You are on page 1of 4

FORMULIR SURVEILANS HARIAN INFEKSI RUMAH SAKIT

RUMAH SAKIT UMUM AVISENA


RUANGAN ruang berlian
BULAN/TAHUN Aug-18
SURVEYOR isti indriani putri amd.kep
TINDAKAN INFEKSI RS
TGL NO NAMA/RM DX MEDIS
UC IVL ISK PHLEB
8/1/2018 1 ny.inshoopul jadidah gastropati 1
8/2/2018 1 ny.cahya puspita dyspepsia 1
2 ny.inshoopul jadidah gastropati 1
8/3/2018 1 ny.inshoopul jadidah gastropati 1
2 ny.cahya puspita dyspepsia 1
3 ny.gina asih cholelitiasis 1
8/4/2018 1 ny.gina asih cholelitiasis 1
2 tn.asep suhendar b20 1
8/5/2018 1 tn.asep suhendar b20 1
2 ny.gina asih cholelitiasis 1
3 ny.ika dyspepsia 1
8/6/2018 1 tn.asep suhendar b20 1
2 ny.ika dyspepsia 1
3 ny.siti julaeha dyspepsia 1 1
4 ny.eet sadiyah typoid fever 1
8/7/2018 1 tn.asep suhendar b20 1
2 ny.ika dyspepsia 1
3 ny.siti julaeha dyspepsia 1
4 ny.eet sadiyah typoid fever 1
5 ny.helida typoid fever 1
8/8/2018 1 ny.helida typoid fever 1
2 ny.ika dyspepsia 1
3 tn.asep suhendar b20 1 1
4 ny.siti julaeha dyspepsia 1 1
5 ny.eet sadiyah typoid fever 1
8/9/2018 1 tn.asep suhendar b20 1
2 ny.helida typoid fever 1
8/10/2018 1 ny.ai siti aisyah tb paru 1
2 ny.helida typoid fever 1
8/11/2018 1 an.mikail sagara isk 1
2 ny.ai siti aisyah tb paru 1
8/12/2018 1 an.mikail sagara isk 1
2 ny.ai siti aisyah tb paru 1
3 ny.endang typoid fever 1
8/13/2018 1 an.mikail sagara isk 1
2 ny.ai siti aisyah tb paru 1
3 ny.endang typoid fever 1
4 ny.kasmini gastropati+susp tb 1
8/14/2018 1 ny.ai siti aisyah tb paru 1
2 ny.kasmini gastropati+susp tb 1
3 ny.endang typoid fever 1
5/15/2018 1 ny.endang typoid fever 1
2 ny.kasmini gastropati+susp tb 1
8/16/2018 1 ny.endang typoid fever 1
2 ny.kasmini gastropati+susp tb 1
8/17/2018 1 ny.kasmini gastropati+susp tb 1 1
8/18/2018 1 ny.kasmini gastropati+susp tb 1
8/23/2018 1 ny.yusi HEG+susp tb paru 1
8/24/2018 1 ny.yusi HEG+susp tb paru 1
2 ny.fatma vertigo 1
8/25/2018 1 ny.yusi HEG+susp tb paru 1
2 ny.fatma vertigo 1
8/26/2018 1 ny.imas tb paru 1
8/27/2018 1 ny.imas tb paru 1
2 ny.anita agnes dyspepsia+polineuropati 1
8/28/2018 1 ny.anita agnes dyspepsia+polineuropati 1
2 ny.imas tb paru 1
8/29/2018 1 ny.anita agnes dyspepsia+polineuropati 1
2 ny.imas tb paru 1
8/30/2018 1 ny.anita agnes dyspepsia+polineuropati 1 1
8/31/2018 1 ny.anita agnes dyspepsia+polineuropati 1
1 an.kanaya bp 1
NFEKSI RUMAH SAKIT
M AVISENA

ni putri amd.kep
MACAM AB HASIL KULTUR
1 2 3 SPUTUM DARAH URINE

ceftriaxone

ceftriaxone

ceftriaxone

ceftriaxone
ceftriaxone metronidazole kotrimoxsazol

ceftriaxone metronidazole
ceftriaxone
ceftriaxone

ceftriaxone metronidazole kotrimoxazol

ceftriaxone metronidazole
ceftriaxone metronidazole kotrimoxazol
ceftriaxone

ceftriaxone
cynam
sporetik
cynam
sporetik

cynam
sporetik

ceftriaxone

ceftriaxone
ceftriaxone

ceftriaxone
ceftriaxone
ceftriaxone

cefotaxime azytromicyn metronidazole


cefotaxime azytromicyn metronidazole

cefotaxime azytromicyn metronidazole

cefotaxime azytromycin metronidazole

cefila syrp

You might also like