Improving the Efficiency of Health Services

Oct 13, 2025 by wbrum.org 63 views

Understanding the Pattern of Obstetric and Gynecological Surgery Wound Infections: Analysis of the Distribution of Microorganisms and Antibiotic Sensitivity at H. Adam Malik Hospital

Surgical wound infection is a global health problem that often occurs, occupying the second position as a cause of nosocomial infection after urinary tract infections. This infection occurs within 30 days after surgery and can involve incisions or tissues in the operating site. In developing countries, the World Health Organization (WHO) records the incidence of surgical wound infections reaching 11.8 events per 100 surgical procedures. In Indonesia, the incidence of surgical wound infections is also quite high. A study at Dr. Mohammad Hoesin (RSMH) Palembang found an incident reaching 56.57% in 30 patients, with the majority of infections in superficial incisions (skin or subcutaneous tissue). In Surabaya, the incidence of surgical wound infection in obstetric and gynecological patients reached 2.52% of 52 patients.

The importance of understanding the pattern of surgical wound infection in H. Adam Malik Hospital cannot be overstated. By knowing the types of microorganisms that are often the cause of infection, we can identify risk factors and implement effective prevention strategies. Understanding of antibiotic sensitivity patterns allows optimal antibiotic selection for the treatment of infections, reduce the risk of antibiotic resistance, and increase the success of therapy. By optimizing prevention and treatment strategies, the quality of health services for obstetrics and gynecology patients at H. Adam Malik Hospital can increase, minimize postoperative complications, and increase patient satisfaction.

Deeper Analysis: Determinant Factors of Surgery Wound Infection

In addition to understanding the distribution patterns of microorganisms and antibiotic sensitivity, research at H. Adam Malik Hospital also needs to investigate the factors that can increase the risk of surgical wound infections. Several factors that can be studied include:

Patient Factors

Conditions of diabetes mellitus, obesity, elderly, and immunocompromy status are patients' factors that can increase the risk of infection. Patients with these conditions may have a weakened immune system, making them more susceptible to infection. Furthermore, patients with diabetes mellitus may have poor wound healing, which can increase the risk of infection.

Procedure Factor

Long operation duration, complex operation type, and procedures that involve high contamination can increase the risk of infection. For example, operations that involve the gastrointestinal tract or urinary tract may have a higher risk of infection due to the presence of bacteria in these areas.

Environmental Factors

Operating room cleanliness, inadequate quality of sterilization, and hygiene practices can be an environmental factor that contributes to surgical wound infections. A clean and well-maintained operating room is essential for preventing infection. Inadequate sterilization of equipment and poor hygiene practices can lead to the spread of infection.

Health Workers Factors

Training and Compliance of Health Workers on Infection Prevention Protocols are important factors that can reduce the risk of infection. Health workers who are trained in infection prevention protocols are more likely to follow proper procedures, reducing the risk of infection.

Research Benefits: Improve Patient Safety and Health Service Efficiency

Research on the distribution of microorganisms, antibiotic sensitivity patterns, and the determinant factors of surgical wound infections in H. Adam Malik Hospital have important benefits:

Improving Patient Safety

By understanding the pattern of infection and its determinant factors, we can design effective prevention strategies to minimize the risk of postoperative infection. This can lead to improved patient safety and reduced morbidity and mortality rates.

Improving the Efficiency of Health Services

The selection of appropriate and effective antibiotics can accelerate the patient's healing process, reduce medical costs, and improve health services efficiency. By optimizing antibiotic selection, we can reduce the risk of antibiotic resistance and improve patient outcomes.

Encouraging Policy Development

Research results can be taken into consideration in developing policies related to the prevention and handling of surgical wound infections at H. Adam Malik Hospital and other hospitals in Indonesia. This can lead to improved health outcomes and reduced healthcare costs.

Conclusion

By understanding the pattern of surgical wound infections and its determinant factors, we can improve patient safety and the quality of health services at H. Adam Malik Hospital and make a real contribution in an effort to reduce the incidence of surgical wound infections in Indonesia. Further research is needed to investigate the distribution of microorganisms, antibiotic sensitivity patterns, and the determinant factors of surgical wound infections in H. Adam Malik Hospital.

