scholarly journals Gambaran Penggunaan Antibiotik pada Pasien Bedah Orthopedi di Rumah Sakit Pusat Infeksi Prof. Dr. Sulianti Saroso Januari-Juli 2019

2021 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Epi Wulandani ◽  
Nina Mariana ◽  
Teguh Sarry Hartono ◽  
Muhammad Taufik Sugianto ◽  
Chandra Wijaya ◽  
...  
Keyword(s):  
Healthcare Associated Infections ◽  
Cross Sectional ◽  
Healthcare Associated

Latar Belakang: Kejadian infeksi pada kasus bedah orthopedidapat mempengaruhi morbiditas dan mortalitas. Ketepatan penggunaan antibiotik baik profilaksis maupun empirik pada tindakan pembedahan sangat penting untuk mengurangi risiko  resistensi bakteri dan Healthcare Associated Infections (HAIs) contohnya Infeksi Luka Operasi (ILO). Penelitian ini bertujuan untuk mengetahui gambaran penggunaan antibiotik  sebagai profilaksis dan empirik pada pasien bedah orthopedi. Metode: Penelitian observational deskriptif dengan desain cross sectional terhadap data rekam medis pasien bedah orthopedi RSPI Prof.Dr. Sulianti Saroso periode Januari-Juli 2019 yang diambil dengan teknik total sampling dengan pendekatan retrospektif. Hasil: Diperoleh 52 rekam medis yang memenuhi kriteria inklusi dengan 84 peresepan antibiotik. Pasien perempuan sebanyak 55,77% sedangkan laki-laki 44,23% ; jenis operasi bersih 71%, kotor 17% dan bersih-terkontaminasi 12%; pasien tanpa penyakit penyerta sebanyak 55,77%, satu penyakit penyerta 32,70% dan ≥ 2 penyakit penyerta 11,53%. Penggunaan antibiotik terapi empirik 72,62% dan profilaksis 27,38%. Antibiotik empirik dan profilaksis yang paling banyak digunakan adalah ampicillin sulbactam (42,65% dan 52,17%). Jenis kasus ortopedi terbanyak adalah kasus infeksi sebanyak 53 %. Kesimpulan: Penggunaan antibiotik empirik maupun profilksis bedah terbanyak pada pasien bedah orthopedi di RSPI Prof. Dr. Sulianti Saroso adalah ampicillin/sulbactam.

Patients' Beliefs and Perceptions of Their Participation to Increase Healthcare Worker Compliance with Hand Hygiene

2009 ◽  
Vol 30 (9) ◽  
pp. 830-839 ◽  
Author(s):  
Yves Longtin ◽  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Stéphane Hugonnet ◽  
Didier Pittet
Keyword(s):  
Hand Hygiene ◽  
Healthcare Worker ◽  
Patient Participation ◽  
Healthcare Workers ◽  
Patient Empowerment ◽  
Healthcare Associated Infections ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Active Involvement ◽  
Healthcare Associated

Background.Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.Objective.To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.Design.Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.Setting.Large Swiss teaching hospital.Results.Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.Conclusions.This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.

scholarly journals The prevalence of and risk factors for healthcare-associated infections in Slovenia: results of the second national survey

2016 ◽  
Vol 55 (4) ◽  
pp. 239-247 ◽  
Author(s):  
Irena Klavs ◽  
Jana Kolman ◽  
Tatjana Lejko Zupanc ◽  
Božena Kotnik Kevorkijan ◽  
Aleš Korošec ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Care ◽  
Prevention And Control ◽  
Acute Care Hospitals ◽  
Healthcare Associated Infections ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Tract Infections ◽  
Healthcare Associated ◽  
And Control

