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Abstrak :
[Ilmu Kedokteran Gigi merupakan salah satu bidang yang rawan untuk terjadinya kontaminasi silang antara pasien-dokter gigi, pasien-pasien dan pasien perawat. Kontrol Infeksi dapat mencegah terjadinya infeksi silang. Tujuan: Melihat hubungan Pengetahuan, Perilaku dan Faktor Lingkungan terhadap keberhasilan upaya Kontrol infeksi pada Mahasiswa Program Profesi Fakultas Kedokteran gigi Univesritas “x” di Jakarta. Metode: Metode penelitian yang digunakan cross sectional dengan Model penelitian Sequential Explonatory design. Penelitian dilakukan pada Mahasiswa Program Profesi Fakultas Kedokteran Gigi Universitas “X” di Jakarta yang sudah melewati pendidikan profesi selama 2 (dua) semester, dengan jumlah sampel sebanyak 101 mahasiswa. Hasil: Upaya Kontrol Infeksi pada Mahasiswa Program Profesi Fakultas Kedokteran gigi universitas “X” di Jakarta masih kurang baik.Ini dipengaruhi oleh pengetahuan, perilaku dan faktor lingkungan masih kurang baik dan mempunyai p value < 0,05 sehingga mempunyai hubungan yang signifikan terhadap upaya kontrol infeksi. Kesimpulan: Pengetahuan dan Perilaku dapat ditingkatkan dengan membentuk program yang berisikan promosi kesehatan dalam bentuk poster-poster, standart operasional prosedur berdasarkan standard precautions dan seminar-seminar bagi mahasiswa program profesi fakultas kedokteran gigi;Background: Dentistry is one of a science which has a high sensitivity to caused cross-contamination between the patient-dentist, patient-patient and patient-nurse. Infection control may prevent cross-infection. Objective: Knowing the relationship between Knowledge, Behavior and Environmental Factors with successfull of Infection Control by the students of Professional Program Study of the Faculty of Dentistry, Universitas "x" in Jakarta. Methods: The method used is cross sectional with research model Sequential Explonatory Design. The study which has the total sample of 101 students was conducted and involved the students of Professional Program Study of the Faculty of Dentistry, University "X" in Jakarta, which has passed the professional education for two (2) semesters. Results: Infection Control Efforts conducted by the student of Professional Program Study Faculty of Dentistry, University "X" in Jakarta is not maximal. It was affected by the Knowledge, Behavior and Environmental Factors which not good enough and has a p value <0.05 and therefore has a significant relationship which infection control effort. Conclusion: Knowledge and Behavior can be improved by establishing a program containing health promotion in the form of posters, standard operating procedures based on standard precautions and seminars for the students of Professional Program Study of the faculty of dentistry., Background: Dentistry is one of a science which has a high sensitivity to caused cross-contamination between the patient-dentist, patient-patient and patient-nurse. Infection control may prevent cross-infection. Objective: Knowing the relationship between Knowledge, Behavior and Environmental Factors with successfull of Infection Control by the students of Professional Program Study of the Faculty of Dentistry, Universitas "x" in Jakarta. Methods: The method used is cross sectional with research model Sequential Explonatory Design. The study which has the total sample of 101 students was conducted and involved the students of Professional Program Study of the Faculty of Dentistry, University "X" in Jakarta, which has passed the professional education for two (2) semesters. Results: Infection Control Efforts conducted by the student of Professional Program Study Faculty of Dentistry, University "X" in Jakarta is not maximal. It was affected by the Knowledge, Behavior and Environmental Factors which not good enough and has a p value <0.05 and therefore has a significant relationship which infection control effort. Conclusion: Knowledge and Behavior can be improved by establishing a program containing health promotion in the form of posters, standard operating procedures based on standard precautions and seminars for the students of Professional Program Study of the faculty of dentistry.]

