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Risk Factor for Surgical Site Infection Post Sectio Caesarea Supriyatin, Dedeh; Melani, Margareta; Jubaedah, Siti; Susanti, Ari Indra; Susiarno, Hadi
Eduvest - Journal of Universal Studies Vol. 5 No. 3 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i3.38813

Abstract

Surgical site infections are infections that occur within 30 days of a surgical procedure, including infections in the post-sectio caesarea area that are common and can cause significant morbidity. This study aims to comprehensively identify and analyze the risk factors associated with post-sectio caesarea infection. The method used was a literature review with a PEO framework (Population: post-sectio caesarean section; Exposure: associated risk factors; Result: incidence of infection). Article searches were carried out systematically in official databases such as Google Scholar, Pubmed, Science Direct, and Scopus with the keywords "risk factors" AND "surgical site infections" AND "sectio caesarea", published 2018-2023. The results of the study found eight articles that showed risk factors for post-cesarean section infection, including: the number of vaginal examinations ≥ 5 times, rupture of the amniotic sac ≥ 12 hours, chorioamnionitis, long duration of labor (≥12 hours and ≥ 24 hours), estimated intraoperative blood loss of 500 to ≥ 1000 cc, intraoperative blood transfusion, emergency sectio caesarean section, operative duration of more than 1 hour,  previous history of cesarean section, obesity, diabetes mellitus, hypertension, and anemia. Understanding and managing infection risk factors effectively is expected to reduce the infection rate in the surgical area, and infection prevention can be done by implementing treatment packages.
PREOPERATIVE RISK FACTORS FOR SURGICAL SITE INFECTION FOLLOWING CESAREAN SECTION: A CASE-CONTROL STUDY Supriyatin, Dedeh; Irianti, Setyorini; Anwar, Anita Deborah; Permadi, Wiryawan; Sukarsa, M. Rizkar Arev; Susiarno, Hadi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3337

Abstract

Infeksi daerah operasi (IDO) pascaseksio sesarea masih tinggi di Indonesia, termasuk di RSUP Dr. Hasan Sadikin Bandung. Angka kejadian IDO tahun 2022–2024 berkisar 2,34%–3,15%, melebihi standar nasional 2% dan target internal rumah sakit ≤1%, sehingga perlu perhatian terhadap faktor risikonya. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko praoperasi dengan kejadian infeksi daerah operasi pascaseksio sesarea di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan desain observasional analitik kasus-kontrol dengan ukuran sampel sebanyak 180 pasien (45 kasus dan 135 kontrol) yang menjalani seksio sesarea di rumah sakit tersebut dari Januari 2022 hingga Desember 2024, dipilih melalui teknik simple random sampling. Analisis univariat, bivariat (Chi-Square, Fisher’s Exact), dan multivariat (regresi logistik biner) dilakukan untuk menilai hubungan antara variabel independen dengan kejadian IDO. Analisis menunjukkan adanya hubungan signifikan antara kejadian IDO dengan variabel praoperasi seperti tipe operasi (p=0,035), usia (p=0,035), riwayat seksio sesarea (p=0,000), anemia (p=0,000), hipertensi (p=0,013), dan obesitas (p=0,047). Diabetes tidak menunjukkan hubungan signifikan dengan kejadian IDO (p=0,109). Analisis multivariat mengidentifikasi anemia (p=0,000), tipe operasi (p=0,006), riwayat seksio sesarea (p=0,009), usia (p=0,015), dan obesitas (p=0,030) sebagai faktor risiko paling dominan terhadap kejadian IDO. Hasil penelitian menekankan pentingnya penatalaksanaan dini terhadap faktor risiko praoperasi sebagai bagian dari strategi pencegahan IDO dan peningkatan mutu pelayanan kebidanan.
Factors Associated with Anemia in Adolescents and Its Prevention Strategies: Systematic Review Melani, Margareta; Supriyatin, Dedeh; Adnani, Qorinah Estiningtyas Sakilah; Susiarno, Hadi
JURNAL INFO KESEHATAN Vol 22 No 3 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss3.1523

Abstract

Anemia is a global health issue affecting various age groups, including teenagers. This systematic review aims to identify the causes and treatments of anemia in adolescents. Using the Systematic Literature Review method, data were sourced from four databases: PubMed, Science Direct, Google Scholar, and SCOPUS. The literature search employed the keywords "Risk factor" AND "Anemia" AND "Adolescence," conducted comprehensively via the Publish or Perish (POP) search engine. Articles were selected based on inclusion criteria, covering publications from the last three years (2021-2023). Eligibility was assessed using the PICOS framework, and duplications were filtered using the Covidence application. Articles unrelated to the research problem were excluded after screening titles and abstracts. The VOSviewer application was utilized for thematic mapping. The study selection followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Based on 18 selected articles, data was obtained on factors influencing anemia among adolescents such as inadequacy of nutrient intake (N=5 studies) such as protein, iron, and Vitamin A Nutritional status (N=3 studies), dietary patterns (N=2 studies), menstruation (N=2 studies), and hemoglobinopathies (N=1 study) are translated into English. Indirect risk factors associated with anemia among adolescents are found to be: Adolescent females (N=10 studies), Knowledge (N=6 studies), low socioeconomic status (N=3 studies), Education (N=2 studies), Demographics (2 studies), Shared toilet usage (1 study). The study concludes that young women are more susceptible to anemia than young men, with nutritional intake, knowledge, nutritional status, and diet being the primary risk factors. Addressing direct and indirect causes is crucial for effectively managing adolescent anemia.