Abstract Introduction In the second Slovenian national healthcare-associated infections (HAIs) prevalence survey, conducted within the European point prevalence survey of HAIs and antimicrobial use in acute-care hospitals, we estimated the prevalence of all types of HAIs and identified risk factors. Methods Patients from acute-care hospitals were enrolled into a one-day cross-sectional study in October 2011. Descriptive analyses were performed to describe the characteristics of patients, their exposure to invasive procedures and the prevalence of different types of HAIs. Univariate and multivariate analyses of association of having at least one HAI with possible risk factors were performed to identify risk factors. Results Among 5628 patients, 3.8% had at least one HAI and additional 2.6% were still being treated for HAIs on the day of the survey; the prevalence of HAIs was 6.4%. The prevalence of urinary tract infections was the highest (1.4%), followed by pneumoniae (1.3%) and surgical site infections (1.2%). In intensive care units (ICUs), the prevalence of patients with at least one HAI was 35.7%. Risk factors for HAIs included central vascular catheter (adjusted odds ratio (aOR) 4.0; 95% confidence intervals (CI): 2.9-5.7), peripheral vascular catheter (aOR 2.0; 95% CI: 1.5-2.6), intubation (aOR 2.3; 95% CI: 1.4-3.5) and rapidly fatal underlying condition (aOR 2.1; 95% CI: 1.4-3.3). Conclusions The prevalence of HAIs in Slovenian acute-care hospitals in 2011 was substantial, especially in ICUs. HAIs prevention and control is an important public health priority. National surveillance of HAIs in ICUs should be developed to support evidence-based prevention and control.

scholarly journals Evolution of Healthcare-associated infections over five years: results of prevalence surveys

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
H Ghali ◽  
A Ben Cheikh ◽  
S Bhiri ◽  
S Khefacha Aissa ◽  
L Dhidah ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Cross Sectional Study ◽  
Treatment Modalities ◽  
Healthcare Associated Infections ◽  
Acinetobacter Baumanii ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Gram Negative ◽  
Healthcare Associated ◽  
The Impact

Abstract Background Tunisia is not spared from the scourge of healthcare associated infections (HAIs). National surveys on the prevalence of HAIs on a given day have regularly taken place in health facilities. We aimed to describe bacteriological profile as well as treatment modalities of HAIs in Sahloul Hospital for the last five years. Methods We conduct every year a prevalence survey, as part of the program for the prevention and control of HAI at Sahloul Hospital. It is a cross-sectional study of one-day prevalence with a single pathway. All departments were included in the survey, except emergency and hemodialysis services due to their very short length of stay. Data collection was carried out using NosoTun plug (national HAI prevalence survey). Results Over five years, prevalence of HAI ranged from 11.4% in 2014 to 7.1% in 2018. In 2014, bacteriological analysis was performed in 55.8% of HAI cases. In 66.6% of cases (n = 16), isolated bacteria were gram negative bacilli, the most frequent were Pseudomonas aeroginosa. In 2015, 17 germs were identified, and in 88.2% of cases (n = 5), isolated pathogens were also gram-negative bacilli, the most frequent were Pseudomonas aeroginosa (n = 4) and Acinetoobacter baumanii (n = 3). Besides, cephalosporin 3rd generation was the most frequent antibiotic used for the treatment. However, in 2016, Klebsiella Pneumoniae was the most frequent germ isolated. Among those infected patients, 26 were treated (92.8%). In 2017, 26 germs were identified, the most frequent were Gram Negative Bacilli (53.8%), mostly Escherichia coli and Pseudomonas aerginosa, followed by Acinetobacter baumanii. in 2018, 16 germs were identified, the most frequent were Gram Negative Bacilli (55.5%), mostly Klebsiella Pneumoniae. Conclusions The challenges for the future are to minimize infection with gram-negative bacilli while limiting the emergence of antibiotic resistant organisms. Key messages Our study helped us to have an insight into the most common isolates identified throughout the last five years. An incidence survey was carried out to better highlight the impact of healthcare associated infections in our hospital.

scholarly journals Faktor – Faktor yang Berpengaruh Terhadap Praktik Perawat dalam Pelaksanaan Universal Precaution di RSUD Brebes

