formulir surveilans infeksi daerah operasi
Post on 11-Jul-2016
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Formulir surveilans Infeksi Daerah Operasi (IDO)
No Nama Ps Register Tglmsk
Tglklr
D/ Tind/OP
Jenis operasi Score ASA Klasifikasi ScoreT
time
Score Totalscore
Antibiotk
Ket
B BK K Ktr 1 2 3 4 5 < >1. Ny.Nen 29/1 App Post
APP0 0 0 0 0 0 0 Merop IDO
S.Epidermidis 2. Tn.Ari 28/1 Post
CABG0 0 1 1 1 1 2 Vanco IDO
MRSA3. Tn.Arly 28/1 Post
App0 0 0 0 0 0 0 IDO
P.Aeroginosa4. Tn.Endi 10/1 Post
CABG0 0 1 1 1 1 2 Merop IDO
S.Epidermidis5. Tn.Erwin 19/1 CABG 0 0 0 0 0 0 0 Sharox IDO
S.Epidermidis6. Ny.R 25/1 SC 0 0 0 0 0 0 0 IDO
P.Aeroginosa7. Tn.G APP 0 0 0 0 0 0 0 Sharox 8. Ny.Ani 4/1 SC 0 0 0 0 0 0 0 IDO
P.Aeroginosa9. Ny.Isan SC 0 0 0 0 0 0 0 IDO
Acinetobacter Sp
10 Tn.Ac APP 0 0 1 1 1 1 2 IDO
cabg sc app
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