Abstrak :
Latar Belakang: Kontrol infeksi di ruang perawatan gigi penting dilakukan bagi keselamatan pasien dan dokter gigi guna mencegah terjadinya transmisi infeksi COVID-19. Kesadaran masyarakat mengenai kontrol infeksi silang COVID-19 dinilai masih kurang mengingat kasus terkonfirmasi positif COVID-19 yang cenderung terus meningkat. Tujuan: Untuk menganalisis pengetahuan dan sikap serta hubungannya dengan kesadaran pasien dewasa mengenai kontrol infeksi silang COVID-19 di ruang perawatan gigi. Metode: Studi cross-sectional berupa kuesioner online berisi 22 pertanyaan pada masyarakat dewasa berusia 18-65 tahun yang berdomisili di DKI Jakarta dan pernah mengunjungi dokter gigi dengan pengambilan sampel berupa purposive sampling berjumlah 335 responden pada bulan Juli hingga Oktober 2021. Digunakan uji korelasi bivariat melalui uji Kendall’s Tau dan uji beda rerata dengan melihat nilai p-value dan r (koefisien korelasi) untuk analisis statistik. Hasil: Berdasarkan uji korelasi Kendall’s Tau, terdapat perbedaan hubungan yang yang cukup, signifikan, dan searah (p<0,05) antara pengetahuan dan sikap pasien dengan kesadaran mengenai kontrol infeksi silang COVID-19 di ruang perawatan gigi. Kesimpulan: Pengetahuan dan sikap pasien dewasa berkorelasi positif dengan kesadaran mengenai kontrol infeksi silang COVID-19 di ruang perawatan gigi sehingga pentingnya dilakukan pemberdayaan kepada masyarakat untuk meningkatkan pengetahuan dan sikap agar dapat terciptanya kesadaran mengenai kontrol infeksi silang COVID-19. ......Background: Infection control in the dentistry is important for the safety of patients and dentists in order to prevent the transmission of COVID-19 infection. Awareness of patients regarding the control of cross-infection of COVID-19 are considered to be still lacking considering the high rate of positive confirmed cases of COVID-19. Objective: To analyze knowledge and attitudes and their relationship with adult patient’s awareness regarding the control of COVID-19 cross-infection in the dental care room. Methods: A cross-sectional study in the form of an online questionnaire containing 22 questions for adults aged 18-65 years who live in DKI Jakarta and have visited a dentist with a purposive sampling of 335 respondents from July to October 2021. Bivariate correlation test was used through the Kendall's Tau test and the mean difference test by looking at the p-value and r (correlation coefficient) for statistical analysis. Results: Based on the Kendall's Tau correlation test, there was a significant and unidirectional relationship difference (p<0.05) between the patient's knowledge and attitudes and awareness about COVID-19 cross-infection control in the dental care room. Conclusion: Knowledge and attitudes of adult patients are positively correlated with awareness regarding the control of COVID-19 cross-infection in the dental care room so that it is important to empower the community to increase knowledge and attitudes in order to create awareness regarding the control of COVID-19 cross-infection.

Abstrak :
Thoroughly revised and updated for its Fourth Edition, a comprehensive reference on hospital epidemiology and infection control. Written by over 150 leading experts, this new edition examines every type of hospital-acquired (nosocomial) infection and addresses every issue relating to surveillance, prevention, and control of these infections in patients and in healthcare workers. This new edition features new or significantly increased coverage of emerging infectious diseases, avian influenza, governmental regulation of infection control and payment practices related to hospital-acquired infections, molecular epidemiology, the increasing prevalence of community-acquired MRSA in healthcare facilities, system-wide infection control provisions for healthcare systems, hospital infection control issues following natural disasters, and antimicrobial stewardship in reducing the development of antimicrobial-resistant organisms.

