Research Article

Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post appendectomy di RSUP Sanglah Denpasar

Danny Zefanya Mooy , I Gede Suwedagatha, Nyoman Golden

Danny Zefanya Mooy
PPDS-1 Ilmu Bedah, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia. Email: dr.dannymooy@gmail.com

I Gede Suwedagatha
Divisi Bedah Trauma, Departemen/KSM Ilmu Bedah, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia

Nyoman Golden
Departemen Bedah Saraf, Fakultas Kedokteran, Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia
Online First: July 11, 2020 | Cite this Article
Mooy, D., Suwedagatha, I., Golden, N. 2020. Faktor-faktor risiko yang berperan terhadap terjadinya infeksi luka operasi pada pasien post appendectomy di RSUP Sanglah Denpasar. Intisari Sains Medis 11(2): 439-444. DOI:10.15562/ism.v11i2.714


Background: Surgical wound infection (SWI) is one of the three most common hospital-acquired infections, with an average of 14-16% and which is the most common infection in postoperative patients. This study aims to look for factors associated with post-operative wound infection in the appendectomy procedure at Sanglah General Hospital Denpasar.

Methods: This study used a retrospective cohort design, which was carried out at the Medical Record Installation Sanglah General Hospital Denpasar, Bali-Indonesia during the January 2017 to September 2018. Data analysis used chi-square tests, relative risk calculations, and logistic regression.

Results: This study used 108 respondents, and there were 17 people who experienced SWI, the final analysis using logistic regression showed a diagnosis of perforated appendicitis (RR: 9.57; 95% CI: 2.09-43.64; p = 0.004) and operator guidance resident (RR: 1.75; 95% CI: 1.49-22.3; p = 0.011) is a risk factor for the occurrence of the SWI.

Conclusion: The diagnosis of perforated appendicitis is the most important factor in the occurrence of surgical wound infection after appendectomy.

 

Latar Belakang: Infeksi luka operasi (ILO) merupakan salah satu dari tiga infeksi tersering yang didapat di rumah sakit, dengan rata-rata mencapai 14-16% dan yang merupakan infeksi yang paling sering terjadi pada pasien pasca operasi. Penelitian ini bertujuan untuk mencari faktor-faktor yang berhubungan dengan infeksi luka operasi pasca prosedur appendectomy di RSUP Sanglah Denpasar.

Metode: Penelitian ini menggunakan rancangan kohort retrospektif, yang dilakukan di Instalasi Rekam Medis RSUP Sanglah Denpasar, Bali-Indonesia selama periode Januari 2017 hingga September 2018. Analisis data menggunakan uji chi-square, perhitungan risiko relatif, dan regresi logistik.

Hasil: Penelitian ini menggunakan 108 responden, dan terdapat 17 orang yang mengalami ILO, analisis akhir menggunakan regresi logistik menunjukkan diagnosis appendisitis perforasi (RR: 9,57; IK 95%: 2,09-43,64; p=0,004) dan operator residen bimbingan (RR: 1,75; IK 95%: 1,49-22,3; p=0,011) merupakan faktor risiko terjadinya ILO.

Simpulan: Diagnosis appendisitis perforasi merupakan faktor yang paling berperan terhadap terjadinya infeksi luka operasi pasca appendectomy.

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