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FORMULIR SURVEILANS HARIAN INFEKSI

RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : Februari 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
Tanggal Nama Umur L/P Diagnosa Medis IVL UC ETT Tirah Baring Antibiotik
MRS KRS VAP ISK Plebitis
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
2/1/2021 Alia Afifah Fathullah 9/6/2019 P GEAD RS + Muntah Profuse 29-02-2021 2/1/2021 √
Ahmad Nizam Al M 05/06/2018 L Diare Akut Dehidrasi RS 2/1/2021 2/3/2021 √
M. Ghalif Seko 24/05/2020 L GEAD RS + K. Malaria + TDBD P. Rawat + FA 2/1/2021 2/5/2021 √
Aleta Lashira H 28/04/2020 P GEAD RS + Klinis Malaria 2/1/2021 2/3/2021 √
M. Azril Devano 4/11/2020 L GEAD RS 1/28/2021 2/4/2021 √
Al-Fajri Suganda 28/06/2020 L Demam Lama ec Susp ISK dd Viral Infection 2/1/2021 2/4/2021 √
Rika Feliza 21/11/2016 P Obs Vomitus + Hyperpireksia 2/1/2021 2/2/2021 √
Azidan Pajri Yansa 23/02/2013 L Hemophilia 2/1/2021 2/2/2021 √
Kinta Haura Alfani 5/11/2020 P GEAD RS + Obs Febris 1/31/2021 2/2/2021 √
M. Azka Pradana 7/6/2019 L GEAD RS 1/29/2021 2/2/2021 √
2/2/2021 Ahmad Nizam Al M 05/06/2018 L Diare Akut Dehidrasi RS 2/1/2021 2/3/2021 √
M. Ghalif Seko 24/05/2020 L GEAD RS + K. Malaria + TDBD P. Rawat + FA 2/1/2021 2/5/2021 √
Aleta Lashira H 28/04/2020 P GEAD RS + Klinis Malaria 2/1/2021 2/3/2021 √
M. Azril Devano 4/11/2020 L GEAD RS 1/28/2021 2/4/2021 √
M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Ayutri Huda Amanda 10/06/2019 P RFA + TDBD dd Malaria Klinis 2/2/2021 2/5/2021 √
Al-Fajri Suganda 28/06/2020 L Demam Lama ec Susp ISK dd Viral Infection 2/1/2021 2/4/2021 √
Rika Feliza 21/11/2016 P Obs Vomitus + Hyperpireksia 2/1/2021 2/2/2021 √
Azidan Pajri Yansa 23/02/2013 L Hemophilia 2/1/2021 2/2/2021 √
Kinta Haura Alfani 5/11/2020 P GEAD RS + Obs Febris 1/31/2021 2/2/2021 √
M. Azka Pradana 7/6/2019 L GEAD RS 1/29/2021 2/2/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/2/2021 2/4/2021 √
2/3/2021 Ahmad Nizam Al M 05/06/2018 L Diare Akut Dehidrasi RS 2/1/2021 2/3/2021 √
M. Ghalif Seko 24/05/2020 L GEAD RS + K. Malaria + TDBD P. Rawat + FA 2/1/2021 2/5/2021 √
Aleta Lashira H 28/04/2020 P GEAD RS + Klinis Malaria 2/1/2021 2/3/2021 √
M. Azril Devano 4/11/2020 L GEAD RS 1/28/2021 2/4/2021 √
M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Ayutri Huda Amanda 10/06/2019 P RFA + TDBD dd Malaria Klinis 2/2/2021 2/5/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/2/2021 2/4/2021 √
2/4/2021 M. Ghalif Seko 24/05/2020 L GEAD RS + K. Malaria + TDBD P. Rawat + FA 2/1/2021 2/5/2021 √
M. Azril Devano 4/11/2020 L GEAD RS 1/28/2021 2/4/2021 √
M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Ayutri Huda Amanda 10/06/2019 P RFA + TDBD dd Malaria Klinis 2/2/2021 2/5/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/2/2021 2/4/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021 √
Dinda Marsela 15/03/2015 P Status Epileptikus 1/3/1900 2/6/2021 √
2/5/2021 M. Ghalif Seko 24/05/2020 L GEAD RS + K. Malaria + TDBD P. Rawat + FA 2/1/2021 2/5/2021 √
M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Ayutri Huda Amanda 10/06/2019 P RFA + TDBD dd Malaria Klinis 2/2/2021 2/5/2021 √
Hafiz Andrian 28/09/2003 L Thalasemia 2/5/2021 2/7/2021 √
Anindya Shanum 27/03/2020 P Syok Hipovolemia ec GEAD RS + K. Malaria 2/5/2021 2/8/2021 √
Tania Nafisa Syahira 01/10/2020 P Pe↓ Kesadaran ec Susp Meningitis + K. Malaria 2/5/2021 2/8/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021 √
Dinda Marsela 15/03/2015 P Status Epileptikus 1/3/1900 2/6/2021 √
2/6/2021 M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Hafiz Andrian 28/09/2003 L Thalasemia 2/5/2021 2/7/2021 √
2/6/2021

Anindya Shanum 27/03/2020 P Syok Hipovolemia ec GEAD RS + K. Malaria 2/5/2021 2/8/2021 √


Tania Nafisa Syahira 01/10/2020 P Pe↓ Kesadaran ec Susp Meningitis + K. Malaria 2/5/2021 2/8/2021 √
Eshan Evano 2/8/2020 L FA + GEAD RS + Klinis Malaria 2/6/2020 2/10/2021 √
Athaar Bilal Balhaqi 01/07/2020 L Syok Hipovolemia ec GEAD RS 2/6/2021 2/9/2021 √
Naura Assyifa Hanum 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021 √
Dinda Marsela 15/03/2015 P Status Epileptikus 1/3/1900 2/6/2021 √
Ahmad Faraz Wijaya 23/02/2020 L GEAD RS 2/6/2021 2/10/2021 √
2/7/2021 M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Hafiz Andrian 28/09/2003 L Thalasemia 2/5/2021 2/7/2021 √
Anindya Shanum 27/03/2020 P Syok Hipovolemia ec GEAD RS + K. Malaria 2/5/2021 2/8/2021 √
Tania Nafisa Syahira 01/10/2020 P Pe↓ Kesadaran ec Susp Meningitis + K. Malaria 2/5/2021 2/8/2021 √
Eshan Evano 2/8/2020 L FA + GEAD RS + Klinis Malaria 2/6/2020 2/10/2021 √
Athaar Bilal Balhaqi 01/07/2020 L Syok Hipovolemia ec GEAD RS 2/6/2021 2/9/2021 √
Naura Assyifa Hanum 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Belva Manissyah 15/07/2015 P TDBD Grade 1 + Klinis Malaria 2/7/2021 2/11/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021 √
Ahmad Faraz Wijaya 23/02/2020 L GEAD RS 2/6/2021 2/10/2021 √
2/8/2021 M. Arash Atlassy 22/03/2020 L GEAD RS 2/2/2021 2/8/2021 √
Anindya Shanum 27/03/2020 P Syok Hipovolemia ec GEAD RS + K. Malaria 2/5/2021 2/8/2021 √
Tania Nafisa Syahira 01/10/2020 P Pe↓ Kesadaran ec Susp Meningitis + K. Malaria 2/5/2021 2/8/2021 √
Eshan Evano 2/8/2020 L FA + GEAD RS + Klinis Malaria 2/6/2020 2/10/2021 √
Athaar Bilal Balhaqi 01/07/2020 L Syok Hipovolemia ec GEAD RS 2/6/2021 2/9/2021 √
Naura Assyifa H 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Belva Manissyah 15/07/2015 P TDBD Grade 1 + Klinis Malaria 2/7/2021 2/11/2021 √
Restu Adrian 6/21/2020 L GEAD RS 2/8/2021 2/11/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021
Ahmad Faraz Wijaya 23/02/2020 L GEAD RS 2/6/2021 2/10/2021 √
Giovano Daniel L 19/09/2019 L GEAD RS + Limfadenitif Non Spesifik 2/8/2021 2/8/2021 √
Azidan Pajri Yansa 23/03/2013 L Haemophilia A 2/8/2021 2/9/2021 √
2/9/2021 Eshan Evano 2/8/2020 L FA + GEAD RS + Klinis Malaria 2/6/2020 2/10/2021 √
Athaar Bilal Balhaqi 01/07/2020 L Syok Hipovolemia ec GEAD RS 2/6/2021 2/9/2021 √
Naura Assyifa H 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Belva Manissyah 15/07/2015 P TDBD Grade 1 + Klinis Malaria 2/7/2021 2/11/2021 √
Restu Adria 6/21/2020 L GEAD RS 2/8/2021 2/11/2021 √
Astrid Al-Giffari 04/04/2014 P Sepsis + Encepalopati Dengue 2/4/2021 2/9/2021 √
Ahmad Faraz Wijaya 23/02/2020 L GEAD RS 2/6/2021 2/10/2021 √
Azidan Pajri Yansa 23/03/2013 L Haemophilia A 2/8/2021 2/9/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/9/2021 2/10/2021 √
Alfatar Rusdi 09/12/2019 L GEAD RS + Syndrome Down 2/9/2021 2/11/2021 √
2/10/2021 Eshan Evano 2/8/2020 L FA + GEAD RS + Klinis Malaria 2/6/2020 2/10/2021 √
Naura Assyifa Ha 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Belva Manissyah 15/07/2015 P TDBD Grade 1 + Klinis Malaria 2/7/2021 2/11/2021 √
Restu Adrian 6/21/2020 L GEAD RS 2/8/2021 2/11/2021 √
Kaizan Al Rafisqi 16/12/2020 L Meteorismus dd Susp Hisprung Disease 2/10/2021 2/12/2021 √
M. Alfero Rafisqy 22/11/2020 L Syok Hipovolemi ec GEAD Berat 2/10/2021 2/10/2021 √
Ahmad Faraz Wijaya 23/02/2020 L GEAD RS 2/6/2021 2/10/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/9/2021 2/10/2021 √
2/11/2021 Naura Assyifa H 06/05/2020 P Muntah Profuse + GEAD RS 5/6/2020 2/11/2021 √
Belva Manissyah 15/07/2015 P TDBD Grade 1 + Klinis Malaria 2/7/2021 2/11/2021 √
Restu Adrian 6/21/2020 L GEAD RS 2/8/2021 2/11/2021 √
Kaizan Al Rafisqi 16/12/2020 L Meteorismus dd Susp Hisprung Disease 2/10/2021 2/12/2021 √
Hanif Abbad 24/08/2019 L GEAD RS + Anorexia + Klinis Malaria 2/11/2021 2/15/2021 √
2/11/2021

M. Dzaky Arya 01/08/2003 L TDBD Grade 1 2/11/2021 2/11/2021 √


2/12/2021 Kaizan Al Rafisqi 16/12/2020 L Meteorismus dd Susp Hisprung Disease 2/10/2021 2/12/2021 √
Hanif Abbad 24/08/2019 L GEAD RS + Anorexia + Klinis Malaria 2/11/2021 2/15/2021 √
Khalif Muzyan 31/08/2019 L GEAD RS + Obs Febris 2/12/2021 2/16/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
2/13/2021 Hanif Abbad 24/08/2019 L GEAD RS + Anorexia + Klinis Malaria 2/11/2021 2/15/2021 √
Khalif Muzyan 31/08/2019 L GEAD RS + Obs Febris 2/12/2021 2/16/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
2/14/2021 Hanif Abbad 24/08/2019 L GEAD RS + Anorexia + Klinis Malaria 2/11/2021 2/15/2021 √
Khalif Muzyan 31/08/2019 L GEAD RS + Obs Febris 2/12/2021 2/16/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
Hilal Tama Wibowo 05/05/2020 L GEAD RS + Obs Febris 2/14/2021 2/17/2021 √
2/15/2021 Hanif Abbad 24/08/2019 L GEAD RS + Anorexia + Klinis Malaria 2/11/2021 2/15/2021 √
Djan Alpha Bastian 15/02/2020 L GEAD RS 2/15/2021 2/19/2021 √
Muhammad Ammar 14/09/2020 L GEAD RS 2/15/2021 2/17/2021 √
Khalif Muzyan 31/08/2019 L GEAD RS + Obs Febris 2/12/2021 2/16/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
Hilal Tama Wibowo 05/05/2020 L GEAD RS + Obs Febris 2/14/2021 2/17/2021 √
Novryady Dwi P 05/11/2007 L Thalasemia B Mayor 2/15/2021 2/17/2021 √
2/16/2021 Djan Alpha Bastian 15/02/2020 L GEAD RS 2/15/2021 2/19/2021 √
Muhammad Ammar 14/09/2020 L GEAD RS 2/15/2021 2/17/2021 √
Muhammad Fakih 27/11/2019 L GEAD RS + Klinis Malaria 2/16/2021 2/20/2021 √
Khalif Muzyan 31/08/2019 L GEAD RS + Obs Febris 2/12/2021 2/16/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
Hilal Tama Wibowo 05/05/2020 L GEAD RS + Obs Febris 2/14/2021 2/17/2021 √
Novryady Dwi P 05/11/2007 L Thalasemia B Mayor 2/15/2021 2/17/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/16/2021 2/17/2021 √
Aleycia Sepria Shya 27/09/2011 P Hepatitis 2/16/2021 2/19/2021 √
2/17/2021 Djan Alpha Bastian 15/02/2020 L GEAD RS 2/15/2021 2/19/2021 √
Muhammad Ammar 14/09/2020 L GEAD RS 2/15/2021 2/17/2021 √
Muhammad Fakih 27/11/2019 L GEAD RS + Klinis Malaria 2/16/2021 2/20/2021 √
Dyandra Yusuf 08/08/2020 L GEAD RS + K. Mal + V. Infection + K. Sepsis 2/17/2021 2/19/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
Hilal Tama Wibowo 05/05/2020 L GEAD RS + Obs Febris 2/14/2021 2/17/2021 √
Novryady Dwi P 05/11/2007 L Thalasemia B Mayor 2/15/2021 2/17/2021 √
Albar Dirgantara 15/10/2019 L Hemofilia A 2/16/2021 2/17/2021 √
Aleycia Sepria Shya 27/09/2011 P Hepatitis 2/16/2021 2/19/2021 √
2/18/2021 Djan Alpha Bastian 15/02/2020 L GEAD RS 2/15/2021 2/19/2021 √
Muhammad Fakih 27/11/2019 L GEAD RS + Klinis Malaria 2/16/2021 2/20/2021 √
Dyandra Yusuf 08/08/2020 L GEAD RS + K. Mal + V. Infection + K. Sepsis 2/17/2021 2/19/2021 √
Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Byan Juliansyah 23/07/2018 L Edema Anasarka ec Syndrome Nefrotik 2/12/2021 2/18/2021 √
Aleycia Sepria Shya 27/09/2011 P Hepatitis 2/16/2021 2/19/2021 √
2/19/2021 Djan Alpha Bastian 15/02/2020 L GEAD RS 2/15/2021 2/19/2021 √
Muhammad Fakih 27/11/2019 L GEAD RS + Klinis Malaria 2/16/2021 2/20/2021 √
Dyandra Yusuf 08/08/2020 L GEAD RS + K. Mal + V. Infection + K. Sepsis 2/17/2021 2/19/2021 √
Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Aleycia Sepria Shya 27/09/2011 P Hepatitis 2/16/2021 2/19/2021 √
Zahra Vitriani 16/01/2020 P GEAD RS + Gizi Buruk + Hiponatremia 2/19/2021 2/20/2021 √
Atharrazka Yahya A 10/10/2019 L KDS + Obs Vomitus 2/19/2021 2/22/2021 √
M. Reyhan Purnama 31/08/2019 L GEAD RS 2/19/2021 2/22/2021 √
Azka Naufal Aditya 13/07/2016 L Obs Febris + Muntah 2/19/2021 2/22/2021 √
Hafiz Qiyas 26/06/2020 L GEAD RS 2/19/2021 2/20/2021 √
2/20/2021 Muhammad Fakih 27/11/2019 L GEAD RS + Klinis Malaria 2/16/2021 2/20/2021 √
Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Zahra Vitriani 16/01/2020 P GEAD RS + Gizi Buruk + Hiponatremia 2/19/2021 2/20/2021 √
Atharrazka Yahya A 10/10/2019 L KDS + Obs Vomitus 2/19/2021 2/22/2021 √
M. Reyhan Purnama 31/08/2019 L GEAD RS 2/19/2021 2/22/2021 √
Azka Naufal Aditya 13/07/2016 L Obs Febris + Muntah 2/19/2021 2/22/2021 √
Hafiz Qiyas 26/06/2020 L GEAD RS 2/19/2021 2/20/2021 √
Kaizan Al Rafisqi 16/12/2020 L Meteorismus ec Hisprung 2/20/2021 2/22/2021 √
Arshinta Putri 26/03/2020 P GEAD RS 2/20/2021 2/23/2021 √
2/21/2021 Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Rezky Radeva 03/08/2018 L GEAD RS + Obs Febris 2/21/2021 2/25/2021 √
Atharrazka Yahya A 10/10/2019 L KDS + Obs Vomitus 2/19/2021 2/22/2021 √
M. Reyhan Purnama 31/08/2019 L GEAD RS 2/19/2021 2/22/2021 √
Azka Naufal Aditya 13/07/2016 L Obs Febris + Muntah 2/19/2021 2/22/2021 √
Kaizan Al Rafisqi 16/12/2020 L Meteorismus ec Hisprung 2/20/2021 2/22/2021 √
Arshinta Putri 26/03/2020 P GEAD RS 2/20/2021 2/23/2021 √
2/22/2021 Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Rezky Radeva 03/08/2018 L GEAD RS + Obs Febris 2/21/2021 2/25/2021 √
Atharrazka Yahya 10/10/2019 L KDS + Obs Vomitus 2/19/2021 2/22/2021 √
M. Reyhan Purnama 31/08/2019 L GEAD RS 2/19/2021 2/22/2021 √
Azka Naufal Aditya 13/07/2016 L Obs Febris + Muntah 2/19/2021 2/22/2021 √
Kaizan Al Rafisqi 16/12/2020 L Meteorismus ec Hisprung 2/20/2021 2/22/2021 √
Arshinta Putri 26/03/2020 P GEAD RS 2/20/2021 2/23/2021 √
Geo Rayyan Syabani 14/12/2017 L Sindrom Disentri + GEAD RS + Klinis Malaria 2/22/2021 2/25/2021 √
M. Febriansyah 10/02/2019 L KDK + GEAD Rs 2/22/2021 2/25/2021 √
Jantesa Al-Goufar 15/01/2019 L Kejang Demam Sederhana 2/22/2021 2/25/2021 √
2/23/2021 Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Rezky Radeva 03/08/2018 L GEAD RS + Obs Febris 2/21/2021 2/25/2021 √
Arshinta Putri 26/03/2020 P GEAD RS 2/20/2021 2/23/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
Geo Rayyan Syabani 14/12/2017 L Sindrom Disentri + GEAD RS + Klinis Malaria 2/22/2021 2/25/2021 √
M. Febriansyah 10/02/2019 L KDK + GEAD Rs 2/22/2021 2/25/2021 √
Jantesa Al-Goufar 15/01/2019 L Kejang Demam Sederhana 2/22/2021 2/25/2021 √
M. Zehan RA 11/02/2019 L GEAD RS 2/23/2021 2/26/2021 √
Keysa Zahra S 13/11/2015 P Obs Vomitus Dehidrasi RS + Hipokalemia 2/23/2021 2/25/2021 √
Mandala Alfarezi 08/03/2003 L Susp Covid 19 Syok Sepsis ec GEA 2/23/2021 2/24/2021 √
P. Bilateral ec Melena + Status Epileptikus √
Syakilah Azzahra 24/10/2013 P 2/25/2021 2/27/2021
Malaria Cerebral + Dengue Enchepalitis √
2/24/2021 Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
Rezky Radeva 03/08/2018 L GEAD RS + Obs Febris 2/21/2021 2/25/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
Geo Rayyan Syabani 14/12/2017 L Sindrom Disentri + GEAD RS + Klinis Malaria 2/22/2021 2/25/2021 √
M. Febriansyah 10/02/2019 L KDK + GEAD Rs 2/22/2021 2/25/2021 √
Jantesa Al-Goufar 15/01/2019 L Kejang Demam Sederhana 2/22/2021 2/25/2021 √
M. Zehan RA 11/02/2019 L GEAD RS 2/23/2021 2/26/2021 √
Keysa Zahra S 13/11/2015 P Obs Vomitus Dehidrasi RS + Hipokalemia 2/23/2021 2/25/2021 √
Mandala Alfarezi 08/03/2003 L Susp Covid 19 Syok Sepsis ec GEA 2/23/2021 2/24/2021 √
P. Bilateral ec Melena + Status Epileptikus √
Syakilah Azzahra 24/10/2013 P 2/25/2021 2/27/2021
Malaria Cerebral + Dengue Enchepalitis √
M. Al-Fatih 26/07/2020 L GEAD RS + Klinis Malaria 2/24/2020 2/25/2021 √
Nandhita Siti Alea 11/29/2019 P GEAD RS 2/24/2021 2/26/2021 √
M. Anugrah Saputra 01/12/2012 L Thalasemia 2/24/2021 2/26/2021 √
2/25/2021 Khairul El Vano 12/07/2020 L GEAD Berat + Susp BP 2/18/2021 2/25/2021 √
2/25/2021
Rezky Radeva 03/08/2018 L GEAD RS + Obs Febris 2/21/2021 2/25/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
Nafisha Aaliya R 03/04/2020 P GEAD RS 2/25/2021 3/1/2021 √
Geo Rayyan Syabani 14/12/2017 L Sindrom Disentri + GEAD RS + Klinis Malaria 2/22/2021 2/25/2021 √
M. Febriansyah 10/02/2019 L KDK + GEAD Rs 2/22/2021 2/25/2021 √
Jantesa Al-Goufar 15/01/2019 L Kejang Demam Sederhana 2/22/2021 2/25/2021 √
M. Zehan Raditya 11/02/2019 L GEAD RS 2/23/2021 2/26/2021 √
Keysa Zahra S 13/11/2015 P Obs Vomitus Dehidrasi RS + Hipokalemia 2/23/2021 2/25/2021 √
Ainun Aristawati 24/04/2020 P Gead RS dehidrasi 2/25/2021 2/27/2021 √
P. Bilateral ec Melena + Status Epileptikus √
Syakilah Azzahra 24/10/2013 P 2/25/2021 2/27/2021
Malaria Cerebral + Dengue Enchepalitis √
M. Al-Fatih 26/07/2020 L GEAD RS + Klinis Malaria 2/24/2020 2/25/2021 √
Nandhita Siti Alea 11/29/2019 P GEAD RS 2/24/2021 2/26/2021 √
M. Anugrah Saputra 01/12/2012 L Thalasemia 2/24/2021 2/26/2021 √
2/26/2021 M. Zehan Raditya 11/02/2019 L GEAD RS 2/23/2021 2/26/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
Nafisha Aaliya R 03/04/2020 P GEAD RS 2/25/2021 3/1/2021 √
Ainun Aristawati 24/04/2020 P Gead RS dehidrasi 2/25/2021 2/27/2021 √
M. Sabiq Al Fatih 28/02/2020 L KDS + Obs Febris 2/26/2021 3/1/2021 √
Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dengan Penyulit BP 2/26/2021 3/4/2021 √
P. Bilateral ec Melena + Status Epileptikus √
Syakilah Azzahra 24/10/2013 P 2/25/2021 2/27/2021
Malaria Cerebral + Dengue Enchepalitis √
Nandhita Siti Alea 11/29/2019 P GEAD RS 2/24/2021 2/26/2021 √
M. Anugrah Saputra 01/12/2012 L Thalasemia 2/24/2021 2/26/2021 √
2/27/2021 Ainun Aristawati 24/04/2020 P Gead RS dehidrasi 2/25/2021 2/27/2021 √
Nafisha Aaliya R 03/04/2020 P GEAD RS 2/25/2021 3/1/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
P. Bilateral ec Melena + Status Epileptikus √
Syakilah Azzahra 24/10/2013 P 2/25/2021 2/27/2021
Malaria Cerebral + Dengue Enchepalitis √
M. Sabiq Al Fatih 28/02/2020 L KDS + Obs Febris 2/26/2021 3/1/2021 √
Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dengan Penyulit BP 2/26/2021 3/4/2021 √
Kemas M Ozil 03/07/2018 L KDS + Hiperpireksia 2/27/2021 3/1/2021 √
Riski Amaliya 09/05/2019 P GEAD RS + Obs Febris + Malaria 2/27/2021 3/3/2021 √
Dewa Erlangga 07/03/2018 L KDk + Hiperpireksia 2/27/2021 3/1/2021 √
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 √
Bimbim Prayogi 14/09/2020 L GEAD RS + RFA 2/27/2021 3/3/2021 √
2/28/2021 Nafisha Aaliya R 03/04/2020 P GEAD RS 2/25/2021 3/1/2021 √
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √
M. Sabiq Al Fatih 28/02/2020 L KDS + Obs Febris 2/26/2021 3/1/2021 √
Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dengan Penyulit BP 2/26/2021 3/4/2021 √
Kemas M Ozil 03/07/2018 L KDS + Hiperpireksia 2/27/2021 3/1/2021 √
Riski Amaliya 09/05/2019 P GEAD RS + Obs Febris + Malaria 2/27/2021 3/3/2021 √
Dewa Erlangga 07/03/2018 L KDk + Hiperpireksia 2/27/2021 3/1/2021 √
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 √
Bimbim Prayogi 14/09/2020 L GEAD RS + RFA 2/27/2021 3/3/2021 √
Virendra Fawwaz A 03/10/2020 L GEAD RS + Inbalance Elektrolit 2/28/2021 3/2/2021 √
Ahmad Gadhing A 21/06/2020 L Kejang Demam Sederhana 2/28/2021 3/3/2021 √

