Analisis Faktor Risiko Infeksi Saluran Kemih (ISK) Berdasarkan Diagnosis Dokter Umum di Puskesmas Tanralili Maros Tahun 2022-2023: Studi Retrospektif Cross Sectional: Analysis of Risk Factors for Urinary Tract Infection (UTI) Based on General Practitioner Diagnosis at the Tanralili Maros Community Health Center in 2022-2023: Retrospective Cross Sectional Study

Muhammad Alfi Reza; Fathannia Rizky Diennillah

doi:10.52103/jahr.v4i1.1711

Authors

Muhammad Alfi Reza Puskesmas Tanralili
Fathannia Rizky Diennillah Klinik Pratama UNHAS Baraya, Makassar, Indonesia

DOI:

https://doi.org/10.52103/jahr.v4i1.1711

Keywords:

Faktor Risiko, Infeksi Saluran Kemih

Abstract

Abstract

Background: Urinary Tract Infection (UTI) is a clinical condition in the urinary tract where there are bacteria in the urine caused by microorganisms that have the potential to enter the urinary tract. Urinary Tract Infections (UTI) often cause morbidity and can result in significant mortality. Although the urinary tract is normally free from bacterial growth, bacteria that generally rise from the rectum can cause UTIs.

Aim: This study aims to explore the risk factors that influence the incidence of Urinary Tract Infections (UTI) at the Puskesmas Tanralili Maros.

Methods: This research uses a cross-sectional retrospective descriptive method using total population sampling technique. Data was obtained through medical records for the 2022-2023 period at the Puskesmas Tanralili Maros and 96 medical records were obtained that were diagnosed with UTI by the general practitioner at the Community Health Center. Data processing was carried out using Microsoft Excel in 2016.

Results: The results showed that the prevalence of UTI sufferers in 2022 was 8 people (39.58%) and in 2023 there was an increase of 58 people (60.42%). The highest prevalence of UTI was in the 26-45 year age range, 39 people (40.63%), and the lowest prevalence was in the <5 year age range, 1 person (1.04%). The highest prevalence of UTI was found in women as many as 69 people (71.88%) and in male patients as many as 27 people (28.13%). The highest prevalence of UTI in the education category was SMA (Senior High School), namely 38 people (39.58%), and the lowest prevalence was S2, 1 person (1.04%). The highest prevalence of UTI based on marital status was married patients, namely 73 people (76.04%) and the lowest prevalence was those with divorced status, 3 people (3.13%). The highest prevalence of UTI based on the occupation of housewives is the highest prevalence, namely 44 people (45.83), and the lowest prevalence of employment is not working, TNI and Police, namely 1 person each (1.04%)

Conclusion: The prevalence of UTI sufferers in 2023 will increase compared to the previous year. The highest prevalence of UTI occurs in the age range 26-45, gender is female, education category is SMA (Senior High School), based on marital status is a married patient, based on occupation is a housewife

References

Juni, P. J., Mantu, F. N. K., Goenawi, L. R., & Bodhi, W. 2015. Saluran Kemih Di Instalasi Rawat Inap. 4(4), 196–202.

Mosesa, P.S, Kalesaran F.C Angela, dan Kawatu A.T Paul. 2017. Faktor-faktor yang berhubungan dengan kejadian infeksi saluran kemih pada pasien poliklinik penyakit dalam di RSU GMIM Pancaran Kasih Manado. Fakultas Ilmu Kesehatan Universitas Hasanuddin.

Safitri. N. 2013. Infeksi Saluran Kemih.Http://www.alodokter.com/infeksi-saluran-kemih/gejala. Diakses tanggal 03 Juni 2022

Darsono, V.P., Mahdiyah, D. dan Sari. M. 2016. Gambaran Karakteristik ibu hamil yang mengalami infeksi saluran kemih (ISK) di wilayah kerja Puskesmas Pekauman Banjarmasin. Jurnal Dinamika Kesehatan Vol. No.1 Juli 2016.

Gracia, J.P. 2019. Gambaran Tingkat Pengetahuan Penderita Infeksi Saluran Kemih Tentang Infeksi Saluran Kemih di Poliklinik Penyakit Dalam Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2019. Poltekes Kemenkes Medan

Saied Ibrahim, H., Metwally Mohammed, S., & Shokry Abd-Alla, E. 2017. Huda Saied Relationship Between Loneliness And Self-Esteem Relationship Between Loneliness And Self-Esteem Among Nursing College Students At Zagazig University. Zagazig Nursing Journal, 13(1), 207–217.

