Soewandhie Hospital Research Articles

Profile of toddler pneumonia cases in Soewandhie Regional Hospital, Surabaya, East Java, Indonesia: A descriptive study

Introduction: Pneumonia stands as a leading cause of mortality among children under five, trailing only behind diarrhea in Indonesia, where it has claimed the lives of 740,180 young children. This study endeavors to provide a comprehensive overview of toddler pneumonia specifically within the confines of Soewandhie Regional Hospital, Surabaya, East Java, Indonesia. Objective: The primary objective of this research is to gain insight into the prevalence and characteristics of toddler pneumonia cases at Soewandhie Regional Hospital, Surabaya, East Java, Indonesia. Method: Employing descriptive quantitative methods with a cross-sectional design, the study recruited a sample of 35 toddlers meeting predefined inclusion and exclusion criteria through consecutive sampling. Data collection occurred within the Seruni room at Soewandhie Hospital, utilizing a combination of medical records examination and interviews with the families of the toddlers. Result: Among the sampled toddlers, a significant majority (65.7%) were diagnosed with pneumonia. Analysis revealed that a notable portion (51.4%) fell within the age range of 12-23 months, with a slight majority being female (54.3%). Maternal ages predominantly ranged from 20 to 35 years, while paternal ages were concentrated between 25 and 40 years (28.6%). Moreover, 17.1% of the toddlers had previously experienced pneumonia, and a majority (82.9%) were born at term with normal body weights (91.4%). Notably, two toddlers lacked complete parental care due to parental death. Conclusion: The findings underscore the significant burden of pneumonia among toddlers at Soewandhie Hospital. Future research endeavors could benefit from expanding the sample size and investigating additional factors contributing to toddler pneumonia incidence.

Analisis Faktor-Faktor Pengambilan Keputusan Masyarakat Dalam Memilih Jasa Pelayanan Kesehatan Di Rumah Sakit Umum Daerah (RSUD) Dr. Mohammad Soewandhie Kota Surabaya

Patient satisfaction is a competitive advantage for every hospital to retain its customers and enable the hospital to continue to compete and grow every day. This study examines patient satisfaction as a significant competitive advantage for hospitals, focusing on Dr. Mohamad Soewandhie Hospital in Surabaya. This study uses qualitative descriptive method with literature review approach to assess the quality of hospital services based on five main indicators: physical evidence (tangibles), reliability, responsiveness, empathy, and assurance. This study concluded that the quality of service at Dr. Mohamad Soewandhie Hospital has met these indicators, so as to increase patient satisfaction and compete in the health industry.

The Risk Factors of Patients with Cruris Fracture Nonunion in dr. Mohamad Soewandhie Hospital in 2021 - 2022: A Case- Control Study

Background: The crural region is highly susceptible to injury in Indonesia, with fractures being a common occurrence. However, if not properly treated, these fractures can lead to complications such as nonunion. To investigate the risk factors for nonunion cruris fractures, this study was conducted at Dr. Mohamad Soewandhie Hospital, examining age, gender, working status, education, trauma mechanism, and previous treatment history. Methods: This case-control study analyzed patient records from 2021-2022 at Dr. Mohamad Soewandhie Hospital, comparing 12 nonunion and 24 union cruris fracture cases. Data on age, gender, work, education, trauma, and treatment history was collected between August and October 2023. Statistical analysis was performed using the Mcnemar and Wilcoxon tests, with a significance level of p < 0.05. Results: A study of 149 cruris fractures found 12 nonunions, primarily affecting males aged 26-45 or 46-65. Notably, the highest nonunion rate (41.7%) was in the 12-25 age group (p = 0.027). Males were more affected, with 7 nonunion cases (58.3%) (p = 0.041). Working class patients had the highest fracture and nonunion rates (83.3%) (p < 0.001). High school education was most common among nonunion cases (75%) (p = 0.374). High-energy trauma was reported in almost all nonunion cases (91.7%) (p < 0.001). All nonunion patients had a history of ORIF (p = 0.102). Conclusions: The study revealed that age, gender, work status, and trauma mechanism significantly influenced nonunion cruris fractures at Dr. Mohamad Soewandhie Hospital in 2021-2022. Patient education and past treatment history, however, had no significant impact.

