FAKTOR RESIKO INFEKSI SALURAN KEMIH PADA PASIEN DENGAN BATU SALURAN KEMIH

Alharsya F Ruckle, dr. Tanaya Ghinorawa, Sp.U

2020 | Tesis-Spesialis | UROLOGI

LatarBelakang:Infeksisalurankemih (ISK) danbatusalurankemih (BSK) salingterkait. Batuadalahkonsekuensidari ISK padasekitar 10-15% pasien. Infeksi yang disebabkanbakteri yang memproduksi urease akanmembentukbatuinfeksi. Sebaliknya ISK juga seringditemukanpadapasiendengan BSK. Komplikasidari BSK antara lain bakteriuriasimptomatik, ISK, dan sepsis. Beberapafaktorresikodilaporkandapatmenimbulkan ISK pada BSK. Tujuan: Penelitianinibertujuanmengetahuifrekuensikejadian ISK padapasien BSK danfaktorresiko yang berpengaruhterhadapkejadian ISK. Metodologi: Penelitianobservasionalanalitikprospektif, menggunakanmetodepotonglintang. Jumlahsampel yang digunakanadalahseluruhkasus BSK di RSUD MatarampadabulanJuli 2019 yang memenuhikriteriarestriksi. Hasil:Hasilpenelitianinidiperolehsubjeksebesar 20 orang, 65% adalahlaki-laki. Frekuensikejadian ISK padapasien BSK sebesar 45%. Hasilujistatistikmenunjukkanjumlahbatusecarasignifikanmerupakanfaktorresikoterjadinyainfeksisalurankemihpadapasien BSK dengannilai p = 0,02 (< 0,05). Kesimpulan:Jumlahbatumerupakanfaktorresikodenganhasilanalisisstatistikyang signifikanmenyebabkan ISK padapasiendengan BSK.

Background: Urinary tract infections (UTI) and urinary stones disease are interrelated. Urinary Stone is a consequence of UTI in 10-15% of patients. In Urinary track Infections, bacteria will produce urease that form infection stones. But UTI is also often found in patients with urinary stone. Several risk factors in urinary tract stones cause UTI, have been reported. Objective: The purpose of this study was to determined frequency and risk factors that influence the incidence of UTI on patient with urinary stone disease. Material and Method: Prospective observational analytic study with cross-sectional design. The number of samples used were all urinary stone disease cases in Mataram Regional Hospital in July 2019 that met the restriction criteria. Results: Twenty subject were include in this study, 65% are male. The frequency of UTI in urinary stone disease patients was 45%. Statistical analysis showed that the number of stones was a significant risk factor for urinary tract infections in patients with urinary stone disease (p = 0.02). Conclusion: Number of stones was the only risk factor with statistically significant analysis causing UTI in patients with urinary stone disease. Keyword : Urinary Track Infection, Urinary Stone Disease, Risk Factor, Number Of Stone

Kata Kunci : Urinary Track Infection, Urinary Stone Disease, Risk Factor, Number Of Stone