yang didiagnosis masuk sepsis yang terbanyak yaitu 29 orang (82,8%) dibandingkan dengan diagnosis lain yaitu severe sepsis sebanyak 4 orang (11,4%) dan syok sepsis sebanyak 2 orang (5,7%). Dari ke 35 pasien dengan sepsis, 12 orang berhasil selamat (34.3%) sedangkan 23 orang meninggal (65.7%). Kata kunci: pasien sepsis

scholarly journals Factors contributing to sleep deprivation in a multidisciplinary intensive care unit in South Africa

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Valerie J. Ehlers ◽  
Heather Watson ◽  
Mary M. Moleki
Keyword(s):  
South Africa ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Sleep Deprivation ◽  
Private Hospital ◽  
Structured Interviews ◽  
Descriptive Research ◽  
Medical Terms ◽  
Quantitative Descriptive ◽  
Major Factors

Patients in intensive care units require rest and sleep to recuperate, but might suffer from sleep deprivation due to ongoing unit activities. The study aimed to identify and describe the factors contributing to sleep deprivation in one multi-disciplinary intensive care unit (MDICU) in a private hospital in South Africa. Quantitative, descriptive research was conducted to identify factors contributing to sleep deprivation in the research setting, and to make recommendations to enhance these patients’ abilities to sleep. Structured interviews were conducted with 34 adult non-ventilated patients who had spent at least one night in the MDICU and who gave informed consent. Out of the 34 interviewed patients 70.6% (n = 24) indicated that they suffered from sleep deprivation in the MDICU. The five major factors contributing to sleep deprivation in a MDICU were, (1) not knowing nurses’ names, noise caused by alarms, (2) stress, (3) inability to understand medical terms, and (3) blood pressure cuffs that restricted patients’ movements and smelled badly. Patients’ abilities to sleep were enhanced by reassuring nurses whose names they knew and with whom they could communicate. By attending to the identified five major factors, patients’ abilities to sleep in a MDICU could be enhanced enabling patients to recuperate faster. The implementation of such measures need not incur financial costs for the MDICU concerned.

scholarly journals Direct and indirect nursing care time in an Intensive Care Unit

2014 ◽  
Vol 22 (1) ◽  
pp. 150-157 ◽  
Author(s):  
Luciana Emi Kakushi ◽  
Yolanda Dora Martinez Évora
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Electronic Medical Records ◽  
Nursing Care ◽  
Medical Records ◽  
Private Hospital ◽  
Direct Care ◽  
Health Records ◽  
Indirect Care

OBJECTIVE: to identify the direct and indirect nursing care time in an Intensive Care Unit. METHOD: a descriptive/exploratory study conducted at a private hospital. The Nursing Activities Score classification system was used to estimate the direct care time, and electronic health records were used to estimate the indirect care time. The data were collected from March to June 2011. RESULTS: the findings indicate that the average nursing care time was 29.5 hours, consisting of 27.4 hours of direct care and 2.1 hours of indirect care per patient/day. The nursing care time was higher on weekends and holidays, with predominant use of electronic medical records at night. CONCLUSION: ascertaining nursing care times will contribute to a quantitative evaluation of human resources, assisting in the determination of workloads and workforce size.

scholarly journals Epidemiological characteristics of neonatal admissions in a public maternity / Características epidemiológicas das internações neonatais em uma maternidade pública / Características epidemiológicas de admisión neonatal en una maternidad..

2018 ◽  
Vol 6 (4) ◽  
pp. 28
Author(s):  
Danubia Jacomo Da Silva Cardoso ◽  
Beatriz Schumacher
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Medical Records ◽  
Preterm Labor ◽  
Neonatal Intensive Care ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Maternal Complications ◽  
Epidemiological Characteristics

Descriptive retrospective Research with quantitative approach. Aims: Meet the epidemiological characteristics of hospitalization in Neonatal intensive care unit, relating them to the possible maternal factors, in a public maternity in southern Brazil. Performed with newborns that they put in the NICU, forwarded with the clinical summary to the Municipal program precious baby. The data were collected, with the following variables: maternal age, type of birth, number of pre-natal consultations, complications in pregnancy, and number of days of hospitalization in neonatal intensive care unit, in the period from January to December 2013. Were analyzed medical records 72, prematurity was the most prevalent with 61% of the babies, and their consequences such as the use of mechanical ventilation and apneas 55.5% were repeated and 52.7% respectively. Among the most frequent maternal complications was observed the Preterm Labor (31.3%) and premature rupture of membranes (23.8%). Thus the identification of the factors that lead to preterm labor and premature rupture of membranes, could meet the maternal background and consequently reduce the prematurity and low birth weight.

