Sterility Status of Reusable Medical Instruments in Intermediate Care Rooms at Dr. Hasan Sadikin General Hospital Bandung
Journal Title: Pharmacology and Clinical Pharmacy Research - Year 2016, Vol 1, Issue 1
Abstract
Hospital-acquired infection has become serious issue during previous decades. In Indonesia, the prevalence of nosocomial infection reached almost 10% of total patients encounter. The objective of this study was to investigate the sterility status of 160 sets of re-used instruments in three intermediate care rooms, including High Care Cardiac Unit (HCCU), Neosurgical Critical Care Unit (NCCU) and Burn Care Unit (BCU) of Dr. Hasan Sadikin General Hospital. All tested instruments were sterilized in Central Sterile Supply Department (CSSD) of the hospital and distributed to those intermediate care rooms. Observations and microbiology assays were carried out for four weeks. We found that 0.625% of the sample was contaminated by bacteria in week IV at CSSD, bacterial infection at HCCU reached 1.875% in week II and III while fungal infection was 1.875% in week I and IV. Contamination of bacteria in NCCU was 1.25% in week I; 1.875% of the samples were contaminated by fungi in week II, III, and IV. The worst contamination was found in BCU room with 2.50% bacterial infection in week I, II and III, and 4.375% of fungal infection in week I, II and IV. The best sterility status of re-used instruments was found in CSSD, followed by NCCU, HCCU and BCU, respectively. The highest contamination was found in BCU room. The finding of this study can be used to enhance patients safety and improve health care quality.
Authors and Affiliations
Hegandari S. Rahayu, Pudjiastuti Kartidjo
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