FAKTOR RISIKO INFEKSI LUKA OPERASI POST LAPAROTOMI OBSTETRI DAN GINEKOLOGI DI RSUD ARIFIN ACHMAD PEKANBARU

Abstract

Background.The incidence of surgical site infection in Indonesia is in the range of 2-18%. The impact of surgical site infections increase morbidity, mortality, and increased duration of hospitalization thereby increasing health care costs. The purpose of this study was to measure the risk factors and the dominant factors related to surgical site infections after laparotomy the incidence of obstetrics and gynecology at the Arifin Achmad Hospital Pekanbaru. Methods.The design of study is a retrospective case-control of medical records from January 2009 � December 2013. The sample was post operative females undergoing obstetrics and gynecology laparotomy. The diagnosis of surgical site infection is based on the criteria of the Centers for Disease Control and Prevention (CDC). The results of the simple random technique of 4,301 observation patient yields 192 samples of cases group patients and 576 control group patients. The data were analyzed using independent t-Test, chi-square, Kaplan-Meier analysis and multivariate logistic regression analysis. Research results. Surgical site infections occurred in 192 patients (4,46%). The results of logistic regression analysis for significant factors are: the type of emergency surgery (47,4% vs 36,5%, OR = 1,5