Analysis of The Use of Urine Catheters on Catheter-Related Urinary Tract Infections with The Infection Control Risk Assessment Method on Aspects of Knowledge and Attitudes in Hospitals in Yogyakarta

Kusbaryanto Kusbaryanto(1*), Alika Anisa Nishihara(2)
(1) Magister Administrasi Rumah Sakit Universitas Muhammadiyah Yogyakarta
(2) Magister Administrasi Rumah Sakit Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author
DOI : 10.30604/jika.v6i0.1033

Abstract

Healthcare-Associated Infections (HAIs) have now become the cause of an increase in morbidity, mortality and length of hospital stay. Catheter-associated Urinary Tract Infections (CAUTI) account for nearly 40% of all nosocomial infections. This reflects the poor quality of health services. This study aims to analyze the use of urinary catheters for CAUTI with the Infection Control Risk Assessment (ICRA) method in Indonesian hospitals. The design of this research is descriptive quantitative and qualitative. The population in the study were all nurses who worked in the hospital. The sample used in this study to determine the level of knowledge and attitudes related to urinary catheter placement were all nurses who worked in the Internal Medicine, Surgery, Geriatrics and Emergency Units of Panembahan Senopati Hospital Bantul, which collected 61 respondents. The sampling technique used is random sampling. Inclusion criteria are a 1-year nurse working period, and minimum education D3. The exclusion criteria were respondents who did not fill out the questionnaire completely. Informants in this study were IPCN, IPCLN, internal medicine specialists, emergency room nurse coordinators, and nurses in the inpatient ward. The rate of urinary catheter insertion was high (29.51%), moderate (63.93%), and low (6.6%). On a deeper knowledge of catheter insertion, which is well-informed. The attitude of urinary catheter placement was good (73.8%) and bad (26.2%). On a deeper attitude to catheter insertion, the scores are good. Nurses have a moderate level of knowledge and have a good attitude about urinary catheter placement. The most potential risks have been identified. Each potential has risks to take advantage of each and is related to each other. It is best to consider relevant strategies to address the problem.



Abstrak: Healthcare Associated Infections (HAIs) kini telah menjadi penyebab peningkatan morbiditas, mortalitas dan lama rawat inap. Infeksi Saluran Kemih terkait kateter (CAUTI) menyumbang hampir 40% dari semua infeksi nosokomial. Hal ini mencerminkan buruknya kualitas pelayanan kesehatan. Penelitian ini bertujuan untuk menganalisis penggunaan kateter urin pada CAUTI dengan metode Infection Control Risk Assessment (ICRA) di rumah sakit Indonesia. Desain penelitian ini adalah deskriptif kuantitatif dan kualitatif. Populasi dalam penelitian ini adalah seluruh perawat yang bekerja di rumah sakit. Sampel yang digunakan dalam penelitian ini untuk mengetahui tingkat pengetahuan dan sikap terkait pemasangan kateter urin adalah seluruh perawat yang bekerja di Unit Penyakit Dalam, Bedah, Geriatri dan IGD RSUD Panembahan Senopati Bantul yang berjumlah 61 responden. Teknik pengambilan sampel yang digunakan adalah random sampling. Kriteria inklusi adalah: masa kerja perawat 1 tahun, pendidikan minimal D3. Kriteria eksklusi adalah responden yang tidak mengisi kuesioner dengan lengkap. Informan dalam penelitian ini adalah IPCN, IPCLN, spesialis penyakit dalam, koordinator perawat ruang gawat darurat, dan perawat di ruang rawat inap. Tingkat pemasangan kateter urin tinggi (29,51%), sedang (63,93%), rendah (6,6%). Pada pengetahuan yang lebih dalam tentang penyisipan kateter, yang diinformasikan dengan baik. Sikap pemasangan kateter urin baik (73,8%) dan buruk (26,2%). Pada sikap yang lebih dalam untuk penyisipan kateter, skornya bagus. Perawat memiliki tingkat pengetahuan sedang, memiliki sikap yang baik tentang pemasangan kateter urin. Risiko yang paling potensial telah diidentifikasi. Setiap potensi memiliki risiko yang dapat dimanfaatkan masing-masing dan saling berkaitan. Yang terbaik adalah mempertimbangkan strategi yang relevan untuk mengatasi masalah tersebut.

