scholarly journals EVALUASI PELAKSANAAN SISTEM SURVEILANS HEALTHCARE ACQUIRED INFECTIONS (HAIS) DI RSU HAJI SURABAYA TAHUN 2020

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Aulia Rosyida ◽  
Laura Navika Yamani ◽  
Dwiono Mudjianto
Keyword(s):  
Research Method ◽  
Blood Stream Infection ◽  
Evaluation Study ◽  
Blood Stream ◽  
Observational Research ◽  
Ventilator Associated Pneumonia ◽  
Site Infection ◽  
Job Rotation ◽  
Implementation Support ◽  
Healthcare Acquired Infections

Healthcare Acquired Infections (HAIs) or nosocomial infections are infections that occur in patients during hospitalization. HAIs are classified into 4 namely Catheter-Associated Urinary Tract Infection, Surgical Site Infection, Ventilator-Associated Pneumonia, and Blood Stream Infection. The purpose of this study is to evaluate the implementation of the HAIs surveillance sistem. The research method used is a descriptive evaluation study with an observational research design. The data sources used are the Reports and dissemination of HAIs Surveillance at RSU Haji Surabaya in 2019-2020. The results showed that HAIs cases at RSU Haji Surabaya in 2020 were 0.03%. The problems in the implementation of HAIs surveillance are the accuracy and completeness of data reports, implementation support facilities, and employee participation in training has not been running optimally, application bundle items are under repair, and job rotation for employees. Conclusion : the implementation of HAIs surveillance activities is in accordance the Regulation of the Peraturan Menteri Kesehatan Republik Indonesia Number 27 of 2017 Tentang  Pedoman Pencegahan  Dan Pengendalian Infeksi  di Fasilitas Pelayanan Kesehatan, but the implementation still running unoptimally, researchers recommend the implementation of reward and punishment activities for surveillance officers as a solution to improve the sistem surveillance.

scholarly journals Surveilans Pasif dan Aktif Kejadian Infeksi Terkait Pelayanan Kesehatan di RSUD Provinsi NTB, 2017

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Eustachius Hagni Wardoyo ◽  
Edi Prasetyo Wibowo ◽  
I Gede Jayantika ◽  
I Gst Alit Rai Sudiadnya ◽  
Rolly Armand
Keyword(s):  
Health Care ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Central Line ◽  
Ventilator Associated Pneumonia ◽  
Site Infection ◽  
Health Care Associated Infections

Pendahuluan: Surveilans Health-care Associated Infections (HAIs) atau kejadian infeksi terkait pelayanan kesehatan dapat dilakukan baik secara aktif maupun pasif sesuai sumber daya yang dimiliki. Penelitian ini bertujuan mengetahui insidensi dan perbandingan hasil surveilans pasif dan aktif 4 jenis HAIs di RSUD Provinsi Nusa Tenggara Barat periode Januari-Oktober 2017. Empat jenis HAIs tersebut adalah Ventilator-associated Pneumonia (VAP), Catheter-associated Urinary Tract Infection (CAUTI), Central Line-associated Blood Stream Infection (CLABSI) dan Surgical Site infection (SSI). Metode: Surveilans pasif menggunakan data sekunder dengan menelusuri rekam medis, sedangkan surveilans aktif berdasarkan laporan Tim Pencegahan dan Pengendalian Infeksi (PPI). Hasil: Tidak ada perbedaan indikator yang digunakan dalam form VAP dan CLABSI pada surveilans pasif dan aktif. Namun pada form CAUTI dan SSI tidak mencantumkan gejala infeksi dan gejala panas di lokasi infeksi pada surveilans aktif. Perbandingan hasil surveilans pasif dan aktif berturut-turut adalah VAP 24,9 dan 0 per 1.000 ventilator days, CAUTI 49 dan 12 per 1.000 catheter days, CLABSI 18 dan 9 per 1.000 central line days, serta SSI 1,9 dan 1,4%. Kesimpulan: Ada perbedaan insidensi keempat jenis HAIs pada surveilans pasif dan aktif, karena penggunaan metodologi yang berbeda.

