Authors: Cicilia Windiyaningsih, Yuanna Dewi.
Nosocomial infections are the leading cause of the world's high rates of morbidity and death. In 2002 the CDC estimated the incidence rate of nosocomial infections in hospitals at approximately 1.7 million people and about 99,000 people dying from these infections. Surgical area infection (IDO) is one of the most nosocomial infections that occurs in hospitals. The use of appropriate prophylactic antibiotics can reduce the incidence of surgical wound infections. In 2014 WHO survey showed that the incidence of surgical area infection (IDO) increased by 1.2 cases per 100 surgical procedures to 23.6 cases per 100 surgical procedures. One of the infections included in the Health Care Associated Infections (HAIs) group is surgical area infections (IDO). The study aims to determine the determinants that affect the incidence of infection in caesarean section patients in hospitals through several determinants studied, namely age, gestational age, maternal parity, comorbidities, maternal health conditions (Hb value), antibiotic type, time of administration, duration of use, route of administration, type of surgery, duration of surgery and Length Of Stay (LOS) with the incidence of IDO in Sectio Caesarea (SC) patients at Hermina Bekasi Hospital for the 2021-2022 period. The design of the retrospective observational study research was carried out with a sample of 350 people. Data were obtained through the Medical Record File (BRM), observation from the time the patient finished SC treatment until control 7 days after treatment at the polyclinic. Data analysis includes univariate analysis, bivariate analysis using quadratic kai test and multivariate analysis with multiple logistic regression non-parametric tests. The results showed that there was an influence between comorbidities (OR = 3,886; 95% CI = 0.948 _ 15,925) and the incidence of IDO. Other factors did not have a significant influence on the incidence of IDO. The results of the double logistic regression non-parametric test found comorbidities to be the most dominant determinant of IDO events. Identification of IDO risk factors can be useful for planning efforts to minimize the incidence of IDO in post-cesarean patients. The use of an improper type of prophylactic antibiotic (ceftriaxone injection) shows an IDO incidence of 0.85% with an effective and efficient cost to be considered to the management of Hermina Bekasi Hospital.
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