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Cesarean delivery is a surgical procedure by making incisions through abdominal wall and uterus to deliver <br /> <br /> the baby. Surgical Site Infection (SSI) is one of the complications that can prolong postoperative length of <br /> <br /> stay, including in cesarean sect...
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| Format: | Final Project |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/31423 |
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| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | Cesarean delivery is a surgical procedure by making incisions through abdominal wall and uterus to deliver <br />
<br />
the baby. Surgical Site Infection (SSI) is one of the complications that can prolong postoperative length of <br />
<br />
stay, including in cesarean section patients. Based on several studies, the use of prophylactic antibiotics <br />
<br />
can reduce the risk of SSI events. There are several risk factors for SSI events, one of which is the <br />
<br />
incompatibility of surgical prophylactic antibiotics. In 2017, in one hospital of Bandung, there was an SSI <br />
<br />
incident in patients after cesarean section. The preliminary study shows there are discrepancies in doses <br />
<br />
and the timing of prophylactic antibiotics with Standard Operating Procedure (SOP) and the latest <br />
<br />
recommendations from American Society of Health-System Pharmacist (ASHP). Recommended <br />
<br />
prophylactic antibiotic dose is 2 g which is given within 60 minutes before incision. The study was <br />
<br />
conducted to analyze the effect of dose and surgical prophylactic antibiotic administration timing on the <br />
<br />
incidence of SSI in patients undergoing cesarean section, effect of other risk factors, and effect of ILO on <br />
<br />
postoperative length of stay. Descriptive and analytic observational studies were conducted <br />
<br />
retrospectively from medical record data in 2017. The samples included in the data analysis were 290 <br />
<br />
patients with 12 of them experiencing SSI after cesarean section. Based on the results of the bivariate chisquare analysis, dose (p≥0,05) and prophylactic antibiotic administration timing (p≥0,05; OR: 1,53; 95% <br />
<br />
CI: 0,48-4,86) do not affect the incidence of SSI in patients after cesarean section. Based on logistic <br />
<br />
regression analysis, obesity as other risk factor significantly affected the incidence of SSI (p<0,05; OR: 3,71; <br />
<br />
95% CI: 1,05-12,50). SSI significantly affected the postoperative length of stay (p<0,05). <br />
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