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BAB 6. KESIMPULAN DAN SARAN

6.1. Kesimpulan

1. Pada pasien sepsis dijumpai peningkatan kadar PCT yang bermakna dibandingkan dengan kontrol normal.

2. Penelitian ini membuktikan bahwa kadar PCT hanya meningkat pada penyakit yang disebabkan oleh infeksi bakteri akut secara sistemik. 3. Terdapat perbedaan bermakna pada leukosit dan LED pada

Kelompok sepsis dengan kontrol.

4. Peningkatan kadar PCT dapat dijadikan untuk menegakkan diagnosa sepsis secara dini dan untuk menilai keparahan penyakit.

6.2 Saran

1. Perlu dilakukan penelitian cross sectional yang lebih lanjut tentang kadar PCT dengan jumlah sampel yang lebih banyak.

2. Perlu dilakukan pemeriksaan kadar PCT pada penderita sepsis agar dapat mengetahui prognosa dari penyakit.

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Procalcitonin in Children with Suspected Sepsis : A Comparison with C-Reaktive Protein And Neutrophil Count. Pediatr Crit Care Med 2003, Vol 4, no 2.

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Biochemical Severity Stratification and Post Operative Monitoring in Severe Abdominal Inflammation and Sepsis. Langenbecks Arch Surg, 2004; 389: 134-144.

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Pancreatitis Without Infectious Complications. Clinical Chemistry, 2000; 46: 428-430

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22. Nylen ES, Whang KT, Snider RHJ, et al. Mortality is Increased by Procalcitonin and Decresed by an Antiserum Reactive to PCT in Experimental Sepsis. Crit Care Med, 1998; 26: 1001-1006

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Lampiran 1 STATUS PASIEN No.MR : Tanggal pemeriksaan : 1. Identitas pasien : - Nama : Lk/Pr, Umur: Thn - Suku/Bangsa : Agama : - Pekerjaan : 2. Anamnesa : - Riwayat penyakit : - Riwayat obat-obatan : - Rawatan hari ke : 3. Status present : - Kesadaran : - Nadi : x/menit -Temperatur : 0C -Tekanan darah : mmHg - Pernafasan : x/menit 4. Pemeriksaan Fisik Kepala : Leher :

Thorak : Abdomen : Ekstremitas : 5. Pemeriksaan Laboratorium Darah Lengkap - Hb : g/dl - Ht : % - LED : mm/jam - Eritrosit : /mm3 - Lekosit : /mm3 - Trombosit : /mm3 - MCV : fl - MCH : pg - MCHC : g% - Diftel : - Morfologi : # Eritrosit : # Lekosit : #Trombosit :

PCT

DAFTAR RIWAYAT HIDUP

IDENTITAS:

N a m a : Dr. Cut Murzalina

Tempat / tanggal lahir : Medan, 09 Oktober 1973

Agama : Islam

Pekerjaan :Pegawai Negeri Sipil Dosen Fakultas

Kedokteran. Universitas Syiah Kuala – NAD.

N I P : 132 233 197

Pangkat / Golongan : Penata Muda / III b

Alamat : Jl. Meurebo No.2 Sektor Selatan Darussalam-

NAD

KELUARGA:

S u a m i : Ikhwan Wahyudi ST

A n a k : 1. Wana Rizky Andriasta

2. Nadial Karmi

3. Dhaifina Fildzah

PENDIDIKAN:

1. SD Negeri 82 Banda Aceh Tamat tahun 1986

2. SMP Negeri 13 Darussalam Banda Aceh Tamat tahun 1989 3. SMA Negeri 3 Banda Aceh Tamat tahun 1992

4. Fakultas Kedokteran Universitas Syiah Kuala Banda Aceh Tamat tahun 2000

5.Mengikuti Pendidikan Dokter Spesialis Patologi Klinik Fakultas

Kedokteran Universitas Sumatera Utara / RSUP. H. Adam Malik Medan, mulai 2 Januari 2003 s/d sekarang.

RIWAYAT PEKERJAAN

1. Staf pengajar Fakultas Kedokteran Universitas Syiah Kuala Darussalam – NAD dari Agustus 1997 s/d Sekarang.

2. Dosen Honor Pada Akademi Keperawatan Mona dari Januari 2001 s/d Mei 2002

PERKUMPULAN PROFESI

1. Anggota Ikatan Dokter Indonesia ( IDI ) 2. Anggota muda PDS-Patklin Cabang Medan

JOURNAL READING

1. Clinical pallor is useful to detect Severe Anemia in populations where anemia is prevalent and severe

2. Salmonella sepsis caused by a plateled transfusion from a donor with a pet snake

3. Serum leptin levels are associated with Tamoxifen – Induced steatosis 4. In vitro susceptibility of staphylococci to chlorhexidine and antibiotic 5. Beneficial effect of high dietary fiber intake in patients with type 2 DM

TULISAN

1. Keanekaragaman Molekuler Virus Hepatitis B di Indonesia 2. Antimicrobial Susceptibility Testing

3. Acut Myelomonocytic Leukemia 4. Sirosis Hati

5. Proteus mirabilis pada OMSK sebelum dan sesudah mastoidektomi 6. Reaksi Imunologi pada Syndroma Stevens Johnson

7. Spektrophotometer dan Filterphotometer 8. Elektroda Ion Selektif

9. Pemantapan Kualitas di Bidang Kimia Klinik 10.Derajat Kemurnian

11.Statistik Laboratorium 12.Pengelolaan Laboratorium 13.Analisa Gas Darah

14.Serum Protein Elektrophoresis

KEGIATAN ILMIAH

1. Sebagai peserta pada Workshop Leukemia di Medan Maret 2004

2. Sebagai peserta pada The 8th International Congress of the Asian Society

of Clinical Pathology and Laboratory Medicine (ASCPaLM) di Medan Desember 2004

3. Sebagai peserta pada workshop Fibrinogen – Fibrin di Medan Desember 2004

4. Sebagai peserta pada Simposium PDS Patklin Recent Advances HIV in Diagnostik di Medan September 2005

5. Sebagai pembicara dan peserta pada Pertemuan Ilmiah Tahunan IV Patologi Klinik dengan judul ; Kadar Fibrinogen pada Penderita Hipertensi di RSUP H. Adam Malik/ RSUP Pirngadi Medan di Malang, Jawa Timur Nopember 2005

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