Lahat, Februari 2021


IPCLN

(.................................................)
FORMULIR SURVEILANS HARIAN INFEKSI
RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : Maret 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
Tirah
Tanggal Nama Umur L/P Diagnosa Medis IVL UC ETT Antibiotik
MRS KRS VAP ISK Plebitis Baring
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
3/1/2021 Nafisha Aaliya R 03/04/2020 P GEAD RS 2/25/2021 3/1/2021 √ 2 hari √ Ceftriaxone
M. Arsyad Valenza 22/06/2020 L GEAD RS + Rhinitis Akut 2/23/2021 3/1/2021 √ 3 hari √ Ceftriaxone
M. Sabiq Al Fatih 28/02/2020 L KDS + Obs Febris 2/26/2021 3/1/2021 √ 3 hari √ Ceftriaxone
Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dg Penyulit BP 2/26/2021 3/4/2021 2 hari √ Ceftazidime
Kemas M Ozil 03/07/2018 L KDS + Hiperpireksia 2/27/2021 3/1/2021 √ 2 hari √ Ceftriaxone
Riski Amaliya 09/05/2019 P GEAD RS + Obs Febris + Malaria 2/27/2021 3/3/2021 2 hari √ Ceftriaxone
Dewa Erlangga 07/03/2018 L KDk + Hiperpireksia 2/27/2021 3/1/2021 √ 3 hari √ Ceftriaxone
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 2 hari √ Ceftriaxone
Bimbim Prayogi 14/09/2020 L GEAD RS + RFA 2/27/2021 3/3/2021 2 hari √ Cefixime Syr
Virendra Fawwaz A 03/10/2020 L GEAD RS + Inbalance Elektrolit 2/28/2021 3/2/2021 2 hari √ Ceftazidime
Ahmad Gadhing A 21/06/2020 L Kejang Demam Sederhana 2/28/2021 3/3/2021 2 hari √ Ceftriaxone
Reyfan Dzikrillah 19/02/2021 L GEAD RS 3/1/2021 3/5/2021 1 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2021 L Hemofilia A 3/1/2021 3/2/2021 1 hari √ Ceftriaxone
Malika Zafira H 22/04/2020 P GEAD RS + Klinis Malaria 3/1/2021 3/4/2021 1 hari √ Ceftriaxone
Anang Prastia 9/24/2005 L Anemia ec Hematemesis dd TB Paru 3/1/2021 3/5/2021 1 hari √ Ceftriaxone
Albar Dirgantara 15/10/2019 L Hemofilia A 3/1/2021 3/2/2021 1 hari √ −
Enjelika Ramadhani 24/04/2020 P Demam Lama ec T. ISK + DLI 3/1/2021 3/4/2021 1 hari √ Ceftriaxone
Ages Meiranda 12/05/2006 P Hipokalemia berulang ec Low Intake 3/1/2021 3/4/2021 1 hari √ Cefixime Tab
3/2/2021 Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dg Penyulit BP 2/26/2021 3/4/2021 √
1 hari Ceftazidime
Riski Amaliya 09/05/2019 P GEAD RS + Obs Febris + Malaria 2/27/2021 3/3/2021 1 hari √ Ceftriaxone
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 3 hari √ Ceftriaxone
Bimbim Prayogi 14/09/2020 L GEAD RS + RFA 2/27/2021 3/3/2021 √ 1 hari √ Cefixime Syr
Virendra Fawwaz A 03/10/2020 L GEAD RS + Inbalance Elektrolit 2/28/2021 3/2/2021 √ 3 hari √ Ceftazidime
Ahmad Gadhing A 21/06/2020 L Kejang Demam Sederhana 2/28/2021 3/3/2021 √ 1 hari √ Ceftriaxone
Reyfan Dzikrillah P 19/02/2021 L GEAD RS 3/1/2021 3/5/2021 2 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2021 L Hemofilia A 3/1/2021 3/2/2021 √ 2 hari √ Ceftriaxone
Malika Zafira H 22/04/2020 P GEAD RS + Klinis Malaria 3/1/2021 3/4/2021 2 hari √ Ceftriaxone
Anang Prastia 9/24/2005 L Anemia ec Hematemesis dd TB Paru 3/1/2021 3/5/2021 2 hari √ Ceftriaxone
Albar Dirgantara 15/10/2019 L Hemofilia A 3/1/2021 3/2/2021 √ 2 hari √ −
Enjelika Ramadhani 24/04/2020 P Demam Lama ec T. ISK + DLI 3/1/2021 3/4/2021 2 hari √ Ceftriaxone
Ages Meiranda 12/05/2006 P Hipokalemia berulang ec Low Intake 3/1/2021 3/4/2021 2 hari √ Cefixime Tab
Rafan Ali Abdullah 18/09/2020 L GEAD RS 3/2/2021 3/5/2021 1 hari √ Ceftriaxone
Al Sena Adila P 3/15/2020 P GEAD RS + Klinis Malaria 3/2/2021 3/5/2021 1 hari √ Ceftriaxone
Adzril Auffa Beni 26/03/2019 L GEAD RS + Klinis Malaria 3/2/2021 3/5/2021 1 hari √ Ceftriaxone
3/3/2021 Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dg Penyulit BP 2/26/2021 3/4/2021 √
2 hari Ceftazidime
Page 6
3/3/2021

Riski Amaliya 09/05/2019 P GEAD RS + Obs Febris + Malaria 2/27/2021 3/3/2021 √ 2 hari √ Ceftriaxone
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 2 hari √ Ceftriaxone
Bimbim Prayogi 14/09/2020 L GEAD RS + RFA 2/27/2021 3/3/2021 √ 2 hari √ Cefixime Syr
Ahmad Gadhing A 21/06/2020 L Kejang Demam Sederhana 2/28/2021 3/3/2021 √ 2 hari √ Ceftriaxone
Reyfan Dzikrillah P 19/02/2021 L GEAD RS 3/1/2021 3/5/2021 √ 1 hari √ Ceftriaxone
Malika Zafira H 22/04/2020 P GEAD RS + Klinis Malaria 3/1/2021 3/4/2021 √ 1 hari √ Ceftriaxone
Anang Prastia 9/24/2005 L Anemia ec Hematemesis dd TB Paru 3/1/2021 3/5/2021 √ 1 hari √ Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Demam Lama ec T. ISK + DLI 3/1/2021 3/4/2021 √ 1 hari √ Ceftriaxone
Ages Meiranda 12/05/2006 P Hipokalemia berulang ec Low Intake 3/1/2021 3/4/2021 √ 1 hari √ Cefixime Tab
Alissa Medina 21/08/2020 P GEAD RS + Klinis Malaria + Hiperpireksia 3/3/2021 3/5/2021 1 hari √ Ceftriaxone
Naura Khodijah F 10/21/2019 P GEAD RS + Obs Febris 3/3/2021 3/5/2021 1 hari √ Ceftriaxone
3/4/2021 Azzam Al Faig 12/10/2020 L Diare Akut Dehidrasi Berat dg Penyulit BP 2/26/2021 3/4/2021 √ √
3 hari Ceftazidime
Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 2 hari √ Ceftriaxone
Reyfan Dzikrillah P 19/02/2021 L GEAD RS 3/1/2021 3/5/2021 2 hari √ Ceftriaxone
Malika Zafira H 22/04/2020 P GEAD RS + Klinis Malaria 3/1/2021 3/4/2021 √ 2 hari √ Ceftriaxone
Anang Prastia 9/24/2005 L Anemia ec Hematemesis dd TB Paru 3/1/2021 3/5/2021 2 hari √ Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Demam Lama ec T. ISK + DLI 3/1/2021 3/4/2021 √ 2 hari √ Ceftriaxone
Ages Meiranda 12/05/2006 P Hipokalemia berulang ec Low Intake 3/1/2021 3/4/2021 √ 2 hari √ Cefixime Tab
Alissa Medina 21/08/2020 P GEAD RS + Klinis Malaria + Hiperpireksia 3/3/2021 3/5/2021 2 hari √ Ceftriaxone
Naura Khodijah F 10/21/2019 P GEAD RS + Obs Febris 3/3/2021 3/5/2021 2 hari √ Ceftriaxone
Shanum Pasca A 25/01/2020 P GEAD RS + Klinis Malaria 3/4/2021 3/6/2021 1 hari √ Ceftriaxone
M. Zain R.H 5/16/2020 L GEAD RS + Klinis Malaria 3/4/2021 3/7/2021 1 hari √ Ceftriaxone
Aldo Febiansyah 2/5/2016 L Anemia + Susp Deatesesis Hemoragic 3/4/2021 3/4/2021 √ 1 hari √ Ceftriaxone
3/5/2021 Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 √
2 hari Ceftriaxone
Reyfan Dzikrillah P 19/02/2021 L GEAD RS 3/1/2021 3/5/2021 √ 3 hari √ Ceftriaxone
Anang Prastia 9/24/2005 L Anemia ec Hematemesis dd TB Paru 3/1/2021 3/5/2021 √ 3 hari √ Ceftriaxone
Alissa Medina 21/08/2020 P GEAD RS + Klinis Malaria + Hiperpireksia 3/3/2021 3/5/2021 √ 3 hari √ Ceftriaxone
Naura Khodijah F 10/21/2019 P GEAD RS + Obs Febris 3/3/2021 3/5/2021 √ 3 hari √ Ceftriaxone
Shanum Pasca A 25/01/2020 P GEAD RS + Klinis Malaria 3/4/2021 3/6/2021 2 hari √ Ceftriaxone
M. Zain R.H 5/16/2020 L GEAD RS + Klinis Malaria 3/4/2021 3/7/2021 2 hari √ Ceftriaxone
M. Ammar A 21/06/2019 L GEAD RS 3/5/2021 3/8/2021 1 hari √ Alergi
Alvin Rendi Saputra 10/09/2020 L GEAD RS + Obs Febris 3/5/2021 3/9/2021 1 hari √ Ceftazidime
Anindita Zhami AA 21/02/2019 P Kejang Demam Sederhana 3/5/2021 3/8/2021 1 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 1 hari √ Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 1 hari √ Ceftriaxone
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 1 hari √ Ceftazidime
M. Jheriko Pratama 8/21/2017 L Bronchopneumonia 3/5/2021 3/7/2021 1 hari √ Ampi + Cefta
M. Raffi 01/07/2021 L Thalasemia 3/5/2021 3/8/2021 1 hari √ −
3/6/2021 Okta Putri Yuliani 17/10/2008 P Demam Lama ec T. ISK dd GNAPS dd PJR 2/27/2021 3/6/2021 √ √
2 hari Ceftriaxone
Shanum Pasca A 25/01/2020 P GEAD RS + Klinis Malaria 3/4/2021 3/6/2021 √ 3 hari √ Ceftriaxone
M. Zain R.H 5/16/2020 L GEAD RS + Klinis Malaria 3/4/2021 3/7/2021 √ 1 hari √ Ceftriaxone
M. Ammar A 21/06/2019 L GEAD RS 3/5/2021 3/8/2021 2 hari √ Alergi
Page 7
Alvin Rendi Saputra 10/09/2020 L GEAD RS + Obs Febris 3/5/2021 3/9/2021 2 hari √ Ceftazidime
Anindita Zhami AA 21/02/2019 P Kejang Demam Sederhana 3/5/2021 3/8/2021 2 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 2 hari √ Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 2 hari √ Ceftriaxone
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 2 hari √ Ceftazidime
M. Jheriko Pratama 8/21/2017 L Bronchopneumonia 3/5/2021 3/7/2021 2 hari √ Ampi + Cefta
Khiar Fillio Af 10/07/2020 L GEAD RS 3/6/2021 3/8/2021 1 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS 3/6/2021 3/9/2021 1 hari √ Ceftriaxone
M. Raffi 01/07/2021 L Thalasemia 3/5/2021 3/8/2021 2 hari √ −
Qiyyara Tashafina 16/08/2020 P Diare Akut Dehidrasi RS 3/6/2021 3/8/2021 1 hari √ −
3/7/2021 M. Zain R.H 5/16/2020 L GEAD RS + Klinis Malaria 3/4/2021 3/7/2021 √ √
2 hari Ceftriaxone
M. Ammar A 21/06/2019 L GEAD RS 3/5/2021 3/8/2021 √ 1 hari √ Alergi
Alvin Rendi Saputra 10/09/2020 L GEAD RS + Obs Febris 3/5/2021 3/9/2021 √ 1 hari √ Ceftazidime
Anindita Zhami AA 21/02/2019 P Kejang Demam Sederhana 3/5/2021 3/8/2021 √ 1 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 √ 1 hari √ Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 √ 1 hari √ Meropenem
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 √ 1 hari √ Ceftazidime
M. Jheriko Pratama 8/21/2017 L Bronchopneumonia 3/5/2021 3/7/2021 √ 3 hari √ Ampi + Cefta
Khiar Fillio Af 10/07/2020 L GEAD RS 3/6/2021 3/8/2021 2 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS 3/6/2021 3/9/2021 2 hari √ Ceftriaxone
Qiyyara Tashafina 16/08/2020 P Diare Akut Dehidrasi RS 3/6/2021 3/8/2021 2 hari √ −
Alif Hafizh Sharkan 15/11/2016 L Sindrome Nefrotix 3/7/2021 3/9/2021 1 hari √ Ceftriaxone
Abidah Aftani AK 22/04/2017 P GEAD RS + Klinis Malaria 3/7/2021 3/10/2021 1 hari √ Ceftriaxone
M. Raffi 01/07/2021 L Thalasemia 3/5/2021 3/8/2021 1 hari √ −
3/8/2021 M. Ammar A 21/06/2019 L GEAD RS 3/5/2021 3/8/2021 √ √
2 hari Alergi
Alvin Rendi Saputra 10/09/2020 L GEAD RS + Obs Febris 3/5/2021 3/9/2021 2 hari √ Ceftazidime
Anindita Zhami AA 21/02/2019 P Kejang Demam Sederhana 3/5/2021 3/8/2021 √ 2 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 2 hari √ Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 2 hari √ Meropenem
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 2 hari √ Ceftazidime
Khiar Fillio Af 10/07/2020 L GEAD RS 3/6/2021 3/8/2021 √ 3 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS 3/6/2021 3/9/2021 √ 1 hari √ Ceftriaxone
Qiyyara Tashafina 16/08/2020 P Diare Akut Dehidrasi RS 3/6/2021 3/8/2021 √ 3 hari √ −
Alif Hafizh Sharkan 15/11/2016 L Sindrome Nefrotix 3/7/2021 3/9/2021 2 hari √ Ceftriaxone
Abidah Aftani AK 22/04/2017 P GEAD RS + Klinis Malaria 3/7/2021 3/10/2021 2 hari √ Ceftriaxone
Felisyah C. P 25/12/2019 P GEAD RS 3/8/2021 3/11/2021 1 hari √ Ceftriaxone
Arkiansyah I 21/06/2020 L GEAD RS 3/8/2021 3/12/2021 1 hari √ Ceftriaxone
Azizah Marsyanti 25/03/2019 P GEAD RS 3/8/2021 3/11/2021 1 hari √ Ceftriaxone
Ayra Mysha A 22/04/2017 P GEAD RS 3/8/2021 3/10/2021 1 hari √ Ceftriaxone
Albar Dirgantara 15/10/2019 L Hemofilia A 3/8/2021 3/9/2021 1 hari √ −
M. Raffi 01/07/2021 L Thalasemia 3/5/2021 3/8/2021 2 hari √ −
3/9/2021 Alvin Rendi Saputra 10/09/2020 L GEAD RS + Obs Febris 3/5/2021 3/9/2021 √ √
3 hari Ceftazidime
Page 8
3/9/2021

Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 √ 1 hari √ Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 √ 1 hari √ Meropenem
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 √ 1 hari √ Meropenem
Rafqa Alga Dafrin 20/03/2020 L GEAD RS 3/6/2021 3/9/2021 √ 3 hari √ Ceftriaxone
Alif Hafizh Sharkan 15/11/2016 L Sindrome Nefrotix 3/7/2021 3/9/2021 √ 3 hari √ Ceftriaxone
Abidah Aftani AK 22/04/2017 P GEAD RS + Klinis Malaria 3/7/2021 3/10/2021 1 hari √ Ceftriaxone
Felisyah C. P 25/12/2019 P GEAD RS 3/8/2021 3/11/2021 2 hari √ Ceftriaxone
Arkiansyah I 21/06/2020 L GEAD RS 3/8/2021 3/12/2021 2 hari √ Ceftriaxone
Azizah Marsyanti 25/03/2019 P GEAD RS 3/8/2021 3/11/2021 2 hari √ Ceftriaxone
Ayra Mysha A 22/04/2017 P GEAD RS 3/8/2021 3/10/2021 2 hari √ Ceftriaxone
Albar Dirgantara 15/10/2019 L Hemofilia A 3/8/2021 3/9/2021 √ 2 hari √ −
Bintang Zaki AF 06/01/2015 L GEAD RS + Muntah Profuse 3/9/2021 3/12/2021 1 hari √ Ceftriaxone
3/10/2021 Abidzar Al Ghifari 03/06/2020 L Diare Akut Dehidrasi Ringan Sedang 3/5/2021 3/10/2021 √ √
2 hari Ceftriaxone
Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 2 hari √ Meropenem
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 2 hari √ Meropenem
Abidah Aftani AK 22/04/2017 P GEAD RS + Klinis Malaria 3/7/2021 3/10/2021 √ 2 hari √ Ceftriaxone
Felisyah C. P 25/12/2019 P GEAD RS 3/8/2021 3/11/2021 √ 1 hari √ Ceftriaxone
Arkiansyah I 21/06/2020 L GEAD RS 3/8/2021 3/12/2021 √ 1 hari √ Ceftriaxone
Azizah Marsyanti 25/03/2019 P GEAD RS 3/8/2021 3/11/2021 √ 1 hari √ Ceftriaxone
Ayra Mysha A 22/04/2017 P GEAD RS 3/8/2021 3/10/2021 √ 3 hari √ Ceftriaxone
Bintang Zaki AF 06/01/2015 L GEAD RS + Muntah Profuse 3/9/2021 3/12/2021 2 hari √ Ceftriaxone
Azkia Adrianata 09/06/2020 P GEAD RS + RFA + Klinis Malaria 3/10/2021 3/14/2021 1 hari √ Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Dehidrasi Low Intake + Klinis Malaria 3/10/2021 3/13/2021 1 hari √ Ceftriaxone
M. Fadjri Qurais 29/08/2019 L GEA RS 3/10/2021 3/13/2021 1 hari √ Ceftriaxone
Delan Athia Bisri 14/10/2020 L Dyspneu ec BP + Failure To Thnve Disnorfik 3/10/2021 3/11/2021 √ 1 hari √ Meropenem
3/11/2021 Malik Hafiz Sharkan 12/07/2019 L GEAD RS 3/5/2021 3/11/2021 √ √
3 hari Meropenem
Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 √ 1 hari √ Meropenem
Felisyah C. P 25/12/2019 P GEAD RS 3/8/2021 3/11/2021 √ 2 hari √ Ceftriaxone
Arkiansyah I 21/06/2020 L GEAD RS 3/8/2021 3/12/2021 2 hari √ Ceftriaxone
Azizah Marsyanti 25/03/2019 P GEAD RS 3/8/2021 3/11/2021 √ 2 hari √ Ceftriaxone
Bintang Zaki AF 06/01/2015 L GEAD RS + Muntah Profuse 3/9/2021 3/12/2021 √ 1 hari √ Ceftriaxone
Azkia Adrianata 09/06/2020 P GEAD RS + RFA + Klinis Malaria 3/10/2021 3/14/2021 2 hari √ Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Dehidrasi Low Intake + Klinis Malaria 3/10/2021 3/13/2021 2 hari √ Ceftriaxone
M. Fadjri Qurais 29/08/2019 L GEA RS 3/10/2021 3/13/2021 2 hari √ Ceftriaxone
Delan Athia Bisri 14/10/2020 L Dyspneu ec BP + Failure To Thnve Disnorfik 3/10/2021 3/11/2021 √ 2 hari √ Meropenem
Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 1 hari √ Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 1 hari √ Ceftriaxone
2/12/2021 Malika Rafania S 12/07/2019 P GEAD RS 3/5/2021 3/12/2021 √ √
2 hari Meropenem
Arkiansyah I 21/06/2020 L GEAD RS 3/8/2021 3/12/2021 √ 3 hari √ Ceftriaxone
Bintang Zaki AF 06/01/2015 L GEAD RS + Muntah Profuse 3/9/2021 3/12/2021 √ 2 hari √ Ceftriaxone
Azkia Adrianata 09/06/2020 P GEAD RS + RFA + Klinis Malaria 3/10/2021 3/14/2021 √ 1 hari √ Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Dehidrasi Low Intake + Klinis Malaria 3/10/2021 3/13/2021 √ 1 hari √ Ceftriaxone
Page 9
M. Fadjri Qurais 29/08/2019 L GEA RS 3/10/2021 3/13/2021 √ 1 hari √ Ceftriaxone
Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 2 hari √ Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 2 hari √ Ceftriaxone
Fariza Meldiana 03/02/2021 P GEAD RS + Klinis Malaria 3/12/2021 3/15/2021 1 hari √ Ceftriaxone
Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 1 hari √ Meropenem
3/13/2021 Azkia Adrianata 09/06/2020 P GEAD RS + RFA + Klinis Malaria 3/10/2021 3/14/2021 √
2 hari Ceftriaxone
Enjelika Ramadhani 24/04/2020 P Dehidrasi Low Intake + Klinis Malaria 3/10/2021 3/13/2021 √ 2 hari √ Ceftriaxone
M. Fadjri Qurais 29/08/2019 L GEA RS 3/10/2021 3/13/2021 √ 2 hari √ Ceftriaxone
Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 √ 1 hari √ Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 √ 1 hari √ Ceftriaxone
Fariza Meldiana 03/02/2021 P GEAD RS + Klinis Malaria 3/12/2021 3/15/2021 2 hari √ Ceftriaxone
Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 2 hari √ Meropenem
Mondi Aprilano 06/04/2019 L GEAD RS 3/13/2021 3/16/2021 1 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 1 hari √ Ceftriaxone
Fabian Malik E 11/03/2019 L GEAD RS + KDK 3/13/2021 3/16/2021 1 hari √ Ceftriaxone
Khalifah Dwi F 14/09/2019 P GEAD RS + Obs Febris 3/13/2021 3/17/2021 1 hari √ Ceftriaxone
Arka Yusuf 21/10/2019 L GEAD RS 3/13/2021 3/15/2021 1 hari √ Ceftriaxone
3/14/2021 Azkia Adrianata 09/06/2020 P GEAD RS + RFA + Klinis Malaria 3/10/2021 3/14/2021 √ √
3 hari Ceftriaxone
Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 2 hari √ Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 2 hari √ Ceftriaxone
Fariza Meldiana 03/02/2021 P GEAD RS + Klinis Malaria 3/12/2021 3/15/2021 √ 1 hari √ Ceftriaxone
Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 √ 1 hari √ Meropenem
Mondi Aprilano 06/04/2019 L GEAD RS 3/13/2021 3/16/2021 2 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 2 hari √ Ceftriaxone
Fabian Malik E 11/03/2019 L GEAD RS + KDK 3/13/2021 3/16/2021 2 hari √ Ceftriaxone
Khalifah Dwi F 14/09/2019 P GEAD RS + Obs Febris 3/13/2021 3/17/2021 2 hari √ Ceftriaxone
Arka Yusuf 21/10/2019 L GEAD RS 3/13/2021 3/15/2021 2 hari √ Ceftriaxone
Syauqi Mermiando 21/10/2017 L GEAD RS + Obs Febris 3/14/2021 3/17/2021 1 hari √ Ceftriaxone
3/15/2021 Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 √ √
1 hari Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 √ 1 hari √ Ceftriaxone
Fariza Meldiana 03/02/2021 P GEAD RS + Klinis Malaria 3/12/2021 3/15/2021 √ 2 hari √ Ceftriaxone
Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 2 hari √ Meropenem
Mondi Aprilano 06/04/2019 L GEAD RS 3/13/2021 3/16/2021 1 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 1 hari √ Ceftriaxone
Fabian Malik E 11/03/2019 L GEAD RS + KDK 3/13/2021 3/16/2021 1 hari √ Ceftriaxone
Khalifah Dwi F 14/09/2019 P GEAD RS + Obs Febris 3/13/2021 3/17/2021 1 hari √ Ceftriaxone
Arka Yusuf 21/10/2019 L GEAD RS 3/13/2021 3/15/2021 √ 3 hari √ Ceftriaxone
Syauqi Mermiando 21/10/2017 L GEAD RS + Obs Febris 3/14/2021 3/17/2021 2 hari √ Ceftriaxone
Maharani Pajri 29/03/2019 P GEAD RS 3/15/2021 3/17/2021 1 hari √ Ceftriaxone
Nadira Biancalistta 17/06/2020 P GEAD RS 3/15/2021 3/18/2021 1 hari √ Ceftriaxone
Suci Ramahdanti 18/05/2019 P KDS 3/15/2021 3/17/2021 1 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2021 L Hemofilia A 3/15/2021 3/16/2021 1 hari √ −

