INFEKSI NOSOKOMW (IN) DI RUMAH SAKlT KHUSUS PENYAKIT MENULAR, JAKARTA

INFEKSI NOSOKOMW (IN)
DI RUMAH SAKlT KHUSUS PENYAKIT MENULAR, JAKARTA
Jams*, Sutoto*, dan Narain H. Punjabi**
ABSTRACT
A prospective rbndomized study to establish nosocomial infection (NI) mte was conducted at
the Infectious Diseases Hospital (IDH) of Jakarta for 1 year in 198211983. Specimens were obtained
from mndomized patients for blood culture, rectal swabs and urine culture on day-1, 3 and 7. In
addition, if there is any indication, other examinations were pefotmed for patients hospitalized
longer than 2 days, including culture of infusion needle. From 2,288 patients hospitaIized during
study periorl, 723 patients (aged 2 months-70 years) fulfilled the criteria for inclusion into the study,
and NZ was found in 191 (26.4%) patients with 285 infections according to the anatomical location.
From 285 infections, highest infection rate was urinary tract nosocomial infection (15.970)~followed
by nosocomial bacteremia (10,8%), lower respiratory tract infection (4.770), gastrointestinal tract
nosocomial infection (2.6%), skin nosocomial infection (2,4%), oral mucous membrane
nosocomial infection (1,4%), nosocomial infection of infusion needle and the lowest rate was upper
respiratory tract nosocomial infection (0.6%). m e incidence was higher in female patients (29.1%)
compared to male patients (24.0%). It was also higher in younger age group with highest in less
than I year old (47.170) and decreased as age of patients increased. Comparing the group of
patients due to type of their illnesses, the incidence was significantly higher in febrile patients
(52.0%) compared to diarrhea patients (12.9%) (p