Contoh Kebijakan Ppi (1)

7/17/2019 Contoh Kebijakan Ppi (1)

http://slidepdf.com/reader/full/contoh-kebijakan-ppi-1 1/44

SURAT KEPUTUSAN DIREKTUR RS PANTI RAHAYU

UNIT KERJA YAKKUM DI PURWODADI

NOMOR: 4828/PR-Kep.Dir/II/2014

Te!"#

KE$IJAKAN PE%AYANAN

KOMITE PEN&E'AHAN DAN PEN'ENDA%IAN IN(EKSI

RS PANTI RAHAYU YAKKUM PURWODADI

DIREKTUR RS PANTI RAHAYU UNIT KERJA YAKKUM DI PURWODADI

Mei)*"# : " *"+," "") p"" )ei#"!" )! pe""" R)"+

S"i! P"!i R"+" Y") Pr,"i3 )"" iper"

peee##"r"" pe""" "# *er)! !i##i "ri e!i"p

## !#"/ i! pe""" "# ""5

* *"+," pe""" pe6e#"+" " pe#e"i" i7ei

)erp"" ""+ "! ## !#"/ i! pe""" i RS

P"!i R"+" "# +"r )e# pe""" r)"+ "i!

e6"r" eer+" )"" iper" peee##"r""

pe""" pe6e#"+" " pe#e"i" i7ei "#

*er)! !i##i.

6 *"+," "#"r pe""" pe6e#"+" " pe#e"i" i7ei

"p"! !er""" e#" *"i3 per """ Sr"! Kep!"

Dire!r !e!"# Ke*i"" pe""" pe6e#"+" "

pe#e"i" i7ei RS P"!i R"+" Y") Pr,"i

e*"#"i """ *"#i peee##"r"" pe""".

*"+," *er""r" per!i)*"#" e*"#"i)"" i)"

"") "3 * " 63 per i!e!"p" e#" Sr"! Kep!"

Dire!r R)"+ S"i! P"!i R"+" Y") Pr,"i.Me#i#"! : 1 U"#-U"# RI N)r 44 !"+ 2009 !e!"# R)"+

S"i!.

2 Kep!" Pe#r Y") N)r 201-P/STRUKTUR-

RSPR/;II/201< !e!"# Pee!"p" S!r!r R)"+ S"i!

P"!i R"+" Y") 'r*#".

1



< SK Pe#r Y") N)r: 22=<-

P/PERPJ/PUK.RSPR/>II/201< !e!"# Perp""#"

J"*"!" r S"ri)"3 Me e*"#"i Dire!r RS P"!i

R"+" Y") i Pr,"i Perie 1 J""ri 2014 ? <1

M"re! 201.

4 SK Dire!r RS P"!i R"+" N. 4=00/PR-Kep.Dir/;III/201<

Te!"# Ke*i"" Pe""" RS P"!i R"+" Y")

Pir,"i.

M E M U T U S K A N :

Mee!"p" :

Ke"! : KEPUTUSAN DIREKTUR RS PANTI RAHAYU YAKKUM

PURWODADI Te!"# KE$IJAKAN PE%AYANAN

PEN&E'AHAN DAN PEN'ENDA%IAN IN(EKSI.RS PANTI

RAHAYU YAKKUM PURWODADI.Ke" : Ke*i"" pe""" pe6e#"+" " pe#e"i" i7ei RS

P"!i R"+" Y") Pr,"i e*"#"i)"" !er6"!) "")

%")pir" Kep!" ii.Ke!i#" : Pe)*i"" " pe#","" peee##"r"" pe"""

pe6e#"+" " pe#e"i" i7ei RS P"!i R"+" Y")

Pr,"i i"""" e+ Dire!r RS P"!i R"+" Y")

Pr,"i.Kee)p"! : Kep"" pe""" pe6e#"+" " pe#e"i" i7ei ,"i*

)ei"i"i" ep!" ii e er+ "r"," i

Pe""" pe6e#"+" " pe#e"i" i7ei.Kei)" : Kep!" ii *er" e" !"##" i!e!"p"3 " "p"*i"

ie)i" +"ri !er"!" !er"p"! eeir" "") pee!"p"

ii3 "" i""" per*"i" e*"#"i)"" )e!i".

Di!e!"p" i Pr,"i3 !"##" 10 (e*r"ri 2014

RS P"!i R"+" Y") Pr,"i

2



Dr. S"ri)"3MKe

Dire!r

Sr"! Kep!" ii " ")pir"" ier"+" ep"":

1 W"i Dire!r .......RS P"!i R"+".

2 Kep"" $"#i" ....... RS P"!i R"+".

< Kep"" Pe""" pe6e#"+" " pe#e"i" i7ei.. RS P"!i R"+".

4 Arip

%")pir"

Kep!" Dire!r RS P"!i R"+"

N)r : 4828/PR-Kep.Dir/II/2014

3



T"##" : 10 (e*r"ri 2014

KE$IJAKAN PE%AYANAN

PEN&E'AHAN DAN PEN'ENDA%IAN IN(EKSI.

RS PANTI RAHAYU YAKKUM PURWODADI

A KE$IJAKAN UMUM

1 Pe""" r)"+ "i! i er+ i! pe""" +"r e" i""i e#" 6i!"

"i+3 !i" )e)*e"" 3 r"3 "#")"3 ##"3 " )e)per+"!i" )ere"

"# e)"+ " r"# )e"p"! per+"!i" @option for the poor).

2 Pe""" r)"+ "i! i er+ i! pe""" +"r e" *errie!"i p""

)! """3 ee")"!" p"ie3 " ee")"!" " ee+"!" er" @K< *"#i

p"ie3 e"r#" " )""r""! er!" "r"," e"i e#" ;ii3 Mii3 (""7"+

" T" R)"+ S"i! P"!i R"+" Y") Pr,"i.

< Pe""" r)"+ "i! i er+ i! pe""" +"r e" *er7 p"" p"ie

@ patient centeredness) e#" )e"""" "e e pe""" " !ii!"

pe"""3 )e)e+i +" p"ie " e"r#"3 "e)e p"ie3 pe)*eri"

pe""" p"ie3 er!" )e)*eri" e"i ep"" p"ie3 e"r#" "

)""r""!.

4 Pe""" r)"+ "i! i"""" e")" 24 ") e!i"p +"ri3 e6"i *e*er"p"

i! pe""" !er!e!