Page 10
Albar Dirgantara 15/10/2019 L Hemofilia A 3/15/2021 3/16/2021 1 hari √ −
Cut Allesya S 11/4/2019 P GEAD RS 3/15/2021 3/18/2021 1 hari √ Ceftriaxone
Hanifah Azzahra 4/7/2019 P GEAD RS 3/15/2021 3/17/2021 1 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schontien 3/15/2021 3/17/2021 1 hari √ −
3/16/2021 Haidil Rahmat 23/05/2021 L GEAD RS 3/11/2021 3/16/2021 √ 2 hari √ Ceftriaxone
Areel Aswaleza 25/03/2013 P Kolik Abdomen 3/11/2021 3/16/2021 √ 2 hari √ Ceftriaxone
Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 √ 1 hari √ Meropenem
Mondi Aprilano 06/04/2019 L GEAD RS 3/13/2021 3/16/2021 √ 2 hari √ Ceftriaxone
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 2 hari √ Ceftriaxone
Fabian Malik E 11/03/2019 L GEAD RS + KDK 3/13/2021 3/16/2021 √ 2 hari √ Ceftriaxone
Khalifah Dwi F 14/09/2019 P GEAD RS + Obs Febris 3/13/2021 3/17/2021 2 hari √ Ceftriaxone
Syauqi Mermiando 21/10/2017 L GEAD RS + Obs Febris 3/14/2021 3/17/2021 √ 1 hari √ Ceftriaxone
Maharani Pajri 29/03/2019 P GEAD RS 3/15/2021 3/17/2021 2 hari √ Ceftriaxone
Nadira Biancalistta 17/06/2020 P GEAD RS 3/15/2021 3/18/2021 2 hari √ Ceftriaxone
Suci Ramahdanti 18/05/2019 P KDS 3/15/2021 3/17/2021 2 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2021 L Hemofilia A 3/15/2021 3/16/2021 √ 2 hari √ −
Albar Dirgantara 15/10/2019 L Hemofilia A 3/15/2021 3/16/2021 √ 2 hari √ −
Cut Allesya S 11/4/2019 P GEAD RS 3/15/2021 3/18/2021 2 hari √ Ceftriaxone
Hanifah Azzahra 4/7/2019 P GEAD RS 3/15/2021 3/17/2021 2 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schontien 3/15/2021 3/17/2021 2 hari √ −
Abieb Putra P 17/10/2020 L GEAD RS 3/16/2021 3/19/2021 1 hari √ Ceftriaxone
M Hapiz Habilah 05/11/2020 L GEAD RS dg Penyulit (Pneumonia Dextra) 3/16/2021 3/19/2021 1 hari √ Ceftriaxone
Bilal Dwi Pratama 09/09/2019 L KDK ec Faringitis 3/16/2021 3/18/2021 1 hari √ Ceftriaxone
Davis Jantira 30/11/2019 L GEAD RS 3/16/2021 3/19/2021 1 hari √ Ceftriaxone
M. Arya Abimayu 14/07/2020 L GEAD RS 3/16/2021 3/18/2021 1 hari √ Ceftriaxone
Natasya Wilona 30/01/2016 P TDBD GR II + FARINGITIS AKUT 3/16/2021 3/18/2021 1 hari √ Ceftazidime
3/17/2021 Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 2 hari √ Meropenem
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 √ 1 hari √ Ceftriaxone
Khalifah Dwi F 14/09/2019 P GEAD RS + Obs Febris 3/13/2021 3/17/2021 √ 3 hari √ Ceftriaxone
Syauqi Mermiando 21/10/2017 L GEAD RS + Obs Febris 3/14/2021 3/17/2021 √ 3 hari √ Ceftriaxone
Maharani Pajri 29/03/2019 P GEAD RS 3/15/2021 3/17/2021 √ 3 hari √ Ceftriaxone
Nadira Biancalistta 17/06/2020 P GEAD RS 3/15/2021 3/18/2021 √ 1 hari √ Ceftriaxone
Suci Ramahdanti 18/05/2019 P KDS 3/15/2021 3/17/2021 √ 3 hari √ Ceftriaxone
Cut Allesya S 11/4/2019 P GEAD RS 3/15/2021 3/18/2021 1 hari √ Ceftriaxone
Hanifah Azzahra 4/7/2019 P GEAD RS 3/15/2021 3/17/2021 √ 3 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schontien 3/15/2021 3/17/2021 √ 3 hari √ −
Abieb Putra P 17/10/2020 L GEAD RS 3/16/2021 3/19/2021 2 hari √ Ceftriaxone
M Hapiz Habilah 05/11/2020 L GEAD RS dg Penyulit (Pneumonia Dextra) 3/16/2021 3/19/2021 2 hari √ Ceftriaxone
Bilal Dwi Pratama 09/09/2019 L KDK ec Faringitis 3/16/2021 3/18/2021 2 hari √ Ceftriaxone
Davis Jantira 30/11/2019 L GEAD RS 3/16/2021 3/19/2021 2 hari √ Ceftriaxone
M. Arya Abimayu 14/07/2020 L GEAD RS 3/16/2021 3/18/2021 2 hari √ Ceftriaxone
Natasya Wilona 30/01/2016 P TDBD GR II + FARINGITIS AKUT 3/16/2021 3/18/2021 2 hari √ Ceftazidime

Page 11
Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 1 hari √ Ceftriaxone
Gibran Farran 25/05/2020 L GEAD RS + RFA + Klinis Malaria 3/17/2021 3/19/2021 1 hari √ Ceftriaxone
Muhamad Alvaqi 19/02/2020 L GEAD RS 3/17/2021 3/20/2021 1 hari √ Ceftriaxone
Rafasya AL Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 1 hari √ Ceftazidime
3/18/2021 Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 √ 1 hari √ Meropenem
Rafqa Alga Dafrin 20/03/2020 L GEAD RS + Obs Febris 3/13/2021 3/18/2021 √ 2 hari √ Ceftriaxone
Nadira Biancalistta 17/06/2020 P GEAD RS 3/15/2021 3/18/2021 √ 2 hari √ Ceftriaxone
Cut Allesya S 11/4/2019 P GEAD RS 3/15/2021 3/18/2021 √ 2 hari √ Ceftriaxone
Abieb Putra P 17/10/2020 L GEAD RS 3/16/2021 3/19/2021 1 hari √ Ceftriaxone
M Hapiz Habilah 05/11/2020 L GEAD RS dg Penyulit (Pneumonia Dextra) 3/16/2021 3/19/2021 √ 1 hari √ Ceftriaxone
Bilal Dwi Pratama 09/09/2019 L KDK ec Faringitis 3/16/2021 3/18/2021 √ 3 hari √ Ceftriaxone
Davis Jantira 30/11/2019 L GEAD RS 3/16/2021 3/19/2021 √ 1 hari √ Ceftriaxone
M. Arya Abimayu 14/07/2020 L GEAD RS 3/16/2021 3/18/2021 √ 3 hari √ Ceftriaxone
Natasya Wilona 30/01/2016 P TDBD GR II + FARINGITIS AKUT 3/16/2021 3/18/2021 √ 3 hari √ Ceftazidime
Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 2 hari √ Ceftriaxone
Gibran Farran 25/05/2020 L GEAD RS + RFA + Klinis Malaria 3/17/2021 3/19/2021 2 hari √ Ceftriaxone
Muhamad Alvaqi 19/02/2020 L GEAD RS 3/17/2021 3/20/2021 2 hari √ Ceftriaxone
Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 2 hari √ Ceftazidime
Riski Atasan Jaya 13/11/2019 L Drowning + Susp Pneumonia Aspirasi 3/18/2021 3/20/2021 1 hari √ Ceftazidime
Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 1 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 1 hari √ Ceftriaxone
3/19/2021 Arini Bunga K 09/06/2012 P Susp Hepatitis 3/12/2021 3/19/2021 √ 2 hari √ Meropenem
Abieb Putra P 17/10/2020 L GEAD RS 3/16/2021 3/19/2021 √ 2 hari √ Ceftriaxone
M Hapiz Habilah 05/11/2020 L GEAD RS dg Penyulit (Pneumonia Dextra) 3/16/2021 3/19/2021 √ 2 hari √ Ceftriaxone
Davis Jantira 30/11/2019 L GEAD RS 3/16/2021 3/19/2021 √ 2 hari √ Ceftriaxone
Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 √ 1 hari √ Ceftriaxone
Gibran Farran 25/05/2020 L GEAD RS + RFA + Klinis Malaria 3/17/2021 3/19/2021 √ 3 hari √ Ceftriaxone
Muhamad Alvaqi 19/02/2020 L GEAD RS 3/17/2021 3/20/2021 √ 1 hari √ Ceftriaxone
Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 √ 1 hari √ Ceftazidime
Riski Atasan Jaya 13/11/2019 L Drowning + Susp Pneumonia Aspirasi 3/18/2021 3/20/2021 2 hari √ Ceftazidime
Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 2 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 2 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/19/2020 3/22/2021 1 hari √ Ceftriaxone
Halwa Dwiraqiqah 16/12/2019 P GEAD RS 3/19/2021 3/23/2021 1 hari √ Ceftriaxone
M. Nabil Fayadh 16/07/2015 L Dyspneu + Asma Bronkitis 3/19/2021 3/22/2021 1 hari √ Ceftriaxone
Afqori Roid AK 21/01/2021 L Obs Vomitus 3/19/2021 3/23/2021 1 hari √ Ceftriaxone
Kenzie Robiul Awal 24/08/2020 L GEAD RS 3/19/2021 3/23/2021 1 hari √ Ceftriaxone
M. Zalif 20/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 1 hari √ Ceftriaxone
M. Alif Al Zaki 29/10/2016 L Sindrom Nefrotik 3/19/2021 3/22/2021 1 hari √ Ceftriaxone
3/20/2021 Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 2 hari √ Ceftriaxone
Muhamad Alvaqi 19/02/2020 L GEAD RS 3/17/2021 3/20/2021 √ 2 hari √ Ceftriaxone
Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 √ 1 hari √ Ceftazidime

Page 12
3/20/2021

Riski Atasan Jaya 13/11/2019 L Drowning + Susp Pneumonia Aspirasi 3/18/2021 3/20/2021 √ 3 hari √ Ceftazidime
Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 √ 1 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 √ 1 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/19/2020 3/22/2021 2 hari √ Ceftriaxone
Halwa Dwiraqiqah 16/12/2019 P GEAD RS 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
M. Nabil Fayadh 16/07/2015 L Dyspneu + Asma Bronkitis 3/19/2021 3/22/2021 2 hari √ Ceftriaxone
Afqori Roid AK 21/01/2021 L Obs Vomitus 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
Kenzie Robiul Awal 24/08/2020 L GEAD RS 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
M. Zalif 20/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 2 hari √ Ceftriaxone
M. Alif Al Zaki 29/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 2 hari √ Ceftriaxone
3/21/2021 Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 3 hari √ Ceftriaxone
Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 3 hari √ Ceftriaxone
Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 2 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 2 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/19/2020 3/22/2021 √ 1 hari √ Ceftriaxone
Halwa Dwiraqiqah 16/12/2019 P GEAD RS 3/19/2021 3/23/2021 √ 1 hari √ Ceftriaxone
M. Nabil Fayadh 16/07/2015 L Dyspneu + Asma Bronkitis 3/19/2021 3/22/2021 √ 1 hari √ Ceftriaxone
Kenzie Robiul Awal 24/08/2020 L GEAD RS 3/19/2021 3/23/2021 √ 1 hari √ Ceftriaxone
Afqori Roid AK 21/01/2021 L Obs Vomitus 3/19/2021 3/23/2021 √ 1 hari √ Ceftriaxone
M. Alif Al Zaki 29/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 √ 1 hari √ Ceftriaxone
Azzura Dwi Azzalea 02/05/2019 P GEAD RS + Demam Lama dd Malaria + ISK + RFA 3/21/2021 3/23/2021 1 hari √ Ceftriaxone
Afifa Sabila Nahda 23/06/2020 P GEAD Berat ec Syok Hipovolemi 3/21/2021 3/24/2021 1 hari √ Ceftriaxone
M. Zalif 20/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 √ 1 hari √ Ceftriaxone
Arsakha Virendra 01/06/2020 L GEAD RS + RFA + Klinis Malaria 3/21/2021 3/24/2021 1 hari √ Ceftriaxone
3/22/2021 Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 √ √ Ceftriaxone
1 hari
Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 √ 1 hari √ Ceftriaxone
Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 √ 1 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 √ 1 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/19/2020 3/22/2021 √ 2 hari √ Ceftriaxone
Halwa Dwiraqiqah 16/12/2019 P GEAD RS 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
M. Nabil Fayadh 16/07/2015 L Dyspneu + Asma Bronkitis 3/19/2021 3/22/2021 √ 2 hari √ Ceftriaxone
Afqori Roid AK 21/01/2021 L Obs Vomitus 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
M. Alif Al Zaki 29/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 √ 2 hari √ Ceftriaxone
Hafizzah Nur Z 19/09/2019 P GEAD RS 3/22/2021 3/26/2021 1 hari √ Ceftriaxone
Kenzie Robiul Awal 24/08/2020 L GEAD RS 3/19/2021 3/23/2021 2 hari √ Ceftriaxone
Azzura Dwi Azzalea 02/05/2019 P GEAD RS + Demam Lama dd Malaria + ISK + RFA 3/21/2021 3/23/2021 2 hari √ Ceftriaxone
Afifa Sabila Nahda 23/06/2020 P GEAD Berat ec Syok Hipovolemi 3/21/2021 3/24/2021 2 hari √ Ceftriaxone
Arsakha Virendra 01/06/2020 L GEAD RS + RFA + Klinis Malaria 3/21/2021 3/24/2021 2 hari √ Ceftriaxone
M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 1 hari √ Ceftriaxone
M. Zalif 20/10/2016 L Sindrom Nefrofatik 3/19/2021 3/22/2021 √ 2 hari √ Ceftriaxone
Faris Al Hafidh 07/02/2012 L GNAPS 3/22/2021 3/26/2021 1 hari √ Ceftriaxone
3/23/2021 Afif Abyan 28/05/2013 L Susp Hepatitis ec Viral Infection 3/17/2021 3/23/2021 √ 2 hari √ Ceftriaxone

Page 13
3/23/2021

Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 2 hari √ Ceftriaxone


Assauqie Habibie 08/06/2020 L GEAD RS 3/18/2021 3/23/2021 √ 2 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 2 hari √ Ceftriaxone
Halwa Dwiraqiqah 16/12/2019 P GEAD RS 3/19/2021 3/23/2021 √ 3 hari √ Ceftriaxone
Afqori Roid AK 21/01/2021 L Obs Vomitus 3/19/2021 3/23/2021 √ 3 hari √ Ceftriaxone
Hafizzah Nur Z 19/09/2019 P GEAD RS 3/22/2021 3/26/2021 2 hari √ Ceftriaxone
Kenzie Robiul Awal 24/08/2020 L GEAD RS 3/19/2021 3/23/2021 √ 3 hari √ Ceftriaxone
Azzura Dwi Azzalea 02/05/2019 P GEAD RS + Demam Lama dd Malaria + ISK + RFA 3/21/2021 3/23/2021 √ 3 hari √ Ceftriaxone
Afifa Sabila Nahda 23/06/2020 P GEAD Berat ec Syok Hipovolemi 3/21/2021 3/24/2021 √ 1 hari √ Ceftriaxone
Arsakha Virendra 01/06/2020 L GEAD RS + RFA + Klinis Malaria 3/21/2021 3/24/2021 √ 1 hari √ Ceftriaxone
M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 2 hari √ Ceftriaxone
Faris Al Hafidh 07/02/2012 L GNAPS 3/22/2021 3/26/2021 2 hari √ Ceftriaxone
Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 1 hari √ Ceftriaxone
Crescencio Edgar O 09/12/2019 L GEAD RS 3/23/2021 3/26/2021 1 hari √ Ceftriaxone
Kayla Azzahra P 16/03/2020 P GEAD RS 3/23/2021 3/26/2021 1 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2013 L Hemofilia A 3/23/2021 3/24/2021 1 hari √ −

Alfhiando Zaflan H 29/11/2018 L Sepsis + Susp BP 3/23/2021 3/26/2021 1 hari √ Ceftriaxone


3/24/2021 Rafasya Al Farizi 16/12/2021 L Dyspneu + BP + KDS 3/17/2021 3/24/2021 √ 3 hari √ Ceftriaxone
Budi Adi Santoso 08/06/2016 L GNAPS + HT ST II 3/18/2021 3/24/2021 √ 3 hari √ Ceftriaxone
Hafizzah Nur Z 19/09/2019 P GEAD RS 3/22/2021 3/26/2021 √ 1 hari √ Ceftriaxone
Afifa Sabila Nahda 23/06/2020 P GEAD Berat ec Syok Hipovolemi 3/21/2021 3/24/2021 √ 2 hari √ Ceftriaxone
Arsakha Virendra 01/06/2020 L GEAD RS + RFA + Klinis Malaria 3/21/2021 3/24/2021 √ 2 hari √ Ceftriaxone
M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 √ 1 hari √ Ceftriaxone
Faris Al Hafidh 07/02/2012 L GNAPS 3/22/2021 3/26/2021 √ 1 hari √ Ceftriaxone
Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 2 hari √ Ceftriaxone
Crescencio Edgar O 09/12/2019 L GEAD RS 3/23/2021 3/26/2021 2 hari √ Ceftriaxone
Kayla Azzahra P 16/03/2020 P GEAD RS 3/23/2021 3/26/2021 2 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2013 L Hemofilia A 3/23/2021 3/24/2021 √ 2 hari √ −

Alfhiando Zaflan H 29/11/2018 L Sepsis + Susp BP 3/23/2021 3/26/2021 2 hari √ Ceftriaxone


Harry Akbar M 31/08/2020 L RFA + GEAD RS + Klinis Malaria 3/24/2021 3/27/2021 1 hari √ Ceftriaxone
Raka Dwi A 09/04/2020 L GEAD RS 3/24/2021 3/27/2021 1 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/24/2021 3/27/2021 1 hari √ Ceftriaxone
3/25/2021 Hafizzah Nur Z 19/09/2019 P GEAD RS 3/22/2021 3/26/2021 2 hari √ Ceftriaxone
M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 2 hari √ Ceftriaxone
Faris Al Hafidh 07/02/2012 L GNAPS 3/22/2021 3/26/2021 2 hari √ Ceftriaxone
Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 √ 1 hari √ Ceftriaxone
Crescencio Edgar O 09/12/2019 L GEAD RS 3/23/2021 3/26/2021 √ 1 hari √ Ceftriaxone
Kayla Azzahra P 16/03/2020 P GEAD RS 3/23/2021 3/26/2021 √ 1 hari √ Ceftriaxone
Alfhiando Zaflan H 29/11/2018 L Sepsis + Susp BP 3/23/2021 3/26/2021 √ 1 hari √ Ceftriaxone
Harry Akbar M 31/08/2020 L RFA + GEAD RS + Klinis Malaria 3/24/2021 3/27/2021 2 hari √ Ceftriaxone
Raka Dwi A 09/04/2020 L GEAD RS 3/24/2021 3/27/2021 2 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/24/2021 3/27/2021 2 hari √ Ceftriaxone

Page 14
Muhammad Reno 26/09/2019 L Kejang Demam Sederhana 3/25/2021 3/28/2021 1 hari √ Ceftriaxone
Mesyha Aqila 29/05/2017 P SN 3/25/2021 3/28/2021 1 hari √ Ceftriaxone
Kenza Aprilio 23/07/2016 L KDK 3/25/2021 3/28/2021 1 hari √ Ceftriaxone
Azzam Fahri S 03/05/2020 L GEAD RS 3/25/2021 3/28/2021 1 hari √ Ceftriaxone
3/26/2021 Hafizzah Nur Z 19/09/2019 P GEAD RS 3/22/2021 3/26/2021 √ 3 hari √ Ceftriaxone
M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 3 hari √ Ceftriaxone
Faris Al Hafidh 07/02/2012 L GNAPS 3/22/2021 3/26/2021 √ 3 hari √ Ceftriaxone
Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 2 hari √ Ceftriaxone
Crescencio Edgar O 09/12/2019 L GEAD RS 3/23/2021 3/26/2021 √ 2 hari √ Ceftriaxone
Kayla Azzahra P 16/03/2020 P GEAD RS 3/23/2021 3/26/2021 √ 2 hari √ Ceftriaxone
Alfhiando Zaflan H 29/11/2018 L Sepsis + Susp BP 3/23/2021 3/26/2021 √ 2 hari √ Ceftriaxone
Harry Akbar M 31/08/2020 L RFA + GEAD RS + Klinis Malaria 3/24/2021 3/27/2021 √ 1 hari √ Ceftriaxone
Raka Dwi A 09/04/2020 L GEAD RS 3/24/2021 3/27/2021 √ 1 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/24/2021 3/27/2021 √ 1 hari √ Ceftriaxone
Muhammad Reno 26/09/2019 L Kejang Demam Sederhana 3/25/2021 3/28/2021 2 hari √ Ceftriaxone
Mesyha Aqila 29/05/2017 P SN 3/25/2021 3/28/2021 2 hari √ Ceftriaxone
Kenza Aprilio 23/07/2016 L KDK 3/25/2021 3/28/2021 2 hari √ Ceftriaxone
Azzam Fahri S 03/05/2020 L GEAD RS 3/25/2021 3/28/2021 2 hari √ Ceftriaxone
Sandi Kurniawan 21/12/2021 L Epilepsi 3/26/2021 3/27/2021 1 hari √ Ceftriaxone
M. Nizam Al Q 11/02/2019 L GEAD RS 3/26/2021 3/28/2021 1 hari √ Ceftriaxone
M. Alkhalifi ZH 11/11/2019 L GEAD RS + Obs Febris 3/26/2021 3/29/2021 1 hari √ Ceftriaxone
Sutta Baris 15/02/2021 L Ileus obstruktif 3/26/2021 3/27/2021 1 hari √ Ceftriaxone
Nazwa Idza 5/4/2020 P GEAD RS 3/26/2021 3/29/2021 1 hari √ Ceftriaxone
Rahid Muntaz 4/30/2019 L GEAD RS 3/26/2021 3/29/2021 1 hari √ Metronidazole
3/27/2021 M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 √ Ceftriaxone
1 hari
Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 1 hari √ Meropenem
Harry Akbar M 31/08/2020 L RFA + GEAD RS + Klinis Malaria 3/24/2021 3/27/2021 √ 2 hari √ Ceftriaxone
Raka Dwi A 09/04/2020 L GEAD RS 3/24/2021 3/27/2021 √ 2 hari √ Ceftriaxone
Meldian Abidzar 08/04/2020 L GEAD RS 3/24/2021 3/27/2021 √ 2 hari √ Ceftriaxone
Muhammad Reno 26/09/2019 L Kejang Demam Sederhana 3/25/2021 3/28/2021 √ 1 hari √ Ceftriaxone
Mesyha Aqila 29/05/2017 P SN 3/25/2021 3/28/2021 √ 1 hari √ Ceftriaxone
Kenza Aprilio 23/07/2016 L KDK 3/25/2021 3/28/2021 √ 1 hari √ Ceftriaxone
Azzam Fahri S 03/05/2020 L GEAD RS 3/25/2021 3/28/2021 √ 1 hari √ Ceftriaxone
Sandi Kurniawan 21/12/2021 L Epilepsi 3/26/2021 3/27/2021 √ 2 hari √ Ceftriaxone
M. Nizam Al Q 11/02/2019 L GEAD RS 3/26/2021 3/28/2021 2 hari √ Ceftriaxone
M. Alkhalifi ZH 11/11/2019 L GEAD RS + Obs Febris 3/26/2021 3/29/2021 2 hari √ Ceftriaxone
Sutta Baris 15/02/2021 L Ileus obstruktif 3/26/2021 3/27/2021 √ 2 hari √ Ceftriaxone
Ariska Nur Maylani 10/05/2014 P DBD GR II 3/27/2021 3/29/2021 1 hari √ Ceftriaxone
Hanifah Pratiwi 08/01/2021 P GEAD RS 3/27/2021 3/30/2021 1 hari √ Ceftriaxone
Nazwa Idza 5/4/2020 P GEAD RS 3/26/2021 3/29/2021 2 hari √ Ceftriaxone
Rahid Muntaz 4/30/2019 L GEAD RS 3/26/2021 3/29/2021 2 hari √ Metronidazole
3/28/2021 M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 √ Ceftriaxone
2 hari
Page 15
3/28/2021

