KOLONISASI BAKTERI PATOGEN POTENSIAL PENYEBAB INFEKSI DAERAH OPERASI PADA KULIT PASIEN PRAOPERATIF

Abstract

Backgroud : Surgical Site Infection (SSI) is associated with mortality and morbidity in hospital. The most common pathogen that caused SSI are Staphylococcus aureus, Escherichia coli, Enterobacter sp, Pseudomonas sp. , and Klebsiella sp. Most SSIs are associated with the endogenous pathogen from patient normal flora, therefore skin colonization by pathogenic organisms a risk factor for SSI. Aim : To determine the prevalence of colonization by potential pathogen causing SSI and to analyze whether age, smoking habit, personal hygiene and pre-operative hospital stay were the risk factors. Methods : Observational analytic study with cross sectional data retrieval. Thirty eight pre-operative patient in the surgical ward of Dr Karidi hospital were taken their skin swab around the incision area within 2 hours before surgery. Patient personal data were taken using a questionnaire. Isolate from the skin swab specimen were identified in microbiology laboratory. The association between risk factors and skin colonization were analyzed using chi square/fischer exact test Result : The prevalence rate for S. aureus, Escherichia coli, Enterobacter sp, Pseudomonas sp. , and Klebsiella sp. skin colonization are 94.7%, 0%, 2.6%, 5.3% and 5.3% respectively. Bivariate analysis resulted that there were no significant value as risk factor for all variables. Conclusion : The prevalence of S. aureus skin colonization was high,that of Gram-negative bacilli was low. Age, smoking habit, personal hygiene and hospital stay were not risk factors for skin colonization by potential pathogenic bacteria causing SSI from pre-operative patient. Keyword : Risk factors, SSI, Staphylococcus aureus, Escherichia coli, Enterobacter sp, Pseudomonas sp. , Klebsiella sp., skin colonization, pre-operative