The Effectiveness of Dokterkit Application-Based Coronary Heart Risk Monitoring and Education

Background: In 2019, primary diagnoses in coronary heart disease outpatients increased by 1.4% and secondary diagnoses byi6% of patients. Aims: To determine the effectiveness of Edmon (Education & Monitoring) based on the medical kit application on coronary heart disease risk control at Soewandhi Hospital Surabaya. Method: This study is a quantitative study with quasi-experimental non-equivalent group design. This study involved 30 people consistingi of 2 groups (the treatment group that received CHD health education through a dokterkit application and through leaflets). This research was conducted at Soewandi Hospital in Surabaya in August-November 2022. Univariate data analysis techniques were performed on each variable from the research results, then an independenti test was carried out to find out the differencesi betweeni the two groups. Results: The results showed that android-based education and monitoring were effective because they contributed to a 26.7% reductioni in the numberi of patientsi with severe CHD risk and a 40% increase in the numberi of patients with normal urici acidi levelsi in the treatment group. Conclusion: Dokterkit-based education & monitoring is effective in controlling the risk of coronaryi heart diseasei and uric acid levelsi in Soewandhie Hospital Surabaya, but not effective in reducing cholesterol levels, systolic blood pressure, blood sugar levels and not effective in changing smoking behavior.

Relation between Body Mass Index and Knee Osteoarthritis in Pre-Elderly to Elderly at Orthopedic Poly of Dr. Mohamad Soewandhie Regional Public Hospital Surabaya

Osteoarthritis is a degenerative joint disease characterized by painful joints, particularly prevalent in older individuals, attributed to mild inflammation resulting from bone-end friction. A study conducted in Surakarta revealed a 4.9-fold increase in osteoarthritis risk among individuals with a BMI >25 compared to those with a BMI of 18.5-25.0. This research aims to investigate the association between knee osteoarthritis and BMI among elderly patients at the orthopedic outpatient clinic of Sesyapdhio Hospital, Surabaya. Using cross-sectional observational analysis, osteoarthritis patients were identified. The findings indicate a correlation between higher BMI and increased severity of osteoarthritis, contrasting with milder cases observed in individuals with normal BMI. Spearman's rank correlation review revealed a strong positive correlation (r=0.554) between BMI and osteoarthritis severity at Sexygandhio Hospital Surabaya. This study's unique contribution lies in its focused exploration of the relationship between BMI and osteoarthritis severity in elderly patients, offering insights into potential interventions tailored to BMI-specific risk profiles.

PROGNOSTIC FACTORS OF SEVERE DENGUE INFECTIONS IN CHILDREN

The incidence of dengue fever increase annually and can increase morbidity and mortality. Dengue fever is mosquito-borne disease and caused by one of four serotype dengue viruses. Severe dengue is characterized either by plasma leakage, fluid accumulation, respiratory distress, severe bleeding, or organ impairment. Mortality and serious morbidity of dengue were caused by several factors including the late recognition of the disease and the changing of clinical signs and symptoms. Understanding the prognostic factors in severe dengue will give early warning to physician thus decreasing the morbidity and mortality, and also improving the treatment and disease management. The aim of this study was to analyze the prognostic factors of severe dengue infection in children. This study was observational cohort study in children (2 months-18 years) with dengue infection according to WHO 2009 criteria which admitted in Soetomo and Soewandhie Hospital Surabaya. Analysis with univariate, bivariate and multivariate with IBM SPSS Statistic 17. All patients were confirmed by serologic marker (NS-1 or IgM/IgG Dengue). Clinical and laboratory examination such as complete blood count, aspartate aminotrasnferase (AST), alanine aminotrasferase (ALT), albumin, and both partial trombocite time and activated partial trombosit time (PTT and aPPT) were analyzed comparing nonsevere dengue and severe dengue patients. There were 40 subjects innonsevere and 27 subjects with severe dengue infection. On bivariate analysis, there were significant differences of nutritional status, abdominal pain, petechiae, pleural effusion, leukopenia, thrombocytopenia, hypoalbuminemia, history of transfusion, increasing AST>3x, prolonged PPT and APTT between severe and nonsevere dengue group. After multivariate analyzed, the prognostic factors of severe dengue were overweight/obesity (p=0.003, RR 94), vomiting (p=0.02, RR 13.3), hepatomegaly (p=0.01, RR=69.4), and prolonged APTT (p=0.005, RR=43.25). In conclusion, overweight/obesity, vomiting, hepatomegaly, and prolonged APTT were prognostic factors in severe dengue infection in children.Those factors should be monitored closely in order to reduce the mortality and serious morbidity.

