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The Factors Affecting the Length of Stay in the Intensive Care Units of Pertamina Central Hospital in Indonesia Related to Healthcare Associated Infections



Author(s)

Nanang Sugiarto and Ede Surya Darmawan

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DOI:10.17265/1548-6648/2014.04.004

HAIs (healthcare associated infections) are important issues and can cause increased morbidity, mortality, and extension of hospital care time. In Indonesia, HAIs in hospitals are most prevalent in the intensive care unit. Within the last three years, BOR (bed occupancy ratio) of Pertamina Hospital has reached 61.77% in 2011 and reached 66.78% in 2013. The hospital has been faced with increased number of inpatients and longer length of stay leading to greater likelihood of the risk of HAIs. The purpose of this study is to identify the factors associated with length of stay (more than 3 × 24 h) in the intensive care unit, and the prevalence rates of HAIs from January 2011 to December 2012. The study uses quantitative cross-sectional survey design with secondary data from the medical record samples of 897 patients and primary data from questionnaires medical personnel of 90 people. Data collection was done through document review of medical records and the data from the Hospital Infection Control Team. The results of the study have shown that there are four factors from medical records related to length of stay, namely, age, the use of invasive medical devices, nutritional status and comorbidities. The results of the questionnaire have shown that majority of the hospital staffs have already had knowledge and attitudes as well as behaviors that adhere to universal precautions. HAIs prevalence in Pertamina Central Hospital in 2011 was 1.15 %, and decreased to 0.27 % in 2012; yet, it was still below 1.5 % in accordance with the national standards from Ministry of Health of Indonesia. Finally, there was a relationship between the occurrence of HAIs and length of stay. It was then recommended to adapt Five Moments for Hand Hygiene Guideline from the WHO (World Health Organization) to reduce HAIs in the Hospital.

Hospital administration, infection control, HAIs, LOS (length of stay), intensive care unit.