Asepsis dan Antisepsis.ppt

8/17/2019 Asepsis dan Antisepsis.ppt

1/19

Dr.Dr. Wendell Ken SpBWendell Ken SpB


2/19

• Sangat penting dalam kaitannya

dgn pembedahan.

• Pembedahan :

Tindakan pengobatan dengan cara invasif memb!ka ata!

menampilkan bagian t!b!h.


3/19

• Penyakit" Bedah :

Penyakit yg memerl!kan tindakan

pembedahan.• Pada tindakan pembedahan disamping

sarana alat# perl! memepersiapkan :

• Pasien• Personil


4/19

P$S%&'P$S%&'

• K('D%S% PS%K()(*%S• B&+,$K -&'D$P$TK$' P&'&+$'*$' &)$S• D(KT&+ B&D$, ,$+/S 0T&+B/K$1

D(KT&+ B&D$,D(KT&+ B&D$,• -&'*/$S$% TT* P&'2$K%T 2* -&-&+)/K$'

P&-B&D$,$'

• T$'**/'* $W$B P+%B$D%• T&+B/K$ T,D P$S%&' 3 P&'&)$S$' *$-B)$'*

• P&+S&T//$' P$S%&' 3 K&). P$S%&'


5/19

$S&PS%S $S&PS%S

• P+%'S%P B&D$, : -&-P&+T$,$'K$'

K&$D$$' B&B$S K/-$'.

•S2$+$T -/T)$K P&-B&D$,$'.


6/19

$'T%S&PS%S $'T%S&PS%S

• 4$+$ T%'D$K$' 2* D%P&+)/K$' /-&'$*$ K&$D$$' B&B$S K/-$'

P$T(*&'

• (B$T5(B$T $'T%S&PT%K# -%S$) : 5 )2S()

5 K+&()%'

5 Povydone %odinebeker6a cepat 5 4hlorhe7idine beker6a cepat

-&-B/'/, K/-$'


7/19

• K!man penyebab sepsis terbanyak :

• Stafilokok!s ter!tama stafilokok!s

a!re!s 8Komensal9• &.4oli pada !s!s besar# komensal pada

perine!m


8/19

S/-B&+ %'&KS%S/-B&+ %'&KS%

• /D$+$

• $)$T" B&D$, : ; P&+$'T$+$# -&-%'D$,K$' K/-$' D$+% P$S%&' K&

P$S%&' )$%'.

• K/)%T P$S%&' : ; )(+$ K(-&'S$)# ST$%)(K(K

; )(+$ T+$'S%&' ST$%)(K(K $/+&/S# P$T(*&'.

•


9/19

4$+$54$+$ -$S/K K$-$+ (P&+$S%4$+$54$+$ -$S/K K$-$+ (P&+$S%

• K- *$'T% P$K$%$'

• 4$+$ P$K$% -$SK&+ = T/T/P K&P$)$ K-D

4/4% T$'*$'

• -$S/K K& +/$'* ST&+%)

• 4$+$ 4/4% T$'*$' P+& (P

• 4$+$ P$K$% *$/' (P&+$S% 3 S$+/'*

T$'*$'• 4$+$ -&-B/K$ *$/' (P&+$S% 3 S$+/'*

T$'*$'.


10/19

P&'*&'D$)%$' %'&KS%P&'*&'D$)%$' %'&KS%

• )%'*K/'*$' P&-B&D$,$' ; -&+/P$K$' D$&+$, $S&PT%K

; /P$2$ : K/+$'*% /-)$, K/-$' PD

/D$+$ 3 )$-$'2$ )/K$ T&+B/K$.• /-)$, K/-$' D% /D$+$

D%P&'*$+/,% :• K&)&-B$B$'

• S/,/ /D$+$

/ %T/ /D$+$ K- B&D$, ,$+/S*$'T% >?5"@ A$- 8T&K'$' /D$+$ 39


11/19

K&)&-B$B$' +&'D$,# -&'*/+$'*%

K&)%ST+%K$' ST$T%K# S,* T+$'S-%S%B$KT&+% )&B%, S&D%K%T.

K&)&-B$B$' S&B$%K'2$ 3 @C.

• S/,/ : S&B$%K'2$ 8"5"o49 ; $4

• K%P$S $'*%' E D$+% )/$+ K& D$)$-


12/19

P&+S('%) K$-$+ B&D$,P&+S('%) K$-$+ B&D$,

• D%S%P)%'

• T%$P P&+S('%) T/'D/K PD P&+$T/+$'

3 T&,'%K 2$'* B&+)$K/ 8%'*$T K('D%S%

S&T&-P$T9.• P&+S('%) -&D%KP$+$-&D%K : D$P$T

-&-B$W$ K/-$'# (.K. K/)%T'2$

-&'*$'D/'* ST$%)(K(K $/+&/S P$D$

K&T%$K# P&+%'&/- *&'%T$) : &.4()%.

S,* P&+)/ ,2*%&'& P+%B$D% 2* B$%K.


13/19

• B$T$S% B&+$)$' D$)$- K$-$+

P&-B&D$,$'

• B%4$+$ S&P&+)/'2$

• B$T$S% K('T$K D* (+$'* )$%'


14/19

P&+S('%) K$-$+ B&D$,P&+S('%) K$-$+ B&D$,

• D%P&+)/K$' P&'*&+T%$' D$S$+ :

; TT* T&K'%K $S&PS%S

; -$SK&+# T/T/P K&P$)$

; *$/' B&D$,

• B$T$S $'T$+$ :

; F('& S/4% ,$-$

; D$&+$, '(' $S&PS%S


15/19

P$K$%$' B&D$,P$K$%$' B&D$,

>. P$K$%$' D$S$+ D%P$K$% S$$T

-$S/K K$-$+ B&D$,

". *$/' B&D$,# D%P$K$% ()&,

(P&+$T(+P&-B&D$,


16/19

P$K$%$' D$S$+ :P$K$%$' D$S$+ :

• B&+S%,

• B$,$' T%P%S# +%'*$'

• T$K ST&+%)# T&T$P% D%4/4% D%ST&+%K$ S&T%$P $K$' D%P$K$%

• ,$+/S -&'/T/P T/'*K$% B$W$,#

B&+)&'*$' P&'D&K.


17/19

P$K$%$' B&D$,P$K$%$' B&D$,

• T/T/P K&P$)$ : ,$+/S -&'/T/P

+$-B/T

• -$SK&+ : -&'/T/P K/-%S#

4$-B$'*# &'**(T# )/B$'*

,%D/'*# -/)/T.

• $)$S K$K% : B&+S%, ; T%D$K D%P$K$%

K&)/$+.


18/19

• Bersamb!ng.................


19/19

SelamatSelamat

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Asepsis dan Antisepsis.ppt

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