Pengelolaan Pasien Osteomielitis Kronis di RSUP Dr. Kariadi Semarang Periode 2001-2005

Abstract

Background: up to now management of osteomielitic chronic are progressing up especially in the way of antibiotic used and chosen ,therefore writer want to know the management that chosen for osteomielitic chronic medical patients at Dr.Kariadi hospital Semarang in 2001-2005 periods. Method : The used method is cross sectional descriptive by observe and report the medical report of osteomielitic chronic medical patient in this article. Results : total medical patients are 33 persons,which 26 medical patients are men and 7 are women.23 medical patients lived hospital with improvement,4 with recovery, and 6 in other conditions. 17 cases are traumatic,11 iatrogenic,and 5 cases with other caused. The microbiological antibiotic sensitivity test are only reported in 9 cases.From the reported cases, 8 cases are most sensitive with amikasin dan 1 cases with ciprofloksasin. 25 cases managed with debridement and sequestrectomy,3 cases managed with amputation,and 5 cases managed only with conservative treatment. Conclusion: The management of chronic osteomyelitis in Dr Karyadi General Hospital are debridement and sequestrectomy, amputation and conservative treatment depend on patient’s condition at surgery. Antibiotics used are amikasin,ciprofloksasin,third generation of cefalosporin, ampicilin and gentamicin. The used of antibiotics all above were given by injections and oral pills. Keyword: chronic osteomielitis ,management , Dr.Kariadi General Hospital Semarang