PROFIL PASIEN INFEKSI MULTIDRUG RESISTANT ORGANISM (MDRO) DI RUANG RAWAT INAP ANAK RUMAH SAKIT DI YOGYAKARTA PERIODE WAKTU TAHUN 2022-2023

Micgha Risqi Yunian Maharani, dr. R. Ludhang Pradipta R, M.Biotech., Sp.MK; dr. Merselinus Edwin, W.D, P.hD

2025 | Skripsi | PENDIDIKAN DOKTER

Latar Belakang: MDRO saat ini menjadi permasalahan global di bidang kesehatan. Infeksi akibat MDRO mengakibatkan angka kematian yang tinggi, angka kesakitan yang meningkat serta biaya perawatan kesehatan yang tinggi. Penanganan masalah kesehatan semakin terancam dengan adanya peningkatan angka MDRO. Pasien anak sangat rentan terhadap infeksi MDRO karena tidak adanya data farmakokinetik, sistem imun yang belum sempurna maupun kondisi fisiologis anak yang belum seperti orang dewasa.

Tujuan Penelitian: Mengetahui profil pasien infeksi Multidrug Resistant Organism (MDRO) di ruang rawat inap anak Rumah Sakit di Yogyakarta periode waktu tahun 2022-2023.

Metode Penelitian: Penelitian ini menggunakan metode deskriptif. Populasi penelitian adalah pasien infeksi MDRO di Rawat Inap Anak RS di Yogyakarta dalam periode waktu 1 Januari 2022 – 31 Desember 2023. Teknik sampling yang digunakan total sampling dengan jumlah sampel 52 orang. Instrument penelitian menggunakan master tabel. Analisis data menggunakan analisis deskriptif.

Hasil: Jumlah infeksi MDRO diperhitungkan berdasarkan kurun waktu penelitian yaitu 1 Januari 2022 – 31 Desember 2023 adalah sebanyak 52 kasus atau sebesar 53,6?ri total pasien. Pasien MDRO sebagian besar berusia 0 bulan - <1> 7 hari. Sebagian besar besar berasal dari IGD, diagnosis utamanya infeksi, seluruh pasien mendapatkan prosedur IV line, mendapatkan multipelterapi, tidak ada komorbid, mengalami CAUTI dan luaran klinis pasien adalah sembuh.

Kesimpulan: Profil pasien infeksi MDRO berusia anak-anak, lama perawatan >7 hari, berasal dari IGD, diagnosis utama infeksi, mendapatkan prosedur IV line, mendapat multiple terapi, tidak ada komorbid, mengalami CAUTI dan luaran klinis sembuh.

Background: MDROs are currently a global health problem. Infections due to MDROs result in high mortality rates, increased morbidity rates and high health care costs. The handling of health problems is further jeopardized by the increase in MDRO rates. Pediatric patients are very vulnerable to MDRO infections due to the absence of pharmacokinetic data, an imperfect immune system and physiological conditions of children who are not like adults.

Objective: To determine the profile of Multidrug Resistant Organism (MDRO) infection patients in pediatric inpatient rooms at hospitals in Yogyakarta for the period 2022-2023.

Method: This study used a descriptive method. The study population was MDRO infection patients in pediatric inpatient hospitals in Yogyakarta in the time period January 1, 2022 - December 31, 2023. The sampling technique used was total sampling with a sample size of 52 people. The research instrument used a master table. Data analysis using descriptive analysis.

Result: The number of MDRO infections calculated based on the study period, namely January 1, 2022 - December 31, 2023, was 52 cases or 53.6% of the total patients. MDRO patients are mostly aged 0 months - <1> 7 days. Most of them came from the emergency room, the main diagnosis was infection, all patients received IV line procedures, received multiple therapies, there were no comorbidities, experienced CAUTI and the clinical outcome of the patients was recovery.

Conclusion: Profile of MDRO infection patients were children, length of treatment >7 days, originated from the emergency room, the main diagnosis of infection, received IV line procedures, received multiple therapies, no comorbidities, experienced CAUTI and clinical outcomes recovered.

Kata Kunci : Profil, pasien, infeksi, MDRO, anak