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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 ,


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.


  1. Louis JXG. Anne LVB, dkk. Retrospective Multicenter Study on risk Factor for Surgical Site Infection after Appendectomy for Acute Appendicitis. Dig Surg. 2016;34(2)::103-107.
  2. Noorit P, Siribumrungwung B, Thakkinstian A. Clinical prediction score for superficial surgical site infection after appendectomy in adults with complicated appendicitis. World J Emerg Surg. 2018;13:1-7.
  3. Foster D, Kethman W, Weiser TG, Cai LZ, Forrester JD. Surgical site infection after appendectomy performed in low and middle human development index countries: a systematic review. Surg Infect (Larchmt). 2018;19(3):237-244.
  4. Leong G, Wilson J, Charlett A. Duration of operation as a risk factor for surgical site infection: comparation of English and US data. Journal of Hospital Infection. 2006;63: 255-262.
  5. World Health Organization. Global Guidelines for the prevention of surgical site infection; 2016.
  6. Tiono B, Sudartana K, Widiana R. There is no difference of surgical site infection between single-dose and multiple-dose of prophylaxis antibiotic in open appendectomy of non-perforated acute appendicitis. Bali Medical Journal. 2012;1(3):121-124.
  7. Ozsan I, Karabuga T, Yoldas O, Alpdogan O, Aydin U. Laparoscopic appendectomy versus mini-insicion appendectomy in patients with lower body mass index and noncomlicated appendicitis. Gastroenterology Research and Practice. 2014;2014:1-4.
  8. Gaynes RP, Culver DH, Horan TC, Edwards JR, Richards C, Tolson JS. Surgical Site Infection (SSI) Rates in the United States, 1992–1998: The National Nosocomial Infections Surveillance System Basic SSI Risk Index. Clinical Infectious Diseases. 2001;33:S69-S77.
  9. Giesen LJ, van den Boom AL, van Rossem CC, den Hoed PT, Wijnhoven BP. Retrospective multicenter study on risk factors for surgical site infection after appendectomy for acute appendicitis. Dig Surg. 2017;34(2):103-107.

How to Cite

Mooy, D. Z., Suwedagatha, I. G., & 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.




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Danny Zefanya Mooy
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I Gede Suwedagatha
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Nyoman Golden
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