Naura Zalsa H 09/04/2020 P GEAD RS 3/23/2021 3/28/2021 √ 2 hari √ Meropenem


Muhammad Reno 26/09/2019 L Kejang Demam Sederhana 3/25/2021 3/28/2021 √ 2 hari √ Ceftriaxone
Mesyha Aqila 29/05/2017 P SN 3/25/2021 3/28/2021 √ 2 hari √ Ceftriaxone
Kenza Aprilio 23/07/2016 L KDK 3/25/2021 3/28/2021 √ 2 hari √ Ceftriaxone
Azzam Fahri S 03/05/2020 L GEAD RS 3/25/2021 3/28/2021 √ 2 hari √ Ceftriaxone
M. Nizam Al Q 11/02/2019 L GEAD RS 3/26/2021 3/28/2021 √ 3 hari √ Ceftriaxone
M. Alkhalifi ZH 11/11/2019 L GEAD RS + Obs Febris 3/26/2021 3/29/2021 √ 1 hari √ Ceftriaxone
Ariska Nur Maylani 10/05/2014 P DBD GR II 3/27/2021 3/29/2021 2 hari √ Ceftriaxone
Hanifah Pratiwi 08/01/2021 P GEAD RS 3/27/2021 3/30/2021 2 hari √ Ceftriaxone
M.Biyan Ragib 08/09/2020 L GEAD RS + Obs Vomitus 28/03.2021 3/31/2021 1 hari √ Ceftriaxone
M. Hadi Hafizzuddin 28/03/2020 L GEAD RS + Muntah Profuse 3/28/2021 3/31/2021 1 hari √ Ceftriaxone
Danish Shakiel 17/07/2020 L Sepsis + ISK 3/28/2021 3/31/2021 1 hari √ Ceftriaxone
Abid Abiyah 25/11/2015 L Epilepsi 3/28/2021 3/30/2021 1 hari √ Ceftriaxone
Nazwa Idza 5/4/2020 P GEAD RS 3/26/2021 3/29/2021 √ 1 hari √ Ceftriaxone
Rahid Muntaz 4/30/2019 L GEAD RS 3/26/2021 3/29/2021 √ 1 hari √ Metronidazole
3/29/2021 M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 √ √ Ceftriaxone
1 hari
M. Alkhalifi ZH 11/11/2019 L GEAD RS + Obs Febris 3/26/2021 3/29/2021 √ 2 hari √ Ceftriaxone
Ariska Nur Maylani 10/05/2014 P DBD GR II 3/27/2021 3/29/2021 √ 3 hari √ Ceftriaxone
Hanifah Pratiwi 08/01/2021 P GEAD RS 3/27/2021 3/30/2021 √ 1 hari √ Ceftriaxone
M.Biyan Ragib 08/09/2020 L GEAD RS + Obs Vomitus 28/03.2021 3/31/2021 2 hari √ Ceftriaxone
M. Hadi Hafizzuddin 28/03/2020 L GEAD RS + Muntah Profuse 3/28/2021 3/31/2021 2 hari √ Ceftriaxone
Danish Shakiel 17/07/2020 L Sepsis + ISK 3/28/2021 3/31/2021 2 hari √ Ceftriaxone
Abid Abiyah 25/11/2015 L Epilepsi 3/28/2021 3/30/2021 2 hari √ Ceftriaxone
M. Dewa Erlangga 10/08/2020 L Dysentri 3/29/2021 3/31/2021 1 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2013 L Hemofilia A 3/29/2021 3/30/2021 1 hari √ −

M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 1 hari √ Ceftazidime


Anindhita keysa A 02/07/2020 P GEAD RS 3/29/2021 3/31/2021 1 hari √ Ceftriaxone
Nazwa Idza 5/4/2020 P GEAD RS 3/26/2021 3/29/2021 √ 2 hari √ Ceftriaxone
Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 1 hari √ Ceftri + Ampi
Rahid Muntaz 4/30/2019 L GEAD RS 3/26/2021 3/29/2021 √ 2 hari √ Metronidazole
3/30/2021 M. Al Kahfi 23/04/2021 L Edema Anasarka ec SN 3/22/2021 3/30/2021 √ 3 hari √ Ceftriaxone
Hanifah Pratiwi 08/01/2021 P GEAD RS 3/27/2021 3/30/2021 √ 2 hari √ Ceftriaxone
M.Biyan Ragib 08/09/2020 L GEAD RS + Obs Vomitus 28/03.2021 3/31/2021 √ 1 hari √ Ceftriaxone
M. Hadi Hafizzuddin 28/03/2020 L GEAD RS + Muntah Profuse 3/28/2021 3/31/2021 √ 1 hari √ Ceftriaxone
Danish Shakiel 17/07/2020 L Sepsis + ISK 3/28/2021 3/31/2021 √ 1 hari √ Ceftriaxone
Abid Abiyah 25/11/2015 L Epilepsi 3/28/2021 3/30/2021 √ 2 hari √ Ceftriaxone
M. Dewa Erlangga 10/08/2020 L Dysentri 3/29/2021 3/31/2021 2 hari √ Ceftriaxone
Azidan Pajri Yansa 23/02/2013 L Hemofilia A 3/29/2021 3/30/2021 √ 2 hari √ −

Kenvi Sayuda 05/04/2016 L Near Drowning + Pneumonia + Hiponatremia 3/30/2021 4/3/2021 1 hari √ Ceftriaxone
M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 2 hari √ Ceftazidime
Anindhita keysa A 02/07/2020 P GEAD RS 3/29/2021 3/31/2021 2 hari √ Ceftriaxone
Arumi Nasyah R 25/11/2017 P Obs Kejang ec Elektrolit + TDBD II 3/30/2021 4/3/2021 1 hari √ Ceftriaxone

Page 16
M. Iqbal Ghifari 9/19/2019 L GEAD RS 3/30/2021 4/1/2021 1 hari √ Ceftriaxone
Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 2 hari √ Ceftri + Ampi
3/31/2021 Novryady Dwi 05/11/2007 L Thalasemia 3/30/2021 4/1/2021 1 hari √ −

M.Biyan Ragib 08/09/2020 L GEAD RS + Obs Vomitus 3/28/2021 3/31/2021 √ 2 hari √ Ceftriaxone
M. Hadi Hafizzuddin 28/03/2020 L GEAD RS + Muntah Profuse 3/28/2021 3/31/2021 √ 2 hari √ Ceftriaxone
Danish Shakiel 17/07/2020 L Sepsis + ISK 3/28/2021 3/31/2021 √ 2 hari √ Ceftriaxone
M. Dewa Erlangga 10/08/2020 L Dysentri 3/29/2021 3/31/2021 √ 3 hari √ Ceftriaxone
Anindhita keysa A 02/07/2020 P GEAD RS 3/29/2021 3/31/2021 √ 3 hari √ Ceftriaxone
Kenvi Sayuda 05/04/2016 L Near Drowning + Pneumonia + Hiponatremia 3/30/2021 4/3/2021 2 hari √ Ceftriaxone
Al Habibie Rahman 7/22/2014 L GEAD RS + Obs Febris 3/31/2021 4/2/2021 1 hari √ Ceftriaxone
M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 √ 1 hari √ Ceftazidime
Arumi Nasyah R 25/11/2017 P Obs Kejang ec Elektrolit + TDBD II 3/30/2021 4/3/2021 2 hari √ Ceftriaxone
Novryady Dwi 05/11/2007 L Thalasemia 3/30/2021 4/1/2021 2 hari √ −

M. Iqbal Ghifari 9/19/2019 L GEAD RS 3/30/2021 4/1/2021 2 hari √ Ceftriaxone


Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 √ 1 hari √ Ceftri + Ampi
Sofia Orlin A 30/09/2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 1 hari √ Ceftriaxone
M. Anugrah S 12/1/2012 L Thalasemia 3/31/2021 4/2/2021 2 hari √ −

Lahat, Maret 2021

Karu Anak IPCLN

Ns. Atika, S.Kep (.................................................)

Page 17
FORMULIR SURVEILANS HARIAN INFEKSI
RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : April 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
L/ Tirah
Tanggal Nama Umur Diagnosa Medis IVL UC ETT Antibiotik
P MRS KRS VAP ISK Plebitis Baring
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
4/1/2021 Kenvi Sayuda 05/04/2016 L Near Drowning + Pneumonia + Hiponatremia 3/30/2021 4/3/2021 √ 1 hari √ Ceftriaxone
Al Habibie Rahman 7/22/2014 L GEAD RS + Obs Febris 3/31/2021 4/2/2021 2 hari √ Ceftriaxone
M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 2 hari √ Ceftazidime
Arumi Nasyah R 25/11/2017 P Obs Kejang ec Elektrolit + TDBD II 3/30/2021 4/3/2021 √ 1 hari √ Ceftriaxone
Novryady Dwi 05/11/2007 L Thalasemia 3/30/2021 4/1/2021 √ 2 hari √ −
M. Iqbal Ghifari 9/19/2019 L GEAD RS 3/30/2021 4/1/2021 √ 3 hari √ Ceftriaxone
Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 2 hari √ Ceftri + Ampi
M. Anugrah S 12/1/2012 L Thalasemia 3/31/2021 4/2/2021 3 hari √ −
Syafira Rahmadani 5/24/2017 P Dehidrasi Low Intake + FA + Klinis Malaria 4/1/2021 4/5/2021 1 hari √ Ceftriaxone
Nadin Khumayroh 19/08/2020 P GEAD RS 4/1/2021 4/3/2021 1 hari √ Ceftriaxone
Sofia Orlin A 30/09/2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 2 hari √ Ceftriaxone
4/2/2021 Kenvi Sayuda 05/04/2016 L Near Drowning + Pneumonia + Hiponatremia 3/30/2021 4/3/2021 2 hari √ Ceftriaxone
Al Habibie Rahman 7/22/2014 L GEAD RS + Obs Febris 3/31/2021 4/2/2021 √ 3 hari √ Ceftriaxone
M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 √ 1 hari √ Ceftazidime
Arumi Nasyah R 25/11/2017 P Obs Kejang ec Elektrolit + TDBD II 3/30/2021 4/3/2021 2 hari √ Ceftriaxone
Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 √ 1 hari √ Ceftri + Ampi
M. Anugrah S 12/1/2012 L Thalasemia 3/31/2021 4/2/2021 √ 4 hari √ −
Syafira Rahmadani 5/24/2017 P Dehidrasi Low Intake + FA + Klinis Malaria 4/1/2021 4/5/2021 2 hari √ Ceftriaxone
Nadin Khumayroh 19/08/2020 P GEAD RS 4/1/2021 4/3/2021 2 hari √ Ceftriaxone
Zee Alfarizh 19/02/2019 L TDBD Gr II dg Rhinofaringitis dg GEAD RS 4/2/2021 3/5/2021 1 hari √ Ceftriaxone
M. Alkhafi 21/12/2020 L GEAD RS + Elektrolit Inbalance 4/2/2021 3/6/2021 1 hari √ Ceftazidime
Sofia Orlin A 30/09/2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 √ 1 hari √ Ceftriaxone
4/3/2021 Kenvi Sayuda 05/04/2016 L Near Drowning + Pneumonia + Hiponatremia 3/30/2021 4/3/2021 √ 3 hari √ Ceftriaxone
M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 2 hari √ Ceftazidime
Arumi Nasyah R 25/11/2017 P Obs Kejang ec Elektrolit + TDBD II 3/30/2021 4/3/2021 √ 3 hari √ Ceftriaxone
Azka Rezkian 18/05/2020 L BP 3/29/2021 4/3/2021 √ 2 hari √ Ceftri + Ampi
Syafira Rahmadani 5/24/2017 P Dehidrasi Low Intake + FA + Klinis Malaria 4/1/2021 4/5/2021 √ 1 hari √ Ceftriaxone
Nadin Khumayroh 19/08/2020 P GEAD RS 4/1/2021 4/3/2021 √ 3 hari √ Ceftriaxone
Zee Alfarizh 19/02/2019 L TDBD Gr II dg Rhinofaringitis dg GEAD RS 4/2/2021 4/5/2021 2 hari √ Ceftriaxone
M. Alkhafi 21/12/2020 L GEAD RS + Elektrolit Inbalance 4/2/2021 4/6/2021 2 hari √ Ceftazidime
Afrizal Iliansyah 19/02/2019 L Gead RS + Hiponatremi 4/3/2021 4/5/2021 1 hari √ Metronidazole
Sandi Kurniawan 21/12/2003 L Kejang ec Susp Abses Cerebral + TDF + Susp Spondi 4/3/2021 4/5/2021 1 hari √ Ceftri + Ampi
Sofia Orlin A 30/09/2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 2 hari √ Ceftriaxone
4/4/2021 M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 √ 1 hari √ Ceftazidime
Syafira Rahmadani 5/24/2017 P Dehidrasi Low Intake + FA + Klinis Malaria 4/1/2021 4/5/2021 2 hari √ Ceftriaxone
Zee Alfarizh 19/02/2019 L TDBD Gr II dg Rhinofaringitis dg GEAD RS 4/2/2021 4/5/2021 √ 1 hari √ Ceftriaxone
M. Alkhafi 21/12/2020 L GEAD RS + Elektrolit Inbalance 4/2/2021 4/6/2021 √ 1 hari √ Ceftazidime
Afrizal Iliansyah 19/02/2019 L Gead RS + Hiponatremi 4/3/2021 4/5/2021 2 hari √ Metronidazole
Dhafa Fernando H 02/06/2019 L KDS + Vomitus 4/4/2021 4/6/2021 1 hari √ Ceftriaxone
Marzia Bilqis 11/11/2018 P GEAD RS 4/4/2021 4/7/2021 1 hari √ Ceftriaxone
Sandi Kurniawan 21/12/2003 L Kejang ec Susp Abses Cerebral + TDF + Susp Spondi 4/3/2021 4/5/2021 2 hari √ Ceftri + Ampi
Sofia Orlin A 30.09.2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 1 hari √ Ceftriaxone
4/5/2021 M. Hanan Delano 06/02/2021 L Dyspneu ec Bronkhiolitis 3/29/2021 4/5/2021 √ 2 hari √ Ceftazidime
Syafira Rahmadani 5/24/2017 P Dehidrasi Low Intake + FA + Klinis Malaria 4/1/2021 4/5/2021 √ 2 hari √ Ceftriaxone
Zee Alfarizh 19/02/2019 L TDBD Gr II dg Rhinofaringitis dg GEAD RS 4/2/2021 4/5/2021 √ 2 hari √ Ceftriaxone
M. Alkhafi 21/12/2020 L GEAD RS + Elektrolit Inbalance 4/2/2021 4/6/2021 2 hari √ Ceftazidime
Afrizal Iliansyah 19/02/2019 L Gead RS + Hiponatremi 4/3/2021 4/5/2021 3 hari √ Metronidazole
Dhafa Fernando H 02/06/2019 L KDS + Vomitus 4/4/2021 4/6/2021 2 hari √ Ceftriaxone
Marzia Bilqis 11/11/2018 P GEAD RS 4/4/2021 4/7/2021 2 hari √ Ceftriaxone
Alvaro Tristan A 18/10/2016 L TDBD Grade I + Klinis Malaria 4/5/2021 4/9/2021 1 hari √ Ceftriaxone
Elgio Fesya A 14/02/2019 L GEAD RS 4/5/2021 4/7/2021 1 hari √ Ceftriaxone
Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 1 hari √ Ceftazidime
M. Satria Atsy 28/08/2016 L Kejang Demam 4/5/2021 4/7/2021 1 hari √ Ceftriaxone
Citra Kirana W 25/08/2017 P GEAD RS 4/5/2021 4/7/2021 1 hari √ Ceftriaxone
Sandi Kurniawan 21/12/2003 L Kejang ec Susp Abses Cerebral + TDF + Susp Spondi 4/3/2021 4/5/2021 √ 3 hari √ Ceftri + Ampi
Sofia Orlin A 30/09/2021 P TDBD GR I dg Trombositopenia Berat + Anemia 3/31/2021 4/5/2021 √ 2 hari √ Ceftriaxone
Syaqila Nur Azqian 01/08/2017 P KDK + FA 4/5/2021 4/8/2021 1 hari √ Ceftriaxone
4/6/2021 M. Alkhafi 21/12/2020 L GEAD RS + Elektrolit Inbalance 4/2/2021 4/6/2021 √ 3 hari √ Ceftazidime
Dhafa Fernando H 02/06/2019 L KDS + Vomitus 4/4/2021 4/6/2021 √ 3 hari √ Ceftriaxone
4/6/2021