Abstrak :
Pengorganisasian pengendalian infeksi nosokomial yang baik merupakan salah satu langkah penting dalam upaya pengendalian infeksi nosokomial. Saat ini belum diketahui bentuk pengorganisasian pengendalian infeksi nosokomial yang ideal dan dapat diterapkan di RSUD Koja. Penelitian ini menggunakan pendekatan kualitatif dengan bentuk analisa terhadap pengorganisasian pengendalian infeksi nosokomial di RSUD Koja. Pengumpulan data primer dilakukan melalui wawancara mendalam kepada mereka yang menduduki posisi ketua pada organisasi pengendalian infeksi nosokomial RSUD Koja dan pembagian kuesioner pada para anggotannya yang terdiri dari 10 kepala ruangan. Pengumpulan data primer juga dilakukan dengan melakukan telaahan terhadap dokuemen-dokumen yang berhubungan dengan pengorganisasian pengendalian infeksi nosokomial di RSUD Koja. Hasil penelitian menunjukan pengorganisasian pengendalian infeksi nosokomial di RSUD Koja masih kurang baik. Sasaran organisasi telah ditentukan tetapi belum dterjemahkan ke dalam serangkaian tujuan yang lebih dapat diterapkan. Telaahan terhadap lingkungan organisasi mengidentifikasikan beberapa faktor yang dinilai sebagai pendukung dan penghambat pencapaian tujuan organisasi. Struktur organisasi yang ada saat ini belum tepat. Diagram organisasi, uraian tugas, dan dokumen-dokumen lain yang berhubungan dengan pegorganisasian juga belum dilengkapi. Kesimpulan analisa pengorganisasian pengendalian infeksi nosokomial ini adalah belum dilaksanakannya pengorganisasian dengan baik. Saran yang diajukan adalah perbaikan dalam pengorganisasian, yaitu dengan menetapkan tujuan, pemanfaatan faktor-faktor peluang, mengantisipasi faktor ancaman, perbaikan dalam struktur organisasi, dan melengkapi dokumen-dokumen yang terkait dengan pengorganisasian.

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Analysis the Organizing of Nosocomial Infection Control at Koja Hospital, JakartaEstablishing well organized nosocomial infection control is one of the important steps in controlling nosocomial infection. At present the ideal organizing of nosocomial infection control that can be applied at Koja Hospital is still unknown. Qualitative method is used to analyze the organizing or nosocomial infection control at Koja Hopital. Primary data was collected by interviewing all chairman in nosocomial infection control organization, distributing questioners to 9 members, and reviewing all documents related to the organizing process of the nosocomial infection control. The result shows that some basic steps in organizing have been done. The organization of nosocomial infection control has stated its goal, but has not been translated to several objectives which are more applicable. The environmental review identifies some factors that support and inhibit the organizing process. This research also shows that the organizational structure is not suitable for the organization The conclusion of the analysis is the organizing of nosocomial infection control in RSUD Koja has not been done properly. The suggestion are translate the organizational goal into some objectives organization wishes to achieve, take advantage of factors that can support the nosocomial infection control organization, anticipate factors that can inhibit the organization, change the organizational structure, and complete documents related to the organizing process of nosocomial infection control.

Abstrak :
Di rumah sakit pendidikan dengan kapasitas 925 tempat tidur, telah dilakukan program pengendalian infeksi nosokomial sejak tahun 1985. Tahun 1988 rumah sakit ini ditunjuk menjadi Rumah Sakit Model untuk pengembangan program pengendalian infeksi nosokomial di Indonesia. Tujuan penelitian ini adalah mengidentifikasi faktor-faktor penyebab kegiatan Panitia Pengendalian Infeksi Nosokomial menurun sejak tahun 1990 dengan menitikberatkan pada faktor organisasi, sumber daya, dan kegiatan tim. Adapun rancangan penelitiannya adalah deskriptif kualitatif dan berupa studi kasus dimana sasaran penelitian diambil secara purposif. Hasil yang didapat adalah Sejak akhir tahun 1990, rumah sakit ini memusatkan perhatiannya kepada persiapan " Rumah Sakit unit Swadana ", sehingga seluruh kegiatan dan penggunaan sumber daya baik sumber daya manusia, dana, sarana diarahkan dalam persiapan ini. Sedangkan program-program lainnya dipersiapkan untuk tahap berikutnya. Menyadari pentingnya program pengendalian infeksi nosokomial, maka perlu adanya kesepakatan di tingkat pimpinan Rumah Sakit mengenai perlunya Panitia Pengendalian Infeksi Nosokomial diaktifkan kembali. Struktur organisasi Panitia Pengendalian Infeksi Nosokomial sangatlah kompleks, sehingga perlu disederhanakan dan dibutuhkan uraian tugas yang jelas dan terperinci. Susunan anggota Panitia Pengendalian Infeksi Nosokomial sebagian besar terdiri dari kalangan medis. Program Pengendalian Infeksi Nosokomial merupakan program terpadu, sehingga dibutuhkan anggota anggota yang berasal dari kalangan medis maupun penunjang medis. Selanjutnya ketua Panitia Pengendalian Infeksi Nosokomial dan anggota-anggotanya perlu dipilih yang dapat melaksanakan kegiatan program ini secara aktif dan mempunyai minat yang besar pada program ini. Anggota-anggota program pengendalian infeksi nosokomial mau ikut serta secara aktif, tetapi mereka sadar akan kemampuan mereka yang terbatas, sehingga perlu terus menerus diberi pengarahan dan ilmu yang memadai.

