scholarly journals TANGGUNG JAWAB HUKUM RUMAH SAKIT TERHADAP PASIEN HEALTH CARE-ASSOCIATED INFECTIONS (HAIS)

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Endang Sutrisno ◽  
MC Inge Hartini ◽  
Mustopo Mustopo ◽  
Nanang Ruhyana

Rumah Sakit memiliki peran penting dalam mewujudkan derajat kesehatan masyarakat secara optimal, untuk itu dituntut agar mampu mengelola secara professional dan bertanggung jawab, mengusung arus keutamaan tanggung jawab profesi pada aspek kesehatan, khususnya tenaga medis dan tenaga keperawatan dalam menjalankan tugas dan wewenangnya.  Health-Care Associated Infection (HAIs) penyebabnya terkait dengan proses dan sistem kesehatan. Aspek pertanggungjawaban hukum Rumah Sakit terhadap pasien yang terkena Health care-associated Infections (HAIs) menjadi fokus kajian, dengan pendekatan penelitian yuridis normatif, pada perspektif hukum sebagai kaidah tertulis yang tertuang dalam produk perundang-undangan yang berlaku. Rumah Sakit bertanggung jawab atas tindakan kelalaian tenaga kesehatan di Rumah Sakit, yang menyebabkan kerugian pada pasien, dibutuhkan adanya perlindungan hukum yang memadai sebagaimana tertuang dalam peraturan hukum secara normatif. Dalam hal perlindungan pasien, sebelum pelaksanaan pelayanan medis yang berkaitan dengan tindakan medis, tenaga kesehatan memberikan edukasi terhadap pasien terlebih dahulu, berupa penjelasan mengenai informasi, risiko yang terjadi, serta bentuk penanganannya. Apabila pasien merasa dirugikan dalam hal materiil maupun imateriil, pasien dapat mengajukan gugatan kepada Rumah Sakit yang melakukan kelalaian dan kesalahan, sebagai salah satu bentuk tanggung jawab hukum yang timbul.

Author(s):  
Rodney L Thompson ◽  
Priya Sampathkumar

Health care–associated infection (HAI) is an infection that occurs in hospitals, nursing homes, clinics, or home health care programs. Infection control departments have been constituted to prevent and control infectious complications in health care settings. Prevention and control require combinations of education and training, procedures and policies, surveillance and reporting, and interventions that include isolation and teamwork. Common HAIs (nosocomial infections) include urinary tract infections, surgical site infections, bloodstream infections, and ventilator-associated pneumonia. Diagnosis and treatment of each type of infection are reviewed.


2016 ◽  
Vol 71 (3) ◽  
Author(s):  
A. V. Tutelyan ◽  
V. M. Pisarev ◽  
N. Z. Minaeva ◽  
A. M. Gaponov ◽  
A. N. Gracheva ◽  
...  

Background: Antibiotic tolerance (AT) represents one of the causes of the phenomenon of antibiotic resistance that allows escape of non-replicating metabolically inert microorganisms (persisters) from any antibiotics attack because molecular targets of antibiotics are lacking thereby creating the potential for chronic infections. Aims:Determine the heterogeneity of the strains of opportunistic pathogens E. coli and P. aeruginosa isolates from children with hematologic malignancies containing bacterial persisters that cause the AT phenomenon. Methods: Children with hematological malignancies were divided into 2 groups according to the intensity of antibiotic treatment of infectious complications. Ciprofloxacin-induced persisters were quantitatively determined in the biological materials obtained from sick children. Results: Within the clinical isolates of E. coli and P. aeruginosa, about a third of the strains belong to high-persisting. The numbers of persistent forms of bacteria did not correlate with a minimal inhibitory concentration values ciprofloxacin (r=0.148, n=25, p0.05). Interestingly, higher level of formation of persistent E. coli and P. aeruginosa, is associated with higher frequencies of infection attacks, massive antibiotic use and unfavorable course of the disease in children. Conclusions: Therefore, detecting the persistent forms of bacterial pathogens including those associated with the health-care associated infection, specifically, in immunocompromised patients, should be included into the contemporary algorithms of microbiological observation and monitoring of patients and intrahospital environment.


Author(s):  
E. García-Rojo ◽  
J. Medina-Polo ◽  
N. Miranda-Utrera ◽  
P. Abad-López ◽  
D.A. Gonzalez-Padilla ◽  
...  

2016 ◽  
Vol 2 (5) ◽  
pp. e1600300 ◽  
Author(s):  
Ki Soo Park ◽  
Chen-Han Huang ◽  
Kyungheon Lee ◽  
Yeong-Eun Yoo ◽  
Cesar M. Castro ◽  
...  

Health care–associated infections (HAIs) and drug-resistant pathogens have become a major health care issue with millions of reported cases every year. Advanced diagnostics would allow clinicians to more quickly determine the most effective treatment, reduce the nonspecific use of broad-spectrum antimicrobials, and facilitate enrollment in new antibiotic treatments. We present a new integrated system, polarization anisotropy diagnostics (PAD), for rapid detection of HAI pathogens. The PAD uses changes of fluorescence anisotropy when detection probes recognize target bacterial nucleic acids. The technology is inherently robust against environmental noise and economically scalable for parallel measurements. The assay is fast (2 hours) and performed on-site in a single-tube format. When applied to clinical samples obtained from interventional procedures, the PAD determined the overall bacterial burden, differentiated HAI bacterial species, and identified drug resistance and virulence status. The PAD system holds promise as a powerful tool for near-patient, rapid HAI testing.


2019 ◽  
Vol 191 (36) ◽  
pp. E977-E978
Author(s):  
Jennie Johnstone ◽  
Gary Garber ◽  
Matthew Muller

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