Ajeng FS Kurniawati1, Nurul Imaniati2
1&2Department of Health Administration and Policy, Universitas Airlangga
Email: ajengnia58@gmail.com
Abstract
The phlebitis incidence in Jemursari Islamic Hospital Surabaya Inpatient is the highest compared to other nosocomial infection, which reach 3.3%. Hand hygiene is the most important thing to prevent the spread of infection. This study is aimed to analyse the duration of infusion and implementation of bundle prevention in Jemursari Islamic Hospital Surabaya Inpatient. The research design was a case-control, with a chi-square analysis. The phlebitis incidence was obtained from patient medical record period September 2015 until March 2016 which involves 300 phlebitis incidences. Sample of this study was 285 phlebitis incidence (cases) and 285 non-phlebitis incidence (control). The results of the research obtained the duration of infusion (p-value = 0.000 or p <0.05), the implementation of hand hygiene (p-value = 0.001 or p <0.05) and the use of personal protective equipment (PPE) (p-value = 0.001 or p <0.05) has a relationship with the incidence of phlebitis in the Jemursari Islamic Hospital Surabaya Inpatient. Based on the results of the study, the recommendation of effort to reduce the incidence of phlebitis in Jemursari Islamic Hospital Surabaya Inpatient are adding supervision programs in the prevention and control infection work program, adjusting infusion placement procedure, creating phlebitis prevention procedure, creating identification of phlebitis procedure, and evaluating the compliance implementation of hand hygiene, conducting evaluation of the implementation of safety injection procedure, and carrying out informed consent to patients with an indication of the use of restraint.
Keywords: Phlebitis, Duration of infusion, Hand hygiene