2019 ◽  
Vol 7 (2) ◽  
pp. 88-95
Author(s):  
Haris Basuni ◽  
Chriswardani Suryawati ◽  
Sri Achadi Nugraheni
Keyword(s):  
P Value ◽  
Healthcare Associated Infections ◽  
Universal Precaution ◽  
Cross Sectional ◽  
Probability Sampling ◽  
Healthcare Associated

Healthcare Associated Infections/HAIs merupakan persoalan serius di fasilitas kesehatan yang bisa menjadi penyebab kematian pasien dan bertambahnya hari rawat. Universal precaution dirancang di rumah sakit sebagai langkah awal untuk tindakan pencegahan HAIs. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi Praktik Perawat dalam pelaksanaan unversal precaution pencegahan infeksi di RSUD Brebes.Jenis penelitian observasional kuantitatif dengan pendekatan cross sectional. Jumlah sampel 130 perawat, teknik pengambilan sampel dalam penelitian ini menggunakan non probability sampling dengan prosedur convenient/judgement sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi. Analisis data dengan program SPSS menggunakan korelasi rank spearman dan regresi logistik metode enter.Hasil penelitian menunjukkan pengetahuan perawat sebagian besar baik 70,8%, sikap perawat sebagian besar baik 58,5%, praktik perawat sebagian besar baik 50,8%. Uji hubungan rank spearman menunjukkan adanya hubungan antara pengetahuan dan sikap dengan praktik perawat dalam pelaksanaan universal precaution dengan nilai p-value < 0,05. Analisis multivariat regresi logistik menunjukkan pengetahuan dengan nilai rho 5,351 dan sikap dengan nilai rho 6,835 secara bersama-sama berpengaruh terhadap Praktik Perawat dalam pelaksanaan universal precaution. Saran untuk meningkatkan praktik perawat dalam pelaksanaan universal precaution perlu dilakukan  usaha untuk meningkatkan pengetahuan dan sikap perawat dengan cara mengadakan pelatihan .

PP171-SUN: Healthcare-Associated Infections are Associated with Insufficient Food Intake: A Cross-Sectional Institutional Survey

2014 ◽  
Vol 33 ◽  
pp. S84
Author(s):  
A.-M. Makhlouf ◽  
W. Zingg ◽  
M. Kossovsky ◽  
M. Chikhi ◽  
J. Depeyre ◽  
...  
Keyword(s):  
Food Intake ◽  
Healthcare Associated Infections ◽  
Cross Sectional ◽  
Healthcare Associated

scholarly journals Prevalence of Healthcare-Associated Infections at the National Hospital During the COVID-19 Pandemic in Peru

2021 ◽  
Vol 1 (S1) ◽  
pp. s78-s79
Author(s):  
Jussara Huamani ◽  
Walter Prudencio
Keyword(s):  
Public Health Problem ◽  
Bloodstream Infections ◽  
Hospitalized Patients ◽  
Healthcare Associated Infections ◽  
National Hospital ◽  
Cross Sectional ◽  
Prolonged Stay ◽  
Number Of Patients ◽  
Hospitalization Costs ◽  
Healthcare Associated

Background: Healthcare-associated infections are important because they constitute a public health problem due to the increase in morbidity and mortality that they produce in hospitalized patients, increased hospitalization costs due to prolonged stay, expensive antibiotic treatments and surgical reinterventions, not counting the social costs due to loss of wages and production, among others. Methods: We report the specific prevalence of healthcare-associated infections (HCAIs) in Edgardo Rebagliati Martin National Hospital, Perú, in 2020. We performed a descriptive cross-sectional study from July 27 to July 31, 2020. The medical records of hospitalized patients were reviewed according to the inclusion criteria. STATA software was used for descriptive statistical analyses. Results: In total, 1,217 hospitalized patients were included in the study. The prevalence of HCAI was 12.2% (149 patients). The prevalence of HCAI in areas where patients with the diagnosis of COVID-19 were hospitalized was higher (8.1%) than in common hospitalization areas (4.1%). Men represented 92% of the total number of patients with HCAIs. The most frequent infections were clinically defined pneumonia (30.9%) and bloodstream infections (20.1%). The most frequently isolated microorganism was Pseudomonas aeruginosa. Conclusions: The prevalence of HCAI was 12.2%. The most frequent HCAIs were pneumonia and bloodstream infection.Funding: NoDisclosures: None

