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FORM RASPATUR
Formulir diisi apabila antibiotik akan diberikan sesuai kultur
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RM
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Nama Pasien
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No. Kasus
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Dokter DPJP
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Spesimen
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Fokus Infeksi
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Pneumonia / Infeksi Paru Lainnya
Bakterial Tonsilitis / Abses Peritonsil
Intra Bilier dan Intra Hepatik (termasuk Abses Hati)
Extra Bilier
Typhoid Fever
Disentri Basiler
Infeksi Ano-Kolorektal
Diare Bakterial / Amuba
Divertikulitis / Infeksi Intestital-Kolon (Ulcus / Abses)
Kulit / Selulitis / Ulcus / Tulang/Abses/Luka Bakar
Saluran Kemih / Pyelonefritis / Abses Ginjal & Saluran Kemih
Intrakranial Non TB (Meningitis / Encehalitis / Abses)
Organ Obstetrik-Ginekologi & Ketuban Pecah Dini
Telinga & Sinus
Leptospirosis
Febrile Netropenia
Aliran Darah Primer (IADP)
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