Length of marriage to pregnancy and the risk of preeclampsia

Objective: to analyze the relationship between the length of marriage to pregnancy with the incidence of preeclampsia.Materials and Methods: This study was an observational analytic study with case control approach. Samples were 33 respondents with preeclampsia and 66 respondents with normal pregnancy, all were primigravida with age of 20-35 years old in Dr. M. Soewandhie Hospital, Surabaya, Indonesia, in January-June 2017. Data were taken from medical record.Results: This study found that the length of marriage until pregnancy was 0-4 months with percentage of 39.4% and 77.3% for case and control group respectively. Chi-square test resulted in p = 0.00 and contingency coefficient = 0.366, which meant there was relationship between the length of marriage to pregnancy and the incidence of preeclampsia in primigravida in Dr. M. Soewandhie Hospital Surabaya from January to June 2017 despite being in low level. The value of odd ratio (OR) was 0.191 (95% CI 0.077-0.473), which means there was a risk of protection for the length of marriage to pregnancy <4 months against the incidence of preeclampsia.Conclusion: The shorter the length from early marriage to pregnancy in primigravida, the lower the risk for developing preeclampsia.

Clinical and Demographic Characteristics Differences between M. tuberculosis and M. bovis Infection in Bronchoalveolar Lavage Pulmonary TB Patients, Indonesia

Background: Some species of the Mycobacterium tuberculosis complex (MTBC) which can cause tuberculosis, particularly M. tuberculosis and M. bovis, may have different virulence property and therefore associated with various clinical severity in tuberculosis (TB) patients. The aim of this study was to determine the differences in clinical and demographic characteristics between M. tuberculosis and M. bovis infection among Indonesian TB patients.
 Methods: Thirty-one new and active TB patients were confirmed to have acid fast bacilli (AFB) sputum positive and/or Xpert MTB/RIF positive for M. tuberculosis from Dr. Soewandhie Hospital, Surabaya, Indonesia. Interviews were conducted to record the clinical and demographics required. The MTBC were isolated from bronchoalveolar lavage fluid (BALF) and determined by primer-specific PCR targeting TbD1 and RD9 region gene. The degree of lung tissue damage was classified using NICE Scoring System. 
 Results: The MTBC were detected in all patients on whom 19 and 12 isolates were classified as M. tuberculosis and M. bovis respectively. There was a different on 74.2% of productive age subjects (21-50 years) with M. tuberculosis infection (P

Prevent Mortality Rates of Pregnant Women in Preeclampsia Condition Based on Characteristics Analysis