Keywords


CAUTI; ICRA; Knowledge; Attitude; Pengetahuan; Sikap

References


APIC (Association for Professional in Infection Control and Epidemiology). 2008. Guide to The Elimination of Catether-Associated Urinary Tract Infection. Washington DC. www.apic.org.

Atkins L, Sallis A, Chadborn T, Shaw K, Schneider A, Hopkins S, Bunten A, Michie S, and Lorencatto F. Reducing catheter-associated urinary tract infections: a systematic review of barriers and facilitators and strategic behavioural analysis of interventions, Implement Sci. 2020; 15: 44. Published online 2020 Jul 6. doi: 10.1186/s13012-020-01001-2.

Bagchi, S., Watkins, J., Norrick, B., Scalise, E., Pollock, D.A. and Allen-Bridson, K., 2020. Accuracy of catheter-associated urinary tract infections reported to the National Healthcare Safety Network, January 2010 through July 2018. American journal of infection control, 48(2), pI.207-211

Chen, Y.-Y., Chi, M.-M., Chen, Y.-C., Chan, Y.-J., Chou, S.-S., & Wang, F.-D. 2013. Using A Criteria-Based Reminder To Reduce Use of Indwelling Urinary Catheters And Decrease Urinary Tract Infections. American Journal of Critical Care 22, 105–114. https://doi.org/10.4037/ajcc2013464

Fink R, Gilmartin H, Richard A, Capezuti E, Boltz M, Wald H. Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals, American Journal of Infection Control 40 (2012) 715-20.

Ghauri SK, Javaeed A, Abbasi T, Khan AS, Mustafa KJ. Knowledge and attitude of health workers regarding catheter-associated urinary tract infection in tertiary care hospitals, Pakistan, Journal of the Pakistan Medical Association December 2019, Volume 69, Issue 12

Hooton, T.M., Bradley, S.F., Cardenas, D.D., Colgan, R., Geerlings, S.E., Rice, J.C., Saint, S., Schaeffer, A.J., Tambayh, P.A., Tenke, P., &Nicolle, L.E., 2010. Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clinical Infectious Diseases 50, 625– 663. https://doi.org/10.1086/650482.

U.S. Shuman, E.K. & Chenoweth, C.E. 2018. Urinary Catheter-Associated Infections. Infectious Disease Clinics of North America 32, 885–897. https://doi.org/10.1016/j.idc.2018.07.00.

Scott, RD 2009. The Direct Medical Costs of Healthcare-Associated Infections in USHospitals and the Benefits of Prevention. Acessed at Desember 2021 from https://stacks.cdc.gov/view/cdc/11550.

Subhan. 2015. Penerapan Metode Infection Control Risk Assessment (ICRA) untuk Mencegah Kejadian “Infeksi Aliran Darah Primer (IADP)” pada Pasien Dewasa di RSUP Fatmawati Jakarta.

Tambyah PA and Oon J, Catheter-associated urinary tract infection. CURRENT OPINION, Volume 25 Number 4 August 2012.

Nicolle LE 2014. Catheter associated urinary tract infections. Antimicrobial Resistance and Infection Control 2014, 3:23.

Jain M, Dogra V, Mishra B, Thakur A, and Loomba PS. Knowledge and attitude of doctors and nurses regarding indication for catheterization and prevention of catheter-associated urinary tract infection in a tertiary care hospital. Indian J Crit Care Med. 2015 Feb; 19(2): 76–81.doi: 10.4103/0972-5229.151014.


Article Statistic

Abstract view : 58 times
Fulltext (Bahasa Indonesia) views : 19 times

Dimensions Metrics

How To Cite This :

Refbacks

  • There are currently no refbacks.


Copyright (c) 2022 Kusbaryanto Kusbaryanto, Alika Anisa Nishihara

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.