CHARACTERISTICS OF HEPATIC ABSCESS PATIENTS UNDERGOING TREATMENT AT NTB PROVINCIAL HOSPITAL FOR THE PERIOD 2020-2023

Abstract

Background: A liver abscess is defined as a mass containing pus that can arise due to injury to the liver or intra-abdominal infection that spreads from the portal circulation. The annual incidence rate is approximately 2.3 cases per 100,000 people. Men are affected more often than women. Age plays a role as a factor that determines the type of abscess that develops, where those aged 40-60 years are more susceptible to non-traumatic liver abscesses and most of them are reported to be pyogenic. In developing countries, amoebic liver abscess is more common than pyogenic liver abscess. The incidence of liver abscesses that occur in the NTB Provincial Regional Hospital is still unknown, but the presence of protozoa or bacteria that cause liver abscesses is often found in Indonesia. This study aims to determine the characteristics of liver abscess patients undergoing treatment at the NTB Provincial Regional Hospital for the 2020-2023 period. Method: This research is a retrospective descriptive study with a cross-sectional design. The sampling technique in this study was simple random sampling, which was obtained from secondary data in the form of medical records of all liver abscess patients undergoing treatment at the NTB Provincial Regional Hospital for the period 2020 - 2023. Results and Conclusions: From this study it was found that the characteristics of liver abscess patients undergoing treatment at the NTB Provincial Regional Hospital were mostly men, with the largest age group being 50 - 59 years old (27.5%), the highest number of diagnoses of liver abscess without complications were 132 patients (72.5%), with complications obtained by Peritonitis generalista ec ruptured liver abscess in 38 patients (20.9%). The main antibiotic used is Metronidazole, as well as additional antibiotics including Cefrtiaxone, Levofloxacin, Ceftazidine, Meropenem, Cefoperazone and Moxifloxacin. The most common procedures performed were laparotomy and liver abscess drainage (75.8%), several other procedures such as adhesiolysis (20.9%), liver resection (2.2%), liver repair (0.5%), cecum repair (0.5%), and long Treatment for liver abscess patients in this study was in the range of 6 – 10 days (54.9%) with an average of 7.7 days. Keywords: Liver abscess, characteristics, NTB Provincial General Hospita