Background: Preeclampsia is the leading cause of the deaths of pregnant women in Indonesia (30.9%). The cause of preeclampsia until now is not known for sure. The purpose of this study was to determine the characteristics of preeclamptic pregnant women based on age, parity, body mass index and based on a history of hypertension, family history of hypertension, and level of education.Methods: The research method is observasional descriptive. The sampling technique is total sampling. The sample in this study were preeclamptic pregnant women in Dr. Mohammad Soewandhie Hospital in the period of 1 January up to 31 Desember 2017 amounting to 100 samples.Results: The results showed that 55% of preeclampsia pregnant women aged >35 years, 65% of primipaternity preeclampsia mothers, 63% obesity, 67% had no history of hypertension, 78% had no family history of hhypertension, and level of education does not affect the condition.Conclusions and Discussions: The highest risk factors for preeclampsia are age> 35 years, primipaternity and obesity. Therefore, it needs appropriate prevention methods to avoid the emergence of pregnancy problems and their complications include recognizing the signs and symptoms of preeclampsia, be aware of risk factors for the causes of preeclampsia, routine antenatal care, and adopting a healthy lifestyle.

The behavior of specialist towards completeness of medical records

ABSTRACT This study aims to overview and identify how medical record is executed by specialists in undertaking their medical tasks. This study involves specialists at Dr. M. Soewandhie hospital. Based on the preliminary research, one of the problems in paper-based medical record is the incompleteness of medical record filling. The incompleteness is mostly caused by the specialists-in-charge who had not filled the form. Due to this, this study formulized a research problem on factors that influenced the compliance of specialist in completing the filling of paper-based medical records. This study applied a cross-sectional study with a descriptive analytic design. This study was conducted in patient units with the total of respondents of 35 full-time specialists along with 175 medical record files used as research data. This study resulted from 175 medical records, there are 97.1% completed medical records, and 0.029% incomplete medical records. It indirectly indicated a breach of specialist's duty to maintain complete medical records. This study concluded that voluntary and obligation factors were the two factors that affected the specialist to fill-in medical records completely, and it was tested by the regression test. Rather than out of a sense of responsibility, the medical records were actually the authority of the hospital director and monitoring-evaluation manager who has authority and high order for specialists to complete medical records.

The Role of Nurses in Continuous Improvement Patient Safety in the Operations Room of Dr. M. Soewandhi Hospital, Surabaya

Hospitals in providing health services must prioritize patient safety. However, patient reporting remains quite high, including in care with nurses as the highest cause of incident. Nurses have a very important role in their success, because as the backbone of health services in hospitals, they must always be available for 24 hours to deal with routine tasks and different actions. Nurses have an important role for hospitals in looking at international service standards. In order to provide good service, nurses must pay attention. This research wa a non-experimental quantitative research design with a cross sectional approach. The subjects (46) were selected using a random sampling technique. The data were obtained using questionnaire, observation and review of documents. From the results using Chi Square test obtained p-value of 0.002. In conclusion, there is a poitive correlation between the role of nurses regarding patient safety with the application of patient safety in the operating room of Dr. M. Soewandhie Hospital, Surabaya.

Preeclampsia and Low Birth Weight Incidence in Dr. Soewandhie Hospital, Surabaya

Preeclampsia and Low Birth Weight Incidence in Dr. Soewandhie Hospital, Surabaya

The role of Mycobacterium tuberculosis lineages on lung tissue damage and TNF-α level among tuberculosis patients, Indonesia

BackgroundMycobacterium tuberculosis (MTB) is divided into ancient and modern lineage. Both lineages have different virulence property and therefore associated with different immune responses and disease severity in tuberculosis (TB) patients. The aim of this study was to determine the association between MTB lineages and the level of tumor necrosis factor alpha (TNF-α), and lung tissue damage among Indonesian TB patients. MethodsThirty new and active TB patients were recruited randomly from Dr. Soewandhie Hospital, Surabaya, Indonesia. MTB isolates were isolated from bronchoalveolar lavage fluid (BALF) and their lineages were determined by primer-specific PCR targeting TbD1 and RD9 region gene. The degree of lung tissue damage was assessed and classified using NICE Scoring System and TNF-α level of BALF was measured by ELISA. ResultsMTB were detected in all patients in which 17 and 13 isolates were classified as modern and ancient lineage, respectively. Modern lineage was associated with the degree of lung damage (odds ratio [OR]: 3.97; 95% CI: 1.57–6.37), p < 0.001). This lineage was also associated with high TNF-α level (OR: 2.06; 95% CI: 1.31–47.00, p=0.026). In addition, the level of TNF-α was higher in severe compared to mild lung damage cases (p = 0.001). ConclusionModern lineage is likely associated with high TNF-α level and increases the risk of having severe lung damage three times among TB patients from Indonesia. Therefore, laboratory test to determine MTB lineages might crucial to be integrated in National Tuberculosis Control Program in the country.