Marzia Bilqis 11/11/2018 P GEAD RS 4/4/2021 4/7/2021 √ 1 hari √ Ceftriaxone


Alvaro Tristan A 18/10/2016 L TDBD Grade I + Klinis Malaria 4/5/2021 4/9/2021 2 hari √ Ceftriaxone
Elgio Fesya A 14/02/2019 L GEAD RS 4/5/2021 4/7/2021 2 hari √ Ceftriaxone
Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 2 hari √ Ceftazidime
M. Satria Atsy 28/08/2016 L Kejang Demam 4/5/2021 4/7/2021 2 hari √ Ceftriaxone
Citra Kirana W 25/08/2017 P GEAD RS 4/5/2021 4/7/2021 2 hari √ Ceftriaxone
Syaqila Nur Azqian 01/08/2017 P KDK + FA 4/5/2021 4/8/2021 2 hari √ Ceftriaxone
Ayra Azahra 28/02/2020 P GEAD RS + Vomitus 4/6/2021 4/10/2021 1 hari √ Ceftriaxone
M. Razziq 23/08/2020 L GEAD RS + Elektrolit Inbalance 4/6/2021 4/8/2021 1 hari √ Ceftriaxone
Rayza Nurapiah 24/02/2019 L KDK + FA 4/6/2021 4/8/2021 1 hari √ Ceftriaxone
Reinand Nugraha 10/11/2019 L GEAD RS 4/6/2021 4/8/2021 1 hari √ Ceftriaxone
Kemas M. Ozil 03/07/2018 L Viral Infection dd Demam Dengue 4/6/2021 4/10/2021 1 hari √ Ceftriaxone
4/7/2021 Marzia Bilqis 11/11/2018 P GEAD RS 4/4/2021 4/7/2021 2 hari √ Ceftriaxone
Alvaro Tristan A 18/10/2016 L TDBD Grade I + Klinis Malaria 4/5/2021 4/9/2021 √ 1 hari √ Ceftriaxone
Elgio Fesya A 14/02/2019 L GEAD RS 4/5/2021 4/7/2021 √ 3 hari √ Ceftriaxone
Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 √ 1 hari √ Ceftazidime
M. Satria Atsy 28/08/2016 L Kejang Demam 4/5/2021 4/7/2021 √ 3 hari √ Ceftriaxone
Citra Kirana W 25/08/2017 P GEAD RS 4/5/2021 4/7/2021 √ 3 hari √ Ceftriaxone
Syaqila Nur Azqian 01/08/2017 P KDK + FA 4/5/2021 4/8/2021 √ 1 hari √ Ceftriaxone
Ayra Azahra 28/02/2020 P GEAD RS + Vomitus 4/6/2021 4/10/2021 2 hari √ Ceftriaxone
M. Razziq 23/08/2020 L GEAD RS + Elektrolit Inbalance 4/6/2021 4/8/2021 2 hari √ Ceftriaxone
Rayza Nurapiah 24/02/2019 L KDK + FA 4/6/2021 4/8/2021 2 hari √ Ceftriaxone
Kemas M. Ozil 03/07/2018 L Viral Infection dd Demam Dengue 4/6/2021 4/10/2021 2 hari √ Ceftriaxone
Reinand Nugraha 10/11/2019 L GEAD RS 4/6/2021 4/8/2021 2 hari √ Ceftriaxone
M. Aji Agustian 03/08/2021 L GEAD RS 4/7/2021 4/10/2021 1 hari √ Ceftriaxone
Pandya Luthfi 29/12/2014 L Demam Thypoid + Mall + ISK 4/7/2021 4/9/2021 1 hari √ Ceftriaxone
4/8/2021 Alvaro Tristan A 18/10/2016 L TDBD Grade I + Klinis Malaria 4/5/2021 4/9/2021 2 hari √ Ceftriaxone
Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 2 hari √ Ceftazidime
Syaqila Nur Azqian 01/08/2017 P KDK + FA 4/5/2021 4/8/2021 √ 2 hari √ Ceftriaxone
Ayra Azahra 28/02/2020 P GEAD RS + Vomitus 4/6/2021 4/10/2021 √ 1 hari √ Ceftriaxone
M. Razziq 23/08/2020 L GEAD RS + Elektrolit Inbalance 4/6/2021 4/8/2021 √ 3 hari √ Ceftriaxone
Rayza Nurapiah 24/02/2019 L KDK + FA 4/6/2021 4/8/2021 √ 3 hari √ Ceftriaxone
Kemas M. Ozil 03/07/2018 L Viral Infection dd Demam Dengue 4/6/2021 4/10/2021 √ 1 hari √ Ceftriaxone
Reinand Nugraha 10/11/2019 L GEAD RS 4/6/2021 4/8/2021 √ 3 hari √ Ceftriaxone
M. Aji Agustian 03/08/2021 L GEAD RS 4/7/2021 4/10/2021 2 hari √ Ceftriaxone
Pandya Luthfi 29/12/2014 L Demam Thypoid + Mall + ISK 4/7/2021 4/9/2021 2 hari √ Ceftriaxone
Raqueen Zhalfa L 6/7/2019 P Dyspeneu ec Bronkiolitis + Klinis Malaria 4/8/2021 4/11/2021 1 hari √ Ceftazidime
Wildan Ar Rasyid 3/6/2019 L KDK + FA 4/8/2021 4/10/2021 1 hari √ Ceftriaxone
Maulana Malik I 31/03/2018 L Epilepsi 4/8/2021 4/9/2021 1 hari √ −
4/9/2021 Alvaro Tristan A 18/10/2016 L TDBD Grade I + Klinis Malaria 4/5/2021 4/9/2021 √ 3 hari √ Ceftriaxone
Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 √ 1 hari √ Ceftazidime
Ayra Azahra 28/02/2020 P GEAD RS + Vomitus 4/6/2021 4/10/2021 2 hari √ Ceftriaxone
Kemas M. Ozil 03/07/2018 L Viral Infection dd Demam Dengue 4/6/2021 4/10/2021 2 hari √ Ceftriaxone
M. Aji Agustian 03/08/2021 L GEAD RS 4/7/2021 4/10/2021 √ 1 hari √ Ceftriaxone
Pandya Luthfi 29/12/2014 L Demam Thypoid + Mall + ISK 4/7/2021 4/9/2021 √ 3 hari √ Ceftriaxone
Raqueen Zhalfa L 6/7/2019 P Dyspeneu ec Bronkiolitis + Klinis Malaria 4/8/2021 4/11/2021 2 hari √ Ceftazidime
Wildan Ar Rasyid 3/6/2019 L KDK + FA 4/8/2021 4/10/2021 2 hari √ Ceftriaxone
Maulana Malik I 31/03/2018 L Epilepsi 4/8/2021 4/9/2021 √ 2 hari √ −
Alfaro Marcel 09/12/2019 L GEAD RS 4/9/2021 4/11/2021 1 hari √ Ceftriaxone
Khalisa Azzahra DP 12/05/2019 P GEAD RS + FA 4/9/2021 4/13/2021 1 hari √ Ceftriaxone
Ehgi Razky Amzar 14/09/2018 L Obs Febris 4/9/2021 4/11/2021 1 hari √ Ceftriaxone
Hafiz Andrani 28/09/2003 L Thalasemia 4/9/2021 4/11/2021 1 hari √ −
Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 1 hari √ Ceftazidime
4/10/2021 Fatimah Azzahrah 01/06/2020 P GEAD RS dg Penyulit BP + Susp BP + E. Inbalance 4/5/2021 4/10/2021 √ 2 hari √ Ceftazidime
Ayra Azahra 28/02/2020 P GEAD RS + Vomitus 4/6/2021 4/10/2021 √ 3 hari √ Ceftriaxone
Kemas M. Ozil 03/07/2018 L Viral Infection dd Demam Dengue 4/6/2021 4/10/2021 √ 3 hari √ Ceftriaxone
M. Aji Agustian 03/08/2021 L GEAD RS 4/7/2021 4/10/2021 √ 2 hari √ Ceftriaxone
Raqueen Zhalfa L 6/7/2019 P Dyspeneu ec Bronkiolitis + Klinis Malaria 4/8/2021 4/11/2021 √ 1 hari √ Ceftazidime
Wildan Ar Rasyid 3/6/2019 L KDK + FA 4/8/2021 4/10/2021 √ 3 hari √ Ceftriaxone
Alfaro Marcel 09/12/2019 L GEAD RS 4/9/2021 4/11/2021 2 hari √ Ceftriaxone
Khalisa Azzahra DP 12/05/2019 P GEAD RS + FA 4/9/2021 4/13/2021 2 hari √ Ceftriaxone
Ehgi Razky Amzar 14/09/2018 L Obs Febris 4/9/2021 4/11/2021 2 hari √ Ceftriaxone
Hafiz Andrani 28/09/2003 L Thalasemia 4/9/2021 4/11/2021 2 hari √ −
Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 2 hari √ Ceftazidime
Salsa Clareza 10/01/2020 P KDK 4/10/2021 4/13/2021 1 hari √ Ceftriaxone
Muhammad Aji S 25/07/2020 L Gead Rs 4/10/2021 4/13/2021 1 hari √ Ceftriaxone
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 1 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 1 hari √ Metronidazole
4/11/2021 Alfaro Marcel 09/12/2019 L GEAD RS 4/9/2021 4/11/2021 √ 3 hari √ Ceftriaxone
Raqueen Zhalfa L 6/7/2019 P Dyspeneu ec Bronkiolitis + Klinis Malaria 4/8/2021 4/11/2021 √ 2 hari √ Ceftazidime
Khalisa Azzahra DP 12/05/2019 P GEAD RS + FA 4/9/2021 4/13/2021 √ 1 hari √ Ceftriaxone
Ehgi Razky Amzar 14/09/2018 L Obs Febris 4/9/2021 4/11/2021 √ 3 hari √ Ceftriaxone
Hafiz Andrani 28/09/2003 L Thalasemia 4/9/2021 4/11/2021 √ 3 hari √ −
Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 √ 1 hari √ Ceftazidime
Salsa Clareza 10/01/2020 P KDK 4/10/2021 4/13/2021 2 hari √ Ceftriaxone
Muhammad Aji S 25/07/2020 L GEAD RS 4/10/2021 4/13/2021 2 hari √ Ceftriaxone
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 2 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 2 hari √ Metronidazole
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/11/2021 4/14/2021 1 hari √ Ceftriaxone
4/12/2021 Khalisa Azzahra DP 12/05/2019 P GEAD RS + FA 4/9/2021 4/13/2021 2 hari √ Ceftriaxone
Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 2 hari √ Ceftazidime
Salsa Clareza 10/01/2020 P KDK 4/10/2021 4/13/2021 √ 1 hari √ Ceftriaxone
Muhammad Aji S 25/07/2020 L GEAD RS 4/10/2021 4/13/2021 √ 1 hari √ Ceftriaxone
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 √ 1 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 √ 1 hari √ Metronidazole
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/11/2021 4/14/2021 2 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schonlen + FAB 4/12/2021 4/16/2021 1 hari √ Ceftriaxone
Naysila Febrianti 09/04/2021 P Pneumonia aspirasi + Bronkopneumonia + Anemia 4/12/2021 4/13/2021 1 hari √ Ceftazidime
Azka Al Mubarok 20/07/2021 L Thalasemia 4/12/2021 4/13/2021 1 hari √ −
M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 1 hari √ Ceftazidime
Aisyah Nayyara Z 10/04/2021 P GEAD RS + Vomitus 4/12/2021 4/15/2021 1 hari √ Ceftriaxone
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 1 hari √ −
3/13/2021 Khalisa Azzahra DP 12/05/2019 P GEAD RS + FA 4/9/2021 4/13/2021 √ 3 hari √ Ceftriaxone
Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 √ 1 hari √ Ceftazidime
Salsa Clareza 10/01/2020 P KDK 4/10/2021 4/13/2021 √ 2 hari √ Ceftriaxone
Muhammad Aji S 25/07/2020 L Gead Rs 4/10/2021 4/13/2021 √ 2 hari √ Ceftriaxone
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 2 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 2 hari √ Metronidazole
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/11/2021 4/14/2021 √ 1 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schonlen + FAB 4/12/2021 4/16/2021 2 hari √ Ceftriaxone
Naysila Febrianti 09/04/2021 P Pneumonia aspirasi + Bronkopneumonia + Anemia 4/12/2021 4/13/2021 √ 2 hari √ Ceftazidime
Azka Al Mubarok 20/07/2021 L Thalasemia 4/12/2021 4/13/2021 √ 2 hari √ −
M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 2 hari √ Ceftazidime
Kevin Fawwaz 17/04/2019 L Viral Infection dd Demam Dengue 4/13/2021 4/15/2021 1 hari √ Ceftriaxone
Aisyah Nayyara Z 10/04/2021 P GEAD RS + Vomitus 4/12/2021 4/15/2021 2 hari √ Ceftriaxone
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 2 hari √ −
3/14/2021 Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 2 hari √ Ceftazidime
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 3 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 √ 1 hari √ Metronidazole
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/11/2021 4/14/2021 √ 2 hari √ Ceftriaxone
Seralianti Pindi 30/07/2011 P Purpura Henoch Schonlen + FAB 4/12/2021 4/16/2021 3 hari √ Ceftriaxone
M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 3 hari √ Ceftazidime
Aisyah Nayyara Z 10/04/2021 P GEAD RS + Vomitus 4/12/2021 4/15/2021 √ 1 hari √ Ceftriaxone
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 3 hari √ −
Kevin Fawwaz 17/04/2019 L Viral Infection dd Demam Dengue 4/13/2021 4/15/2021 2 hari √ Ceftriaxone
M. Hafiz Riansyah 14/10/2020 L Gead RS 4/14/2021 4/16/2021 1 hari √ Ceftriaxone
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 1 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 1 hari √ Ceftriaxone
Afifa Zia Arsyla 11/02/2020 P KDS 4/14/2021 4/18/2021 1 hari √ Ceftriaxone
4/15/2021 Muthia Zhafira F 05/01/2017 P Asma Bronkial 4/9/2021 4/15/2021 √ 3 hari √ Ceftazidime
Abel Syafani 12/04/2021 P TDBD GR II +TFA 4/10/2021 4/15/2021 4 hari √ Ceftriaxone
Hanif Arrayyan 02/10/2021 L GEAD RS 4/10/2021 4/15/2021 √ 2 hari √ Metronidazole
Seralianti Pindi 30/07/2011 P Purpura Henoch Schonlen + FAB 4/12/2021 4/16/2021 √ 1 hari √ Ceftriaxone
M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 √ 1 hari √ Ceftazidime
Aisyah Nayyara Z 10/04/2021 P GEAD RS + Vomitus 4/12/2021 4/15/2021 √ 2 hari √ Ceftriaxone
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 √ 1 hari √ −
Kevin Fawwaz 17/04/2019 L Viral Infection dd Demam Dengue 4/13/2021 4/15/2021 √ 3 hari √ Ceftriaxone
M. Hafiz Riansyah 14/10/2020 L Gead RS 4/14/2021 4/16/2021 2 hari √ Ceftriaxone
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 2 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 2 hari √ Ceftriaxone
Afifa Zia Arsyla 11/02/2020 P KDS 4/14/2021 4/18/2021 2 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/15/2021 4/19/2021 1 hari √ Ceftriaxone
4/16/2021 Seralianti Pindi 30/07/2011 P Purpura Henoch Schonlen + FAB 4/12/2021 4/16/2021 √ 2 hari √ Ceftriaxone
M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 2 hari √ Ceftazidime
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 2 hari √ −
M. Hafiz Riansyah 14/10/2020 L Gead RS 4/14/2021 4/16/2021 √ 3 hari √ Ceftriaxone
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 √ 1 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 √ 1 hari √ Ceftriaxone
Afifa Zia Arsyla 11/02/2020 P KDS 4/14/2021 4/18/2021 √ 1 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/15/2021 4/19/2021 2 hari √ Ceftriaxone
Hasbi Faqih M 03/02/2021 L Sepsis 4/16/2021 4/20/2021 1 hari √ Meropenem
Naura Tarisa P 02/12/2017 P Diare Akut Dehidrasi 4/16/2021 4/18/2021 1 hari √ Ceftriaxone
4/17/2021 M. Davin Alvino 10/12/2014 L Asma Eksaserbasi Akut + Infeksi Sekunder + Susp BP 4/12/2021 4/17/2021 √ 3 hari √ Ceftazidime
Seli Aprilia 15/04/2021 P TDBD Grade II 4/12/2021 4/17/2021 √ 3 hari √ −
Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 1 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 1 hari √ Ceftazidime
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 2 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 2 hari √ Ceftriaxone
Afifa Zia Arsyla 11/02/2020 P KDS 4/14/2021 4/18/2021 2 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/15/2021 4/19/2021 √ 1 hari √ Ceftriaxone
Hasbi Faqih M 03/02/2021 L Sepsis 4/16/2021 4/20/2021 2 hari √ Meropenem
Naura Tarisa P 02/12/2017 P Diare Akut Dehidrasi 4/16/2021 4/18/2021 2 hari √ Ceftriaxone
Haidar Adli Al Faris 9/14/2019 L GEAD RS 4/17/2021 4/20/2021 1 hari √ Ceftriaxone
4/18/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 2 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 2 hari √ Ceftazidime
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 √ 1 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 √ 1 hari √ Ceftriaxone
Afifa Zia Arsyla 11/02/2020 P KDS 4/14/2021 4/18/2021 √ 3 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/15/2021 4/19/2021 2 hari √ Ceftriaxone
Hasbi Faqih M 03/02/2021 L Sepsis 4/16/2021 4/20/2021 √ 1 hari √ Meropenem
Naura Tarisa P 02/12/2017 P Diare Akut Dehidrasi 4/16/2021 4/18/2021 √ 3 hari √ Ceftriaxone
Haidar Adli Al Faris 9/14/2019 L GEAD RS 4/17/2021 4/20/2021 2 hari √ Ceftriaxone
Arviano Arsyad 10/05/2020 L GEAD RS 4/18/2021 4/20/2021 1 hari √ Ceftriaxone
M. Fathan A 16/05/2019 L GEAD RS 4/18/2021 4/20/2021 1 hari √ Ceftriaxone
4/19/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 √ 1 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 √ 1 hari √ Ceftri + Ampi
Evelin Shakila W 14/10/2020 P Diare Akut dehidrasi sedang 4/14/2021 4/19/2021 √ 2 hari √ Ceftriaxone
M. Rasya AG 6/1/2020 L KDS + Anemia 4/14/2021 4/19/2021 √ 2 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 4/15/2021 4/19/2021 √ 3 hari √ Ceftriaxone
Hasbi Faqih M 03/02/2021 L Sepsis 4/16/2021 4/20/2021 2 hari √ Meropenem
Haidar Adli Al Faris 9/14/2019 L GEAD RS 4/17/2021 4/20/2021 √ 1 hari √ Ceftriaxone
Arviano Arsyad 10/05/2020 L GEAD RS 4/18/2021 4/20/2021 2 hari √ Ceftriaxone
M. Fathan A 16/05/2019 L GEAD RS 4/18/2021 4/20/2021 2 hari √ Ceftriaxone
4/20/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 2 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 2 hari √ Ceftri + Ampi
Hasbi Faqih M 03/02/2021 L Sepsis 4/16/2021 4/20/2021 √ 3 hari √ Meropenem
Haidar Adli Al Faris 9/14/2019 L GEAD RS 4/17/2021 4/20/2021 √ 2 hari √ Ceftriaxone
Arviano Arsyad 10/05/2020 L GEAD RS 4/18/2021 4/20/2021 √ 3 hari √ Ceftriaxone
M. Fathan A 16/05/2019 L GEAD RS 4/18/2021 4/20/2021 √ 3 hari √ Ceftriaxone
Arya Zaki P 16/09/2019 L DLI + Febris HS Hiponatremia 4/20/2021 4/21/2021 1 hari √ Ceftriaxone
Raska Tirta P 23/11/2019 L Kejang Demam + GEAD RS 4/20/2021 4/22/2021 1 hari √ Ceftriaxone
4/21/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 √ 1 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 √ 1 hari √ Ceftri + Ampi
Arya Zaki P 16/09/2019 L DLI + Febris HS Hiponatremia 4/20/2021 4/21/2021 √ 2 hari √ Ceftriaxone
Raska Tirta P 23/11/2019 L Kejang Demam + GEAD RS 4/20/2021 4/22/2021 2 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 4/21/2021 4/24/2021 1 hari √ −
4/22/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 2 hari √ Ceftri + Ampi
Zira Azahra 1/11/2021 P Susp BP 4/17/2021 4/22/2021 √ 3 hari √ Ceftri + Ampi
Raska Tirta P 23/11/2019 L Kejang Demam + GEAD RS 4/20/2021 4/22/2021 √ 2 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 4/21/2021 4/24/2021 2 hari √ −
Thoriqh Alkahfi 19/12/2018 L Sepsis + K'Mal + RFA 4/22/2021 4/24/2021 1 hari √ Ceftriaxone
Aldrin Rafaeyza 22/08/2020 L GEAD RS + Candidiasis Oral 4/22/2021 4/24/2021 1 hari √ Ceftriaxone
4/23/2021 Aziah Robby 21/08/2020 P Meteorismus ec Susp Ileus Obstruksi ec Susp Invaginasi 4/17/2021 4/23/2021 √ 3 hari √ Ceftri + Ampi
M. Raffi 01/07/2006 L Thalasemia 4/21/2021 4/24/2021 3 hari √ −
Thoriqh Alkahfi 19/12/2018 L Sepsis + K'Mal + RFA 4/22/2021 4/24/2021 2 hari √ Ceftriaxone
Aldrin Rafaeyza 22/08/2020 L GEAD RS + Candidiasis Oral 4/22/2021 4/24/2021 2 hari √ Ceftriaxone
Zavier Akhtar F 23/09/2020 L GEAD RS 4/23/2021 4/26/2021 1 hari √ Ceftriaxone
4/24/2021 M. Raffi 01/07/2006 L Thalasemia 4/21/2021 4/24/2021 √ 4 hari √ −
4/24/2021
Thoriqh Alkahfi 19/12/2018 L Sepsis + K'Mal + RFA 4/22/2021 4/24/2021 √ 3 hari √ Ceftriaxone
Aldrin Rafaeyza 22/08/2020 L GEAD RS + Candidiasis Oral 4/22/2021 4/24/2021 √ 2 hari √ Ceftriaxone
Adzkiya Fayra A 09/06/2017 P TDBD Grade I 4/24/2021 4/28/2021 1 hari √ Ceftriaxone
M. Ryshaka Z 1/1/2021 L GEAD RS 4/24/2021 4/27/2021 1 hari √ Ceftriaxone
Zavier Akhtar F 23/09/2020 L GEAD RS 4/23/2021 4/26/2021 2 hari √ Ceftriaxone
Danish Raiyan 14/06/2019 L GEAD RS 4/24/2021 4/27/2021 1 hari √ Ceftriaxone
4/25/2021 Adzkiya Fayra A 09/06/2017 P TDBD Grade I 4/24/2021 4/28/2021 2 hari √ Ceftriaxone
Zavier Akhtar F 23/09/2020 L GEAD RS 4/23/2021 4/26/2021 √ 1 hari √ Ceftriaxone
Danish Raiyan 14/06/2019 L GEAD RS 4/24/2021 4/27/2021 2 hari √ Ceftriaxone
M. Ryshaka Z 1/1/2021 L GEAD RS 4/24/2021 4/27/2021 2 hari √ Ceftriaxone
Dinda Marsela 15/03/2015 P Status Epileptikus + Bacterial Infection 4/25/2021 4/26/2021 1 hari √ −
3/26/2021 Adzkiya Fayra A 09/06/2017 P TDBD Grade I 4/24/2021 4/28/2021 2 hari √ Ceftriaxone
Zavier Akhtar F 23/09/2020 L GEAD RS 4/23/2021 4/26/2021 2 hari √ Ceftriaxone
Danish Raiyan 14/06/2019 L GEAD RS 4/24/2021 4/27/2021 2 hari √ Ceftriaxone
M. Ryshaka Z 1/1/2021 L GEAD RS 4/24/2021 4/27/2021 √ 1 hari √ Ceftriaxone
Dinda Marsela 15/03/2015 P Status Epileptikus + Bacterial Infection 4/25/2021 4/26/2021 2 hari √ −
Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 1 hari √ Metronidazole
Reihan Sahendra 12/01/2020 L GEAD RS dg Penyulit Gizi Buruk 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
Aisa Alpiandra 10/08/2019 P GEAD RS + Elektrolit Inbalance 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
Zia Napiza Q 12/06/2020 P GEAD RS 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
Azriel Rafiq A 28/12/2020 L GEAD RS dg Penyulit BP + Ruam Popok 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
Abyan Al Fadli 03/02/2020 L GEAD RS 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
Fairuz Alif Attallah 10/06/2007 L Dispepsia + Klinis Mall 4/26/2021 4/28/2021 1 hari √ Ceftriaxone
4/27/2021 Adzkiya Fayra A 09/06/2017 P TDBD Grade I 4/24/2021 4/28/2021 3 hari √ Ceftriaxone
Danish Raiyan 14/06/2019 L GEAD RS 4/24/2021 4/27/2021 3 hari √ Ceftriaxone
M. Ryshaka Z 1/1/2021 L GEAD RS 4/24/2021 4/27/2021 2 hari √ Ceftriaxone
Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 2 hari √ Metronidazole
Reihan Sahendra 12/01/2020 L GEAD RS dg Penyulit Gizi Buruk 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
Aisa Alpiandra 10/08/2019 P GEAD RS + Elektrolit Inbalance 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
Zia Napiza Q 12/06/2020 P GEAD RS 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
Azriel Rafiq A 28/12/2020 L GEAD RS dg Penyulit BP + Ruam Popok 4/26/2021 4/30/2021 2 hari √ Ceftriaxone
Abyan Al Fadli 03/02/2020 L GEAD RS 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
Fairuz Alif Attallah 10/06/2007 L Dispepsia + Klinis Mall 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
4/28/2021 Adzkiya Fayra A 09/06/2017 P TDBD Grade I 4/24/2021 4/28/2021 √ 1 hari √ Ceftriaxone
Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 √ 1 hari √ Metronidazole
Reihan Sahendra 12/01/2020 L GEAD RS dg Penyulit Gizi Buruk 4/26/2021 4/28/2021 3 hari √ Ceftriaxone
Aisa Alpiandra 10/08/2019 P GEAD RS + Elektrolit Inbalance 4/26/2021 4/28/2021 √ 3 hari √ Ceftriaxone
Zia Napiza Q 12/06/2020 P GEAD RS 4/26/2021 4/28/2021 √ 3 hari √ Ceftriaxone
Azriel Rafiq A 28/12/2020 L GEAD RS dg Penyulit BP + Ruam Popok 4/26/2021 4/30/2021 √ 1 hari √ Ceftriaxone
Abyan Al Fadli 03/02/2020 L GEAD RS 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
Fairuz Alif Attallah 10/06/2007 L Dispepsia + Klinis Mall 4/26/2021 4/28/2021 2 hari √ Ceftriaxone
M. Syabil Ghaisan 01/12/2012 L Thalasemia 4/28/2021 4/30/2021 1 hari √ Ceftriaxone
M. Anugerah S 23/05/2014 L TDBD Grade II + RFA 4/28/2021 4/30/2021 1 hari √ −
4/29/2021 Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 √ 1 hari √ Metronidazole
Azriel Rafiq A 28/12/2020 L GEAD RS dg Penyulit BP + Ruam Popok 4/26/2021 4/30/2021 √ 1 hari √ Ceftriaxone
M. Syabil Ghaisan 01/12/2012 L Thalasemia 4/28/2021 4/30/2021 2 hari √ Ceftriaxone
Laila Usman 23/02/2018 P KDK + Bacterial Infection 4/29/2021 4/30/2021 1 hari √ Ceftriaxone
M. Anugerah S 23/05/2014 L TDBD Grade II + RFA 4/28/2021 4/30/2021 2 hari √ −
4/30/2021 Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 2 hari √ Metronidazole
Azriel Rafiq A 28/12/2020 L GEAD RS dg Penyulit BP + Ruam Popok 4/26/2021 4/30/2021 √ 2 hari √ Ceftriaxone
M. Syabil Ghaisan 01/12/2012 L Thalasemia 4/28/2021 4/30/2021 √ 3 hari √ Ceftriaxone
M. Anugerah S 23/05/2014 L TDBD Grade II + RFA 4/28/2021 4/30/2021 √ 3 hari √ −
Laila Usman 23/02/2018 P KDK + Bacterial Infection 4/29/2021 4/30/2021 √ 2 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L Bronkiolitis Akut 4/30/2021 5/5/2021 1 hari √ Ampicilin
Azahra Adila O 08/10/2019 P GEAD RS 4/30/2021 5/4/2021 1 hari √ −

Karu Anak Lahat, April 2021


IPCLN

Ns. Atika, S.Kep (.................................................)