B Se!i"p i! pe""" +"r )e""" p"" pei#"!" )! )e"i e#i"!"

Plan-Do-Check-Action (PDCA).

= Se!i"p i! pe""" +"r )e""" e,"p""" iCer" )e"i e#i"!"

pe6e#"+" " pe#e"i" i7ei "# )e"#" e!i"p pe""" i r)"+

"i! " )ei*"!" *er*"#"i iiCi.

R)"+ "i! )e)*eri" pe""" !ere*i+ "+ !"p" )e)#! "# )".

8 R)"+ "i! *i" )e)*eri" eri#"" *i"" ! p"ie "# r"# )")p.

9 Se!i"p pi)pi" i! pe""" +"r )")p )e)*eri" "r"+"3 )e#e"i"3

)e#e"3 " )e)i)pi i! pe""" )"i#-)"i# ! )e6"p"i Cii-)ii

i! pe""" )"p Cii-)ii r)"+ "i!.

4



10 D"") )e"""" !#"" e!i"p pe!#" r)"+ "i! ,"i* )e)"!+i

e!e!" Kee")"!" " Kee+"!" Ker" @K< e#" )e"" p"" !

)e#r"#i " )e#e"i" *"+""3 rei3 )e6e#"+ e6e""" " 6eer"3

" )e)ei+"r" ii i##" " e")""3 !er)" "") pe##"" ""!

pei# iri @APD.

11 Se)" iiCi "# !eri*"! "") pe""" r)"+ "i! ,"i* )e"" =

@e") ""r" Kee")"!" P"ie.

12 Per""!" i i! pe""" +"r e" i"" pe)ei+"r"" " "i*r"i

e6"r" !er"!r e"i e!e!" "# *er" " e" "") ii i"p p""i.

1< Peei"" !e"#" +"r )e#"6 p"" p" e!e"#"" r)"+ "i!.

14 Se)" pe!#" r)"+ "i! ,"i* )e)iii ii/ iei/ er!i7i"i e"i e#"

pr7ei " e!e!" "# *er".

1B Se!i"p pe!#" r)"+ "i! +"r *eer" e"i !""r pr7ei3 !""r

)pe!ei3 !""r prer per"i"3 e!i" pr7ei3 e e!i r)"+ "i! "

e)" per"!r" r)"+ "i! "# *er".

1= Se!i"p i! pe""" +"r )")p )e#e" "!" "# "p"! i"i" e*"#"i

)*er i7r)"i " pe#")*i" ep!" *"#i epe!i#" )""e)e "

pe""" ep"" )""r""!.

1 Se!i"p i! pe""" +"r *erp"" )e)pere+3 )e#"+ " )e##""

i7r)"i e6"r" !eri!e#r"i "# i)i"i" e6"r" *e"r ! )ei#"!"

ee+"!" p"ie er!" ier" r)"+ "i! *"i e6"r" eer+" )"p iiCi.

18 Kri"i " eC""i pe""" ie!i"p i! pe""" ,"i* i""""

)e"i r"p"! r!i )ii)" 1 "i "") "! *".

19 Se)" i! pe""" ,"i* )e)*"! "pr" +"ri"3 *""3 e)e!er "

!"+" ep"" )""e)e r)"+ "i!.

20 R)"+ "i! )e""" pr#r") ee")"!" p"ie )e"i @!+ !""r

ee")"!" p"ie3 " @!+ "#"+ )e ee")"!" p"ie r)"+ "i!.

21 RS P"!iR"+"*" S)"+ S"i! "# i!!)e"""" PONEK. RS

P"!iR"+"""!iie"#)e)peri"p"!)ee#"pi SDM "7"ii!"

PONEK. Ter"i! PONEK RS P"!iR"+")e#p"""pe""")eip!i

:pe"#""","/ e)er#e6 i*"*"i"pe"""r"er)"+"i! "i

"# )")p)e)*eri"pe"""e*i+ "!.

22 RS P"!iR"+"*" R)"+ S"i! "#

i!!)e""pe"""p"iee#" HI;/AIDS3 e+i##"pe""" "#

5



iee##"r"" RS P"!iR"+")eip!i 5 p"""" ;!"r &6ei# "

Te!i# @;&T3 pe"""r" HI; er)"+"i! "i "# i!)e"""i

HI;/AIDS3 "peer"p" UiCer" Pre6"!i.

2< R)"+ "i! )e"" pe"##"#" T*er" @ T$ ei" e#"

pe)" !"!e#i DOTS

24 Ji" pe""" "# i*!+" p"ie !i" *erei" i r)"+ "i!3 )"" p"ie

+"r ir e r)"+ "i! "i "# *i" )e""i e!e"+ )e"p"! pere!"

p"ie / e"r#"

2B R)"+ "i! )e#+"r#"i " )e)e+i +" p"ie "# i""i.

2= Ser+ "r"," r)"+ "i! *ere,"i*" )e"#" " )ei#i r"+"i" )ei

p"ie "# i""i.

2 R)"+ "i! )e"" pe#)p"3 C"i"i " ""ii "!" *"i i!er"

"!"p e!er" ! pe#e)*"#" pe""" r)"+ "i!.

B KEBIJAKAN KHUSUS :

1. ORGANISASI PENCEGAHAN dan PENGENDALIAN INFEKSI

" D"") r"#" )ei#i p"ie3 pe## " pe!#" !er+""p

pe"r"i7ei i R)"+ S"i!3 )"" RS P"!i R"+" )e""""Pe6e#"+"" Pe#e"i" I7ei @PPI.

* A#"r pe"""" PPI !erri"i e#" *"i3 Dire!r )e)*e!

K)i!ePe6e#"+" " Pe#e"i" I7ei @KPPI er!" Ti) Pe6e#"+"

"Pe#e"i" I7ei @TPPI. K)i!e PPI RS P"!i R"+" *er!"###

","* "## ep""Dire!r.Ti) PPI *er!"### ","* "## ep""

K)i!e PPI.

6 K)i!e " Ti) PPI )e)p"i !#"3 7#i " e,e"#" "# e"e"ie#" Pe)" M""eri" Pe6e#"+" " Pe#e"i" I7ei i

R)"+ S"i!" 7"ii!" ee+"!" "i" "# ie"r" e+

Ke)e!eri" Kee+"!"Rep*i Iei" T"+ 2011.