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Factors that Cause Activities of the Infection Control Committee Decline in " RSUP Dr. Hasan Sadikin Bandung"In a 925 bedded teaching hospital, Infection Control Program (ICP) was done since 1985 was chosen to be a model of developing infection control program for Indonesia. The aim of this study is, to identify factors, that cause the activities of Infection Control Committee (ICC) declined since the end of 1990. The result of this study , discovered : Since the end of 1990 , Hospital attention has focused in preparing this hospital to become a " Rumah Sakit unit Swadana " which needed all the sources including human , financial and other facilities. Because ICP is very important, the hospital should be committed to this program. The organization structure of ICC is very complex. Up till now, there are no detailed job descriptions. The members of the ICC are only from the medical staff. Since ICP is a hospital wide program, its membership should have also representatives from other services/departments in the hospital. The chairman and all its members should be active involved and should have a special interest in this program. In principal the members of ICC are willing to join this program, but they are aware, that they need much more information about infection control in the hospital. References : 44 (1979-1996)

Abstrak :
Salah satu hal penting yang dapat menghambat proses penyembuhan dan pemulihan penderita di rumah sakit adalah terjadinya infeksi nosokomial. Hal ini perlu ditanggulangi dalam bentuk langkah-langkah sistematis yang disusun dalam suatu program-program yang jelas. Program-program tersebut dapat terlaksana jika rumah sakit mempunyai suatu struktur organisasi penanggulangan infeksi nosokomial yang baik. Rumah Sakit Ranker "Dharmais", sebagai pusat rujukan tertinggi bagi penyakit kanker di Indonesia serta merawat penderita kanker yang rentan terhadap infeksi nosokomial akibat pengobatannya, memerlukan suatu organisasi pengendalian infeksi nosokomial yang baik agar dapat menjaga mutu pelayanan rumah sakit serta menjadi contoh bagi rumah sakit lainnya. Dalam pengamatan penulis selama menjalani residensi di Rumah Sakit Kanker "Dharmais", penanggulangan infeksi nosokomial belum berjalan dengan baik. Tujuan penelitian ini adalah agar didapat suatu model organisasi (yang dikembangkan) dalam penanggulangan infeksi nosokomial agar dapat mengantisipasi pengembangan rumah sakit serta pengobatan penyakit kanker dimasa datang. Metode yang dipakai dalam penelitian ini adalah kualitatif-deskriptif. Dari hasil penelitian ditemukan bahwa kegiatan penanggulangan infeksi nosokomial belum terkoordinir dengan baik, disebabkan struktur organisasi penanggulangan infeksi nosokomial yang tidak berjalan dan membutuhkan pengembangan. Untuk itu diusulkan beberapa model organisasi pengembangan infeksi nosokomial yang diharapkan dapat meningkatkan kinerja penanggulangan infeksi nosokomial sehingga lebih efektif dan efisien untuk mencapai tujuan dan sasaran yang diinginkan.

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One of the important thing that hampered treatment and recovery process in the hospital is nosocomial infection. It must be defended by systematic approach and clear programs. All the programs can be done, if the hospital have a good nosocomial infection control organizations. "Dharmais" Cancer Hospital is the top referral hospital in Indonesia for cancer patients and nursing. Cancer patients are vulnerable to nosocomial infection because of the treatment; so that good nosocomial infection control is needed to keep the hospital quality assurance and as an example for other hospital. After carrying out observation during the time the writer was conducting "residensi", the nosocomial infection control program was not properly done. The objective of this research is to develop model's of nosocomial infection control organization to anticipate future development of the. hospital and development of cancer treatment. Method of research used was descriptive-qualitative. The research showed that the nosocomial infection control program was not doing well because of lack organization, so that the organization need to be developed. For that reasons, some models of nosocomial infection control organizations were proposed. The writer hope, the developed of nosocomial infection Control Organization will increase performance, so that the hospital becomes more effective and efficient in reaching out its goals and targets.