FORMULIR SURVEILANS HARIAN INFEKSI
RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : Mei 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
IVL UC ETT Tirah
Tanggal Nama Umur L/P Diagnosa Medis MRS KRS VAP ISK Plebitis Baring Antibiotik
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
5/1/2021 Wildan Ar Rasyid 06/03/2019 L Bronkiolitis 4/30/2021 5/5/2021 2 hari √ Ampicilin
Azahra Adila O 08/10/2019 P GEAD RS 4/30/2021 5/4/2021 2 hari √ Ceftriaxone
Aksa Dwi F 21/08/2020 L GEAD RS + Klinis Malaria 4/26/2021 5/1/2021 √ 3 hari √ Metronidazole
5/2/2021 Wildan Ar Rasyid 06/03/2019 L Bronkiolitis 4/30/2021 5/5/2021 √ 1 hari √ Ampicilin
Azahra Adila O 08/10/2019 P GEAD RS 4/30/2021 5/4/2021 √ 1 hari √ Ceftriaxone
M. Dzakcy D 7/25/2011 L Obs Febris hari ke 6 ec Sepsis + Ispa + TDBD I 5/2/2021 5/5/2021 1 hari √ Ceftriaxone
M. Purba Yudha 21/06/2003 L Obs Febris hari ke 5 ec TDBD II 5/2/2021 5/5/2021 1 hari √ Ceftriaxone
Athariz Alfarizqi S 23/09/2020 L GEAD RS 5/2/2021 5/4/2021 1 hari √ Ceftriaxone
Diandra Ikhram P 3/14/2012 L TDBD I 5/2/2021 5/6/2021 1 hari √ ─
Ads Hariasnyah 03/01/2021 L Pe↓ Kesadaran ec Sepsis dd Meningitis 5/2/2021 5/6/2021 1 hari √ Ceftriaxone
5/3/2021 Wildan Ar Rasyid 06/03/2019 L Bronkiolitis 4/30/2021 5/5/2021 2 hari √ Ampicilin
Azahra Adila O 08/10/2019 P GEAD RS 4/30/2021 5/4/2021 2 hari √ Ceftriaxone
M. Dzakcy D 7/25/2011 L Obs Febris hari ke 6 ec Sepsis + Ispa + TDBD I 5/2/2021 5/5/2021 2 hari √ Ceftriaxone
M. Purba Yudha 21/06/2003 L Obs Febris hari ke 5 ec TDBD II 5/2/2021 5/5/2021 2 hari √ Ceftriaxone
Athariz Alfarizqi S 23/09/2020 L GEAD RS 5/2/2021 5/4/2021 2 hari √ Cefixime Syr
Diandra Ikhram P 3/14/2012 L TDBD I 5/2/2021 5/6/2021 2 hari √ ─
Ads Hariasnyah 03/01/2021 L Pe↓ Kesadaran ec Sepsis dd Meningitis 5/2/2021 5/6/2021 2 hari √ Ceftriaxone
Bengibhor Z 24/09/2018 L GEAD RS 5/3/2021 5/5/2021 1 hari √ Ceftriaxone
M. Zakeel Khairullah 7/6/2020 L Dyspeneu ec BP dd Pneumonia 5/3/2021 5/6/2021 1 hari √ Ceftriaxone
Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 1 hari √ Ceftazidime
Sarfaraz Zettiyon 22/03/2021 L GEAD RS + Febris 5/3/2021 5/5/2021 1 hari √ Ceftazidime
Wita Cahaya U 29/06/2003 P Dyspepsia + Susp ISK + Hipoglikemia 5/3/2021 5/5/2021 1 hari √ Ceftriaxone
5/4/2021 Wildan Ar Rasyid 06/03/2019 L Bronkiolitis 4/30/2021 5/5/2021 √ 1 hari √ Ampicilin
Azahra Adila O 08/10/2019 P GEAD RS 4/30/2021 5/4/2021 √ 3 hari √ Ceftriaxone
M. Dzakcy D 7/25/2011 L Obs Febris hari ke 6 ec Sepsis + Ispa + TDBD I 5/2/2021 5/5/2021 3 hari √ Ceftriaxone
M. Purba Yudha 21/06/2003 L Obs Febris hari ke 5 ec TDBD II 5/2/2021 5/5/2021 3 hari √ Ceftriaxone
Athariz Alfarizqi S 23/09/2020 L GEAD RS 5/2/2021 5/4/2021 √ 3 hari √ Cefixime Syr
Diandra Ikhram P 3/14/2012 L TDBD I 5/2/2021 5/6/2021 3 hari √ ─
Ads Hariasnyah 03/01/2021 L Pe↓ Kesadaran ec Sepsis dd Meningitis 5/2/2021 5/6/2021 √ 1 hari √ Ceftriaxone
Bengibhor Z 24/09/2018 L GEAD RS 5/3/2021 5/5/2021 2 hari √ Ceftriaxone
M. Zakeel Khairullah 7/6/2020 L Dyspeneu ec BP dd Pneumonia 5/3/2021 5/6/2021 2 hari √ Ceftriaxone
Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 2 hari √ Ceftazidime
Sarfaraz Zettiyon 22/03/2021 L GEAD RS + Febris 5/3/2021 5/5/2021 2 hari √ Ceftazidime
Wita Cahaya U 29/06/2003 P Dyspepsia + Susp ISK + Hipoglikemia 5/3/2021 5/5/2021 2 hari √ Ceftriaxone
Novryady Dwi 5/4/2021 L Thalasemia 05/11/2007 5/6/2021 1 hari √ ─
Iqbal Fauzi 5/4/2021 L Hipoalbuminemia + Edema Anasarka es Susp SN dd SNA + HT Grade I 5/4/2021 5/7/2021 1 hari √ Ceftriaxone
5/5/2021 Wildan Ar Rasyid 06/03/2019 L Bronkiolitis 4/30/2021 5/5/2021 √ 2 hari √ Ampicilin
M. Dzakcy D 7/25/2011 L Obs Febris hari ke 6 ec Sepsis + Ispa + TDBD I 5/2/2021 5/5/2021 √ 4 hari √ Ceftriaxone
M. Purba Yudha 21/06/2003 L Obs Febris hari ke 5 ec TDBD II 5/2/2021 5/5/2021 √ 4 hari √ Ceftriaxone
Diandra Ikhram P 3/14/2012 L TDBD I 5/2/2021 5/6/2021 √ 1 hari √ ─
Ads Hariasnyah 03/01/2021 L Pe↓ Kesadaran ec Sepsis dd Meningitis 5/2/2021 5/6/2021 2 hari √ Ceftriaxone
Bengibhor Z 24/09/2018 L GEAD RS 5/3/2021 5/5/2021 √ 3 hari √ Ceftriaxone
M. Zakeel Khairullah 7/6/2020 L Dyspeneu ec BP dd Pneumonia 5/3/2021 5/6/2021 √ 1 hari √ Ceftriaxone
Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 √ 1 hari √ Ceftazidime
Sarfaraz Zettiyon 22/03/2021 L GEAD RS + Febris 5/3/2021 5/5/2021 √ 3 hari √ Ceftazidime
Wita Cahaya U 29/06/2003 P Dyspepsia + Susp ISK + Hipoglikemia 5/3/2021 5/5/2021 √ 3 hari √ Ceftriaxone
Novryady Dwi 05/11/2007 L Thalasemia 5/4/2021 5/6/2021 2 hari √ ─
Arsya Kurniawan 04/04/2021 L GEAD Berat 5/5/2021 5/8/2021 1 hari √ Ceftazidime
Iqbal Fauzi 24/06/2021 L Hipoalbuminemia + Edema Anasarka es Susp SN dd SNA + HT Grade I 5/4/2021 5/7/2021 2 hari √ Ceftriaxone
Rayyan Nugi A 24/06/2020 L GEAD RS 5/5/2021 5/7/2021 1 hari √ Ceftriaxone
5/6/2021 Diandra Ikhram P 3/14/2012 L TDBD I 5/2/2021 5/6/2021 √ 3 hari √ ─
Ads Hariasnyah 03/01/2021 L Pe↓ Kesadaran ec Sepsis dd Meningitis 5/2/2021 5/6/2021 √ 3 hari √ Ceftriaxone
M. Zakeel Khairullah 7/6/2020 L Dyspeneu ec BP dd Pneumonia 5/3/2021 5/6/2021 √ 2 hari √ Ceftriaxone
Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 2 hari √ Ceftazidime
Novryady Dwi 05/11/2007 L Thalasemia 5/4/2021 5/6/2021 √ 3 hari √ ─
Arsya Kurniawan 04/04/2021 L GEAD Berat 5/5/2021 5/8/2021 2 hari √ Ceftazidime
Iqbal Fauzi 24/06/2021 L Hipoalbuminemia + Edema Anasarka es Susp SN dd SNA + HT Grade I 5/4/2021 5/7/2021 3 hari √ Ceftriaxone
Rayyan Nugi A 24/06/2020 L GEAD RS 5/5/2021 5/7/2021 2 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 1 hari √ Metronidazole
Rayhan Abdullah A 09/10/2020 L GEAD RS 5/6/2021 5/8/2021 1 hari √ Ceftriaxone
Maulana Malik I 3/31/2018 L Status Epileptikus + Sepsis 5/6/2021 5/8/2021 1 hari √ Ceftriaxone
Sheza Numa Z 08/09/2019 P GEAD RS + FA + Elektrolit Inbalance 5/6/2021 5/8/2021 1 hari √ Ceftriaxone
5/7/2021 Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 √ 1 hari √ Ceftazidime
Iqbal Fauzi 24/06/2021 L Hipoalbuminemia + Edema Anasarka es Susp SN dd SNA + HT Grade I 5/4/2021 5/7/2021 √ 4 hari √ Ceftriaxone
Rayyan Nugi A 24/06/2020 L GEAD RS 5/5/2021 5/7/2021 √ 3 hari √ Ceftriaxone
Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 2 hari √ Metronidazole
Rayhan Abdullah A 09/10/2020 L GEAD RS 5/6/2021 5/8/2021 2 hari √ Ceftriaxone
Maulana Malik I 3/31/2018 L Status Epileptikus + Sepsis 5/6/2021 5/8/2021 2 hari √ Ceftriaxone
Sheza Numa Z 08/09/2019 P GEAD RS + FA + Elektrolit Inbalance 5/6/2021 5/8/2021 2 hari √ Ceftriaxone
M. Aidil Aditya 25/10/2006 L 5/5/2021 5/9/2021 1 hari √ Ceftriaxone
Arsyila Putri I 23/07/2020 P 5/7/2021 5/11/2021 1 hari √ Ceftriaxone
Arsya Kurniawan 04/04/2021 L GEAD Berat 5/5/2021 5/8/2021 √ 1 hari √ Ceftazidime
Akhtar Mustaba 26/02/2020 L Diare Akut Dehidrasi RS 5/7/2021 5/7/2021 √ 1 hari √ Metronidazole
5/8/2021 Atarrazka Baharudin 21/03/2021 L Meteorismus ec Susp Hisprung Disease 5/3/2021 5/8/2021 √ 2 hari √ Ceftazidime
Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 √ 1 hari √ Metronidazole
Rayhan Abdullah A 09/10/2020 L GEAD RS 5/6/2021 5/8/2021 √ 3 hari √ Ceftriaxone
Maulana Malik I 3/31/2018 L Status Epileptikus + Sepsis 5/6/2021 5/8/2021 √ 3 hari √ Ceftriaxone
Sheza Numa Z 08/09/2019 P GEAD RS + FA + Elektrolit Inbalance 5/6/2021 5/8/2021 √ 3 hari √ Ceftriaxone
M. Aidil Aditya 25/10/2006 L DBD Grade II 5/5/2021 5/9/2021 2 hari √ Ceftriaxone
Arsyila Putri I 23/07/2020 P KDS + RFA 5/7/2021 5/11/2021 2 hari √ Ceftriaxone
Arsya Kurniawan 04/04/2021 L GEAD Berat 5/5/2021 5/8/2021 √ 2 hari √ Ceftazidime
Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 1 hari √ Ceftazidime
Shahia Zea F 10/10/2020 P GEAD RS + RFA + Candidiasis Oral 5/8/2021 5/9/2021 2 hari √ Ceftriaxone
5/9/2021 Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 2 hari √ Metronidazole
M. Aidil Aditya 25/10/2006 L DBD Grade II 5/5/2021 5/9/2021 √ 3 hari √ Ceftriaxone
Arsyila Putri I 23/07/2020 P KDS + RFA 5/7/2021 5/11/2021 √ 1 hari √ Ceftriaxone
Shahia Zea F 10/10/2020 P GEAD RS + RFA + Candidiasis Oral 5/8/2021 5/9/2021 √ 2 hari √ Ceftriaxone
Erlangga David 23/03/2019 L Kejang Demam + FA 5/9/2021 5/11/2021 1 hari √ Ceftriaxone
Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 2 hari √ Ceftazidime
5/10/2021 Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 2 hari √ Metronidazole
Arsyila Putri I 23/07/2020 P KDS + RFA 5/7/2021 5/11/2021 √ 1 hari √ Ceftriaxone
Erlangga David 23/03/2019 L Kejang Demam + FA 5/9/2021 5/11/2021 2 hari √ Ceftriaxone
Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 √ 1 hari √ Ceftazidime
Niko Relain Pratama 10/11/2016 L Anemia Berat + Ikterus ec Susp Hepatitis 5/6/2021 5/13/2021 1 hari √ Ceftriaxone
Amayra Ananta 26/02/2021 P GEAD RS 5/10/2021 5/12/2021 1 hari √ Ceftazidime
M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 1 hari √ Ceftazidime
5/11/2021 Wildan Ar Rasyid 06/03/2019 L GEAD RS 5/6/2021 5/11/2021 √ 3 hari √ Metronidazole
Arsyila Putri I 23/07/2020 P KDS + RFA 5/7/2021 5/11/2021 √ 2 hari √ Ceftriaxone
Erlangga David 23/03/2019 L Kejang Demam + FA 5/9/2021 5/11/2021 √ 3 hari √ Ceftriaxone
Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 2 hari √ Ceftazidime
Niko Relain P 10/11/2016 L Anemia Berat + Ikterus ec Susp Hepatitis 5/6/2021 5/13/2021 2 hari √ Ceftriaxone
5/11/2021

Amayra Ananta 26/02/2021 P GEAD RS 5/10/2021 5/12/2021 2 hari √ Ceftazidime


M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 2 hari √ Ceftazidime
M. Faqih 05/09/2020 L Diare Akut Dehidrasi RS 5/11/2021 5/13/2021 1 hari √ Ceftriaxone
Nediva Priskila P 6/7/2018 P GEAD RS 5/11/2021 5/15/2021 1 hari √ Ceftriaxone
5/12/2021 Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 √ 1 hari √ Ceftazidime
Niko Relain P 10/11/2016 L Anemia Berat + Ikterus ec Susp Hepatitis 5/6/2021 5/13/2021 √ 1 hari √ Ceftriaxone
Amayra Ananta 26/02/2021 P GEAD RS 5/10/2021 5/12/2021 √ 3 hari √ Ceftazidime
M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 √ 1 hari √ Ceftazidime
M. Faqih 05/09/2020 L Diare Akut Dehidrasi RS 5/11/2021 5/13/2021 2 hari √ Ceftriaxone
Nediva Priskila P 6/7/2018 P GEAD RS 5/11/2021 5/15/2021 2 hari √ Ceftriaxone
Rava Sanjaya 12/05/2021 L KDK + FA + GEAD RS + Elektrolit Imbalance 5/12/2021 5/13/2021 1 hari √ Ceftriaxone
5/13/2021 Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 2 hari √ Ceftazidime
Niko Relain P 10/11/2016 L Anemia Berat + Ikterus ec Susp Hepatitis 5/6/2021 5/13/2021 √ 2 hari √ Ceftriaxone
M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 2 hari √ Ceftazidime
M. Faqih 05/09/2020 L Diare Akut Dehidrasi RS 5/11/2021 5/13/2021 √ 3 hari √ Ceftriaxone
Nediva Priskila P 6/7/2018 P GEAD RS 5/11/2021 5/15/2021 √ 1 hari √ Ceftriaxone
Rava Sanjaya 12/05/2021 L KDK + FA + GEAD RS + Elektrolit Imbalance 5/12/2021 5/13/2021 √ 2 hari √ Ceftriaxone
Arya Rassya 31/10/2006 L DBD Grade II 5/13/2021 5/17/2021 1 hari √ ─
M. Al Faruq I 06/11/2020 L GEAD RS 5/13/2021 5/15/2021 1 hari √ Ceftriaxone
Alfatih Malik B 02/12/2020 L Hiperpireksia + Klinis Malaria 5/13/2021 5/15/2021 1 hari √ Ceftriaxone
5/14/2021 Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 √ 1 hari √ Ceftazidime
M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 √ 1 hari √ Ceftazidime
Nediva Priskila P 6/7/2018 P GEAD RS 5/11/2021 5/15/2021 2 hari √ Ceftriaxone
Arya Rassya 31/10/2006 L DBD Grade II 5/13/2021 5/17/2021 2 hari √ ─
M. Al Faruq I 06/11/2020 L GEAD RS 5/13/2021 5/15/2021 2 hari √ Ceftriaxone
Alfatih Malik B 02/12/2020 L Hiperpireksia + Klinis Malaria 5/13/2021 5/15/2021 2 hari √ Ceftriaxone
M. Devin Aditama 25/03/2020 L GEAD RS + FA 5/14/2021 5/17/2021 1 hari √ Ceftriaxone
5/15/2021 Az-Zahra Delisha 13/03/2021 P Trakeomalasia + BP 5/8/2021 5/15/2021 √ 2 hari √ Ceftazidime
M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 2 hari √ Meropenem
Nediva Priskila P 6/7/2018 P GEAD RS 5/11/2021 5/15/2021 √ 3 hari √ Ceftriaxone
Arya Rassya 31/10/2006 L DBD Grade II 5/13/2021 5/17/2021 √ 1 hari √ Ceftriaxone
M. Al Faruq I 06/11/2020 L GEAD RS 5/13/2021 5/15/2021 √ 3 hari √ Ceftriaxone
Alfatih Malik B 02/12/2020 L Hiperpireksia + Klinis Malaria 5/13/2021 5/15/2021 √ 3 hari √ Ceftriaxone
M. Devin Aditama 25/03/2020 L GEAD RS + FA 5/14/2021 5/17/2021 2 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Bronkiolitis Akut 5/15/2021 5/19/2021 1 hari √ Ampicilin
Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 1 hari √ Ceftriaxone
5/16/2021 M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 √ 1 hari √ Meropenem
Arya Rassya 31/10/2006 L DBD Grade II 5/13/2021 5/17/2021 2 hari √ Ceftriaxone
M. Devin Aditama 25/03/2020 L GEAD RS + FA 5/14/2021 5/17/2021 √ 1 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Bronkiolitis Akut 5/15/2021 5/19/2021 2 hari √ Ampicilin
Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 2 hari √ Ceftriaxone
Zavier Malique M 28/02/2018 L TDBD I + Vomitus 5/16/2021 5/19/2021 1 hari √ Ceftriaxone
M. Ziyan Abqori 14/06/2019 Obs
L Vomitus dg Dehidrasi RS + Demam Post Kemo Ai AML + Gizi Buruk + Anemia5/16/2021 5/20/2021 1 hari √ Ceftriaxone
5/17/2021 M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 2 hari √ Meropenem
Arya Rassya 31/10/2006 L DBD Grade II 5/13/2021 5/17/2021 √ 3 hari √ Ceftriaxone
M. Devin Aditama 25/03/2020 L GEAD RS + FA 5/14/2021 5/17/2021 √ 2 hari √ Ceftriaxone
Abidzar Al Ghifari 03/06/2020 L Bronkiolitis Akut 5/15/2021 5/19/2021 √ 1 hari √ Ampicilin
Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 √ 1 hari √ Ceftriaxone
Zavier Malique M 28/02/2018 L TDBD I + Vomitus 5/16/2021 5/19/2021 2 hari √ Ceftriaxone
M. Ziyan Abqori 14/06/2019 Obs
L Vomitus dg Dehidrasi RS + Demam Post Kemo Ai AML + Gizi Buruk + Anemia5/16/2021 5/20/2021 2 hari √ Ceftriaxone
Faradilla Rizky 02/07/2020 P GEAD RS + FA 5/17/2021 5/19/2021 1 hari √ Ceftriaxone
5/18/2021 M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 √ 1 hari √ Meropenem
Abidzar Al Ghifari 03/06/2020 L Bronkiolitis Akut 5/15/2021 5/19/2021 2 hari √ Ampicilin
Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 2 hari √ Ceftriaxone
5/18/2021

Zavier Malique M 28/02/2018 L TDBD I + Vomitus 5/16/2021 5/19/2021 2 hari √ Ceftriaxone


M. Ziyan Abqori 14/06/2019 Obs
L Vomitus dg Dehidrasi RS + Demam Post Kemo Ai AML + Gizi Buruk + Anemia5/16/2021 5/20/2021 √ 1 hari √ Ceftriaxone
M. Ammar Akbar 21/12/2020 L GEAD RS + Obs Febris 5/18/2021 5/20/2021 1 hari √ Ceftriaxone
Azqayra Andra 12/07/2018 P Dyspneu ec Susp BP 5/18/2021 5/20/2021 1 hari √ Ceftazidime
Azka Al Mubaraq 20/07/2015 L Thalasemia 5/18/2021 5/19/2021 1 hari √ ─
5/19/2021 M. Sutta Baris 15/02/2021 L Sepsis + Abses reg Antebrachri Sinistra 5/10/2021 5/19/2021 √ 2 hari √ Meropenem
Abidzar Al Ghifari 03/06/2020 L Bronkiolitis Akut 5/15/2021 5/19/2021 √ 3 hari √ Ampicilin
Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 √ 1 hari √ Ceftriaxone
Zavier Malique M 28/02/2018 L TDBD I + Vomitus 5/16/2021 5/19/2021 √ 3 hari √ Ceftriaxone
M. Ziyan Abqori 14/06/2019 Obs
L Vomitus dg Dehidrasi RS + Demam Post Kemo Ai AML + Gizi Buruk + Anemia5/16/2021 5/20/2021 2 hari √ Ceftriaxone
M. Ammar Akbar 21/12/2020 L GEAD RS + Obs Febris 5/18/2021 5/20/2021 2 hari √ Ceftriaxone
Azqayra Andra 12/07/2018 P Dyspneu ec Susp BP 5/18/2021 5/20/2021 2 hari √ Ceftazidime
Azka Al Mubaraq 20/07/2015 L Thalasemia 5/18/2021 5/19/2021 √ 2 hari √ ─
Aan Saputra 22/09/2010 L Edema Anasarka ec Susp SN dd SNA 5/19/2021 2/22/2021 1 hari √ Ceftazidime
Auristella Briana S 27/07/2020 P GEAD RS 5/19/2021 5/21/2021 1 hari √ Ceftriaxone
5/20/2021 Byan Juliansyah 23/07/2018 L SN dd SNA 5/15/2021 5/20/2021 √ 2 hari √ Ceftriaxone
M. Ziyan Abqori 14/06/2019 Obs
L Vomitus dg Dehidrasi RS + Demam Post Kemo Ai AML + Gizi Buruk + Anemia5/16/2021 5/20/2021 √ 3 hari √ Ceftriaxone
M. Ammar Akbar 21/12/2020 L GEAD RS + Obs Febris 5/18/2021 5/20/2021 √ 3 hari √ Ceftriaxone
Azqayra Andra 12/07/2018 P Dyspneu ec Susp BP 5/18/2021 5/20/2021 √ 3 hari √ Ceftazidime
Aan Saputra 22/09/2010 L Edema Anasarka ec Susp SN dd SNA 5/19/2021 2/22/2021 2 hari √ Ceftazidime
Rashya Alfarezi 09/08/2017 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 1 hari √ Ceftriaxone
Auristella Briana S 27/07/2020 P GEAD RS 5/19/2021 5/21/2021 2 hari √ Ceftriaxone
Azalea Zifanny V 03/01/2021 P GEAD Berat 5/20/2021 5/23/2021 1 hari √ Ceftriaxone
Nidea Erdamega 12/09/2014 P TDBD II 5/20/2021 5/23/2021 1 hari √ Ceftazidime
Rasita Azarah 14/12/2019 P Sepsis + KDK 5/20/2021 2/22/2021 1 hari √ Ceftriaxone
M. Ammar Nadhif 29/01/2020 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 1 hari √ Ceftriaxone
5/21/2021 Aan Saputra 22/09/2010 L Edema Anasarka ec Susp SN dd SNA 5/19/2021 5/22/2021 3 hari √ Ceftazidime
Rashya Alfarezi 09/08/2017 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 2 hari √ Ceftriaxone
Auristella Briana S 27/07/2020 P GEAD RS 5/19/2021 5/21/2021 √ 3 hari √ Ceftriaxone
Azalea Zifanny V 03/01/2021 P GEAD Berat 5/20/2021 5/24/2021 2 hari √ Ceftriaxone
Nidea Erdamega 12/09/2014 P TDBD II 5/20/2021 5/24/2021 2 hari √ Ceftazidime
Rasita Azarah 14/12/2019 P Sepsis + KDK 5/20/2021 2/22/2021 2 hari √ Ceftriaxone
M. Ammar Nadhif 29/01/2020 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 2 hari √ Ceftriaxone
Rifky Denish A 07/12/2020 L GEAD RS + Elektrolit Imbalance 5/21/2021 5/24/2021 1 hari √ Ceftriaxone
5/22/2021 Aan Saputra 22/09/2010 L Edema Anasarka ec Susp SN dd SNA 5/19/2021 2/22/2021 √ 1 hari √ Ceftazidime
Rashya Alfarezi 09/08/2017 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 √ 1 hari √ Ceftriaxone
Azalea Zifanny V 03/01/2021 P GEAD Berat 5/20/2021 5/24/2021 √ 1 hari √ Ceftriaxone
Nidea Erdamega 12/09/2014 P TDBD II 5/20/2021 5/24/2021 3 hari √ Ceftazidime
Rasita Azarah 14/12/2019 P Sepsis + KDK 5/20/2021 2/22/2021 √ 3 hari √ Ceftriaxone
M. Ammar Nadhif 29/01/2020 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 2 hari √ Ceftriaxone
Rifky Denish A 07/12/2020 L GEAD RS + Elektrolit Imbalance 5/21/2021 5/24/2021 2 hari √ Ceftriaxone
Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 1 hari √ Ceftriaxone
Vania Malika Silmi 16/10/2019 P GEAD RS 5/22/2021 5/25/2021 1 hari √ Ceftriaxone
5/23/2021 Rashya Alfarezi 09/08/2017 L GEAD RS + Klinis Malaria 5/20/2021 5/23/2021 √ 2 hari √ Ceftriaxone
Azalea Zifanny V 03/01/2021 P GEAD Berat 5/20/2021 5/24/2021 2 hari √ Ceftriaxone
Nidea Erdamega 12/09/2014 P TDBD II 5/20/2021 5/24/2021 √ 1 hari √ Ceftazidime
M. Ammar Nadhif 29/01/2020 L GEAD RS + Klinis Malaria 5/20/2021 5/24/2021 2 hari √ Ceftriaxone
Rifky Denish A 07/12/2020 L GEAD RS + Elektrolit Imbalance 5/21/2021 5/24/2021 √ 1 hari √ Ceftriaxone
Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 2 hari √ Ceftriaxone
Rafka Shaquile Z 9/9/2020 L BP + GEAD RS 5/23/2021 5/23/2021 √ 1 hari √ Ceftriaxone
Vania Malika Silmi 16/10/2019 P GEAD RS 5/22/2021 5/25/2021 2 hari √ Ceftriaxone
Inara Tsabina M 16/02/2018 P KDK ec FA + Konstipasi 5/23/2021 5/24/2021 1 hari √ Ceftriaxone
5/24/2021 Rifky Denish A 07/12/2020 L GEAD RS + Elektrolit Imbalance 5/21/2021 5/24/2021 √ 3 hari √ Ceftriaxone
Azalea Zifanny V 03/01/2021 P GEAD Berat 5/20/2021 5/24/2021 √ 3 hari √ Ceftriaxone
5/24/2021