Pe"""" PPI ie" " ii!e#r"i" "!"r" !r!r" " 7#i"

ie)" i! " )e"i !"### ","* er+ !"7 " "r",".

e A#"r e#i"!" Pe6e#"+" " Pe#e"i" I7ei *er"" "6"r3 )""

R)"+S"i! RS P"!i R"+" )e)iii < IP&N @I7e6!i PreCe!i "

6



&!r Nre pr","! "# *er!#" )e#","i er+ e#i"!"

pe6e#"+" pe#e"i" i7ei "# )eip!i ## !#"

per","!"3IPSRS3("r)"i3'ii3A)ii!r"i3I#3%"*r"!ri)3.

7 D"") )e"""" !#"" IP&N i*"! e+ IP&%N

@I7e6!iPreCe!i " &!r %i Nre " IP&%S @I7e6!i PreCe!i

" &!r %i S!"7 e*"#"i pe""" +"ri"/pe#+*#i i! )"i#-

)"i#.

2. KEWASPADAAN STANDAR

Meip!i e*eri+" !"#"3 pe)""i" ""! pei# iri3ii7ei "

!erii"i3 !"!"""" ie3 pe"!""""" i)*"+ " *e"

!"")3pe#e"i" i##"3 pr"!i )e!i "# ")"3e*eri+"

per"7""/e!i" *"!3pr"!e )*" pi3per","!" per""!"

p"ie3pe"!""""" ie3pr#r") ee+"!" "r","3pee)p"!"

p"ie.Ke,"p""" !""r i!er"p" e6"r" )eer+ i e)" "re"

RS e#")e#r rii "# i+""pi p"" e!i"p i!"i " "!iCi!"

pe""" e"i P"" PPI RS P"!i R"+".

3. KEBERSIHAN TANGAN

". Ke*eri+" !"#" i"" e+ er+ pe!#" ii )"p ii i

Ser+ i##" RS P"!i R"+" Pr,"i.

*. Ii"i e*eri+" !"#" e6"r" )) :

• Se#er" : e!e"+ !i*" i !e)p"! er"

• Se*e) :

K!" "## e#" p"ie

Me)""i "r# !"#" e*e) pe)eri"" ii " !i""

iC"i7

Meei"" / )e)peri"p" *"!-*"!"

Me)peri"p" )"""

Me)*eri )"" p"ie

Mei##"" r)"+ "i!

7



• Di"!"r" : prer !er!e! p"" p"ie "# ")" i)"" !"#"

!er!")i"i ! )e#+i"ri !")i"i i"#

• Se!e"+ :

K!" e#" p"ie

Meep" "r# !"#"

Meep" ""! pei# iri

K!" e#" "r"+3 6"ir" !*+3 erei3 "+3 "+"3 )!"+"3

rie3 eri#"! " per""!" "# ie!"+i "!" e)#i"

!er!")i"i e#" "r"+3 6"ir" !*+3 pip!3 ri" *"i)e##"" "!" !i" )e##"" "r# !"#".

Me##"" !ie!3 )ee!+ / )e"p +i# e#" !"#" @*"!

/ *eri.

Mee!+ i##" i ei!"r p"ie

6. 4 Jei e*eri+" !"#" .

• Ke*eri+" !"#" r#i6"

• Ke*eri+" !"#" Aep!i

• Ke*eri+" !"#" "+ +"r*

• Ke*eri+" !"#" Si"

. Ke*eri+" !"#" i"" )er! B M)e Ke*eri+" T"#"@WHO:

• M)e 1 : e*e) !" e#" p"ie

• M)e 2 : e*e) !i"" "epi

• M)e < : e!e"+ !ere" 6"ir" !*+ p"ie

• M)e 4 : e!e"+ !" e#" p"ie

• M)e B: e!e"+ !" e#" i##" ei!"r p"ie

e. = "#"+ e*eri+" !"#".

7. Jei e*eri+" !"#" ! er+ r"#" / *"#i" @ii -ii i

RS P"!i R"+"3 "i! :

8



• Ke*eri+" !"#" e#" "ir )e#"ir " "* @i"

• Ke*eri+" !"#" e#" "ir )e#"ir " "* "!iep!i

chlorhexidine 2F @"ep!i

• Ke*eri+" !"#" e#" "r!" *er*"+" ""r "+ @+"r*

• Ke*eri+" !"#" e*e) pe)*e"+" e#" "r!" "!iep!i

chlorhexidine 4 F @r#i6".

#. Ke*eri+" !"#" e7e!i7 :

• Ti" )e#e"" " e#" p""# ""! )e""i p"ie

• $"#i e)" pe!#" "# *er!" "## e#" p"ie @iii3

e)"per+i"" "# "" @)i"": ") !"#"3 6i6i3 #e"# +"r

iep""e")" *er!#" " p"" ""! )e"" e*eri+"

!"#"

• K i"#" !e!"p pee !i" )ee*i+i 1 ))3 !i" )e##""

p" " 6"!

• Ji" !"#" "" " i!!p e#" pe!er e"p "ir

• T!p"+ r" e#" i !"#" "!" p!"r r" )e##""

+" e"i p""i

• Me)*eri+" !"#" e#" "* 6"ir " "ir )e#"ir "p"*i"

!"#" !eri+"! !r

• Me)*eri+" !"#" e#" "r!" *er*"+" ""r "+

@+"r* *i" !"#" !i" !eri+"! !r i"!"r" !i""

• Keri#" !"#" )e##"" +" e"i p""i

• P"!i" !"#" eri# e*e) )e)"i e#i"!" / )e#e""

"r# !"#"

• J"#" )e")*"+" "* 6"ir e "") !e)p"!" *i" )"i+ ""

ii".

• Dipeer "* +"r i*eri+" !ere*i+ "+ e*e) pe#ii"

"#

+. Sei"" i e!i"p r"#" / *"#i" :

9



• Are" ii @"re" per","!" / pe""" "## !er+""p p"ie :

W"!"7e e#" "ir "# )e#"ir.

%"r!" chlorhexidine 2 F @ii"i e*eri+" !"#" momen 2

dan3 : pi r","! ""3 I&U3 ")"r *"i3 +e)i"i"3 U'D @"re"

!i""3 r"# eper","!"3 i! pe"# )ei @r"i#i3

"*r"!ri) ii3 re+"*ii!"i )ei

%"r!" chlorhexidine 4 F : U'D @"re" !i""3 ")"r *e"+3 ;K

S"* *i"" @+""p : ")"r p"ie3 p per","! @ii"i

e*eri+" !"#" momen 1,4,3 !ie!3 "pr.

