| dc.description.abstract | Angka mortalitas akibat pneumonia kommunitas ±1 juta kematian per tahun pada orang dewasa di Asia. Pneumonia komunintas di negara Malaysia, Filipina, dan Indonesia merupakan penyebab tersering kejadian rawat inap usia <5 tahun dan >50 tahun. Kasus pneumonia di Indonesia terdapat 988 kasus per 100.000 populasi. Wilayah provinsi Yogyakarta tahun 2013 menunjukkan prevalensi pneumonia sebesar 4,5% dan menjadi salah satu dari 10 besar penyakit pada pasien rawat inap di RSUD Kota Yogyakarta.
Tujuan: Mengetahui profil pasien pneumonia komunitas rawat inap di Rumah Sakit Paru Respira Yogyakarta periode 2014-2015.
Metode: Desain penelitian ini deskriptif observasional rancangan cross-sectional. Subjek penelitian berupa total sampling data rekam medis pasien rawat inap pneumonia komunitas periode 2014-2015. Variabel penelitian antara lain usia, status pekerjaan, penyakit komorbid, gejala klinis, pemeriksaan fisik, pemeriksaan penunjang (rontgen, angka leukosit, gram sputum), lokasi rawat inap, lama rawat inap, terapi antibiok, dan status akhir pasien. Uji statistik univariat digunakan sebagai analisis data.
Hasil dan Kesimpulan: Penelitian ini terdapat 30 subjek yang memenuhi kriteria inklusi dan eksklusi. Distribusi pasien pneumonia komunitas rawat inap di RS Paru Respira terutama kategori usia 45-65 tahun (60%) dan status pekerjaan buruh (33,33%). Penyakit komorbid terbanyak PPOK (36,67%). Temuan klinis pada pasien terbanyak sesak napas, batuk, demam (30%) dan suara ronkhi dengan whezzing (50%). Hasil pemeriksaan penunjang terbanyak berupa gambaran konsolidasi paru (10%), dan leukositosis (70%). Perawatan pasien pada rawat inap non-ICU dengan lama 0-5 hari. Terapi antibiotik terutama ceftazidim (40%) dengan status akhir pasien terbanyak mengalami perbaikan.
Background: The mortality rate of community-acquired pneumonia is about ± 1 million deaths per year among adults in Asia. Community-acquired pneumonia in Malaysia, Philippines, and Indonesia is the most common cause of hospitalization incidence among patient <5 and >50 years old. Cases of pneumonia in Indonesia are 988 cases per 100,000 population. The province of Yogyakarta in 2013 shows the prevalence of pneumonia 4.5% and become one of the top 10 diseases in inpatients at RSUD Yogyakarta.
Objective: To investigate the profile of inpatient community-acquired pneumonia at RS Paru Respira Yogyakarta period 2014-2015.
Methods: The design was descriptive observational cross-sectional design. Research subjects were inpatients of community-acquired pneumonia period 2014-2015. Research variables include age, occupational status, comorbid disease, clinical symptoms, physical examination, investigation (rontgen, leukocyte number, gram sputum), hospitalization location, length of hospitalization, antibiotic therapy, and patient's final status. Univariate statistical tests are used as data analysis.
Results and Conclusions: This study had 30 subjects who met inclusion and exclusion criteria. The most of distribution inpatients pneumonia in RS Paru Respira were age category 45-65 years (60%) and employment were labor (33.33%). Most comorbid disease was COPD (36,67%). Clinical findings in most patients were shortness of breath, cough, fever (30%) and crackles with whezzing (50%). Chest x ray showed the most frequent manifestation was consolidation (10%). Most patients had leukocytosis (70%). Duration of hospitalization was 0-5 days. Ceftazidim (40%) was the most frequent used antibiotic. Outcome of the patients were mostly improved. | en_US |
