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Title: Perbedaan Jumlah Bakteriuria Sebelum dan Sesudah Terapi Amoxicillin pada Ibu Hamil Trimester III di Rumah Sakit Umum Pusat Haji Adam Malik Medan
Authors: Harmoko, Benny
Advisors: Tala, M. Rhiza Z.
Ardiansyah, Edy
Issue Date: 20-Mar-2017
Abstract: Introduction: Bacteriuria refers to the presence of bacteria in urine. It is a condition in which urine culture reveals a significant growth of pathogens that is greater than 105 bacteria/ mL urine. Pregnant women have more tendency to enhance the progression of bacteriuria in urine compare to non pregnant women, especially in 3rd trimester of pregnancy. Refer to Food and Drug Administration, amoxicillin is an broad spectrum antibiotic with B recommendation. Therefore, we need to review the differences of bacterial count before and after amoxicillin therapy. Methods: This is an analytical study with pre and post test design approach with 20 samples of 3rd trimester pregnant women from obstetric outpatient clinic in Haji Adam Malik General Hospital Medan. Clean catch midstream urine was collected, then examined by cultural convensional method before and 7 days after amoxicillin therapy for 5 days. Results: The average age of samples are 31,85 years old (4,171) with predominant in 21-35 years old (16 samples). Predominant parity group is multigravida (16 samples), predominat gestational age in 31-32 weeks gestational age (11 samples) and predominant uropatogen is Klebsiella pneumoniae (12 samples). Neither of the patients sensitive to amoxycillin, but most of them sensitive to quinolone and cephalosporin. Conclusion: There is no differences of bacterial count before and after amoxicillin therapy (p value > 0,05) in 3rd trimester of pregnant women in Haji Adam Malik General Hospital Medan obstetric outpatient clinic.
Abstract (other language): Pendahuluan: Bakteriuria didefinisikan sebagai kultur urin positif untuk mikroorganisme yang sama dengan jumlah mikroorganisme ≥ 105 CFU. Wanita hamil memiliki kecenderungan lebih tinggi mengalami ISK dibandingkan wanita tidak hamil khususnya wanita hamil Trimester III. Berdasarkan Food and Drug Administration amoxicillin merupakan antibiotik broad spectrum rekomendasi B. Oleh karena itu, perlu dilakukan penelitian untuk mengetahui perbedaan jumlah bakteriuria sebelum dan sesudah terapi amoxicillin. Metode: Merupakan penelitian analitik dengan pendekatan pre dan post test design dengan jumlah sampel 20 orang ibu hamil Trimester III di Poli Ibu Hamil RSUP HAM Medan. Metode pengambilan urin porsi tengah secara clean catch, kemudian dilakukan kultur urin sebelum dan 7 hari sesudah terapi amoxicillin selama 5 hari. Hasil: Rerata umur sampel 31,85 tahun (4,171) terbanyak pada kelompok umur 21-35 tahun sebanyak 16 orang. Kelompok paritas terbanyak pada multigravida 16 orang, kelompok usia kehamilan terbanyak pada 31-32 minggu sebanyak 11 orang, dan uropatogen yang tersering adalah Klebsiella pneumoniae pada 12 sampel. Semua pasien resisten terhadap amoxicillin, dan sebagian besar sensitif terhadap golongan kuinolon dan cephalosporin. Simpulan: Tidak terdapat perbedaan jumlah bakteriuria sebelum dan sesudah terapi amoxycillin (p value > 0,05) pada ibu hamil trimester III di RSUP HAM Medan.
Keywords: Bacteriuria
Pregnant Women
3rd Trimester
Appears in Collections:MT - Obstetri & Ginekologi

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Cover.pdfCover519.53 kBAdobe PDFView/Open
Abstract.pdfAbstract206.01 kBAdobe PDFView/Open
Chapter I.pdfChapter I271.2 kBAdobe PDFView/Open
Chapter II.pdfChapter II449.78 kBAdobe PDFView/Open
Chapter III-V.pdfChapter III-V270.75 kBAdobe PDFView/Open
Reference.pdfReference217.26 kBAdobe PDFView/Open
Appendix.pdfAppendix793.01 kBAdobe PDFView/Open

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