%"r!" *er*"+" ""r "+ @+"r* : e!i"p !e)p"! !ir

p"iei "re" ri!i @U'D3 ")"r *"i3 r"# *erC"i ;K3 I&U3

")"r *e"+3 e!i"p pi! )" ")"r p"ie3)e" !r

!i"".

• Are" -ii @"re" pe""" !i" "## !er+""p p"ie :

W"!"7e e#" "ir "# )e#"ir.

S"* *i"" @+""p : !ie!3 "pr3 per"!r"3 "!i3 "".

%"r!" chlorhexidine 2F @ii"i e*eri+" !"#" momen 3:

"i!"i3 ")"r 66i3 ")"r e""+3 &SSD.

%"r!" *er*"+" ""r "+ @+"r* : pi! e"r-)"

pe!#" / pe##3 r"# !## r","! ""3 7"r)"i3 ")"r

e""+3 "re" i)"" 7"ii!" e*eri+" !"#" e#" "* "

"ir)e#"ir !i" !erei" / "+ e!"".

i. Me"" )i!ri# 6)pi"6e e*eri+" !"#" e#" 6"r" :

• Me#r / )e#*erC"i ep"!+" e*eri+" !"#" :

10



Pe!#" !"#n#$ $e%#a& 2 m#n''( $e!a"#@r"# eper","!"3

U'D3 I&U3 OK3r","! ""3 ")"r *"i3 ;K3 re+"*ii!"i )ei3

'ii .

•

De#" )e)per+"!i" 43B3= e*eri+" !"#".e*e) !" e#" p"ie @M)e 1 )er! WHO.

Pe!#" non)!"#n#$ $e%#a& $e*("an $e!a"# @")"r 66i3 7"r)"i3

"pr3IPSRS3 "i!"i3 ")"r e""+ : e"i ii"i

e*eri+"!"#" e6"r" )).

Kep"!+" e*eri+" !"#" )ei*"!" pe!#" ii )"p

iie#" ""r" <0 F "ri )"+ )"i#-)"i# pr7ei

@D!er3Per","!3(ii!er"pi " 'ii.

. Me"" pr#r") e"i e*eri+" !"#" p"" pe!#"3 p"ie3

e"r#" " pe## "# )erp""""+ "! *"#i" "ri pre

peeri)"" p"ie *"r.

. Se!i"p pe!#" i RS P"!i R"+" ,"i* )e#i!i pe"!i+" e*eri+"

!"#""# i""" e+ r)"+ "i! e6"r" *erei")*#"

)e#e"i prere*eri+" !"#" )e"i rie!"i " peii"

*ere"!".

. Di"" )i!ri# ep"!+" e*eri+" !"#" pe!#"

@!er3per","!37ii!er"pi3#ii e!i"p 2 )i## e"i p"" +"ri e""

p"" e!i"p )i## e 2.

). Se!i"p )i## e 2 +"ri e"" er+ "r"," *e*" "eri

!"#".

4. KEWASPADAAN BERDASARKAN TRANS+ISI

Merp"" !")*"+" e,"p""" !""ri!er"p" p"" p"ie r","!

i"p "# pe "!" !e"+ i!e!" ei i7ei"3*er""r" 6"r"

!r")ii !"3 rpe! "!" airbone. T"!"""" ")ii!r"!i7)eip!i

per6ep"!" "e i"#i3 pe)i"+" pee)p"!" p"ie3

)e)peri#"!,"! pe""" i r)"+ "i!3 peei"" p"e!

peri#" pe!#" 5 !"!""""i##" )eip!i pe"!"" "r p"ie3

11



pe"!"" i!e) Ce!i"i @"!r" )"p)e"i" !"!"""" peei""

" pe##"" ""! pei# iri.

" R)"+ S"i! )eei"" pe#+""# ! pe6e#"+" " prer

i"i "# )ei#i p"ie3 pe##3 !"7 !er+""p pe"i! )e"r

" p"ie "# re!" !er+""p i7ei )i" @ i) pree

* P"ie e#" i) pree +"" i "" !"*ii"i e""" !

e"!" ir e7"ii!" ee+"!" "# e*i+ e#"p.

6 R)"+ S"i! *ere6"" ! ""! ii )ei"p" r"# !e"" e#"!i7 3

") ""! ii i!" )ei"p" r"# !oo-% ! per","!" p"ie

"ir*e ie"e3 e#" i!e) HEPA 7i!er " per!"r" "r" 12 "i per

")3 "# !erpi"+ "ri p"ie i7ei" +" !erpi"+ "ri p"ie

e#" ii imunocompromise.

T"!"""" per","!" p"ie i7ei i!er"p" *er""r" priip

e,"p""" i"i e"i 6"r" !r")ii pei7i". Pe!#" )eer"p"

priip e,"p""" !" "!" rpe! "!" "ir*e "!" )*i"i".

e Tr"pr!"i p"ie i7ei "ri "! i! e i! "i +"r i*"!"i e)ii)"

)#i " *i" !erp"" +"r )e)per+"!i" priip e,"p""" i"i.

7 Pe)*eri+" r"# +r! i"" e!e"+ pe)*eri+" r"# per","!"

)) e#" )e##"" *"+" ei7e!".

# Prer pe"# )ei @pe#")*i" "r"+3 pe)*eri" #ii i""

e!e"+ p"ie "# !i" )e"r.

+ Se!i"p pe## "!" p"ie r"# +r! +"r i"" e"i

pe##"" APD3 e*eri+" !"#"3 e!i" *"!.

i A"" pe#"!r" "r pe"i! )e"r.

B. PENCEGAHAN dan PENGENDALIAN INFEKSI TBERKOLOSIS /PPI TB0

Merp"" *"#i" !i" !erpi"+" "ri PPIRS3 +" e,"p"""

i7ei airbone3 i)"" ! e*i+ )e)priri!"" e,"p"""

!er+""p rii !r")ii pe"i! T$3 MDR " >DR-T$ (Multiple Extend Drug esistance !").