Shirby A. CH. Sumolang, et al. 2013. Pola Bakteri Pada Penderita Infeksi Saluran Kemih Di Blu Rsup Prof. Dr. R. D. Kandou Manado Jurnal e-Biomedik (eBM), Volume 1 No.1 Hal 597-601

Skrzat-KlapaczynSka et al. 2015. Factors associated with urinary tract infections among HIV-1 infected patient.Plos ONE 13(1): e0190564.https://doi.org/10.1371/jo urnal.pone.0190564. hal 1-5

Haryono, Rudy. 2013. Keperawatan Medikal Bedah: Sistem Perkemihan. Yogyakarta: Rapha Publishing

Yulianto. 2009. Pola Kepekaan Bakteri Gram negatif dari pasien Infeksi Saluran Kemihterhadap Antibiotika Golongan β-laktam. Universitas Indonesia

Lim JY, Yoon JW, Hovde CJ. 2010. A Brief Overview of Escherichia coli O157:H7 and Its Plasmid O157. J Microbiol Biotechnol. ;20(1): 1–10

Zieve, D. 2010. Asymptomatic bacteriuria. 28 Juni 2012. http://www.nlm.nih.gov/medlineplus/ency/article/000520.htm

Bombardo dan Jover. 2011. Does clinical examination aid in the diagnosis of urinary tract infections in women?. Palmer BMC Family Practice, 12:111. diakses tanggal 04 Maret 2014.

Gillespie, Stephen H dan Kathleen B Bamford. 2009. At A Glance Mikrobiologi Medis Dan Infeksi Edisi 3. Jakarta: Erlangga

Suharyanto, T dan Abdul Madjid. 2013. Asuhan Keperawatan Pada Klien dengan gangguan system perkemihan. Jakarta: Trans Info Media

Setiati. 2014. Ilmu Penyakit Dalam Buku Ajar Edisi VI Jilid II. Jakarta Barat: Interna Publishing.

Marlina dan Roni A Samad. 2013. Hubungan Pemasangan Kateter Dengan Kejadian Infeksi Saluran Kemih Pada Pasien Diruang Rawat Inap Penyakit Dalam RSUDZA Banda Aceh Tahun 2012. Jurnal Keperawatan Medikal Bedah. Volume 1, No. 1, Mei 2013; 35-47. Diakses pada tanggal 23 februari 2014.

Liza FL dan Dwi PL. 2019. Analisis Kejadian Infeksi Saluran Kemih Berdasarkan Penyebab Pada Pasien Di Poliklinik Urologi Rsud Dr. M. Yunus Bengkulu. Jurnal Keperawatan Muhammadiyah Bengkulu volume 07, Nomor 1, April 2019

Sulaeha S, Ardana M, Annisa N. 2018. Cost Minimization Analysis (CMA) Antibiotika Pasien Infeksi Saluran Kemih (ISK) di RSUD Kota Samarinda. Proceeding of Mulawarman Pharmaceuticals Conferences. ;8:143-149

Smeltzer, SC dan Bare, BG. 2008. Textbook of Medical-Surgical Nursing, 8th ed, Philadelphia: Lippincott Williams &Wilkins.

Baratawidjaja K, Rengganis I. 2009. Imunologi Dasar, Edisi Kedelapan. Jakarta: Balai Penerbit Fakultas Kedokteran Indonesia.

Pelita, W. 2014. Gambaran Angka Kejadian Infeksi Saluran Kemih Pada Pasien Rawat Inap Di Rs Bhayangkara Makassar Tahun 2014. Fakultas Ilmu Kesehatan Universitas Islam Negeri Alauddin Makassar

Andi P, Sujud ZR, Asriani, Lukman M, Muhammad G. 2022. Evaluasi Penggunaan Antibiotik pada Pasien Rawat Jalan Infeksi Saluran Kemih di RS Pendidikan Universitas Hasanuddin. Wal’afiat Hospital Journal, Vol. 03 No. 02 (Desember, 2022): 104-114

Ritonga, E. P. 2018. Upaya Pencegahan Infeksi Saluran Kemih Oleh. Jurnal Ilmiah Keperawatan Imelda, 4(1), 62–67.

Hardyati, A. 2019. Infeksi Saluran Kemih Pada Pasien Diabetes Mellitus Di RSUD Budhi Asih Jakarta Timur. Jurnal Ilmiah Kesehatan, 10(2), 199–204. https://doi.org/10.37012/jik.v10i2 .55

Gede, R. I., dan Triwbowo. 2015. Pendekatan rasional terapi infeksi saluran kemih pada USILA (usia lanjut). Journal of the Medical

Notoatmodjo, S. 2003. llmu Kesehatan Masyarakat. Cetakan Kedua. Rineka Cipta, Jakarta, Indonesia

Hening P, dan Septimawanto DP. 2015. Evaluasi Peresepan Antibiotik Pasien Infeksi Saluran Kemih Di Instalasi Rawat Inap Rumah Sakit Roemani Semarang. Prosiding Seminar Nasional Peluang Herbal Sebagai Alternatif Medicine Tahun ISBN: 978-602-19556-2-8

Ignatavicius, D. D., & Workman, m. L. 2010. Medical - Surgical Nursing: Clients ± Centered Collaborative Care. Sixth Edition, 1 & 2. Missouri: Saunders Elsevier.

Tessa, A dan Ardaya, S. 2001. Urinary Tract Infections. In: Textbook of Medicine 3rd Edition. Publishers Hall of Medicine, Jakarta.

Saleh, R.F, Othman R.S, Omar, K.A. 2016. The Relationship between urinary tract infection and low water intake and excessive consuming of fizzy drink. International Journal of Medicine Research vol 1; issue 2 page 54-56.