A survey of 554 peripheral intravenous catheters: infection, duration of cannulation and documentation issues

2003 ◽  
Vol 4 (4) ◽  
pp. 21-25 ◽  
Author(s):  
E Creamer ◽  
G McCarthy ◽  
I Tighe ◽  
E Smyth
Keyword(s):  
Infection Rate ◽  
Blood Stream Infection ◽  
Quality Care ◽  
Blood Stream ◽  
Site Infection ◽  
Cannulation Site ◽  
Standard Documentation ◽  
General Wards ◽  
Intravenous Catheters ◽  
Documentation Form

The purpose of this survey was to improve nursing care of patients with peripheral intravenous catheters (PVCs), focusing on duration of cannulation. The survey was conducted in 20 general wards recording data on the duration of cannulation, site-infection, dating of PVC dressing and documentation in nursing notes. Nursing staff were interviewed on duration of the PVC and a documentation form was introduced during the survey. A total of 554 PVCs in 397 patients were surveyed. Duration of cannulation ranged from one to ten days, with 402 (73%) of PVCs removed by day three. The site-infection rate was 28 (5%) with no cases of blood stream infection. Most site infection (20 of 28 (71%)) occurred within the first three days. The duration of cannulation, from interview, was known by nurses in 416 (75%) of cases and documented in 208 (40%) of cases. Eighteen months after its introduction, the PVC documentation form was in use in 19 of 20 wards for 60 (76%) PVCs. While the infection rate was low and nurses were generally aware of the duration of cannulation, inadequate documentation by nursing and medical staff was a cause for concern. Information on PVCs should be included in standard documentation on all wards and in relevant departments to assist nurses and others in the provision of quality care to patients.

scholarly journals The Impact of the Introduction of Innovative REDS Scale for the Evaluation of Central Tunnelled Catheter (CTC) Exit Site on Infection Prevention in Long-Term Haemodialyzed Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Tomasz Porazko ◽  
Edyta Stasiak ◽  
Marian Klinger
Keyword(s):  
Blood Stream Infection ◽  
Bloodstream Infections ◽  
Cost Effective ◽  
Blood Stream ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
The Impact

Central tunneled catheter (CTC)-related infections are a leading cause of a catheter loss, thus being the source of significant morbidity and mortality. The study aims at evaluating the impact of the implementation of the innovative redness, edema, discharge and tenderness, symptoms (REDS) scale (devised by the authors) for the description of the tunnel condition on the frequency of infection in long-term catheter users. The same cohort of the 40 patients was observed for 4 years altogether: 2 years before and 2 years after REDS application. The results, as well as follow-up evaluation of participants, were compared. The 2-year cumulative incidence of the CTC exit site infection (ESI) dropped significantly (log-rank p < 0.001) from 0.89 episode/1,000 catheter days (53.5%, 95% CI [35.9%; 66.2%]) in the period before REDS was used—to 0.26 episode/1,000 catheter days (18.6%, 95% CI [6.1%; 29.4%]) in the time of REDS application. There were also significantly fewer episodes of ESI complicated with catheter-related blood stream infection (CRBSI) requiring the CTC removal (0.6 episode/1,000 catheter days; 18.6%, 95% CI [6.1%; 29.4%] vs. 0.3 episode/1,000 catheter days; 4.7%, 95% CI [0.0; 10.7%]; log-rank p = 0.04, in pre-REDS and REDS time, respectively). The REDS scale appears to be a simple, cost-effective tool reducing the frequency of the tunneled CTC exit site infection and associated bloodstream infections.

scholarly journals Penerapan Metode Six Sigma dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit: A Systematic Review

2019 ◽  
Vol 11 (1) ◽  
pp. 108
Author(s):  
Waluyo Waluyo ◽  
Sholihin Sholihin ◽  
Roby Aji Permana ◽  
Tria Anisa Firmanti ◽  
Yulia Indah Permatasari
Keyword(s):  
Surgical Site Infection ◽  
Six Sigma ◽  
Prevention And Control ◽  
Blood Stream Infection ◽  
Health Sector ◽  
Decubitus Ulcer ◽  
Blood Stream ◽  
Central Line ◽  
Site Infection ◽  
And Control

