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    Fistul Entero Kutan (FEK)

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    dewiswahyu
    1. Fistula Entero Kutan (FEK) refers to an abnormal communication between the bowel lumen and skin. It is commonly caused by post-operative infections (90%) such as from cancer (29%) or Crohn's disease. 2. FEKs are classified based on anatomy, etiology, and output volume. Treatment involves debridement, drainage of abscesses, broad-spectrum antibiotics targeting gram-positive and gram-negative bacteria as well as anaerobes. 3. Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated immune response to infection. It is diagnosed using quickSOFA (qSOFA) or SOFA scoring

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    Fistul Entero Kutan (FEK)

    Uploaded by

    dewiswahyu
    14 views4 pages
    1. Fistula Entero Kutan (FEK) refers to an abnormal communication between the bowel lumen and skin. It is commonly caused by post-operative infections (90%) such as from cancer (29%) or Crohn's disease. 2. FEKs are classified based on anatomy, etiology, and output volume. Treatment involves debridement, drainage of abscesses, broad-spectrum antibiotics targeting gram-positive and gram-negative bacteria as well as anaerobes. 3. Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated immune response to infection. It is diagnosed using quickSOFA (qSOFA) or SOFA scoring

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    FEK & Sepsis

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    1. Fistula Entero Kutan (FEK) refers to an abnormal communication between the bowel lumen and skin. It is commonly caused by post-operative infections (90%) such as from cancer (29%) or Crohn's disease. 2. FEKs are classified based on anatomy, etiology, and output volume. Treatment involves debridement, drainage of abscesses, broad-spectrum antibiotics targeting gram-positive and gram-negative bacteria as well as anaerobes. 3. Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated immune response to infection. It is diagnosed using quickSOFA (qSOFA) or SOFA scoring

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    14 views4 pages

    Fistul Entero Kutan (FEK)

    Uploaded by

    dewiswahyu
    1. Fistula Entero Kutan (FEK) refers to an abnormal communication between the bowel lumen and skin. It is commonly caused by post-operative infections (90%) such as from cancer (29%) or Crohn's disease. 2. FEKs are classified based on anatomy, etiology, and output volume. Treatment involves debridement, drainage of abscesses, broad-spectrum antibiotics targeting gram-positive and gram-negative bacteria as well as anaerobes. 3. Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated immune response to infection. It is diagnosed using quickSOFA (qSOFA) or SOFA scoring

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Fistul Entero Kutan (FEK)

    Pengertian Fistula Abnormal communication between two epithelialized


    FEK Abnormal communication between the bowel lumen and skin
    Surgical Site
    Infection
    (SSIs)

    Surgical
    wound

    Class I
     Infeksi (-)
     Terapi kulit : primary suture
    Class II
     Hollow Viscus : spt : respiratory, alimentary, genitourinary tract
     Terapi kulit : primary suture
    Class III
     Spt juga open heart
     Terapi Bisa ditutup primer/ delay
    Class IV
     Terapi : delay dg VAC

    Klasifikasi 1. Anatomi
    FEK - Gaster, duodenum(22%), jejenum(29%) Ileum
    2. Etiologi
    - Post Operasi (90%) - Cancer (29 %)
    - Chorn disease - Radiasi
    3. Physiologi
    - Low : < 200 ml
    - Moderate : 200- 500
    - High : > 500
    KHAS FEK FRIEND
    F : Foregn Body
    R : Radiasi
    I : Inflamasi
    E : Epitelisasi
    N : Neoplasma
    D : Distal Obstruction

    Terapi 1. Debridement – drainase (bila abses)


    2. Antibitik broad spectrum (initial) – dengan sesuai kultur
    Paling banyak gr (+)  hati2 dengan (methicillin resistant Staphylococcus
    aureus (MRSA) infection  ok terjadi bila pasien dengan FEK disertai
    selulitis yang tidak sembuh dengan drainase bedah dan pemberian antibiotik
    lini pertama tidak memadai
    maka pemberian harus diberikan antimikroba
    3. Pemberian antibiotik meliputi gr (+) + gr (-) + anaerob spt : vancomisin +
    carbapenem
    4. Hiperbarik oksigen  clostridium perfringens
    SEPSIS
    Definisi Menurut CCC (critical care congress)
    A Life Threatening organ disfunction coused by dysregulated host respon to nfection

    Definisi sepsis shock


     A subset of sepsis in which underlying circulatory and cellular/ metabolic
    abnormalities are profound enough to substantially increase mortality
    QuickSOFA 1. RR > 22x/mnt
    (qSOFA) 2. Penurunan Kesadaran
    3. TD utk Sistole krg dari sm dg 100

    SOFA

    SISTEM one hour Bundle

    Terapi

    Severe Sepsis
     Documentation of suspected or “possible” source of infection
     AND
     ≥2 SIRS criteria
    AND
     Organ dysfunction evidenced by any one of the following:
    SUMBER 1. Schwart (hal 150)
    2. ESCAVO Sepsis 2018
    3. Trauma Surg Acute Care Open 2017;0:1–6

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