Nidea Erdamega 12/09/2014 P TDBD II 5/20/2021 5/24/2021 √ 2 hari √ Ceftazidime


Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 √ 1 hari √ Ceftriaxone
Vania Malika Silmi 16/10/2019 P GEAD RS 5/22/2021 5/25/2021 √ 1 hari √ Ceftriaxone
Inara Tsabina M 16/02/2018 P KDK ec FA + Konstipasi 5/23/2021 5/24/2021 √ 2 hari √ Ceftriaxone
Razka Febrian 15/10/2020 L GEAD RS dg Penyulit + Susp BP 5/22/2021 5/28/2021 1 hari √ Ceftriaxone
Virendra Fawwaz 03/10/2020 L GEAD RS 5/24/2021 5/27/2021 1 hari √ Ceftriaxone
Bilqis Al Dania 08/04/2020 P GEAD RS 5/24/2021 5/27/2021 1 hari √ Ceftriaxone
Olivia Maharani 13/10/2015 P Cardiomegali dg Edema Pulmonum 5/24/2021 5/28/2021 1 hari √ Ceftriaxone
Galih Abimanyu A 2/21/2020 L Obs Febris ec Low Intake 5/24/2021 5/27/2021 1 hari √ Ceftriaxone
Devandra Saputra 4/12/2019 L Diare Akut + KDS 5/24/2021 5/26/2021 1 hari √ Ceftriaxone
5/25/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 2 hari √ Ceftriaxone
Vania Malika Silmi 16/10/2019 P GEAD RS 5/22/2021 5/25/2021 √ 2 hari √ Ceftriaxone
Razka Febrian 15/10/2020 L GEAD RS dg Penyulit + Susp BP 5/22/2021 5/28/2021 2 hari √ Ceftriaxone
Virendra Fawwaz 03/10/2020 L GEAD RS 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Bilqis Al Dania 08/04/2020 P GEAD RS 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Olivia Maharani 13/10/2015 P Cardiomegali dg Edema Pulmonum 5/24/2021 5/28/2021 2 hari √ Ceftriaxone
Galih Abimanyu A 2/21/2020 L Obs Febris ec Low Intake 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Devandra Saputra 4/12/2019 L Diare Akut + KDS 5/24/2021 5/26/2021 2 hari √ Ceftriaxone
Miesya Agustiana 14/08/2021 P GEAD RS 5/25/2021 5/29/2021 1 hari √ Ceftazidime
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 1 hari √ Ceftriaxone
M. Fabiyan Alfathan 17/12/2017 L KDS + Susp BP 5/25/2021 5/27/2021 1 hari √ Ceftriaxone
Arsyla Qiana P 14/06/2020 P KDK 5/25/2021 5/28/2021 2 hari √ Ceftriaxone
5/26/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 2 hari √ Ceftriaxone
Razka Febrian 15/10/2020 L GEAD RS dg Penyulit + Susp BP 5/22/2021 5/28/2021 2 hari √ Ceftriaxone
Virendra Fawwaz 03/10/2020 L GEAD RS 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Bilqis Al Dania 08/04/2020 P GEAD RS 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Olivia Maharani 13/10/2015 P Cardiomegali dg Edema Pulmonum 5/24/2021 5/28/2021 2 hari √ Ceftriaxone
Galih Abimanyu A 2/21/2020 L Obs Febris ec Low Intake 5/24/2021 5/27/2021 2 hari √ Ceftriaxone
Devandra Saputra 4/12/2019 L Diare Akut + KDS 5/24/2021 5/26/2021 √ 2 hari √ Ceftriaxone
Miesya Agustiana 14/08/2021 P GEAD RS 5/25/2021 5/29/2021 1 hari √ Ceftazidime
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 1 hari √ Ceftriaxone
M. Fabiyan Alfathan 17/12/2017 L KDS + Susp BP 5/25/2021 5/27/2021 1 hari √ Ceftriaxone
Arsyla Qiana P 14/06/2020 P KDK 5/25/2021 5/28/2021 2 hari √ Ceftriaxone
Noesa Ibrahim 02/02/2020 L GEAD RS 5/26/2021 5/27/2021 1 hari √ Ceftriaxone
5/27/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 3 hari √ Ceftriaxone
Razka Febrian 15/10/2020 L GEAD RS dg Penyulit + Susp BP 5/22/2021 5/28/2021 √ 1 hari √ Ceftriaxone
Virendra Fawwaz 03/10/2020 L GEAD RS 5/24/2021 5/27/2021 √ 3 hari √ Ceftriaxone
Bilqis Al Dania 08/04/2020 P GEAD RS 5/24/2021 5/27/2021 √ 3 hari √ Ceftriaxone
Olivia Maharani 13/10/2015 P Cardiomegali dg Edema Pulmonum 5/24/2021 5/28/2021 √ 1 hari √ Ceftriaxone
Galih Abimanyu A 2/21/2020 L Obs Febris ec Low Intake 5/24/2021 5/27/2021 √ 3 hari √ Ceftriaxone
Miesya Agustiana 14/08/2021 P GEAD RS 5/25/2021 5/29/2021 2 hari √ Ceftazidime
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 2 hari √ Ceftriaxone
M. Fabiyan Alfathan 17/12/2017 L KDS + Susp BP 5/25/2021 5/27/2021 √ 1 hari √ Ceftriaxone
Arsyla Qiana P 14/06/2020 P KDK 5/25/2021 5/28/2021 √ 1 hari √ Ceftriaxone
Noesa Ibrahim 02/02/2020 L GEAD RS 5/26/2021 5/27/2021 √ 2 hari √ Ceftriaxone
M. Anugerah Saputra 01/12/2012 L Thalasemia 5/27/2021 5/29/2021 1 hari √ ─
5/28/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 √ 1 hari √ Ceftriaxone
Razka Febrian 15/10/2020 L GEAD RS dg Penyulit + Susp BP 5/22/2021 5/28/2021 √ 2 hari √ Ceftriaxone
Olivia Maharani 13/10/2015 P Cardiomegali dg Edema Pulmonum 5/24/2021 5/28/2021 √ 2 hari √ Ceftriaxone
Miesya Agustiana 14/08/2021 P GEAD RS 5/25/2021 5/29/2021 √ 1 hari √ Ceftazidime
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 √ 1 hari √ Ceftriaxone
Arsyla Qiana P 14/06/2020 P KDK 5/25/2021 5/28/2021 √ 2 hari √ Ceftriaxone
M. Anugerah Saputra 01/12/2012 L Thalasemia 5/27/2021 5/29/2021 2 hari √ ─
Aliqa Nayla Putri 31/01/2020 P KDK 5/28/2021 5/31/2021 1 hari √ Ceftriaxone
5/28/2021

M.Fitra alamsyah 4/4/2012 L Abses Akut Sub Maxi 5/28/2021 5/31/2021 1 hari √ Metronidazole
M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 1 hari √ Ceftriaxone
M. Daffa Zakir I 10/28/2020 L KDK 5/28/2021 6/1/2021 1 hari √ Ceftriaxone
Azkya Prameswari 1/7/2019 P Sepsis 5/28/2021 6/1/2021 1 hari √ Ceftriaxone
5/29/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 2 hari √ Ceftriaxone
Miesya Agustiana 14/08/2021 P GEAD RS 5/25/2021 5/29/2021 √ 2 hari √ Ceftazidime
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 2 hari √ Ceftriaxone
M. Anugerah Saputra 01/12/2012 L Thalasemia 5/27/2021 5/29/2021 √ 2 hari √ ─
Aliqa Nayla Putri 31/01/2020 P KDK 5/28/2021 5/31/2021 2 hari √ Ceftriaxone
M.Fitra alamsyah 4/4/2012 L Abses Akut Sub Maxi 5/28/2021 5/31/2021 2 hari √ Metronidazole
M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 2 hari √ Ceftriaxone
M. Daffa Zakir I 10/28/2020 L KDK 5/28/2021 6/1/2021 2 hari √ Ceftriaxone
Azkya Prameswari 1/7/2019 P Sepsis 5/28/2021 6/1/2021 2 hari √ Ceftriaxone
Mirza Ariq 2/12/2020 L BP 5/29/2021 6/2/2021 1 hari √ Ceftazidime
Yahya Zakaria 11/18/2015 L Obs Febris ec TFA + Obs Vomitus 5/29/2021 6/2/2021 1 hari √ Meropenem
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 1 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 1 hari √ Ceftriaxone
5/30/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 √ 1 hari √ Ceftriaxone
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 √ 1 hari √ Ceftriaxone
Aliqa Nayla Putri 31/01/2020 P KDK 5/28/2021 5/31/2021 √ 1 hari √ Ceftriaxone
M.Fitra alamsyah 4/4/2012 L Abses Akut Sub Maxi 5/28/2021 5/31/2021 √ 1 hari √ Metronidazole
M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 √ 1 hari √ Ceftriaxone
M. Daffa Zakir I 10/28/2020 L KDK 5/28/2021 6/1/2021 √ 1 hari √ Ceftriaxone
Azkya Prameswari 1/7/2019 P Sepsis 5/28/2021 6/1/2021 √ 1 hari √ Ceftriaxone
Mirza Ariq 2/12/2020 L BP 5/29/2021 6/2/2021 2 hari √ Ceftazidime
Yahya Zakaria 11/18/2015 L Obs Febris ec TFA + Obs Vomitus 5/29/2021 6/2/2021 2 hari √ Meropenem
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 2 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 2 hari √ Ceftriaxone
5/31/2021 Dhabit Arza A 7/29/2020 L Susp BP dd Bronkiolitis + Susp Keterlambatan Perkem 5/22/2021 5/31/2021 √ 2 hari √ Ceftriaxone
Arsha dianto Gumay 08/07/2020 L GEAD RS + Anemia + Hiponatremia 5/25/2021 5/31/2021 √ 2 hari √ Ceftriaxone
Aliqa Nayla Putri 31/01/2020 P KDK 5/28/2021 5/31/2021 √ 2 hari √ Ceftriaxone
M.Fitra alamsyah 4/4/2012 L Abses Akut Sub Maxi 5/28/2021 5/31/2021 √ 2 hari √ Metronidazole
M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 2 hari √ Ceftriaxone
M. Daffa Zakir I 10/28/2020 L KDK 5/28/2021 6/1/2021 2 hari √ Ceftriaxone
Azkya Prameswari 1/7/2019 P Sepsis 5/28/2021 6/1/2021 2 hari √ Ceftriaxone
Mirza Ariq 2/12/2020 L BP 5/29/2021 6/2/2021 √ 1 hari √ Ceftazidime
Yahya Zakaria 11/18/2015 L Obs Febris ec TFA + Obs Vomitus 5/29/2021 6/2/2021 √ 1 hari √ Meropenem
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 √ 1 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 √ 1 hari √ Ceftriaxone
Assifa Fitiyya F 8/9/2019 P Susp Epilepsi + Sepsis 5/31/2021 6/3/2021 1 hari √ Ceftriaxone
Lufy Pranata 24/06/2020 L KDK + FA + Elektrolit Imbalance + Fimosis 5/31/2021 6/2/2021 1 hari √ Ceftriaxone

Karu Anak Lahat, Mei 2021


IPCLN

Ns. Atika, S.Kep (.................................................)


FORMULIR SURVEILANS HARIAN INFEKSI
RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : Juni 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
Tirah
Tanggal Nama Umur L/P Diagnosa Medis IVL UC ETT Antibiotik
MRS KRS VAP ISK Plebitis Baring
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
6/1/2021 M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 √ 1 hari √ Ceftriaxone
M. Daffa Zakir I 10/28/2020 L KDK 5/28/2021 6/1/2021 √ 3 hari √ Ceftriaxone
Azkya Prameswari 1/7/2019 P Sepsis 5/28/2021 6/1/2021 √ 3 hari √ Ceftriaxone
Mirza Ariq 2/12/2020 L BP 5/29/2021 6/2/2021 2 hari √ Ceftazidime
Yahya Zakaria 11/18/2015 L Obs Febris ec TFA + Obs Vomitus 5/29/2021 6/2/2021 2 hari √ Meropenem
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 2 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 2 hari √ Ceftriaxone
Assifa Fitiyya F 8/9/2019 P Susp Epilepsi + Sepsis 5/31/2021 6/3/2021 2 hari √ Ceftriaxone
Lufy Pranata 24/06/2020 L KDK + FA + Elektrolit Imbalance + Fimosis 5/31/2021 6/2/2021 2 hari √ Ceftriaxone
M. Alvaro Recoba 12/03/2019 L Obs Vomitus + Klinis Malaria 6/1/2021 6/4/2021 1 hari √ Ceftriaxone
6/2/2021 M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 2 hari √ Ceftriaxone
Mirza Ariq 2/12/2020 L BP 5/29/2021 6/2/2021 √ 3 hari √ Ceftazidime
Yahya Zakaria 11/18/2015 L Obs Febris ec TFA + Obs Vomitus 5/29/2021 6/2/2021 √ 3 hari √ Meropenem
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 √ 1 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 √ 1 hari √ Ceftriaxone
Assifa Fitiyya F 8/9/2019 P Susp Epilepsi + Sepsis 5/31/2021 6/3/2021 √ 1 hari √ Ceftriaxone
Lufy Pranata 24/06/2020 L KDK + FA + Elektrolit Imbalance + Fimosis 5/31/2021 6/2/2021 √ 3 hari √ Ceftriaxone
Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 1 hari √ Ceftazidime
M. Alvaro Recoba 12/03/2019 L Obs Vomitus + Klinis Malaria 6/1/2021 6/4/2021 2 hari √ Ceftriaxone
Andara Rizky R 5/10/2019 L Klinis Malaria + Hepatomegali 6/2/2021 6/4/2021 1 hari √ Ceftriaxone
6/3/2021 M. Azzam Alfatih 26/08/2020 L KDS + Bronkitis 5/28/2021 6/3/2021 √ 3 hari √ Ceftriaxone
Rafasya Fatihlani Z 3/5/2020 L Bronkitis Akut 5/29/2021 6/3/2021 √ 2 hari √ Ampicilin
Aditya Yudha 16/01/2020 L Demam Lama ec T.ISK + Viral Infection 5/29/2021 6/3/2021 √ 2 hari √ Ceftriaxone
Assifa Fitiyya F 8/9/2019 P Susp Epilepsi + Sepsis 5/31/2021 6/3/2021 √ 2 hari √ Ceftriaxone
Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 2 hari √ Ceftazidime
Andara Rizky R 5/10/2019 L Klinis Malaria + Hepatomegali 6/2/2021 6/4/2021 2 hari √ Ceftriaxone
Assifa Fitiyya F 8/9/2019 P Susp Epilepsi + Sepsis 5/31/2021 6/3/2021 √ 2 hari √ Ceftriaxone
Arsyla Qiana P 6/14/2020 P GEAD RS + FA 6/3/2021 6/4/2021 1 hari √ Metronidazole
M. Alvaro Recoba 12/03/2019 L Obs Vomitus + Klinis Malaria 6/1/2021 6/4/2021 √ 1 hari √ Ceftriaxone
6/4/2021 Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 1 hari √ Ceftazidime
Andara Rizky R 5/10/2019 L Klinis Malaria + Hepatomegali 6/2/2021 6/4/2021 √ 3 hari √ Ceftriaxone
Arsyla Qiana P 6/14/2020 P GEAD RS + FA 6/3/2021 6/4/2021 √ 2 hari √ Metronidazole
M. Alvaro Recoba 12/03/2019 L Obs Vomitus + Klinis Malaria 6/1/2021 6/4/2021 √ 2 hari √ Ceftriaxone
6/5/2021 Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 2 hari √ Ceftazidime
Aditya Pradipta 10/5/2016 L Demam Lama ec Typoid + Mal + Low Intake + ISK 6/5/2021 6/9/2021 1 hari √ Ceftriaxone
Jesika Anggraini P 02/04/2019 P SN Relaps 6/5/2021 6/8/2021 1 hari √ Ceftriaxone
Rizqi Andra S 3/28/2009 L Takikardia + GNAPS 6/5/2021 6/5/2021 1 hari √ Ceftriaxone
Haykal Alindra 10/11/2018 L Kejang Demam + OMA 6/5/2021 6/7/2021 1 hari √ Ceftriaxone
6/6/2021 Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 1 hari √ Ceftazidime
Aditya Pradipta 10/5/2016 L Demam Lama ec Typoid + Mal + Low Intake + ISK 6/5/2021 6/9/2021 2 hari √ Ceftriaxone
Jesika Anggraini P 02/04/2019 P SN Relaps 6/5/2021 6/9/2021 2 hari √ Ceftriaxone
Haykal Alindra 10/11/2018 L Kejang Demam + OMA 6/5/2021 6/7/2021 2 hari √ Ceftriaxone
Syafira Ayla B 02/11/2017 P GEAD RS + Obs Vomitus 6/6/2021 6/8/2021 1 hari √ Ceftriaxone
6/7/2021 Chendy Amora 11/26/2018 P Pneumonia 6/2/2021 6/7/2021 √ 2 hari √ Ceftazidime
Aditya Pradipta 10/5/2016 L Demam Lama ec Typoid + Mal + Low Intake + ISK 6/5/2021 6/9/2021 √ 1 hari √ Ceftriaxone
Jesika Anggraini P 02/04/2019 P SN Relaps 6/5/2021 6/9/2021 √ 1 hari √ Ceftriaxone
Syafira Ayla B 02/11/2017 P GEAD RS + Obs Vomitus 6/6/2021 6/8/2021 2 hari √ Ceftriaxone
Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 1 hari √ Ceftriaxone
Haykal Alindra 10/11/2018 L Kejang Demam + OMA 6/5/2021 6/7/2021 √ 3 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 6/7/2021 6/10/2021 1 hari √ ─
6/7/2021

Novryady Dwi P 07/11/2007 L Thalasemia 6/7/2021 6/10/2021 1 hari √ ─


Aiza Shafiya T 12/08/2018 P Susp Kawasaki Disease 6/7/2021 6/11/2021 1 hari √ Ceftriaxone
6/8/2021 Aditya Pradipta 10/5/2016 L Demam Lama ec Typoid + Mal + Low Intake + ISK 6/5/2021 6/9/2021 2 hari √ Ceftriaxone
Jesika Anggraini P 02/04/2019 P SN Relaps 6/5/2021 6/9/2021 √ 2 hari √ Ceftriaxone
Syafira Ayla B 02/11/2017 P GEAD RS + Obs Vomitus 6/6/2021 6/8/2021 √ 3 hari √ Ceftriaxone
Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 2 hari √ Ceftriaxone
Aiza Shafiya T 12/08/2018 P Susp Kawasaki Disease 6/7/2021 6/11/2021 2 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 6/7/2021 6/10/2021 2 hari √ ─
Novryady Dwi P 07/11/2007 L Thalasemia 6/7/2021 6/10/2021 2 hari √ ─
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 1 hari √ Ceftazidime
6/9/2021 Aditya Pradipta 10/5/2016 L Demam Lama ec Typoid + Mal + Low Intake + ISK 6/5/2021 6/9/2021 √ 3 hari √ Ceftriaxone
Jesika Anggraini P 02/04/2019 P SN Relaps 6/5/2021 6/9/2021 √ ─ √ Cefixim Syr
Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 3 hari √ Ceftriaxone
Aiza Shafiya T 12/08/2018 P Susp Kawasaki Disease 6/7/2021 6/11/2021 1 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 6/7/2021 6/10/2021 3 hari √ ─
Novryady Dwi P 07/11/2007 L Thalasemia 6/7/2021 6/10/2021 3 hari √ ─
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 2 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L RFA + Klinis Malaria 6/9/2021 6/11/2021 1 hari √ Ceftriaxone
Rizqi Andra S 3/28/2009 L Takikardia + GNAPS 6/5/2021 6/11/2021 1 hari √ Ceftriaxone
6/10/2021 Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 √ 1 hari √ Ceftriaxone
Aiza Shafiya T 12/08/2018 P Susp Kawasaki Disease 6/7/2021 6/11/2021 2 hari √ Ceftriaxone
M. Raffi 01/07/2006 L Thalasemia 6/7/2021 6/10/2021 √ 4 hari √ ─
Novryady Dwi P 07/11/2007 L Thalasemia 6/7/2021 6/10/2021 √ 4 hari √ ─
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 √ 1 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L RFA + Klinis Malaria 6/9/2021 6/11/2021 2 hari √ Ceftriaxone
Rizqi Andra S 3/28/2009 L Takikardia + GNAPS 6/5/2021 6/11/2021 2 hari √ Ceftriaxone
Safania Malika 19/08/2020 P Dehidrasi Low Intake + Klinis Malaria 6/10/2021 6/13/2021 1 hari √ Ceftriaxone
Nailah Aimatul S 06/11/2018 P KDK + FA 6/10/2021 6/13/2021 1 hari √ Ceftriaxone
Ahmad Jazam A 28/02/2020 L Sepsis + GEAD RS + Muntah Profuse 6/10/2021 6/14/2021 1 hari √ Ceftriaxone
6/11/2021 Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 2 hari √ Ceftriaxone
Aiza Shafiya T 12/08/2018 P Susp Kawasaki Disease 6/7/2021 6/11/2021 √ 3 hari √ Ceftriaxone
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 2 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L RFA + Klinis Malaria 6/9/2021 6/11/2021 √ 3 hari √ Ceftriaxone
Rizqi Andra S 3/28/2009 L Takikardia + GNAPS 6/5/2021 6/11/2021 √ 3 hari √ Ceftriaxone
Safania Malika 19/08/2020 P Dehidrasi Low Intake + Klinis Malaria 6/10/2021 6/13/2021 2 hari √ Ceftriaxone
Nailah Aimatul S 06/11/2018 P KDK + FA 6/10/2021 6/13/2021 2 hari √ Ceftriaxone
Ahmad Jazam A 28/02/2020 L Sepsis + GEAD RS + Muntah Profuse 6/10/2021 6/14/2021 2 hari √ Ceftriaxone
Aisyah Nopriana A 15/11/2018 P GEAD dg Penyakit + Elektrolit Imbalance + Malnutrisi 6/11/2021 6/15/2021 1 hari √ Ceftriaxone
Kenzie Putra S 12/4/2020 L Diare Akut Dehidrasi RS 6/11/2021 6/13/2021 1 hari √ Ceftazidime
Yudia Mouza F 4/23/2020 P Bronkiolitis 6/11/2021 6/14/2021 1 hari √ Ceftriaxone
Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 1 hari √ Ceftazidime
6/12/2021 Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 3 hari √ Ceftriaxone
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 √ 1 hari √ Ceftazidime
Safania Malika 19/08/2020 P Dehidrasi Low Intake + Klinis Malaria 6/10/2021 6/13/2021 √ 1 hari √ Ceftriaxone
Nailah Aimatul S 06/11/2018 P KDK + FA 6/10/2021 6/13/2021 √ 1 hari √ Ceftriaxone
Ahmad Jazam A 28/02/2020 L Sepsis + GEAD RS + Muntah Profuse 6/10/2021 6/14/2021 √ 1 hari √ Ceftriaxone
Aisyah Nopriana A 15/11/2018 P GEAD dg Penyakit + Elektrolit Imbalance + Malnutrisi 6/11/2021 6/15/2021 2 hari √ Ceftriaxone
Kenzie Putra S 12/4/2020 L Diare Akut Dehidrasi RS 6/11/2021 6/13/2021 2 hari √ Ceftazidime
Yudia Mouza F 4/23/2020 P Bronkiolitis 6/11/2021 6/14/2021 2 hari √ Ceftriaxone
Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 2 hari √ Ceftazidime
Fauzan Adha P 04/11/2011 L Susp Ensefalitis 6/12/2021 6/15/2021 1 hari √ Ceftriaxone
M. Rizky S 31/12/2018 L Bacterial Infection + GEAD RS 6/12/2021 6/15/2021 1 hari √ Ceftriaxone
Jesei Putri F 7/8/2019 P Muntah Profuse 6/12/2021 6/14/2021 1 hari √ Ceftriaxone
6/13/2021 Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 √ 1 hari √ Ceftriaxone
Kiano Pradipta O 12/12/2020 L Bronkiolitis dd BP 6/8/2021 6/13/2021 √ 2 hari √ Ceftazidime
Safania Malika 19/08/2020 P Dehidrasi Low Intake + Klinis Malaria 6/10/2021 6/13/2021 √ 2 hari √ Ceftriaxone
Nailah Aimatul S 06/11/2018 P KDK + FA 6/10/2021 6/13/2021 √ 2 hari √ Ceftriaxone
6/13/2021

Ahmad Jazam A 28/02/2020 L Sepsis + GEAD RS + Muntah Profuse 6/10/2021 6/14/2021 √ 1 hari √ Ceftriaxone
Aisyah Nopriana A 15/11/2018 P GEAD dg Penyakit + Elektrolit Imbalance + Malnutrisi 6/11/2021 6/15/2021 √ 1 hari √ Ceftriaxone
Kenzie Putra S 12/4/2020 L Diare Akut Dehidrasi RS 6/11/2021 6/13/2021 √ 3 hari √ Ceftazidime
Yudia Mouza F 4/23/2020 P Bronkiolitis 6/11/2021 6/14/2021 √ 1 hari √ Ceftriaxone
Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 √ 1 hari √ Ceftazidime
Fauzan Adha P 04/11/2011 L Susp Ensefalitis 6/12/2021 6/15/2021 2 hari √ Ceftriaxone
M. Rizky S 31/12/2018 L Bacterial Infection + GEAD RS 6/12/2021 6/15/2021 2 hari √ Ceftriaxone
Jesei Putri F 7/8/2019 P Muntah Profuse 6/12/2021 6/14/2021 √ 2 hari √ Ceftriaxone
Chayra Azzahra 07/09/2020 P GEAD RS 6/13/2021 6/16/2021 1 hari √ Ceftriaxone
6/14/2021 Alfarizi Arpan 03/12/2006 L Edema Anasarka ec SN + Hipoalbumin 6/7/2021 6/14/2021 √ 2 hari √ Ceftriaxone
Ahmad Jazam A 28/02/2020 L Sepsis + GEAD RS + Muntah Profuse 6/10/2021 6/14/2021 √ 2 hari √ Ceftriaxone
Aisyah Nopriana A 15/11/2018 P GEAD dg Penyakit + Elektrolit Imbalance + Malnutrisi 6/11/2021 6/15/2021 2 hari √ Ceftriaxone
Yudia Mouza F 4/23/2020 P Bronkiolitis 6/11/2021 6/14/2021 √ 2 hari √ Ceftriaxone
Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 2 hari √ Ceftazidime
Fauzan Adha P 04/11/2011 L Susp Ensefalitis 6/12/2021 6/15/2021 √ 1 hari √ Ceftriaxone
M. Rizky S 31/12/2018 L Bacterial Infection + GEAD RS 6/12/2021 6/15/2021 √ 1 hari √ Ceftriaxone
Jesei Putri F 7/8/2019 P Muntah Profuse 6/12/2021 6/14/2021 √ 3 hari √ Ceftriaxone
Chayra Azzahra 07/09/2020 P GEAD RS 6/13/2021 6/16/2021 2 hari √ Ceftriaxone
M. Teguh Athallah 26/11/2020 L GEAD RS + Obs Febris 6/14/2021 6/16/2021 1 hari √ Ceftriaxone
Al Tamis Parsa G 8/11/2021 L KDK 6/14/2021 6/17/2021 1 hari √ Ceftriaxone
Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 1 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 1 hari √ Ceftazidime
6/15/2021 Aisyah Nopriana A 15/11/2018 P GEAD dg Penyakit + Elektrolit Imbalance + Malnutrisi 6/11/2021 6/15/2021 √ 3 hari √ Ceftriaxone
Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 √ 1 hari √ Ceftazidime
Fauzan Adha P 04/11/2011 L Susp Ensefalitis 6/12/2021 6/15/2021 √ 2 hari √ Ceftriaxone
M. Rizky S 31/12/2018 L Bacterial Infection + GEAD RS 6/12/2021 6/15/2021 √ 2 hari √ Ceftriaxone
Chayra Azzahra 07/09/2020 P GEAD RS 6/13/2021 6/16/2021 √ 1 hari √ Ceftriaxone
M. Teguh Athallah 26/11/2020 L GEAD RS + Obs Febris 6/14/2021 6/16/2021 2 hari √ Ceftriaxone
Al Tamis Parsa G 8/11/2021 L KDK 6/14/2021 6/17/2021 2 hari √ Ceftriaxone
Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 2 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 2 hari √ Ceftazidime
Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 1 hari √ Ceftazidime
M. Dhanil Salendra 1/9/2020 L KDS + GEA Tanpa Dehidrasi 6/15/2021 6/16/2021 1 hari √ Ceftriaxone
Jesika Aulia 06/01/2020 P GEAD RS + Obs Febris 6/15/2021 6/18/2021 1 hari √ Ceftriaxone
6/16/2021 Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 2 hari √ Ceftazidime
Chayra Azzahra 07/09/2020 P GEAD RS 6/13/2021 6/16/2021 √ 3 hari √ Ceftriaxone
M. Teguh Athallah 26/11/2020 L GEAD RS + Obs Febris 6/14/2021 6/16/2021 √ 3 hari √ Ceftriaxone
Al Tamis Parsa G 8/11/2021 L KDK 6/14/2021 6/17/2021 √ 1 hari √ Ceftriaxone
Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 √ 1 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 √ 1 hari √ Ceftazidime
Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 2 hari √ Ceftazidime
M. Dhanil Salendra 1/9/2020 L KDS + GEA Tanpa Dehidrasi 6/15/2021 6/16/2021 √ 2 hari √ Ceftriaxone
6/17/2021 Reizan Alfatih R 08/05/2021 L Bronkiolitis 6/11/2021 6/17/2021 √ 3 hari √ Ceftazidime
Al Tamis Parsa G 8/11/2021 L KDK 6/14/2021 6/17/2021 √ 3 hari √ Ceftriaxone
Al Tamis Parsa G 8/11/2021 L KDK 6/14/2021 6/17/2021 √ 2 hari √ Ceftriaxone
Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 2 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 2 hari √ Ceftazidime
Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 √ 1 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L DLI + RFA + Klinis Malaria 6/17/2021 6/21/2021 1 hari √ Ceftriaxone
Aqila Saabirah 02/11/2011 P Obs Febris ec TDBD Gr II + TFA 6/17/2021 6/20/2021 1 hari √ Ceftriaxone
Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 1 hari √ Ceftazidime
Annisa Mufidah 2/19/2019 P Intoksikasi Tiner 6/18/2021 6/20/2021 1 hari √ Ceftazidime
6/18/2021 Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 √ 1 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 √ 1 hari √ Ceftazidime
Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 2 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L DLI + RFA + Klinis Malaria 6/17/2021 6/21/2021 2 hari √ Ceftriaxone
Aqila Saabirah 02/11/2011 P Obs Febris ec TDBD Gr II + TFA 6/17/2021 6/22/2021 2 hari √ Ceftriaxone
6/18/2021

Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 2 hari √ Ceftazidime
Annisa Mufidah 2/19/2019 P Intoksikasi Tiner 6/18/2021 6/20/2021 2 hari √ Ceftazidime
Hafiz Andriani 9/28/2003 L Thalasemia 6/18/2021 6/20/2021 1 hari √ ─
Azril Franando 12/09/2018 L KDK ec FA 6/18/2021 6/21/2021 1 hari √ Ceftriaxone
Hafizah Khumairah 08/11/2018 P KDK + RFA 6/18/2021 6/20/2021 1 hari √ Ceftriaxone
6/19/2021 Kanaka Ibrahim H 07/08/2012 L Obs Vomitus + TDBD Gr II + TFA dd BP 6/14/2021 6/19/2021 √ 2 hari √ Ceftriaxone
Elbara Razka S 01/10/2020 L Decomp ec BP 6/14/2021 6/19/2021 √ 2 hari √ Ceftazidime
Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 √ 1 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L DLI + RFA + Klinis Malaria 6/17/2021 6/21/2021 √ 1 hari √ Ceftriaxone
Aqila Saabirah 02/11/2011 P Obs Febris ec TDBD Gr II + TFA 6/17/2021 6/20/2021 √ 1 hari √ Ceftriaxone
Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 √ 1 hari √ Ceftazidime
Annisa Mufidah 2/19/2019 P Intoksikasi Tiner 6/18/2021 6/20/2021 √ 1 hari √ Ceftazidime
Hafiz Andriani 9/28/2003 L Thalasemia 6/18/2021 6/20/2021 2 hari √ ─
Azril Franando 12/09/2018 L KDK ec FA 6/18/2021 6/21/2021 2 hari √ Ceftriaxone
Hafizah Khumairah 08/11/2018 P KDK + RFA 6/18/2021 6/20/2021 2 hari √ Ceftriaxone
Hady Al-Hafiz P 22/02/2020 L KDK + FA 6/19/2021 6/21/2021 1 hari √ Ceftriaxone
Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 1 hari √ Ceftriaxone
6/20/2021 Adzra Sahban D 26/04/2021 L Pneumonia 6/15/2021 6/20/2021 √ 2 hari √ Ceftazidime
Aditya Yudha 16/01/2020 L DLI + RFA + Klinis Malaria 6/17/2021 6/21/2021 2 hari √ Ceftriaxone
Aqila Saabirah 02/11/2011 P Obs Febris ec TDBD Gr II + TFA 6/17/2021 6/20/2021 √ 2 hari √ Ceftriaxone
Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 2 hari √ Ceftazidime
Annisa Mufidah 2/19/2019 P Intoksikasi Tiner 6/18/2021 6/20/2021 √ 2 hari √ Ceftazidime
Hafiz Andriani 9/28/2003 L Thalasemia 6/18/2021 6/20/2021 √ 3 hari √ ─
Azril Franando 12/09/2018 L KDK ec FA 6/18/2021 6/21/2021 √ 1 hari √ Ceftriaxone
Hafizah Khumairah 08/11/2018 P KDK + RFA 6/18/2021 6/20/2021 √ 3 hari √ Ceftriaxone
Hady Al-Hafiz P 22/02/2020 L KDK + FA 6/19/2021 6/21/2021 2 hari √ Ceftriaxone
Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 2 hari √ Ceftriaxone
6/21/2021 Aditya Yudha 16/01/2020 L DLI + RFA + Klinis Malaria 6/17/2021 6/21/2021 √ 3 hari √ Ceftriaxone
Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 √ 1 hari √ Ceftazidime
Azril Franando 12/09/2018 L KDK ec FA 6/18/2021 6/21/2021 √ 2 hari √ Ceftriaxone
Hady Al-Hafiz P 22/02/2020 L KDK + FA 6/19/2021 6/21/2021 √ 3 hari √ Ceftriaxone
Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 √ 1 hari √ Ceftriaxone
Feisya Vallega 10/08/2020 P GEAD RS + Malaria 6/21/2021 6/23/2021 1 hari √ Ceftriaxone
6/22/2021 Assyfa Anindya 19/02/2019 P DBD Grade II + RFA 6/17/2021 6/22/2021 √ 2 hari √ Ceftazidime
Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 √ 1 hari √ Ceftriaxone
Feisya Vallega 10/08/2020 P GEAD RS + Malaria 6/21/2021 6/23/2021 1 hari √ Ceftriaxone
Habibie Al Kiano 09/01/2021 L GEAD RS 6/22/2021 6/25/2021 1 hari √ Ceftriaxone
6/23/2021 Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 2 hari √ Ceftriaxone
Feisya Vallega 10/08/2020 P GEAD RS + Malaria 6/21/2021 6/23/2021 √ 2 hari √ Ceftriaxone
Habibie Al Kiano 09/01/2021 L GEAD RS 6/22/2021 6/25/2021 2 hari √ Ceftriaxone
M. Arkhan Alfatih 02/04/2019 L KDK ec Hiperpireksia + GEA 6/23/2021 6/26/2021 1 hari √ Ceftriaxone
6/24/2021 Fathar Rizan AH 20/11/2020 L TDBD Gr II + FA 6/19/2021 6/24/2021 √ 3 hari √ Ceftriaxone
Habibie Al Kiano 09/01/2021 L GEAD RS 6/22/2021 6/25/2021 √ 1 hari √ Ceftriaxone
M. Arkhan Alfatih 02/04/2019 L KDK ec Hiperpireksia + GEA 6/23/2021 6/26/2021 2 hari √ Ceftriaxone
M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 1 hari √ Ceftazidime
6/25/2021 Habibie Al Kiano 09/01/2021 L GEAD RS 6/22/2021 6/25/2021 √ 2 hari √ Ceftriaxone
M. Arkhan Alfatih 02/04/2019 L KDK ec Hiperpireksia + GEA 6/23/2021 6/26/2021 √ 1 hari √ Ceftriaxone
M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 2 hari √ Ceftazidime
Elliza Lathifa 10/07/2020 L KDK + Sepsis 6/25/2021 6/28/2021 1 hari √ Ceftriaxone
6/26/2021 M. Arkhan Alfatih 02/04/2019 L KDK ec Hiperpireksia + GEA 6/23/2021 6/26/2021 √ 2 hari √ Ceftriaxone
M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 √ 1 hari √ Ceftazidime
Elliza Lathifa 10/07/2020 L KDK + Sepsis 6/25/2021 6/28/2021 2 hari √ Ceftriaxone
Annisa Zhafirah N 10/28/2014 P TDBD Grade II 6/26/2021 6/29/2021 1 hari √ Ceftriaxone
Najwa Queentami 08/04/2017 P Obs Vomitus + Obs Febris H2 6/26/2021 6/27/2021 1 hari √ Ceftriaxone
6/27/2021 M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 √ 1 hari √ Ceftazidime
Elliza Lathifa 10/07/2020 L KDK + Sepsis 6/25/2021 6/28/2021 √ 1 hari √ Ceftriaxone
Annisa Zhafirah N 10/28/2014 P TDBD Grade II 6/26/2021 6/29/2021 2 hari √ Ceftriaxone
Najwa Queentami 08/04/2017 P Obs Vomitus + Obs Febris H2 6/26/2021 6/27/2021 √ 2 hari √ Ceftriaxone
Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 1 hari √ Cefta + Ampi
Rayna Anindhira A 06/12/2020 P GEAD RS dd Disentri 6/27/2021 6/29/2021 1 hari √ Ceftriaxone
6/28/2021 M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 2 hari √ Ceftazidime
Elliza Lathifa 10/07/2020 L KDK + Sepsis 6/25/2021 6/28/2021 √ 2 hari √ Ceftriaxone
6/28/2021

Annisa Zhafirah N 10/28/2014 P TDBD Grade II 6/26/2021 6/29/2021 √ 1 hari √ Ceftriaxone


Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 2 hari √ Cefta + Ampi
Rayna Anindhira A 06/12/2020 P GEAD RS dd Disentri 6/27/2021 6/29/2021 2 hari √ Ceftriaxone
Anindita Keysa Q 13/01/2019 P GEAD RS 6/28/2021 6/29/2021 1 hari √ Ceftriaxone
By Ny Tri Suyati 03/03/2021 L Sepsis + Susp Meningitis + Post Syok Hipovolemia 6/28/2021 6/29/2021 1 hari √ Ceftriaxone
Nia Khalisa 12/18/2020 P KDK + FA 6/28/2021 7/1/2021 1 hari √ Ceftriaxone
6/29/2021 M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 3 hari √ Ceftazidime
Annisa Zhafirah N 10/28/2014 P TDBD Grade II 6/26/2021 6/29/2021 √ 2 hari √ Ceftriaxone
Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 2 hari √ Cefta + Ampi
Rayna Anindhira 06/12/2020 P GEAD RS dd Disentri 6/27/2021 6/29/2021 √ 2 hari √ Ceftriaxone
Anindita Keysa Q 13/01/2019 P GEAD RS 6/28/2021 6/29/2021 √ 1 hari √ Ceftriaxone
By Ny Tri Suyati 03/03/2021 L Sepsis + Susp Meningitis + Post Syok Hipovolemia 6/28/2021 6/29/2021 √ 1 hari √ Ceftriaxone
Nia Khalisa 12/18/2020 P KDK + FA 6/28/2021 7/1/2021 1 hari √ Ceftriaxone
M. Anugerah S 01/12/2012 L Thalasemia 6/29/2021 7/1/2021 1 hari √ ─
Arviano Rozi W 26/02/2020 L KDS + RFA + Sepsis + K.Malaria 6/29/2021 7/1/2021 1 hari √ Ceftriaxone
Hanif Al Ghafi 11/08/2020 L GEAD RS + Obs Vomitus + RFA 6/29/2021 7/2/2021 1 hari √ Ceftriaxone
6/30/2021 M. Baiz Alfarizi 13/06/2017 L Edema Anasarka ec SN dd SNA tersangka ISK 8/24/2021 6/30/2021 √ 4 hari √ Ceftazidime
Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 √ 1 hari √ Cefta + Ampi
Nia Khalisa 12/18/2020 P KDK + FA 6/28/2021 7/1/2021 2 hari √ Ceftriaxone
M. Anugerah S 01/12/2012 L Thalasemia 6/29/2021 7/1/2021 2 hari √ ─
Arviano Rozi W 26/02/2020 L KDS + RFA + Sepsis + K.Malaria 6/29/2021 7/1/2021 2 hari √ Ceftriaxone
Hanif Al Ghafi 11/08/2020 L GEAD RS + Obs Vomitus + RFA 6/29/2021 7/2/2021 2 hari √ Ceftriaxone
Zehan Al Fatih 6/17/2020 L GEAD RS + Obs Febris + Meterosimus + Elektrolit Imbalance 6/30/2021 7/1/2021 1 hari √ Ceftriaxone
Aqila Putri 7/21/2019 P DLI + Malnutrisi 6/30/2021 7/2/2021 1 hari √ Ceftriaxone

Lahat, Juni 2021


Karu Anak IPCLN

Ns. Atika, S.Kep (.................................................)


FORMULIR SURVEILANS HARIAN INFEKSI
RUMAH SAKIT UMUM DAERAH LAHAT

Bulan/Tahun : Juli 2021 Ruangan : Anak


Tanggal TINDAKAN Infeksi Rumah Sakit
L/ Tirah
Tanggal Nama Umur Diagnosa Medis IVL UC ETT Antibiotik
P MRS KRS VAP ISK Plebitis Baring
Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari Pasang Lepas Jumlah Hari
7/1/2021 Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 2 hari √ Cefta + Ampi
Nia Khalisa 12/18/2020 P KDK + FA 6/28/2021 7/1/2021 √ 3 hari √ Ceftriaxone
M. Anugerah S 01/12/2012 L Thalasemia 6/29/2021 7/1/2021 √ 3 hari √ ─
Arviano Rozi W 26/02/2020 L KDS + RFA + Sepsis + K.Malaria 6/29/2021 7/1/2021 √ 3 hari √ Ceftriaxone
Hanif Al Ghafi 11/08/2020 L GEAD RS + Obs Vomitus + RFA 6/29/2021 7/2/2021 √ 1 hari √ Ceftriaxone
Zehan Al Fatih GEAD
6/17/2020 L RS + Obs Febris + Meterosimus + Elektrolit Imbalance
6/30/2021 7/1/2021 √ 2 hari √ Ceftriaxone
Danish Abdullah A 14/02/2011 L Syok Hipovolemia ec DSS 7/1/2021 7/4/2021 1 hari √ Ceftriaxone
Aqila Putri 7/21/2019 P DLI + Malnutrisi 6/30/2021 7/2/2021 2 hari √ Ceftriaxone
7/2/2021 Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 √ 1 hari √ Cefta + Ampi
Hanif Al Ghafi 11/08/2020 L GEAD RS + Obs Vomitus + RFA 6/29/2021 7/2/2021 √ 2 hari √ Ceftriaxone
Aqila Putri 7/21/2019 P DLI + Malnutrisi 6/30/2021 7/2/2021 √ 3 hari √ Ceftriaxone
Aisyah Nur H 09/04/2020 P Demam Lama ec Susp ISK dd Thypoid 7/2/2021 7/4/2021 1 hari √ Ceftriaxone
Fabian Diori 16/10/2019 L GEAD RS 7/2/2021 7/5/2021 1 hari √ Ceftriaxone
Rayhan Azizi 03/05/2005 L TDBD Grade I 7/2/2021 7/5/2021 1 hari √ Ceftriaxone
Danish Abdullah A 14/02/2011 L Syok Hipovolemia ec DSS 7/1/2021 7/4/2021 2 hari √ Ceftriaxone
7/3/2021 Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 2 hari √ Cefta + Ampi
Aisyah Nur H 09/04/2020 P Demam Lama ec Susp ISK dd Thypoid 7/2/2021 7/4/2021 2 hari √ Ceftriaxone
Fabian Diori 16/10/2019 L GEAD RS 7/2/2021 7/5/2021 2 hari √ Ceftriaxone
Danish Abdullah A 14/02/2011 L Syok Hipovolemia ec DSS 7/1/2021 7/4/2021 √ 1 hari √ Ceftriaxone
Rayhan Azizi 03/05/2005 L TDBD Grade I 7/2/2021 7/5/2021 2 hari √ Ceftriaxone
7/4/2021 Qirana Shanum P 21/12/2020 P Susp BP dd Bronkiolitis 6/27/2021 7/4/2021 √ 3 hari √ Cefta + Ampi
Aisyah Nur H 09/04/2020 P Demam Lama ec Susp ISK dd Thypoid 7/2/2021 7/4/2021 √ 3 hari √ Ceftriaxone
Fabian Diori 16/10/2019 L GEAD RS 7/2/2021 7/5/2021 2 hari √ Ceftriaxone
Danish Abdullah A 14/02/2011 L Syok Hipovolemia ec DSS 7/1/2021 7/4/2021 √ 2 hari √ Ceftriaxone
Rayhan Azizi 03/05/2005 L TDBD Grade I 7/2/2021 7/5/2021 2 hari √ Ceftriaxone
7/5/2021 Fabian Diori 16/10/2019 L GEAD RS 7/2/2021 7/5/2021 √ 3 hari √ Ceftriaxone
Rayhan Azizi 03/05/2005 L TDBD Grade I 7/2/2021 7/5/2021 √ 3 hari √ Ceftriaxone
Randi Agusman 04/08/2003 L Tetrase Parase ec Hipokalemia 7/5/2021 7/8/2021 1 hari √ Ceftriaxone
Labenia B 7/2/2013 P DBD Grade II 7/5/2021 7/7/2021 1 hari √ Ceftriaxone
7/6/2021 Randi Agusman 04/08/2003 L Tetrase Parase ec Hipokalemia 7/5/2021 7/8/2021 2 hari √ Ceftriaxone
Labenia B 7/2/2013 P DBD Grade II 7/5/2021 7/7/2021 2 hari √ Ceftriaxone
7/7/2021 Randi Agusman 04/08/2003 L Tetrase Parase ec Hipokalemia 7/5/2021 7/8/2021 3 hari √ Ceftriaxone
Labenia B 7/2/2013 P DBD Grade II 7/5/2021 7/7/2021 √ 3 hari √ Ceftriaxone
Daffa Alfarisky 12/06/2019 L Obs Vomitus Dehidrasi RS 7/7/2021 7/9/2021 1 hari √ Ceftriaxone
Shireen Shaqueena A 02/03/2021 P GEAD RS 7/7/2021 7/10/2021 1 hari √ Ceftazidime
7/8/2021 Randi Agusman 04/08/2003 L Tetrase Parase ec Hipokalemia 7/5/2021 7/8/2021 √ 4 hari √ Ceftriaxone
Daffa Alfarisky 12/06/2019 L Obs Vomitus Dehidrasi RS 7/7/2021 7/9/2021 2 hari √ Ceftriaxone
Shireen Shaqueena A 02/03/2021 P GEAD RS 7/7/2021 7/10/2021 2 hari √ Ceftazidime
Novryady Dwi P 11/5/2007 L Thalasemia 7/8/2021 7/11/2021 1 hari √ ─
Raffasya Hanif S 23/12/2019 L Vomitua dg Dehidrasi RS + RFA 7/8/2021 7/11/2021 1 hari √ Ceftriaxone
7/9/2021 Daffa Alfarisky 12/06/2019 L Obs Vomitus Dehidrasi RS 7/7/2021 7/9/2021 √ 3 hari √ Ceftriaxone
Shireen Shaqueena A 02/03/2021 P GEAD RS 7/7/2021 7/10/2021 √ 1 hari √ Ceftazidime
Novryady Dwi P 11/5/2007 L Thalasemia 7/8/2021 7/11/2021 2 hari √ ─
Raffasya Hanif S 23/12/2019 L Vomitua dg Dehidrasi RS + RFA 7/8/2021 7/11/2021 2 hari √ Ceftriaxone
7/10/2021 Shireen Shaqueena A 02/03/2021 P GEAD RS 7/7/2021 7/10/2021 √ 2 hari √ Ceftazidime
Novryady Dwi P 11/5/2007 L Thalasemia 7/8/2021 7/11/2021 √ 1 hari √ ─
Raffasya Hanif S 23/12/2019 L Vomitua dg Dehidrasi RS + RFA 7/8/2021 7/11/2021 √ 1 hari √ Ceftriaxone
7/11/2021 Novryady Dwi P 11/5/2007 L Thalasemia 7/8/2021 7/11/2021 √ 2 hari √ ─
Raffasya Hanif S 23/12/2019 L Vomitua dg Dehidrasi RS + RFA 7/8/2021 7/11/2021 √ 2 hari √ Ceftriaxone
7/13/2021 Elsa Dwi Qeen Syok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk 1 hari √ Ceftriaxone
7/14/2021 Elsa Dwi QeenSyok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk 2 hari √ Ceftriaxone
7/15/2021 Elsa Dwi QeenSyok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk √ 1 hari √ Ceftriaxone
7/16/2021 Elsa Dwi QeenSyok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk 2 hari √ Ceftriaxone
Dea Febiyola 25/02/2019 GEAD
P RS ec Muntah Profuse Post Terapi Klinis Sepsis7/16/2021 7/18/2021 1 hari √ Ceftriaxone
7/17/2021 Elsa Dwi QeenSyok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk √ 1 hari √ Ceftriaxone
Dea Febiyola 25/02/2019 GEAD
P RS ec Muntah Profuse Post Terapi Klinis Sepsis7/16/2021 7/18/2021 2 hari √ Ceftriaxone
7/18/2021 Elsa Dwi QeenSyok
B Hipovolomik
3/31/2020 + GEAD
P Berat dg Penyulit + Meteorismus + Elektrolit Imbalance
7/13/2021+ Gizi
7/18/2021
Buruk √ 2 hari √ Ceftriaxone
Dea Febiyola 25/02/2019 GEAD
P RS ec Muntah Profuse Post Terapi Klinis Sepsis7/16/2021 7/18/2021 √ 3 hari √ Ceftriaxone
7/22/2021 M. Dirga Alfatih 02/08/2020 L GEAD RS + ISPA 7/22/2021 7/24/2021 1 hari √ Alergi
M. Aljazary 10/12/2020 L KDK + RFA 7/22/2021 7/24/2021 1 hari √ Ceftriaxone
7/23/2021 M. Dirga Alfatih 02/08/2020 L GEAD RS + ISPA 7/22/2021 7/24/2021 2 hari √ Alergi
M. Aljazary 10/12/2020 L KDK + RFA 7/22/2021 7/24/2021 2 hari √ Ceftriaxone
M.Raffi 01/07/2006 L Thalasemia 7/23/2021 7/27/2021 1 hari √ Ceftriaxone
7/24/2021 M. Dirga Alfatih 02/08/2020 L GEAD RS + ISPA 7/22/2021 7/24/2021 √ 3 hari √ Alergi
M. Aljazary 10/12/2020 L KDK + RFA 7/22/2021 7/24/2021 √ 3 hari √ Ceftriaxone
M.Raffi 01/07/2006 L Thalasemia 7/23/2021 7/27/2021 2 hari √ Ceftriaxone
Azka Al mubarok 20/07/2015 L Thalasemia 7/24/2021 7/25/2021 1 hari √ ─
7/25/2021 M.Raffi 01/07/2006 L Thalasemia 7/23/2021 7/27/2021 √ 1 hari √ Ceftriaxone
Azka Al mubarok 20/07/2015 L Thalasemia 7/24/2021 7/25/2021 2 hari √ ─
Via Andrena S 27/10/2020 P KDS 7/25/2021 7/27/2021 1 hari √ Ceftriaxone
7/26/2021 M.Raffi 01/07/2006 L Thalasemia 7/23/2021 7/27/2021 2 hari √ Ceftriaxone
Via Andrena S 27/10/2020 P KDS 7/25/2021 7/27/2021 2 hari √ Ceftriaxone
Adam Wira 13/03/2021 L Muntah Profuse 7/26/2021 7/28/2021 1 hari √ Ceftriaxone
7/27/2021 M.Raffi 01/07/2006 L Thalasemia 7/23/2021 7/27/2021 √ 3 hari √ Ceftriaxone
Via Andrena S 27/10/2020 P KDS 7/25/2021 7/27/2021 √ 3 hari √ Ceftriaxone













































































































































































































































Karu Anak Lahat, Juli 2021


IPCLN

Ns. Atika, S.Kep (.................................................)

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