FAKTOR YANG BERHUBUNGAN DENGAN KELELAHAN KERJA SUBYEKTIF PADA PERAWAT DI RSUD DR. MOHAMAD SOEWANDHIE SURABAYA

Fatigue is a subjective feeling that different for everyone, which leads to loss of efficiency, decreases work capacity, health problem and the body's ability to survive resulting in work accident. The purpose of this research was examining the factors associated with subjective work fatigue on nurses working in dr. Mohamad Soewandhie hospital in Surabaya.This research was an observational study with cross sectional design. The respondents were nurses of emergency, outpatient, and inpatient units in dr.Mohamad Soewandhie hospital. The variables were individual factors were consisting of age, years of working life, nutritional status, gender, and occupational factors were consisting of the workload and the monotony condition of work toward work fatigue. Spearman correlation test was using to test the relationship of each factors, except the relationship of gender and the monotony condition were using Mann-Whitney.The results showed that the most of the respondentss were 25-30 years old, female, 1-10 years of working life, had better nutritional status, had a moderate heavy workload and felt the monotony condition in her work. The result of fatigue measurement used the checklist which indicated that the most of the respondents experienced no relationship between age, gender, years of working life, workload, and the monotony condition the results also proved the existence of a relationship between nutritional status with p=0,00. It could be concluded that the nutritional status of nurse in dr.Mohamad Soewandhie hospital had a risk of causing fatigue. Keywords: Individual factors, occupational factors, and work fatigue

Influence of Logistic Regression Models For Prediction and Analysis of Diabetes Risk Factors

Diabetes is a very serious chronic. Diabetes can occurs when the pancreas doesn't produce enough insulin (a hormone used to regulate blood sugar), cause glucose in the blood to be high. The purpose of this study is to provide a different approach in dealing with cases of diabetes, that's with data mining techniques mengguanakan logistic regression algorithm to predict and analyze the risk of diabetes that is implemented in the mobile framework. The dataset used for data modeling using logistic regression algorithm was taken from Soewandhie Hospital on August 1 until September 30, 2017. Attributes obtained from the Hospital Laboratory have 11 attribute, with remove 1 attribute that is the medical record number so it becomes 10 attributes. In the data preparation dataset done preprocessing process using replace missing value, normalization, and feature extraction to produce a good accuracy. The result of this research is performance measure with ROC Curve, and also the attribute analysis that influence to diabetes using p-value. From these results it is known that by using modeling logistic regression algorithm and validation test using leave one out obtained accuracy of 94.77%. And for attributes that affect diabetes is 9 attributes, age, hemoglobin, sex, blood sugar pressure, creatin serum, white cell count, urea, total cholesterol, and bmi. And for attributes triglycerides have no effect on diabetes.

Difference of calcium levels in Javanese, Madurese, and Chinese preeclamptic women

Objectives: To analyse difference of calcium levels and charac-teristics between Javanese, Madurese, and Chinese pre-eclamptic women that affects preeclampsia incidence.Materials and Methods: This was a cross-sectional study with preeclamptic patients in Dr. Soetomo Hospital, Dr. M. Soewan-dhie Hospital, and Universitas Airlangga Hospital as sample. Sample was taken by measuring total calcium level in blood serum before receiving MgSO4 using in vitro clinical chemical dimension method in the Laboratory of Clinical Pathology in Dr. Soetomo Hospital. Sample was taken using consecutive sampling. Sample size 53 preeclamptic women as participants of this study, divided into three groups of Javanese, Madurese, and Chinese.Results: There were 53 preeclampsia patients, with mean ages: Javanese 31.21±5.76, Madurese 34.20±5.58, and Chinese 28.20 ±2.16. Mean BMI: Javanese 31.19±5.99, Madurese 27.66±4.74, and Chinese 26.24±2.13. We found significant difference in total calcium levels. In Madurese it was 7.7 mg/dL, Javanese was 8.3 mg/dL, and Chinese was 9.0 mg/dL (p=.000).Conclusion: The highest severity of preeclampsia was in the Madurese with low calcium levels. The lowest the calcium level, the worst the severity of the preeclampsia.