scholarly journals Hubungan Pengetahuan Perawat Tentang Hais (Healthcare Associated Infections) dengan Kepatuhan Hand Hygiene di Ruang Rawat Inap RSUD Encik Mariyam Tahun 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 118-126
Author(s):  
SARAH
Keyword(s):  
Hand Hygiene ◽  
P Value ◽  
Healthcare Associated Infections ◽  
Cross Sectional ◽  
Healthcare Associated

ABSTRAK Hand hygiene merupakan teknik dasar yang penting dalam pencegahan HAIs namun tingkat kepatuhan perawat dalam melakukan hand hygiene masih rendah. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Penelitian ini menggunakan desain deskriptif korelasional dan pendekatan cross-sectional. Metode sampling yang digunakan adalah total sampling dengan besar sample 32 orang perawat di ruang rawat inap RSUD Encik Mariyam. Data penelitian dikumpulkan melalui metode observasi oleh peneliti dan pengisian kuesioner oleh responden. Data hasil penelitian dianalisa dengan uji Somers’ D. Hasil analisa univariat didapatkan gambaran pengetahuan perawat tentang HAIs pada kategori sedang (53.1%) dan gambaran kepatuhan hand hygiene pada kategori dilakukan dengan baik (71.9%). Hasil analisa bivariate didapatkan  p value= 0.007 sehingga dapat disimpulkan ada hubungan yang signifikan antara pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Berdasarkan hasil penelitian ini diharapkan agar meningkatkan pengetahuan perawat tentang HAIs dan manajemennya melalui seminar / sosialisasi dan pelatihan guna meningkatkan kesadaran perawat akan pentingnya pencegahan HAIs dengan hal-hal sederhana seperti hand hygiene.

scholarly journals Knowledge of Surveillance Officers on Identification of Healthcare-associated Infections in Surabaya

2018 ◽  
Vol 6 (2) ◽  
pp. 130
Author(s):  
Anindya Putri Hapsari ◽  
Catharina Umbul Wahyuni ◽  
Dwiono Mudjianto
Keyword(s):  
Data Collection ◽  
Research Design ◽  
Surveillance Data ◽  
Healthcare Associated Infections ◽  
Data Recording ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Treatment Room ◽  
Healthcare Associated ◽  
Nurses Knowledge

ABSTRACTBackground: The knowledge of nurses in identifying HAIs is required to facilitate surveillance, in addition to applications that facilitate surveillance data collection, one of them is epi info. Haji Hospital has conducted training to increase nurses' knowledge regarding HAIs surveillance. Purpose: This study aims to describe the knowledge of HAIs surveillance officers. Methods: The type research was descriptive observational with cross sectional research design. The research location was in Surabaya Haji Hospital between January-February 2018. The population in the study were all nurses who attended surveillance data collection training. Respondents in this study used total sampling as many as 40 nurses who were representatives of each treatment room. Data were analyzed descriptively. Results: Most nurses have increased knowledge in identifying HAIs, capable to enter data, convert data entries into tables, and change tables into pivot tables in Microsoft Excel after training, and most treatment rooms have applied epi info for data recording HAIs. Conclusion: The implementation of the training was quite effective indicated from the results of the nurse's achievement. This training is expected to be maintained and required a regular monitor the use of epi info, so the training result can sustain and nurses can implement knowledge about HAIs to support the running of HAIs surveillance. Keywords: epi info; HAIs; knowledge; surveillance officers 

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