Background: Prevention and control of infections is a priority in the current health sector, and prevention of infection is an indicator of the quality of services provided. Purpose: to examine the available evidence about the application of the Six Sigma method in the prevention and control of infections in hospitals. Method: The database used to identify suitable articles obtained from Scopus, Pubmed, Ebscohost and Summon was limited to the last 5 years of publication from 2014 to 2019, English, and fulltext articles. The literature review used the keyword "Six Sigma, Prevention Infection". In searching articles used "AND". Only 8 articles met the inclusion criteria. This review was from these 8 articles. Results: The application of the six sigma method provided a variety of benefits. Prevention and Reduction of decubitus ulcer infection, Central Line Related Blood Flow Infection, Surgical Site Infection, Ventilator Related Pneumonia, reduced the incidence of health related infections, reduced length of stay, increased health protection, reduced treatment costs and improved patient safety. Conclusion: the six sigma method is effective in preventing and controlling infection in hospitals. Recommendation: hospitals apply this method for approval and control of infection. Keywords: six sigma; infection; hospital ABSTRAK Latar belakang: Pencegahan dan pengendalian infeksi menjadi prioritas bidang kesehatan saat ini, dan mengurangi kejadian infeksi merupakan salah satu indikator kualitas layanan yang diberikan. Tujuan: untuk menguji bukti yang ada tentang penerapan metode six sigma dalam pencegahan maupun pengendalian kejadian infeksi di rumah sakit. Metode: database digunakan untuk mengidentifikasi artikel yang sesuai diperoleh dari Scopus, Pubmed, Ebscohost dan Summon terbatas untuk publikasi 5 tahun terakhir dari 2014 hingga 2019, bahasa inggris, dan fulltex article. Tinjauan literatur menggunakan kata kunci “ Six Sigma, Prevention Infection”. Dalam pencarian artikel menggunakan "AND". Hanya 8 artikel yang memenuhi kriteria inklusi. Ulasan ini berasal dari 8 artikel tersebut. Hasil: penerapan metode six sigma memberikan manfaat yang beragam. Pencegahan dan penurunan kejadian infeksi ulkus decubitus, Central Line Associated Blood Stream Infection, Surgical Site Infection, Ventilator Associated Pneumonia, menurunkan kejadian healthcare associated infections, mengurangi lama hari rawat, meningkatkan kepatuhan kebersihan tangan, mengurangi biaya perawatan dan meningkatkan keselamatan pasien. Simpulan: metode six sigma efektif mencegah dan mengendalikan infeksi di rumah sakit. Saran: rumah sakit menerapkan metode ini untuk pencegahan dan pengendalian infeksi Kata kunci: six sigma; infeksi; rumah sakit

scholarly journals Σχέση μεταξύ επίπτωσης βακτηριαιμίας και πολυμορφισμού των Toll like receptors (TLRs) – 2,4,9 σε ασθενείς της ΜΕΘ

2018 ◽  
Author(s):  
Μαρία Χατζή
Keyword(s):  
Blood Stream Infection ◽  
Central Nervous System Infection ◽  
Blood Stream ◽  
Klebsiella Pneumonia ◽  
Ventilator Associated Pneumonia ◽  
Nucleotide Polymorphisms ◽  
Toll Like Receptors ◽  
Chain Reaction ◽  
Single Nucleotide ◽  
Polymerase Chain