Oxytocin Level and Breast Engorgement In Primipara Mother with Postpartum Blues

Introduction: Postpartum is a great moment for most the woman, but for some of them is a frightening moment. Postpartum blues makes woman avoiding their baby. Whereas lactation process needs to be done in early postpartum period. The aim of this study is analyzing the oxytocin level and breast engorgement incident in primipara mother with postpartum blues in Obtetry &amp; Gynecology Department of Dr. M Soewandhie Hospital of Surabaya.Methods: This study was used cross sectional design. Population were primiparas and samples were 41 primiparas choosen by random sampling according to inclusion criteria. The independent variable was postpartum blues, dependent variables were breast engorgement and oxytocin level. The instruments used were Kennerly &amp; Gath Postpartum Scale, and Six-point Engorgement Scale. Data were analyzed with Spearman Test and Mann Whitney Test using α&lt;0,05.Result: The result shown that the oxytocin level change comparing the postpartum blues in p=0,002 and increasing breast engorgement incident comparing to postpartum blues in p=0,000.Conclusion: There was difference of oxytocin level between postpartum blues mother and not postpartum blues mother and increasing of breast engorgement incident to postpartum blues mother comparing to not postpartum blues mother. Dr. M. Soewandie hospital of Surabaya needs to arrange a standard in service of treating laboring mother in case of reducing stress during delivery process and manage ward situation comfortly.

Diabetic Nephropathy Determinant Factor in Diabetes Mellitus at RSUD Dr. M. Soewandhie Surabaya

ABSTRACTNon communicable diseases are an important health problem related with the shift in the pattern of death cause, which is from infectious diseases to non-infectious diseases. Diabetes mellitus (DM) ranked 5 of the top 10 causes of non-infectious diseases in hospitals in Indonesia. If not properly controlled, DM can lead to chronic complications such as Diabetic Nephropathy (DN). This study, conducted at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, in June-July 2014, aimed to analyze correlation between non-clinical factors according to the concept of Hendrik L. Blum, such as compliance to treatment, education level, income, and social support for the incidence of DN in DM patients. This study was an observational analytic study with case-control design. Case samples in this study were DM patients who experienced DN complications and undergoing treatment at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, by 36 respondents. Control samples in this study were diabetic patients who did not experience complications DN undergoing treatment at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, by 36 respondents. Samples were taken by using a convenience sampling method. Relation streght analysis between dependent and independent variables used Contingency Coefficient by Chi Square test with 95% Confidence Interval (α=0.05). To determine the amount of risk between dependent and independent variables, we used OR (odds ratio) calculation. The results showed that non-compliance to treatment (OR=2.8) with contigency coefficient 0.243, low education (OR=1.5) with contigency coefficient 0.091, income &lt; District Minimum Wage (OR=1.21) with contigency coefficient 0.036, and not receiving social support (OR=1.65) with contigency coefficient 0.117. In conclusion, compliance to treatment, education level, income, and social support affect the incidence of DN in DM patients.Keywords: compliance to treatment, education level, income, social support, diabetic nephropathy

Diabetic Nephropathy Determinant Factor in Diabetes Mellitus at RSUD Dr. M. Soewandhie Surabaya