12



" Se)" p"ie "# *er*"! e U'D e#" e+" *"! "" i*eri"

e"ie+ pe!#" RS !er"!i+ )e#e"i e!i" *"! er!" +i#iee repir"i

"i+"r" )e)""i )"er *e"+3 i" e+" p"ie )e#"r"+ e T$

@ *"! G2 )i## "!" *"! "r"+

* Se)" p"ie "# "!"# *er*"! e pi r","! "" e#" e+" *"!

""i*eri" e"i e+ pe!#" RS !er"!i+ )e#e"i e!i" *"! er!"

+i#ieerepir"i " i+"r" )e)""i )"er *e"+

6 Pe!#" r)"+ "i! )e)*eri" pe""" *"i ")ii!r"i )"p

)ei

e#er" @)"i)" <0 )ei! *"#i p"ie pe T$ " p"ie T$ e+i##"

)e#r"#i ,"! p"ie !ere*! *er"" i 7"ii!" pe""" ee+"!".

P"ie T$ "# per ir","! i"p i!e)p"!" i r"# !erpi"+ "ri p"ie

"i@r"# i"i3 i" !i" )e)#i" *i" )e##"" i!e)

+r!i#e#" ")" per","!" )"i)" 2 )i##.

e R)"+ "i! )e##"" i!e) Ce!i"i "")i"+ " 6")pr"

@)e##""e+"! i r"# per","!" i7ei @Pi DOTS " r"#

i"i r","!i"p er!" U'D ! )e#r"#i pee*"r" " )er"

""r pe"r"per6i rei e+i##" !i" )e"r" r"# "i.

7 P"ie r","! i"p MDR T$ i!e)p"!" i r"# i"i airbone e#"

Ce!i"i!e"" e#"!i7 " pe!#" )ei )e##"" )"er N-9B

"") )e""pe""" ee+"!" !er+""p p"ie !ere*!.

g) Pe")p#" p!) e+ p"ie +"r i"" "") r"#" e#"

epAII (Airbone #nfection #solation) "!" * + e#" pe#"!r"

i!e)Ce!i"i ($ell %entilated &putum #nduction "ooth).

+ P"ie i"r"" ! )e)*eri+" !"#" e!e"+ )e")p# p!)

e#" "ir )e#"ir " "* "!" e#" "r!" handrubs.

i S""! )e)pre pei)e3 pe!#" "*r"!ri) !e!"p )e#"6 p""

e,"p""" !""r " e,"p""" *er""r" !r")ii )e"i "r"

(airbone) " !r")ii )e"i !".

Se)" pe!#" ee+"!" "# )e"#"i p"ie T$ "" i""

pe)eri""ee+"!" r!i e6"r" *er"" *eer"")" e#" S*

S)*er D"" M"i""K< RS.

Ap"*i" p"ie "" i!r"pr!"i" e"r "ri r"# i"i3 p"ie +"r

13



)e#e"" )"er *e"+ ! )ei#i i##" ei!"r.

R)"+ "i! )e")i i""""" p"" peri#" iri "#

"e"!*"#i pe!#" ee+"!" " )ere" "# *er!#" i !e)p"!

pe""".

. ALAT PELINDNG DIRI /APD0

Di!"!" pere6"""3 peei""3 pe##"" "eC""i" e+ K)i!e

PPI RS *er")" K< RS3 i!""i 7"r)"i " *"#i" #i!i RS.

" APD i#"" *er""r" priip e,"p""" !""r " i"i

e#"e" )e#r p!ei rii pei7i p"" e!i"p "!iCi!"

pe"""/!i"")ei e+i##" !ep"!3 e7e!i7 " e7iie.

* APD e"i p""i iei"" )e"i i!""i 7"r)"i.

6 A"" 6ei! !i"" "# )e##"" APD " e*eri+" !"#".

APD "# "i iei"" )e"i i! K< RS.

e M"er ! r"# +r! "ir *re ee"e e#" )"er *e"+

r"#"p 2.

7 Ti) K< RS )e"" )i!ri# " "i! e!ep"!" pe##"" APD

e*"#"i*"+" "") eC""i " re)e"i pei#"!" e7e!iCi!"".

. SREILANS INFEKSI RS /IRS0

Di"" e6"r" i!e)"!i "!i7 e+ IP&N @I7e6!i PreCe!i &!r Nre ?

per","! pe#e"i i7ei pr" ,"! " IP&%N @i re ? per","!

pe#+*#pe#e"i i7ei ! )e##")*"r" !i#"! e"i" *er*"#"i

pe"i! i7ei!"r#e! e"i Pe)" SrCei" I7ei R)"+ S"i!3 Ke)ee

" pe"i! ee)ii r)"+ "i!.T"r#e! rCei" "i! : I7ei S"r" Ke)i+

@ISK !er"i! "!e!eri"i3 I7ei D"er"+Oper"i @IDO3 I7ei %" I7 @I%I p""

p"ie *erii3 Pe)i" !er"i! Ce!i"!r @;AP

" Me"" rCeie PPIRS

* Me"" A"ii3 eC""i " re)e"i !i" "! "!" i7ei

i"" K)i!e PPIRS i *","+ ri"!r. D!er Pe"### ","*

PPI @IP&O ! !"pe#e"i"3 )""e)e rii " e,"p"""

!er+""p e"i" "r *i""@K%$

6 Pe#e"i" "#" IRS )e##"" !"r#e! ""r" e"i pr#r") PPI.

S""r""#" IRS ieC""i e!i"p < !"+.

14



Ke"i" "r *i"" IRS i!e!"p" e+ ire!r RS *er""r"

per!i)*"#"K)i!e PPI RS p"" +"i eC""i epie)i#i

e6eer#" "#" IRS)e"i rCei". Ke6eer#" e"i" IRS

"# !er )eer )ei#"!i#i7i" e")" < *" *er!r!-!r! "!"

pei#"!" i#i7i" "#" e"i"p"" "! ,"! pe#")"!" !er!e!

i,"p""i e*"#"i K%$. Pe6e#"+" "pe#e"i" rii pee*"r"

e"i" "# *erp!ei )e"i K%$ i""e#er" e6"r" ier#i )e"i

er"")" i!" i!/"!" er" e+ K)i!e PPIRS.

e %"pr" I7ei RS i")p"i" K)i!e PPI RS ep"" Dire!r Mei "

Keper","!"e!i"p *".

