The Effect of Operating Procedure with Infection Incidence on Contaminated Cleaning Operating Patients (Case Control Study in RSU HAJI Surabaya)

Abstract

ABSTRACT The hospital is one of the health facilities that provide promotive, preventive, curative, and rehabilitative services. WHO surveys in 2014 showed the incidence of surgical site infection (SSI) increased from 1.2 cases of 100 surgical become to 23.6 cases of 100 surgical procedures. This study aims to analyze the effect of operating procedure on the risk of SSI occurrence in contaminated cleaning operating patients. This research uses case control design. The sample size was 20 patients and the control group were 20 patients. Sampling is done through simple random sampling technique. Data collection is done by using secondary data that is patient medical record. The relationship between variables is calculated through chi-square test using computer applications. The result of statistic analysis showed the factors that influence the risk of IDO occurrence in the contaminated net operating patients in RSU Haji Surabaya such as preoperative bath (OR = 7,42) and shaving preoperative (OR = 6,00). Factors that have no effect on the occurrence of IDO include age factor (OR = 1.00), the nature of surgery (OR = 1.00), body temperature (OR = 1.28), nutritional status (OR = 2.78), and ASA score (OR = 2.26). The conclusion of the research is the risk factors that influence the incidence of IDO in the contaminated net operating patients at RSU Haji Surabaya ie preoperative bath and shaving preoperative. Research suggestions, socialization and supervision on the implementation of standard operating procedures and the use of IDO bundle prevention as an effort to minimize IDO incidents. Keywords: Surgical Site Infection (SSI) , contaminated cleaning operating, procedures