Non communicable diseases are an important health problem related with the shift in the pattern of death cause, which is from infectious diseases to non-infectious diseases. Diabetes mellitus (DM) ranked 5 of the top 10 causes of non-infectious diseases in hospitals in Indonesia. If not properly controlled, DM can lead to chronic complications such as Diabetic Nephropathy (DN). This study, conducted at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, in June-July 2014, aimed to analyze correlation between non-clinical factors according to the concept of Hendrik L. Blum, such as compliance to treatment, education level, income, and social support for the incidence of DN in DM patients. This study was an observational analytic study with case-control design. Case samples in this study were DM patients who experienced DN complications and undergoing treatment at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, by 36 respondents. Control samples in this study were diabetic patients who did not experience complications DN undergoing treatment at Internal Medicine Clinic, Outpatient Care, Dr. M. Soewandhie Hospital Surabaya, by 36 respondents. Samples were taken by using a convenience sampling method. Relation streght analysis between dependent and independent variables used Contingency Coefficient by Chi Square test with 95% Confidence Interval (α=0.05). To determine the amount of risk between dependent and independent variables, we used OR (odds ratio) calculation. The results showed that non-compliance to treatment (OR=2.8) with contigency coefficient 0.243, low education (OR=1.5) with contigency coefficient 0.091, income &lt; District Minimum Wage (OR=1.21) with contigency coefficient 0.036, and not receiving social support (OR=1.65) with contigency coefficient 0.117. In conclusion, compliance to treatment, education level, income, and social support affect the incidence of DN in DM patients.Keywords: compliance to treatment, education level, income, social support, diabetic nephropathy

KUAUTAS MIKROBIOLOGI UDARA RUANG OPERASI RSUD dr. M. SOEWANDHIE SURABAYATAHUN 2014

One of the rooms with very high risk of disease transmission in a hospital is the operatingroom.The government through the Minister of Health Decree No. 1204/MENKES/SK/X/2004on HospitalEnvironmental Health Requirements, has placed operating rooms as a very high risk zone. Among otherthings, air quality (bacterial count) is very important to note since the rooms are used for surgicalprocedures requiring extremely sterile conditions. This study was aimed at determining the air quality(bacterial count) in operating rooms at Dr. M. Soewandhie Hospital of Surabaya in 2014.This was a descriptive study, conducted in Dr. M. Soewandhie hospital. Samples were taken fromall operating rooms, RO 1 (one), RO 2 (two), RO 3 (three), RO4 (four) and RO 5 (five). Variables to beexamined induded air microbiological quality as reflected in the bacterial count, temperature and humiditymeasurements, assessment of building and construction cleaning and sterilization processes on operatingrooms.The results showed, that bacterial counts in RO 1 was 14 cfu/m3, RO 2 63 cfu/m3, RO 3 23cfu/m3, RO4 19 cfu/m3, these four rooms did not meet the requirement, the only room that satisfied therequirement was RO 5 as much as 5 cfu/m3. Temperature and humidity in RO 1 to RO 3 were at thesame value of 200e and 68%, RO4 was 21.50e and 59%, RO 5 was 210e and 60%. In terms of roomtemperature, all rooms were satisfactory, but in term of humidity, only RO4 was satisfactory. Results ofbuilding and room assessment were: RO 1 80%, RO 2 80%, RO3 84%, RO4 74% and RO 5 70%. Itcan be conduded that RO4 and RO 5 did not satisfy the standard. In terms of cleaning processes, RO 1to RO 3 were found equal at the percentage of 75%, while RO 4 and RO 5 was also equal at thepercentage of 65%.Among the five operating rooms at Soewandhie hospital of Surabaya, four of them have exceededthe bacterial count designated as the air quality standard . It is therefore recommended to performsterilization with UV(ultraviolet) before and after each surgery; to provide an exhaust fan in RO4 and RO5, to ensure conical meeting between the floors and walls of the ROs, installation of ceramic tiles on thewall of RO 5, keeping the operating room doors closed at all times, maintenance of air conditioning unitsand exhaust fans at least every 6 months to check up on the condition of the utilities and to develop andimplement standard operational procedures for cleaning and sterilization of process of cleaning theoperating rooms.