7 Pe)"!"" peer"p" bundles Pe6e#"+" " Pe#e"i" I7ei @I%I3

ISK3;AP/HAP3 IDO """+ e*"#"i ""+ "! !" r e*er+"i"

rCei"i7ei RS. K!r )ir*i#i i"" p"" e!i"p " "#

i#" i7ei r)"+ "i!@HAI.

. PENGENDALIAN RESISTENSI ANTIBIOTIKA

" Pe)ii+" !er"pi "!i*i!i e6"r" r"i" ep"" p"ie i""r" !"

"ii"i @pr7i"i "!" !er"pi e"i +"i pe)eri"" !r "

rei!ei)ir*"3 e+i##" ! peeri!" pe"i! i7ei per i""

pe)eri"")ir*i#i !ere*! *eer" ")" e#" K(T.

* Ke!ep"!" pe)*eri" "!i*i!i" "#"r ")" *"#i p"ie )eip!i :

Tep"! ii"i3 *"! *e"r-*e"r i*!+"5

Tep"! pe)ii+" *"! e#" per*"i#" *i"" e7e!iCi!" "# *"i

Tep"! p"ie3 !i" "" !r" ii"i3 e7e ")pi#i )ii)"5

Tep"! i3 !ep"! 6"r" pe)*eri"3 !ep"! r"i pe)""i"5

Tep"! i7r)"i3 ep"" p"ie " e"r#"".

6 P"ie ,"i* i*eri i7r)"i !e!"# pe#*"!" "# i*eri" " e7e

"#i!i)*"

5. STERILISASI ALAT6INSTR+EN KESEHATAN PASKA PAKAI

Di RS i"" e#" 2 6"r" "i! e6"r" 7ii" "!" i)i"3 )e"i

!"+"p" pe66i"@!er)" pere")" " pe)*i""3 pe#eri#"3

pe#e)""3 "*ei#3ii"!ri"i3 !erii"i3 pei)p""3 i!ri*i ii!i

e#" pe)"!"" " eC""ipre er!" "i!"/)! +"i !erii"i

15



e6"r" !erp"! )e"i I!""i P"!Pe""" S!erii"i @&SSD "#

""! ii *er"" i IKO

1. Pe)re" ""!/i!r)e p"" p""i ipii+ *er""r" ri!eri" ""!.

S!erii"ii"" ! ""! ri!i"3 !erii"i "!" ii7ei !i#"! !i##i

@DTTi"" ! ""! e)i ri!i"3 ii7ei !i#"! re"+ ! ""!

ri!i".

2. Kri!eri" pe)ii+" ei7e!" i""ri !e""+ e6"r" 6er)"! !er"i! ri!eri"

)e)iii pe!r) " e#" "" *+ )" "# !i##i e#"

!ii!"re"+3 ,"! ii7ei i#"!3 !"*i "") pei)p""3 !i"

)er" *"+"" e7iie. Ui! er" "# *er!"### ","* !er+""p

peei"" ei7e!"" "!iep!i i RS e"i re)e"i K)i!e PPI

RS P"!i R"+" Pr,"i )e"i i!""i 7"r)"i.

<. I!""i P"! Pe""" S!erii"i @&SSD *er!"### ","* )e

p""" prer !e!"p3 )e#ri"i" er!" )e"" )i!ri#

" eC""ipre er!" "i!"/)! +"i !erii"i e#" pere!"

K)i!e PPI RS.

4. Ui! &SSD )e)i!r pe"""" pre e!")i"i i e!i"p i!

)e##"" 7r).

17.PE+AKAIAN LANG PERALATAN 8 +ATERIAL SEKALI PAKAI /$#n'"e

($e 9an' d#-e)($e0.

D"p"! i#"" e)*"i e"i e#" re)e"i manufactur -". A"!

Mei Se"i P""i "p"! i#"" "# @ree 7 i#e e eCi6e

e"i e*i"" RS.

" AMSP "p"! ipre e6"r" *e"r/!ep"! @r"i" " +"i !erii"i)"i+e7e!i7 " e7iie *"i e6"r" 7ii /7#i3 "i!" er!" ")"

i#"" *"#i p"ie.

* AMSP "#"! i*!+" pe##"""3 !e!"pi i! ipere+ "!"

"#"! )"+" +"r#""

6 Pe)re" AMSP "# i!eri" " i#"" e)*"i +"r

)e"i pre pe6"!"!" " pe#","" )! i *"#i" &SSD

AMSP "# !eri i"" pe#","" )! e#" )ei+"!

e6"r" Ci" " 7#i "ri ""! / *"+".

16



e D"7!"r AMSP "# "" i#"" e)*"i i!e!" e+ RS.

7 A"" 7r) "7!"r per""!" ""! i#e e "# i re-e.

# A"" 7r) "7!"r )i!ri# ""r i#e e "# ire-e.

11. PENGENDALIAN LINGKNGAN RS

Meip!i pee+"!" "ir3 pe#e"i" er"##" " *i"!"#

pe##"##3 pee+"!"r"# " *"#"3 pe)"!"" +i#iee

"i!"i )"""3 pe)"!"" pee+"!" ie3 ii7ei

per)""/"r"/"!"i3 pe#e"" i)*"+ 6"ir/i)*"+ $</i)*"+

p""! )ei/ )ei ie" e+ I!""i S"i!"i %i##" RS

@IS%RS " S*$"#i" R)"+ T"##" *eer"")" e#" pi+"

e!i#"3 *erri"i e#" K)i!ePPI RS3 e+i##" ")" *"#i

i##".

" Pe#e"" i)*"+ +"r )e)per+"!i" priip e*"#"i *eri! :

Se)" i)*"+ *erei !i##i +"r i*eri "*e/ !"" "# e".

W""+ /6!"ier i*eri "" "!# p"!i6 e#" ,"r" : i#

!i)*"+ i7ei $<3 )er"+ ! i)*"+ r"i"!i73+i!") !

i)*"+ )ei / )e!i".

%i)*"+ !i" *e+ i*i"r" "!" ii)p" 24 ")

K"!# p"!i6 !e)p"! i)*"+ !i" iii !er" pe+ @ 6p </4

W""+ / 6!"ier +"r !er!!p3 !"+" *6r3 !i" *er"r"!3 )"+

i#" "!" i"#"!3 )"+ i*eri+" " *er"" i!e)p"!

"#!eri#i *i"!"# "!" er"##".

