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

Eustachius Hagni Wardoyo, Edi Prasetyo Wibowo, I Gede Jayantika, I Gst Alit Rai Sudiadnya, Rolly Armand

Abstract


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.


Keywords


Surveilans, HAI’s, RSUD Provinsi NTB

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References


Center for Disease Control and Prevention. Outline For Healthcare-Associated Infections Surveillance [Internet]. Departement of Health and Human Service; 2006 [cited 2018 Jan 2]. p. 1–8. Available from: https://www.cdc.gov/nhsn/PDFS/OutlineForHAISurveillance.pdf

Center for Disease Control and Prevention. Healthcare-associated Infections in the United States, 2006-2016: A Story of Progress | HAI | CDC. HAI Data Report. 2017.

Kementerian Kesehatan RI. Peraturan Menteri Kesehatan Nomor 27 Tahun 2017 tentang Pedoman Pencegahan Dan Pengendalian Infeksi Di Fasilitas Pelayanan Kesehatan. 2017;1–172. Available from: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._27_ttg_Pedoman_Pencegahan_dan_Pengendalian_Infeksi_di_FASYANKES_.pdf

Allegranzi B, Pittet D. Healthcare-Associated Infection in Developing Countries: Simple Solutions to Meet Complex Challenges [Internet]. Vol. 28, Infection Control & Hospital Epidemiology. 2007. p. 1323–7. Available from: https://www.cambridge.org/core/product/identifier/S019594170002628X/type/journal_article

Sydnor ERM, Perl TM. Hospital epidemiology and infection control in acute-care settings. Vol. 24, Hosp Epidemiol Acute Care Settings. 2011.

Nugraheni R, Tono S, Winarni S. Infeksi Nosokomial di RSUD Setjonegoro Kabupaten Wonosobo [Internet]. Vol. 11, Media Kesehatan Masyarakat Indonesia. 2012 [cited 2017 Jul 30]. p. 94–100. Available from: http://ejournal. undip.ac.id/index.php/mkmi/article/view/6169

Moi Lin L, Tai Yin C, Wing Hong S. Infection Control for the Asian healthcare Worker [Internet]. 3 rd. 2011 [cited 2017 Dec 22]. p. 153. Available from: http://apsic-apac.org/wp-content/uploads/2016/ 09/A-Handbook-of-Infection-Control-for-the-Asian-Healthcare-Worker.pdf

Crosby C. Monitoring Infections: Active vs. Passive Surveillance [Internet]. 2012 [cited 2018 Mar 20]. Available from: http://www. infectioncontroltoday.com/articles/2012/04/monitoring-infections-active-vs-passive-surveillance.aspx

Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control [Internet]. 2008;36(5):309–32. Available from: https://www.ajicjournal.org/article/S0196-6553(08)00167-3/pdf

Gerri H. APPROACHES TO INFECTION CONTROL _ Infection Control Today [Internet]. 2006 [cited 2012 Mar 3]. Available from: https://www.infectioncontroltoday.com/epidemiology-surveillance/ap proaches-infection-control

Lee TB, Montgomery OG, Marx J, Olmsted RN, Scheckler WE. Recommended practices for surveillance: Association for Professionals in Infection Control and Epidemiology (APIC), Inc. Am J Infect Control. 2007;35(7):427–40.

Provincial Infectious Diseases Advisory Committee. Best Practices for Surveillance of Health Care-associated Infections [Internet]. Public Health Ontario. 2014 [cited 2016 Feb 15]. p. 140. Available from: http://www. publichealthontario.ca/en/eRepository/Surveillance_3-3_ENGLISH _2011-10-28 FINAL.pdf

Jones BE, Jones J, Bewick T, Lim WS, Aronsky D, Brown SM, et al. CURB-65 pneumonia severity assessment adapted for electronic decision support. Chest. 2011 ;140(1):156–63.

Wardoyo EH, Tjoa E, Ocvyanty D, Moehario LH. Infeksi Luka Operasi ( ILO ) di Bangsal Kebidanan dan Kandungan RSUPN Cipto Mangunkusumo ( RSCM ): Laporan Serial Kasus Bulan Agustus-Oktober 2011. Cdk-216. 2014;41(5):332–5.

François JEHL, Monique CHOMARAT, Michèle WEBER AG. From antibiogram to prescription _ bioMérieux Industry website [Internet]. [cited 2012 Apr 1]. Available from: https://www. biomerieux-industry. com/antibiogram-prescription




DOI: https://doi.org/10.32667/ijid.v4i1.43

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