PERBEDAAN ANGKA KEPATUHAN CUCI TANGAN PETUGAS KESEHATAN DI RSUP DR. KARIADI : Studi di Bangsal Bedah, Anak, Interna, dan ICU

Abstract

Background: Hand washing is an important means of preventing hospital acquired infections. Few facilities were installed, and studies or campaign on this subject have been done in RSDK. This study is aimed to observe hand hygiene compliance rate among health care workers, to seek difference of its compliance based on wards and professions, and to find factors related to hand washing practices. Methods: This was a cross sectional study, involved 100 health workers (residents, nurses, and co-assistants) in RSDK during April to June 2011 as sample. All samples fulfilled the criterias. One person was observed for 1 hour, a simple questionnaire exploring factors related hand hygiene was given in the last observation. Data were analyzed using Kruskal Wallis and Mann–Whitney U tests. Result: A total 1076 activities was observed, compliance is 25,92%. The rate with hand hygiene is 24,16% in Surgery, 26,09% in Paediatric, 25,13% in Internal Medicine, 25,9% in HCU, 26,11% in PICU, and 25,72% in ICU. The Kruskal Wallis test showed p=0,766). Hand hyegiene compliance according to professions is residents 21,22% (n=33), nurses 31,31% (n=35), and co-assistants 21,69% (n=32). The Kruskal Wallis test showed that p=0,000 (significant), continued with Mann–Whitney U test that resulted p=0,000 (residents-nurses), p=0,517 (resident-coassistant), and p=0,000 (nurses-coassistant). Conclusion: Hand washing rates are low. There were not significantly difference in hand hygiene compliance based on wards. According to professions, there were signifficant difference in residents with nurses, and nurses with co-assistant, but no difference in residents and co-assistant.