* %i)*"+ *e" !"") +"r i)p" "") "! ,""+ "!i *6r "

!"+"!" @ "7e! *3 !"p" )e)per+"!i" !er!")i"i "!"

!i".

6 J"r) " ri#e +"r i)"" e "") S"7e! *

17



Pe#"#!" i)*"+ +"r )e##"" !ri "#

!er!!p.Pe#"#!" i"" 2 "i.Ap"*i" +"r )e##"" i7!

+"r e#" i7! !ereiri/RAM.

e Pe)*"#" "!" pe)"+" i)*"+ )ei p""! +"r i"" i

!e)p"! pe#e"" ")p"+ )ei "") +" ii R)"+ S"i!

*eer"")" e#" pi+" e!i#"

7 Pe!#" "# )e"#"i i)*"+ +"r )e#"" APD eper!i "r#

!"#" +3)"er3ep"! *!3"pr3pei# )"!"3" *i" per

+e)

# Priip )e!e pe)*eri+" r"# per","!" " i##"3 pe)ii+"

*"+" ei7e!" 36"r" pei"p" " pe##""" i""""

*er""r" !e""+ p"i!i" PPI RS ! )e6"p"i e7e!iCi!" "# !i##i.

12.PENGELOLAAN LINEN

" Jei ie i RS P"!i R"+" i"i7i"i" )e"i ie *eri+3

ie !r i7ei3 ie !r i7ei

* U! )e6e#"+ !")i"i3 pe#"#!" ie )e##""

"!# ie "# *er*e"3ie !r e#" "!# ie *er,"r"

+i!") " ie !r i7ei e#" "!# ie i#

6 Pe6e#"+" !")i"i i##" )"p p"" pe!#" i""

e#" ei7ei ere!" ie3 pe#epe"/ii7ei "!"i3

i)pe)e!"i pr"!i e*eri+" !"#"3pe##"" ""! pei# iri

@APD e"i p!ei rei e")" *eer"

13 PENGELOLAAN +AKANAN

Pe#e"" )""" i i!""i #ii )e)per+"!i" !""r "i!"i

)"""

)i)"3 ""!3 i##" pri " +i#iee perr"#" pe")"+

)""".

" Se)" *"+" )""" "# ii"p" ")p"i e#" i"i"

ep"" p"ie3 pe#","i "!" pe## ie" e"i pe)"

18



" !""r prer pe"""i!""i #ii "#"! !er+i"r "ri

pe6e)"r" " pe"r" i7ei )e"i )"""

* Pei)p"" *"+" )""" +"r e" !erpei+"r" " "")

e""" *eri+3!eri# "ri e*3 *"+" i)i" *er*"+"" "

+e," "i er!" +pei)p"" ie"i" e#" ei *"+"

)""".

6 Pe")"+ )""" "# !" "## e#" )""" )"i

"ri prepei"p" *"+" ")p"i e#" pe"i"" i""

rCei" +i#iee pri*"i*erp" )i!ri# !r )ir*i#i ,"*

re!"3 iri"i" " i *","+!"### ","* K)i!e K< RS.

Pe!#" i! +"r "") ii e+"! " i"" pe)eri""

*er"" e")" = @e") *" e"i

14. PENDIDIKAN dan PELATIHAN PENCEGAHAN dan PENGENDALIAN

INFEKSI RS

Dire6""" " i"""" e6"r" perii " *erei")*#"

e+ *"#i"Peii" " Pe"!i+" @DIK%AT *eer"")" e#"

K)i!e PPI RS !)e")i e!i"p pe!#" "# *er"" " *eer"

i RS @!er)" peer!" ii ""r"," !r" )e)"+")i "

)")p )e"""" pr#r") PPI RS 3 +" e,"p"""

!""r " e,"p""" *er*"i !r")ii.

" Ser+ SDM *"r i RS ,"i* )e#i!i pr#r") rie!"i3 !er)"

)"!eri PPIRS

* Se!i"p "" )"+"i," "# "" pr"!e +"r i*eri"" )"!eri

rie!"i PPIRS.

6 Mi!ri# " eC""i +"i peii" " pe"!i+" i""

e+ *"#i"SDM *er")" K)i!e PPI RS e"i e!e!" "#

*er" e*"#"i ""rpere6""" pr#r") e"!".

Ser+ !"77 iii !e!"# pe#e"" i7ei.

19



1. PENDIDIKAN PENCEGAHAN dan PENGENDALIAN INFEKSI

DIBERIKAN NTK SETIAP PASIEN.

" U! p"ie r","! i"p i")p"i" e+ per","! ""! rie!"i p"ie

*"r)"3 )eip!i e*eri+" !"#"3 e!i" *"! " e!er!i*"

)e)*"# ")p"+.

1. PENGKA:IAN RISIKO INFEKSI PADA KONSTRKSI 8RENOASI d# RS

" Se*e) )e"" !ri "!" reC"i *"#" i""

""ii !er+""p "i!" "r"3 per"r"!" !ii"i3 e*ii#"3

#e!"r" " prer e)er#ei.

* Se!i"p !ri )"p reC"i *"#" "# i"" i RS

+"r)e#!")"" ee")"!" p"ie3 pe## " pe!#"

*er""r" priip-priippe6e#"+" " pe#e"i" i7ei .

6 Pe#"i" rii i7ei i*"! *er""r" "ri p"" I7e6!i

&!r RiAe)e! @I&RA.

K)i!e Pe6e#"+" " Pe#e"i" I7ei R)"+ S"i! @KPPI RS

)e""pe#"i" rii i7ei " !i" "! *er"*r"i

e#" *"#i"pe)ei+"r"" " K< RS.

1. PENGGNAAN CAIRAN DESINFEKTAN

" Pre ei7ei ""! "p"! i"!e#ri" )e"i:

Per""!" Kri!i/rii !i##i: """+ per""!" )ei "# )"

e"")"ri#" !*+ !eri "!" ir"i "r"+. &!+ i!r)e

*e"+3 "!e!eri!r"Ce"3 "!e!er "!#. Pe#e""" e#"

6"r" !erii"i.

Per""!" e)iri!i/rii e"#: """+ per""!" "# !"

e#")e)*r"" )" !*+. P"" per""!" e)iri!i3 pre

!erii"ii"r"" ") !i" )!"3 "i *i" i""

ii7ei !i#"! !i##i.

