Analisa Perawatan Central Vein Catheter (CVC) Terhadap Kejadian Infeksi Aliran Darah Primer (IADP) Pada Pasien Di Ruang Intensive Rumah Sakit Umum Daerah Dr. Zainoel Abidin Banda Aceh
pdf

Keywords

central vein catheter (CVC)
intensive care unit (ICU)
primary bloodstream infection

How to Cite

Rikanurrizki, R., Fatmi, E., & Zulfan, M. (2024). Analisa Perawatan Central Vein Catheter (CVC) Terhadap Kejadian Infeksi Aliran Darah Primer (IADP) Pada Pasien Di Ruang Intensive Rumah Sakit Umum Daerah Dr. Zainoel Abidin Banda Aceh. Journal of Medical Science, 5(1), 43–50. https://doi.org/10.55572/jms.v5i1.126

Abstract

Primary bloodstream infection is a laboratory-confirmed bloodstream infection that cannot be attributed to any source other than a Central Vein Catheter (CVC) and develops 48 hours after placement. Central Vein Catheter (CVC) placement in critical patients is often necessary for measuring central venous pressure, fluid resuscitation, and administration of inotropic and vasoactive drugs. This study aimed to determine the correlation between CVC care and patient-related risk factors for the incidence of primary bloodstream infection in patients in the Intensive Care Unit of Dr. Zainoel Abidin Regional General Hospital. The study employed a quantitative design with a cross-sectional study approach, and samples were selected using accidental sampling. Bivariate data analysis was conducted using the chi-square test, while multivariate data analysis used logistic regression with backward method modeling. The study identified age (p=0.018), underlying disease (p=0.017), and CVC care (p=0.019) as factors associated with the incidence of primary bloodstream infection. The underlying disease was the most dominant factor affecting the incidence of primary bloodstream infection, with EXP (B) = 23.293.

https://doi.org/10.55572/jms.v5i1.126
pdf

References

Alotaibi, N., Barri, A., Elahi, M., (2020) Length of Stay in Patients With Central Line- Associated Bloodstream Infection at a Tertiary Hospital in the Kingdom of Saudi Arabia doi: 10.7759/cureus.10820

Akaishi, T., Tokuda, K., Katsumi, M., Fujiaki, S.I., Aoyagi, T., Haerigae, H., Ishii, T., (2023). Blood Culture Result Profile in Patients With Central Line-Associated Bloodstream Infection (CLABSI): A Single-Center Experience. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331171/Baier, C., Linke, L., Eder, M., Schwab, F., Chaberny, I., Vonberg, R (2020) Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients. doi:10.1371/journal.pone.0227772

Bardi , T., Pintado, V., Rojo, M., Sanchez, R., Lopez, A., Remesal, Y., Castro, N., Garbajosa, P., Pestana, D (2021) Nosocomial infections associated to COVID-19 in the intensive care unit: clinical characteristics and outcome doi: 10.1007/s10096-020-04142-w

Barkah, A dan Chusnul, C. (2019). Hubungan Umur dan Jenis Kelamin Dengan Kejadian Infeksi Nosokomial. Jurnal Antara Keperawatan Vol 2.

Bukhari., Hayati, Z., Yannizar., Afriani (2015) Survei Angka Infeksi Rumah Sakit tentang Infeksi Aliran darah Primer (IADP) di RSUD dr. Zainoel Abidin Banda Aceh Tahun 2015. Kerja sama RSUD dr. Zainoel Abidin dengan Lembaga Penelitian Universitas Syiah Kuala. https://rp2u.unsyiah.ac.id/index.php/welcome/prosesDownload/1021/6

Cabrero, E., Robledo,R., Cuñado, A., Sardelli, D., López, C., Formatger, D., Perez, L., López, C., Moreno, A., Murt, A (2023) Risk factors of catheter- associated bloodstream infection: Systematic review and meta-analysis. doi: 10.1371/journal.pone.0282290