Source:

[Source 1]
[Source 2]
[Source 3]
[Source 4]
[source 5]

Recommendations

Based on the findings of this study, the following recommendations are made:

Implement effective prevention strategies: Based on the distribution of microorganisms and antibiotic sensitivity patterns, effective prevention strategies can be implemented to minimize the risk of postoperative infection.
Optimize antibiotic selection: By understanding antibiotic sensitivity patterns, optimal antibiotic selection can be made to reduce the risk of antibiotic resistance and improve patient outcomes.
Investigate determinant factors: Further research is needed to investigate the determinant factors of surgical wound infections, including patient, procedure, environmental, and health worker factors.
Develop policies: Research results can be taken into consideration in developing policies related to the prevention and handling of surgical wound infections at H. Adam Malik Hospital and other hospitals in Indonesia.

By implementing these recommendations, we can improve patient safety and the quality of health services at H. Adam Malik Hospital and make a real contribution in an effort to reduce the incidence of surgical wound infections in Indonesia.

Q: What is a surgical wound infection?

A: A surgical wound infection is an infection that occurs in a surgical wound, which is a cut or incision made during surgery. Surgical wound infections can be caused by bacteria, viruses, or fungi, and can occur in any type of surgery, including obstetric and gynecological procedures.

Q: What are the common causes of surgical wound infections?

A: The common causes of surgical wound infections include:

Bacteria: Such as Staphylococcus aureus, Escherichia coli, and Klebsiella pneumoniae
Viruses: Such as herpes simplex virus and human papillomavirus
Fungi: Such as Candida albicans
Poor wound care: Such as inadequate cleaning and dressing of the wound
Poor hygiene: Such as not washing hands before and after surgery
Contaminated equipment: Such as surgical instruments and gloves

Q: What are the symptoms of a surgical wound infection?

A: The symptoms of a surgical wound infection can include:

Redness and swelling around the wound
Pus or discharge from the wound
Increased pain or tenderness around the wound
Fever or chills
Swollen lymph nodes

Q: How can surgical wound infections be prevented?

A: Surgical wound infections can be prevented by:

Following proper wound care techniques
Using sterile equipment and gloves
Washing hands before and after surgery
Using antibiotics as prescribed by a healthcare provider
Keeping the wound clean and dry
Avoiding smoking and other tobacco products

Q: What are the treatment options for surgical wound infections?

A: The treatment options for surgical wound infections can include:

Antibiotics: To treat bacterial infections
Antiviral medications: To treat viral infections
Antifungal medications: To treat fungal infections
Wound care: To keep the wound clean and dry
Surgical debridement: To remove dead tissue and promote healing
Hospitalization: To receive intravenous antibiotics and close monitoring

Q: How can healthcare providers prevent surgical wound infections?

A: Healthcare providers can prevent surgical wound infections by:

Following proper surgical techniques
Using sterile equipment and gloves
Washing hands before and after surgery
Using antibiotics as prescribed by a healthcare provider
Keeping the wound clean and dry
Monitoring patients for signs of infection

Q: What are the consequences of surgical wound infections?

A: The consequences of surgical wound infections can include:

Increased risk of complications, such as sepsis and organ failure
Longer hospital stays
Increased healthcare costs
Decreased quality of life
Increased risk of death

Q: How can patients prevent surgical wound infections?

A: Patients can prevent surgical wound infections by:

Following proper wound care techniques
Using sterile equipment and gloves
Washing hands before and after surgery
Using antibiotics as prescribed by a healthcare provider
Keeping the wound clean and dry
Avoiding smoking and other tobacco products

Q: What should patients do if they suspect they have a surgical wound infection?

A: Patients should seek medical attention immediately if they suspect they have a surgical wound infection. They should contact their healthcare provider or visit the emergency room for evaluation and treatment.

Source:

[Source 1]
[Source 2]
[Source 3]
[Source 4]
[source 5]

Recommendations

Based on the findings of this study, the following recommendations are made:

Implement effective prevention strategies: Based on the distribution of microorganisms and antibiotic sensitivity patterns, effective prevention strategies can be implemented to minimize the risk of postoperative infection.
Optimize antibiotic selection: By understanding antibiotic sensitivity patterns, optimal antibiotic selection can be made to reduce the risk of antibiotic resistance and improve patient outcomes.
Investigate determinant factors: Further research is needed to investigate the determinant factors of surgical wound infections, including patient, procedure, environmental, and health worker factors.
Develop policies: Research results can be taken into consideration in developing policies related to the prevention and handling of surgical wound infections at H. Adam Malik Hospital and other hospitals in Indonesia.