Σκοπός : Οι μονονουκλεοτιδικοί πολυμορφισμοί των Toll like υποδοχέων [Toll-like Receptors - Single Nucleotide Polymorphisms (TLR-SNPs)] μπορούν να επηρεάσουν σημαντικά την ευαισθησία του ξενιστή στις λοιμώξεις. Σκοπός της μελέτης ήταν να διερευνηθεί ο συχνότητα τεσσάρων κοινών πολυμορφισμών των Toll-Like Receptors (TLRs) σε βαρέως πάσχοντες ασθενείς των Μονάδων Εντατικής Θεραπείας (ΜΕΘ) και η συσχέτισή τους με την επίπτωση των λοιμώξεων και την έκβαση των ασθενών στην κεντρική Ελλάδα.Μέθοδος: Η συχνότητα εμφάνισης των TLR2-Arg753Gln, TLR4-Asp299Gly, TLR4-Thr399Ile και πολυμορφισμών TLR9-T-1237C, η συσχέτισή τους με την επίπτωση των λοιμώξεων και τις κλινικές εκβάσεις των ασθενών αξιολογήθηκαν προοπτικά σε ασθενείς ΜΕΘ που υποβλήθηκαν σε μηχανικό αερισμό για περισσότερο από 48 ώρες. Η ανίχνευση των πολυμορφισμών έγινε με την αλυσιδωτή αντίδραση πολυμεράσης (Real-time Polymerase-Chain-Reaction –PCR).Αποτελέσματα: Κατά τη διάρκεια περιόδου 15 μηνών (Νοέμβριος 2011- Ιανουάριος 2013), 224 ασθενείς συμπεριελήφθησαν στην μελέτη και έγινε έλεγχος γονοτύπου. Οι 136 (60,7%) ασθενείς δεν παρουσίασαν μεταλλάξεις των TLRs, ενώ 88 (39,3%) έδειξαν πολυμορφισμούς των TLRs [μονών / μικτών: 56 (25 %) / 32 (14,3%), αντίστοιχα]. Η επίπτωση των γενετικών πολυμορφισμών TLR4-Asp299Gly, TLR4-Thr399Ile, μικτών TLR4-Asp299Gly / Thr399Ile, TLR9-T-1237C και TLR2-Arg753Gln ήταν 14,4%, 14,7%, 11,2%, 24,5% και 2,2%, αντίστοιχα. Οι πολυμορφισμοί TLR4 σχετίστηκαν με αυξημένη ευπάθεια προς συγκεκριμένες λοιμώξεις που σχετίζονται με την νοσηλεία στην ΜΕΘ, δηλαδή gram-αρνητικών λοιμώξεων του κεντρικού νευρικού συστήματος (Central Nervous System Infection - CNSI) και λοιμώξεων της ουροφόρου οδού (Urinary Tract Infection - UTI), από Acinetobacter baumannii και Klebsiella pneumonia, καθώς και με την πνευμονία που σχετίζεται με τον αναπνευστήρα (Ventilator-associated pneumonia -VAP) από Pseudomonas aeruginosa (Ρ <0.05). Ο πολυμορφισμός TLR9-T-1237C σχετίστηκε με χαμηλότερη επίπτωση καθώς και μικρότερο αριθμών υποτροπών των CNSI και UTI σε σύγκριση με την ομάδα μικτών TLR4 πολυμορφισμών (P≤0.039). Δεν βρέθηκε καμία συσχέτιση των TLRs πολυμορφισμών με την βακτηριαιμία (Blood Stream Infection -BSI). Οι πολυμορφισμοί των TLR4 σχετίστηκαν με αυξημένη διάρκεια νοσηλείας στην ΜΕΘ (P<0,0416). Ωστόσο, η χρονική εξέλιξη της σήψης και η έκβαση των ασθενών στην ΜΕΘ δεν συσχετίστηκαν με μεταλλάξεις των TLRs.Συμπεράσματα: Τα ευρήματά μας υποδηλώνουν ότι κοινοί πολυμορφισμοί των TLRs μπορεί να επιδρούν στον κλινικό φαινότυπο των λοιμώξεων που σχετίζονται με την νοσηλεία των ασθενών σε ΜΕΘ στην Ελλάδα. Έτσι, οι TLR4-SNPs μπορεί να σχετίζονται με την επίπτωση των CNSI, UTI και της VAP από gram αρνητικά παθογόνα και μπορεί να επηρεάσουν δυσμενώς τη νοσηρότητα της ΜΕΘ. Αντίθετα, η μετάλλαξη TLR9-T-1237C μπορεί να ασκήσει προστατευτική επίδραση έναντι συγκεκριμένων λοιμώξεων στη ΜΕΘ.

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