POLRI DAERAH JAWA BARAT

BIDANG KEDOKTERAN DAN KESEHATAN

RUMKIT BHAYANGKARA TK II SARTIKA ASIH BANDUNG

LAPORAN KASUS
SURGICAL SITE INFECTION
diajukan guna melengkapi tugas portofolio

Disusun oleh : Ayu Ulan Riski Lestari

 LAPORAN KASUS

PROGRAM INTERNSIP DOKTER INDONESIA

PERIODE 14 OKTOBER 2019 - 13 OKTOBER 2020

RUMKIT BHAYANGKARA TK II SARTIKA ASIH BANDUNG

JUDUL : SURGICAL SITE INFECTION

PENYUSUN : AYU ULAN RISKI LESTARI

Bandung, Februari 2019

Menyetujui
Pembimbing Pendamping

dr Danny Ganiarto S., Sp.B, dr. Leony Widjaja, Sp.KJ.

NRP 64010752 NRP. 196410301992032001

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 DAFTAR ISI

LEMBAR PENGESAHAN ……………………………………………………. ii

DAFTAR ISI ………………………………………………………………….... iii

BAB I PENDAHULUAN ………………………………………………….…... 1

BAB II ILUSTRASI KASUS ………………………………………………….. 2

II.1 Identitas……........………………………..…….……………………… 2

II.2 Anamnesis .............................…….………………………………........ 2

II.3 Pemeriksaan Fisik ………………..……….…………………............... 3

II.4 Pemeriksaan Penunjang..…………………….…………………........... 6

II.5 Diagnosis Kerja………………………….……….……….………........ 7

II.6 Tatalaksana ……….……….……….……….……….……….............. 8

II.7 Followup ................................................................................................ 8

II.8 Prognosis.……….……….……….……….……….………................. 13

BAB III TINJAUAN PUSTAKA .............…………………………………… 14

III.1 Anatomi Ekstermitas Inferior…….......……………………….……… 14

III.1.1 Femur……………………………………………………………... 15

III.1.3 Tibia…………..……….……………………….............................. 16

III.1.4 Fibula.………………………….……………….,,,,,,,,,,,,,,,,,,,,,,,,,,,, 17

III.1.5 Pedis......................……………………….……….……….……… 18

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 III. 1.6 Persarafan tungkai bawah............................................................. 19

III.1.7 Perdarahan Ekstermitas Inferior ................................................... 22

III.2 Fraktur........................….……………….……….……….………...... 23

III.2.1 Definisi............................................................................................ 23

III.2.2 Etiologi ...............................……….……….……….……….…… 23

III.2.3 Klasifikasi..……….……………….……….……….……….…… 23

III.2.4 Proses penyembuhan Fraktur……………………….……….…… 28

III.2.5 Deskripsi Fraktur…………………………………….……….….. 29

III.2.6 Fraktur Femur,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 29

III.2.7 Diagnosis ....................................................................................... 30

III.2.8 Tatalaksana Fraktur........................................................................ 31

III.2.9 Komplikasi Fraktur......................................................................... 34

III.3 Penyembuhan Luka ..................................….……….….………........ 35

III.4 Surgical Site Infection ......................................................................... 36

III.4.1 Klasifikasi SSI................................................................................... 36

III.4.1 Klasifikasi Luka ................................................................................ 38

III.4.1 Faktor Resiko SSI............................................................................. 39

III.4.2 Antibiotika Profilaksis dan penatalaksanaan.............................. 40

BAB IV PEMBAHASAN............................................................................... 42

BAB V KESIMPULAN.................................................................................. 43

DAFTAR PUSTAKA ..................................................................................... 44

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