IMPLEMENTASI PROTOKOL COVID-19 PADA JENAZAH DENGAN DIAGNOSA COVID-19 DI RSUP DR. SARDJITO

RIZA MAHENDRA KUSUMO, dr. Yudha Nurhantari, Ph.D, Sp.F.M; dr. Hendro Widagdo, Sp.F.M(K)

2022 | Tesis-Spesialis | ILMU KEDOKTERAN FORENSIK DAN MEDIKOLEGAL

INTISARI Pendahuluan Akhir tahun 2019 tepatnya pada bulan Desember, dunia dihebohkan dengan sebuah kejadian yang membuat banyak masyarakat resah yaitu dikenal dengan virus corona (covid-19). Kejadian tersebut bermula di Tiongkok, Wuhan. Pada 30 Januari 2020 WHO telah menyatakan COVID-19 sebagai darurat kesehatan masyarakat yang menjadi perhatian internasional. Di Indonesia, pada pelaksanaanya, terdapat banyak kasus penolakan dari masyarakat untuk pemulasaraan jenazah dengan prosedur covid-19. Tujuan Penelitian Untuk mengetahui kesesuaian pemulasaraan jenazah protokol covid-19 dengan diagnosa covid-19, untuk mengetahui cara dan waktu penegakkan diagnosis covid-19 pada jenazah, untuk mengetahui jumlah jenazah terkonfirmasi positif dan negatif Covid-19, untuk mengetahui jumlah jenazah terkonfirmasi positif Covid-19 dirukti protokol Covid-19, untuk mengetahui jumlah jenazah terkonfirmasi positif Covid-19 tidak dirukti protokol Covid-19, untuk mengetahui jumlah jenazah terkonfirmasi negatif Covid-19 dirukti protokol Covid-19. Metode Jenis penelitian ini adalah penelitian deskriptif dengan menggunakan data retrospektif. Data diambil dengan menggunakan data dari �Laporan Penanganan Jenazah Covid-19 di Instalasi Ilmu Kedokteran Forensik dan Medikolegal� RSUP DR. Sardjito. Hasil Penelitian Pemulasaraan jenazah protokol covid-19 dengan diagnosa covid-19 sudah sesuai, penegakan diagnosis covid-19 dengan pemeriksaan klinis dan swab PCR dilakukan ketika pasien/jenazah di bangsal ataupun IGD oleh DPJP, jumlah jenazah terkonfirmasi positif 1649, terkonfirmasi negatif 58, jumlah jenazah terkonfirmasi positif Covid-19 dirukti protokol Covid-19 adalah 1592, jumlah jenazah terkonfirmasi positif Covid-19 tidak dirukti protokol Covid-19 adalah 57, jumlah jenazah terkonfirmasi negatif Covid-19 dirukti protokol Covid-19 ialah 58. Kesimpulan Implementasi Protokol Covid-19 pada jenazah dengan diagnosa Covid-19 sudah sesuai, tetapi masih ada jenazah positif Covid-19 tidak mendapat protokol Covid-19 sehingga membahayakan masyarakat, penegakan diagnosis dari jenazah wewenang sepenuhnya dari dokter penanggung jawab pasien, jumlah jenazah Covid-19 terkonfirmasi positif Covid-19 adalah 1649 dan tidak mendapatkan perlakuan protokol jenazah Covid-19 sebesar 57 jenazah, jumlah jenazah Covid-19 terkonfirmasi negatif Covid-19 dan mendapat perlakuan protokol jenazah Covid-19 adalah sebesar 58 jenazah. Kata kunci: covid-19, jenazah, protokol.

ABSTRACT Introduction At the end of 2019, precisely in December, the world was shocked by an incident that made many people nervous, known as the corona virus (covid-19). The incident began in China, Wuhan. On 30 January 2020 WHO declared COVID-19 a public health emergency of international concern. In Indonesia, in its implementation, there have been many cases of refusal from the public for the burial of corpses using the Covid-19 procedure. Research purposes To find out the suitability of the Covid-19 protocol burial with the Covid-19 diagnosis, to find out how and when to establish a Covid-19 diagnosis on corpses, to find out the number of bodies confirmed positive and negative for Covid-19, to find out the number of bodies confirmed to be positive for Covid-19 directed by the Covid-19 protocol, to find out the number of bodies confirmed positive for Covid-19 who were not ruled by the Covid-19 protocol, to find out the number of bodies confirmed negative for Covid-19 under the Covid-19 protocol. Method This type of research is a descriptive study using retrospective data. The data was taken using data from the 'Covid-19 Body Handling Report at the Forensic and Medicolegal Medical Science Installation' RSUP DR. Sardjito. Research Result The initiation of the Covid-19 protocol corpse with the Covid-19 diagnosis was appropriate, the confirmation of the Covid-19 diagnosis by clinical examination and PCR swab was carried out when the patient / body was in the ward or emergency department by the DPJP, the number of bodies confirmed positive was 1649, confirmed negative was 58, the number of bodies was confirmed positive for Covid-19 according to the Covid-19 protocol was 1592, the number of bodies confirmed positive for Covid-19 not under the Covid-19 protocol was 57, the number of bodies confirmed negative for Covid-19 according to the Covid-19 protocol was 58. Conclusion Implementation of the Covid-19 Protocol on corpses with a Covid-19 diagnosis was appropriate, but there were still positive Covid-19 bodies that did not receive the Covid-19 protocol so that it endangers the community, diagnosis of corpses weres fully authorized by the doctor in charge of the patient, the number of Covid-19 bodies confirmed positive for Covid-19 was 1649 and did not receive the Covid-19 protocol treatment was 57, the number of Covid-19 bodies confirmed negative for Covid-19 and received the Covid-19 protocol was 58. Key words: covid-19, corpse, protocol.

Kata Kunci : Kata kunci: covid-19, jenazah, protokol / Key words: covid-19, corpse, protocol.