Angka Kejadian dan Penatalaksanaan Keracunan di Instalasi Gawat Darurat RSUD Prof. Dr. Margono Soekardjo Purwokerto Tahun 2012–2014

Abstract

Poison can affect or even make dysfunction in the body that can lead to healthy status decreases inemergency situation. Poisoning management needs an appropriate therapy so we can save the life andmake the medication becomes effective and efficient. This study aimed to know the number of poisoningcase and to evaluate the management of poisoning in Emergency Department of Margono SoekarjoHospital of Purwokerto. This study was a descriptive retrospective used patient medical records ofEmergency Department of Margono Soekarjo Hospital of Purwokerto in a period of January 2012 toDecember 2014. To evaluate the management we used poisoning guideline books by BPOM RI in 2001.From January 2012 to December 2014, 117 cases of poisoning occurred, and the highest cause wassnake bites (69,2%). Other causes were pesticides, foods, drug, alcohol, plant, and shellfish. Majority ofthe patients were men (70.1%), in age 28-45 (30.5%), had low educations (49.6%) and jobless (71.8%).The managements varied among patients used antidotes, antibiotic, antihistamine, analgesic-antipiretic,hemostatic agent, anti infection, and some gastrointestinal drugs. The managements which appropriatewith the guideline were 24 cases (20.51%), 75 cases (64.10%) inappropriates with the guideline fromBadan Pengawasan Obat dan Makanan (BPOM) also 18 cases with no management as written onthe book as a consecuency of the lack of Operasional Standard Guideline for poisoning management in Emergency Department of Margono Soekarjo Hospital of Purwokerto so there is a needed to makean Operasional Standar Guideline for poisoning management in Emergency Department of Margono Soekarjo Hospital for a better management in the future