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