scholarly journals Billing of nursing procedures at an intensive care unit

2011 ◽  
Vol 19 (3) ◽  
pp. 573-580 ◽  
Author(s):  
Raquel Silva Bicalho Zunta ◽  
Valéria Castilho
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Quantitative Approach ◽  
Essential Information ◽  
Nursing Managers ◽  
Important Argument ◽  
The City ◽  
Hospital Revenues ◽  
Safe Care

This study aimed to: estimate the billing of nursing procedures at an intensive care unit and calculate how much of total ICU revenues are generated by nursing. An exploratory-descriptive, documentary research with a quantitative approach was carried out. The study was performed at a general ICU of a private hospital in the city of Sao Paulo. The sample consisted of 159 patients. It was concluded that the nursing procedures were responsible for 15.1% of total ICU revenues, which breaks down to an average 11.3% of revenues coming from nursing prescriptions and 3.8% from medical prescriptions. Demonstrating how much nursing contributes to hospital revenues is essential information for nursing managers, as it is an important argument to obtain resources and guarantee safe care.

scholarly journals Mapping nursing goals of an Intensive Care Unit to the Nursing Outcomes Classification

2012 ◽  
Vol 20 (5) ◽  
pp. 854-862 ◽  
Author(s):  
Tânia Couto Machado Chianca ◽  
Patrícia de Oliveira Salgado ◽  
Juliana Peixoto Albuquerque ◽  
Camila Claudia Campos ◽  
Meire Chucre Tannure ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medical Records ◽  
Descriptive Analysis ◽  
Descriptive Study ◽  
Nursing Process ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification ◽  
Mapping Process ◽  
Nursing Diagnoses

AIM: to analyze whether nursing goals formulated for nursing diagnoses can be mapped to nursing outcomes classification and to identify the scales most appropriate to the outcomes mapped. METHOD: a descriptive study was developed in an intensive care unit. Data collection involved extraction of goals in 44 medical records, content standardization, cross-mapping to the outcomes, identification of appropriated scales and validation. Descriptive analysis and agreement with the cross-mapping process were performed. RESULTS: nursing goals (59) were mapped to (28) different outcomes, with agreement of 83% in the mapping process. All goals were mapped to outcomes, which allows to affirm that these outcomes contemplates the goals elaborated to patient care. CONCLUSION: these results favor the inclusion of outcomes and scales validated in the planning and evaluation phases of the nursing process of a software in construction.

scholarly journals Auditorship in nursing records at an Intensive Care Unit

2011 ◽  
Vol 5 (5) ◽  
pp. 1187
Author(s):  
Francislene Fátima Cordeiro ◽  
Ana Maria Dyniewicz ◽  
Luísa Canestraro Kalinowski
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Private Hospital ◽  
Audit Quality ◽  
Care Delivery ◽  
Recording Process ◽  
Data Collection Instrument ◽  
Terapia Intensiva ◽  
Identification Tags

