Incidence Rate of Urosepsis Complication in Patient with Post DJ Stent Placement at Dr. Moewardi General Hospital Surakarta from January to March 2017: A Retrospective Study

Abstract

Background: Double J stent is a tool that is often used by the urologist to reduce and prevent upper urinary tract obstruction and to treat the injury in the ureter segment, with a mechanism to reduce urinary extravasation and accelerate ureter healing. Placement of Double J stent to the ureter has a meaning as implantation of a foreign object in the body that can cause various complications, especially infection. Placement of DJ stent allows the bacteria to colonize in the urinary tract that leads to systemic infection. Urosepsis is a form of non-traumatic emergency marked by systemic infection originating from the focus of infection in the urinary tract causing bacteremia and septic shock. Objectives: To determine the incidence rate of urosepsis complication in a patient with post DJ Stent placement at dr. Moewardi General Hospital Surakarta from January to March 2017. Methods: Descriptive retrospective study design by taking medical record data of a patient with post DJ Stent placement, then adjusted to the research criteria from January to March 2017. Results: Male patients tend to develop urosepsis 1.3 times greater than female patients, with a percentage of 56%: 44%. Then, according to age criteria, patients with age > 50 years had a tendency 0.5 times greater than patients with age <50 years. (53%: 47%). Based on the length of installation found that patients with DJ stent placement > 1year tend to have sepsis 6.6 times greater than <1 year (87%: 13%).