The Effect of Healthcare Infection Control Application Committee in Patients Using Urine Cateters on Cost Containtment

M. Rizky Priyanka Asepty; Asriwati Amirah; Jamaluddin Jamaluddin

doi:10.37899/journallamedihealtico.v3i2.565

M. Rizky Priyanka Asepty Student of Master of Public Health Study Program at Helvetia Health Institute Medan, Indonesia
Asriwati Amirah Lecturer at the Faculty of Public Health, Medan Public Health Institute, Indonesia
Jamaluddin Jamaluddin Lecturer at the Faculty of Public Health, Medan Public Health Institute, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v3i2.565

Keywords: HICPAC, CAUTI, Cost Containment

Abstract

The high prevalence of HAIs (Healthcare-associated Infections) is a threat to hospital services. Implementation of infection prevention and control is the biggest challenge in the arrangement of health services, especially in hospitals. HICPAC is one of the CDC guidelines that is quite recommended in reducing the incidence of infections in hospitals. This study aims to assess the effect of implementing HICPAC with a reduction in hospital costs in patients using a urine catheter at Delia Hospital in Langkat District in 2019. The type of research is quantitative with a quasi-experimental approach conducted at Delia General Hospital in Langkat District with a population of 30 patients and analyzed using Paired T Test analysis. The analysis found that there were differences in treatment costs based on secondary diagnoses before and after the HICPAC guidelines were applied. This shows that the HICPAC guidelines can significantly reduce the cost of care for patients who use urine catheters at Delia Hospital in Langkat District. So it is recommended that the HICPAC guidelines can be used integrated with the medical record so that it is easily implemented by all medical personnel in the hospital.

References

Darmadi. (2014). Infeksi nosokomial, Problematika dan pengendaliannya. Salemba Medika.

Gardner, A., Mitchell, B., Beckingham, W., & Fasugba, O. (2014). A point prevalence cross-sectional study of healthcare-associated urinary tract infections in six Australian hospitals. BMJ Open, 4(7), 1–9. https://doi.org/10.1136/bmjopen-2014-005099

Gould, C. V, Umscheid, C. A., Agarwal, R. K., Kuntz, G., & Pegues, D. A. (2017). Guideline for Prevention of Catheter - Associated Urinary Tract Infections 2009. Healthcare Infection Control Practices Advisory Committee, 2009, 1–61. https://doi.org/10.1086/651091

Kemenkes RI. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2017 Tentang Pedoman Pencegahan dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan. 857.

Khan, M. Y., Venkateshwarlu, C., Sreenivas, G., Yousuf Khan, M., & Rahul, P. (2016). Study of incidence and risk factors of urinary tract infection in catheterized patients admitted at tertiary care hospital, Nizamabad, Telangana State, India. International Archives of Integrated Medicine, 3(8), 83–92.

Margaret, A., Dudeck, Edwards, J. R., Allen-Bridson, K., & Gross, C. (2015). National Healthcare Safety Network (NHSN) Report, Data Summary for 2013, Device-associated Module. Am J Infect Control, 43(3), 206–221. https://doi.org/10.1016/j.ajic.2014.11.014.National

National Health and Medical Research Council. (2010). Australian Guidelines for the Prevention and Control of Infection in Health care. NHMRC—ICG Project Team.

Tillekeratne, L. G., Linkin, D. R., Obino, M., Omar, A., Wanjiku, M., Holtzman, D., & Cohn, J. (2014). A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting. American Journal of Infection Control, 42(1), 12–16. https://doi.org/10.1016/j.ajic.2013.07.007

Weston, D. (2013). Fundamentals of Infection Prevention and Control: Theory and Practice (2nd ed.). Wiley-Blackwell.

World Health Organization. (2015). Health care-associated infections Fact sheet. World Health Organization, 4.

World Health Organization. (2017). Patient safety: Making Health Care Safer. Patient Saf Mak Heal Care Safer