263138019-Presentasi-Materi-Ppi.pdf - Dr Luwiharsih,MSc dr...

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Dr. Luwiharsih,MSc dr Luwi - 2 Agust 2014 1
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PPI di RS merupakan suatu upaya kegiatan untuk meminimalkan atau mencegah terjadinya infeksi pada pasien, petugas, pengunjung dan masyarakat sekitar RS. Ditinjau dari asal didapatnya infeksi dapat berasal dari komunitas ( community acquired infection ) atau berasal dari lingkungan RS ( hospital acquired infection ) yg sebelumnya lebih dikenal dengan istilah infeksi nosokomial Karena seringkali tidak bisa secara pasti ditentukan asal infeksi maka sekarang istilah Infeksi Nosokomial ( hospital acquired infection) diganti dengan istilah baru yaitu Healthcare Associated Infections (HAIs), dengan pengertian yg lebih luas tidak hanya di RS tetapi juga infeksi di fasilitas yankes lainnya. Khusus utk infeksi di RS selanjutnya disebut : Infeksi RS (IRS) LUWI-PPI 1 SEPT 2014
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Tujuan pengorganisasian program PPI adalah mengidentifikasi dan menurunkan risiko infeksi yg didapat dan ditularkan diantara pasien, staf, tenaga profesional kesehatan, tenaga kontrak, tenaga sukarela, mahasiswa dan pengunjung LUWI-PPI 1 SEPT 2014
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World-wide: 1,400,000/day. ICU infection rate: 25%. USA: 2,000,000/yr---90,000 deaths ( 274/day). Great Britain: 5,000 deaths/year. Mexico: Third most common cause of deaths. Brazil: 50 & of newborns infected, 12-52% die. Sub-Saharan Africa: SSI is common cause of death. Worldwide: 4,500 children die of HAI. LUWI-PPI 1 SEPT 2014
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One surgical site infection may cost up to $15- $30,000 to treat. One blood stream infection cost up to $50,000 to treat. $40 – $75 billion dollars are spent to treat HAIs. LUWI-PPI 1 SEPT 2014
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The Big Five Central line associated blood stream infection (CLABSI) Ventilator associated pneumonia (VAP) Surgical site infection (SSI) Catheter-associated UTI (CAUTI) Clostridium difficile associated disease (CDAD) LUWI-PPI 1 SEPT 2014
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14 % of all HAI Primary Secondary Catheter (device)-associated LUWI-PPI 1 SEPT 2014
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22 % of all HAIs 1.Superficial 2.Deep 3.Organ Space LUWI-PPI 1 SEPT 2014
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15% of all HAI 1.Ventilator Associated Pneumonia (VAP) 2.Aspiration Pneumonia/pneumonitis 3.Hematogenous LUWI-PPI 1 SEPT 2014
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FOKUS AREA : Program kepemimpinan dan koordinasi (PPI 1; 2; 3; 4) Fokus dari program (PPI 5; 5.1; 6; 7; 7.1; 7.1.1; 7.2; 7.3; 7.4; 7.5) Prosedur Isolasi (PPI 8 ) Teknik pengamanan dan hand hygiene ( PPI 9) Integrasi program dng peningkatan mutu dan keselamatan pasien (PPI 10; 10.1; 10.2; 10.3; 10.4; 10.5; 10.6) Pendidikan staf tentang program (PPI 11) LUWI-PPI 1 SEPT 2014
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Standar PPI.1. Satu atau lebih individu mengawasi seluruh kegiatan PPI. Individu tersebut kompeten dalam praktek PPI yang diperolehnya melalui pendidikan, pelatihan, pengalaman atau sertifikasi ICN/IPCN Elemen Penilaian PPI.1 1. Satu atau lebih individu mengawasi program pencegahan dan pengendalian infeksi 2. Kualifikasi Individu yang kompeten sesuai ukuran rumah sakit, tingkat risiko, ruang lingkup program dan kompleksitasnya.
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