ABSTRACT Objectives: to analyze nursing reports at the Intensive Care Unit (ICU) of a private hospital and indentify nursing report features at the ICU. Method: descriptive study held between October/2009 and January/2010, applying a data-collection instrument to 100 nursing reports in patients’ records of an adult ICU of a private hospital in the municipality of Curitiba, Paraná State/Brazil. The criteria for record inclusion in the study were adult patients of both sexes, regardless the pathology and/or complications and health insurance plans, longer than three-day admission in the ICU. This research followed the procedures recommended by Resolution nº 196/96, and was approved by the Research Ethics Committee from Universidade Tuiuti do Paraná (Opinion 000124/2009). Results: among the results, it can be pointed out: missing patients’ identification tags; reports presenting blanks, scratches or correction fluid erasures; missing signing; incorrect checking and incomplete records from Systematization of Nursing Care. Conclusion: as nursing reports mean safety to patients and institutions and reflect the quality of care delivery, it was perceived the need to steady improvement in this recording process. Descriptors: nursing audit; quality of health care; nursing. RESUMOObjetivos: analisar as anotações de enfermagem em Unidade de Terapia Intensiva – UTI de um hospital privado e identificar as características dos registros de enfermagem na UTI. Método: estudo descritivo realizado de outubro de 2009 a janeiro de 2010, aplicando um instrumento de coleta de dados a 100 anotações de enfermagem em prontuários de pacientes de uma UTI geral adulto de um hospital privado do município de Curitiba-PR. Os critérios de inclusão de prontuários no estudo foram: pacientes adultos, de ambos os sexos, independente da patologia e/ou complicações e plano de saúde, com mais de três dias de internação na UTI. Esta pesquisa seguiu os procedimentos recomendados pela Resolução nº 196/96 e foi aprovada pelo Comitê de Ética em Pesquisa em Humanos da Universidade Tuiuti do Paraná, sob o número 000124/2009. Resultados: dentre os resultados destacam-se: falta de etiquetas de identificação de pacientes; anotações com espaços em branco, rasuras e utilização de corretor ortográfico; falta de assinatura; checagem incorreta e registros da Sistematização da Assistência de Enfermagem incompletos. Conclusão: como as anotações de enfermagem representam segurança ao paciente e à instituição e refletem a qualidade da assistência prestada, percebeu-se a necessidade de melhoria contínua desse processo de registros. Descritores: auditoria de enfermagem; qualidade da assistência à saúde; enfermagem.RESUMEN Objetivos: analizar los apuntes de enfermería en Unidad de Terapia Intensiva – UTI de un hospital particular e identificar las características de los registros de enfermería en UTI. Método: estudio descriptivo hecho de octubre de 2009 a enero de 2010, con instrumento de 100 apuntes de enfermería en prontuarios de pacientes de una UTI general para adultos de un hospital de Curitiba-PR. Los criterios de inclusión de registros solicitaban que fuesen pacientes adultos de ambos sexos, independientemente de la patología y/o complicaciones y el plan de la salud, con más de tres días en la UTI. Este estudio dio seguimiento a los procedimientos recomendados por la Resolución 196/96 y aprobado por la Ética en la Investigación Humana de la Universidad Tuiuti con el número 000124/2009. Resultados: entre los resultados, se destacan: ausencia de etiquetas de identificación de pacientes; apuntes con espacios en blanco, tachones y utilización de corrector ortográfico; falta de firma; chequeo incorrecto y registros de la Sistematización da Asistencia de Enfermería incompletos. Conclusión: como los apuntes de enfermería representan seguridad para el paciente y para la institución y reflejan la cualidad de la asistencia prestada, se ha percibido la necesidad de mejoría continua de ese proceso de registros. Descriptores: auditoria de enfermería; calidad de la atención de salud; enfermería.

scholarly journals Clinical pharmacoepidemiology of antibiotics usage in intensive care unit of cancer special hospital

2020 ◽  
Vol 9 (3) ◽  
pp. 169
Author(s):  
Akrom Akrom ◽  
Rafiastiana Capritasari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cancer Patients ◽  
Medical Records ◽  
Medication Administration ◽  
Cross Sectional ◽  
Antibiotics Use ◽  
The Subject ◽  
Cross Sectional Design ◽  
Special Hospital

The pattern of antibiotics use in cancer patients in the intensive care unit (ICU) of dharma is cancer special hospital (DCSH) has not been identified. The purpose of this study is to determine the pattern of antibiotics use in cancer patients treated in the ICU of DCSH from 2012-2014. This study was observational with a cross-sectional design. The data collection is done retrospectively. The inclusion criteria to recruit the subjects, i.e. Adult patients who had nosocomial infections in the ICU; Patients with medical records in the ICU who received antibiotics in the 2012-2014 periods. Patients originating from inpatients (wards); Patients with medical records were read. The exclusion criteria were postoperative patients and Patients with incomplete medical records. We collected data from medical records of cancer patients who had been admitted to the ICU in 2012-2014, medication administration records, sample submission, and laboratory records. There are 202 cancer patients including in the study. Leukemia and breast cancer were the most cancer’s diagnosis in the Subject. More than two hundred cancer patients were receiving antibiotic therapy, with more than 50% of them were diagnosed with pneumonia, followed by central infection (&gt;20%) and urinary tract infection (&gt;10%). The antibiotic most frequently used was meropenem, with 33.8%. The three most commonly used antibiotics from 2012 to 2014 were meropenem, levofloxacin, and ceftriaxone.

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