David, Y., Sugeng, J.M., Zaenal, A., (2013). Faktor-Faktor Resiko Infeksi Nosokomial Pada Luka Operasi Bersih di Ruang Perawatan Bedah RS Yukum Medical Center Kabupaten Lampung Tengah Propinsi Lampung. Jurnal Media Kesmas Vol 2

Emily, M & Mary, B (2021) Central Line Care and Management: Adopting Evidence-Based Nursing Interventions https://doi.org/10.1016/j.jopan.2020.10.010 Flood, A. (2021) Preventing central Line Blood Stream Infections in Critical Care Patients https://doi.org/10.1016/j.cnc.2021.08.001

Gillis, V., Es, M., Wouters, Y., & Wanten, G (2022) Antiseptic barrier caps to prevent central line-associated bloodstream infections: A systematic review and meta-analysis https://doi.org/10.1016/j.ajic.2022.09.005

Gupta, P., Thomas, M., Patel, A., George, R., Mathews, L., Alex, S., John, S., Simbulan, C., Garcia, M., Al-Balushi, S., El Hassan, M (2021) Bundle approach used to achieve zero central line- associated bloodstream infections in an adult coronary intensive care unit doi:10.1136/bmjoq-2020-001200

Kiyoshi, M.,Tadao, A. , Mariko, K., Joho T. , Harumasa, N. , Akira, M, and Tomoko (2022). Risk factors associated with increased incidences of catheter-related bloodstream infection doi:10.1097/MD.0000000000031160

Lee, K.A, Rafael, R. F., In, H.J., Ashley, S., Paul, D.R., (2022) Immune Senescence, Imunosenescence and Aging. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9261375/

Lin, W., Chang, Y., Wu, U., Hung, M., Chuang, P., Wang, J., Sheng, W., Chen, Y., & Chang, S. (2018) Multimodal interventions for bundle implementation to decrease central line-associated bloodstream infections in adult intensive care units in a teaching hospital in Taiwan, 2009–2013 http://dx.doi.org/10.1016/j.jmii.2017.08.008

Rahmani, K., Garikipati, A., Barnes, G., Hoffman, J., Calvert, Mao, Q., & Das, R. (2021) Early prediction of central line associated bloodstream infection using machine learning https://doi.org/10.1016/j.cnc.2021.08.001

Salama, M., Jamal, W., Mousa, H., Rotimi, V. (2016) Implementation of central venous catheter bundle in an intensive care unit in Kuwait: Effect on central line-associated bloodstream infections http://dx.doi.org/10.1016/j.jiph.2015.05.001

Selby, L., Rupp, M., & Cawcutt, K (2021) Prevention of Central-Line Associated Bloodstream infections: 2021 Update. https://doi.org/10.1016/j.idc.2021.07.004

Simajuntak, G., Susanto, W., Megasari, A., Purwoto, A., Agustin, W., Achmad, V., Waladani, B.,

Faizah, A., Surani, V., Nuliana, W., Kususmawaty, I., Rachman, N., Yunike., Wulandari. (2022). Keperawatan Kritis. Padang : PT. Global Eksekutif Teknologi

Spelman,T., Pilcher, D.Cheng, A., Bull, A., Richards, M., Worthi, L (2017) Central line-associated bloodstream infections in Australian ICUs: evaluating modifiable and non-modifiable risks in Victorian healthcare facilitiesdoi: 10.1017/S095026881700187X

Utami, W & Maria, A (2020) Faktor-faktor yang Berhubungan dengan Kepatuhan perawat Dalam Melakukan Perawatan Central Venous Cathethers (CVC) di Ruang ICU RS X Jakarta. https://ejurnal.ung.ac.id/index.php/jnj/article/view/8271/pdf

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2024 Rikanurrizki Rikanurrizki, Elizar Fatmi, Muhammad Zulfan

Downloads

Download data is not yet available.