Faktor risiko kejadian healthcare associated infection akibat bakteri gram negatif basil pada pasien ICU rumah sakit pendidikan Siloam : Mei 2016 – Desember 2017 = Risk fviactors of healthcare associated infection caused by gram negatif bacil bacteria in Siloam teaching hospital ICU patients : May 2016 – December 2017

Kartawijaya, Elfira (2018) Faktor risiko kejadian healthcare associated infection akibat bakteri gram negatif basil pada pasien ICU rumah sakit pendidikan Siloam : Mei 2016 – Desember 2017 = Risk fviactors of healthcare associated infection caused by gram negatif bacil bacteria in Siloam teaching hospital ICU patients : May 2016 – December 2017. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Healthcare Associated Infection (HCAI) become an increasingly global health problem, especially in low-income and developing countries. Gram negative bacilli bacteria is the most common cause of HCAI events. The objective of this study is to know the various risk factor that cause HCAI in Siloam Teaching Hospital ICU patients. This was a retrospective cross-sectional observational study in 91 patients admitted to Siloam Teaching Hospital ICU from May 2016 to December 2017 for ≥ 48 hours. Data obtained from Siloam Teaching Hospital ICU patient’s database. Data tabulation and analysis will be done using Microsoft Excel 2011 and SPSS 24. From a total of 91 research samples, 63 ICU patients experienced HCAI due to gramnegative bacteria. The most common gram-negative bacteria that cause HCAI are Acinetobacter spp (25.76%), Pseudomonas spp (23.48%) and Klebsiella pneumoniae (21.97%). Bivariate analysis showed that only duration of treatment, day of infection, sex, use of ETT and urinary catheter and category of neurological comorbidity had significant value for HCAI occurrence in ICU patients. The incidence of Healthcare Associated Infection due to gram-negative bacteria was high in Siloam Teaching Hospital ICU patients and only 5 significant risk factors that associated with Healthcare Associated Infection / Healthcare Associated Infections (HCAI) menjadi masalah kesehatan yang semakin meningkat secara global, terutama pada negara-negara berpendapatan rendah dan berkembang. Bakteri gram negatif basil menjadi penyebab terbanyak dari kejadian HCAI. Penelitian ini bertujuan untuk mengetahui berbagai faktor risiko yang menyebabkan terjadinya HCAI pada pasien ICU Rumah Sakit Pendidikan Siloam. Penelitian ini menggunakan studi observasional retrospektif cross sectional pada 91 pasien ICU Rumah Sakit Pendidikan Siloam yang dirawat dari Mei 2016 sampai dengan Desember 2017 selama ≥ 48 jam. Data penelitian didapat dari database pasien ICU Rumah Sakit Pendidikan Siloam. Tabulasi dan analisis data menggunakan program Microsoft Excel 2011 dan SPSS 24. Dari total 91 sampel penelitian, sebanyak 63 pasien ICU mengalami HCAI akibat bakteri gram negatif. Bakteri gram negatif terbanyak penyebab HCAI adalah Acinetobacter spp (25.76%), Pseudomonas spp (23.48%) dan Klebsiella pneumoniae (21.97%). Analisis bivariat menunjukkan bahwa hanya lama perawatan, hari terjadinya infeksi, jenis kelamin, penggunaan ETT dan kateter urin dan kategori komorbiditas neurologi yang memiliki nilai signifikan terhadap terjadinya HCAI pada pasien ICU. Angka kejadian Healthcare Associated Infection akibat bakteri gram negatif basil tergolong tinggi pada pasien ICU Rumah Sakit Pendidikan Siloam dan hanya 5 faktor risiko yang signifikan terhadap terjadinya Healthcare Associated Infection.

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