Per""!" Nri!i/rei re"+: """+ per""!" "# !"

e#"per)"" i! !+ 6!+: !ei)e!er3 !e!p3 ie3

20



""! )""3 "!"i3per"*!3 !e)p"! !ir. U! ei per""!" ii

"p"! i#"" ii7ei!i#"! e"# ")p"i !i#"! re"+.

* Dii7ei i##" r)"+ "i!

Per)"" i##" : "!"i3 ii#3 " per)"" )e"3 !r

iie7ei e#" e!er#e e!r".

%i##" "# !er6e)"r "r"+ "!" 6"ir" !*+ "i"

i*eri+" e#"ei7e!" !i#"! )ee#"+.

6 Pe##"" ii7e!" i r"# i7ei @)e"r " Are" ri!i

U! )e#epe/)e)*eri+" "!"i " ,6 )e##"" :

6rei

U! "re" "# eri# ie!+ @Hi#+ !6+ "re" )e##""

ii7e!":% 1:100 @per)"" #")3 &+rie 0.0B F

@per)"" *" #").

U! "re" "# "r"# ie!+ @N Hi#+ !6+ "re"

)e##"" "*PH e!r"

Pe##"" ii7e!" i "re" *"" !)p"+" "r"+/6"ir" !*+:

)e##"" ii7e!" &+rie 0.BF

Ca#-an de$#n;e!%an 9an' d#'(na!an d# RS Pan%# Raa9(

N

O

ISI MERK PEN''UNAAN

1 Iprp3 e!+i

"+

A+ 0 F3 S7!"-

)"

A!iep!i i!

2 &+r+eiie 2F A6e!r A!iep!i e*eri+"

!"#" r"#

per","!"3

"!iep!i i! pre

per"i

< &+r+eiie 4F &!i7! A!iep!i i!

e*eri+"

!"#" "er"+ ri!i

4 PCie Iie

.BF

$e!+"ie S!i A!iep!i i! " "

per"i

B &+ri $6ie Dii7e!"

!)p"+"

21



"r"+ " 6"ir" !*+

"i".

pe##"" i

")"r

*er"i

! ,"*"+ @)i 5 C

difficile

M!i Dr# Rei!e

Or#"ie) @Mi MRSA

= '!er"e+e

<.4F

S!er"i 2F3

S!"*i)e

Hi#+ eCe ei7e!"

Prp"3

*ip+e 2.0 #

Pri)"ep! A!iep!i i! ")"r

*e"+

8 E!+" % %, eCe Dii7ei

9 &+r+eii

i#6"!e

!i

De)" +"r* A!iep!i i!

10 $e"i)

6+rie3p+ee!+"

Terr"i pr!e6! Hi#+ eCe ei7e!"

""! e)i ri!i"

1. PRAKTEK +EN<NTIK <ANG A+AN

" P""i "r) "# !eri3 e"i p""i3 p"" !i"p !i" !

)e6e#"+!")i"i p"" per""!" iei " !er"pi.

* ;i"/")p/*! i7 ! i#e e +"r "p"! i#"" e#"

6"r" "#"p"! )e"#" "r"! "ep!i.

6 M!i e Ci" i#""

H"" i#"" ! "! r"# p"ie

Se!i"p )e#"e Ci" )!i e +"r )e##"" "r)

" pi! "#!eri

22



Ti" ii)p" "!" i*"," e ")"r p"ie "!" r"#

!i"" e6"i Ci"!ere*! +"" iper!" ! "!

r"# p"ie !er!e!.

Se!e"+ i#"" ! per!")" "i3 +"r i6"!)"

!"##" per!")" "iCi" i*" " !"##" *e e "!e

p"" e!ie! *"!.

&"ir" i7 "") *! @p"!i "!" "6" !i" "p"! i#""

*er")" ")"! *e*er"p" p"ie.

e Ii 7epe +"" "p"! i#"" ! "! r"# p"ie "

!i" "p"!i#"" ! *er")"-")" ! *e*er"p" p"ie.

7 Se!i"p "i pe!i" ii e#" )e##"" 7epe +"r

)e##"""r) *"r.

15. PENCEGAHAN dan PENGENDALIAN INFEKSI NTK PASIEN,

KELARGA dan PENGN:NG.

" S""+ "! Pe6e#"+" " Pe#e"i" I7ei i r)"+ "i!

"""+ epei"!er+""p p"ie3 e"r#" " pe## r)"+"i!.

* P"ie 3e"r#" " pe## +"r i*eri" e"i !e!"#

PPIRS.

6 Pe6e#"+" " pe#e"i" i7ei r)"+ "i! i RS P"!i R"+"

iri"i e+ Ti) PPIRS "# !er#"*# "") i! r","! ""

" r","!i"p.

M"i# ?)"i# "ri !e"#" ee+"!" @ D!er3 per","!3 7ii!er"pi3

'ii 3("r)"i )"p ee+"!" @ Pe"r"3 pe!#"

e*eri+" 3 p"ie 3e"r#" " pe## !r! ")*i *"#i"

"") pe6e#"+" "pe#e"i" i7ei.

e P"ie3 e"r#"3 " pe## "# ir","! i RS P"!i R"+"

+"r )e!""!iper"!r" "# "" i RS P"!i R"+" e"i e#"

per"!r" !"!" !er!i* p"ie.

23



7 $ Pe)" pe6e#"+" " pe#e"i" i7ei i r)"+ "i!

" 7"ii!""i" !"+ 2011 : !e!"# e*eri+" !"#" "

pe##"" A"! Pei#Diri @ APD i 7"ii!" ee+"!"

# P"ie "p"! )e#i#"!" pe!#" ee+"!" @ D!er3 Per","!3

(ii!er"pi3Pe"r"3 'ii *i" !i" )e"" e*eri+" !"#"

e*e) " e"+)ee!+ p"ie " i##" p"ie.

+ Pe6e#"+" " pe#e"i" i7ei i r)"+ "i! """+ !"###

","*p"ie3 e"r#" " pe##.

i A"-"" i *","+ 12 !"+ i "r"# )e##i p"ie

P"ie3 e"r#" " pe## *erper" pe!i# i "")

pe6e#"+" "pe#e"i" i7ei i r)"+ "i!. Se!i"p r"#" /

i! +"r )eei""7"ii!" ,"!"7e3!e)p"! ")p"+ i7ei

@"!# +i!")3"* *i"" @+""p3 )"er *"#i p"ie3 e"r#"

" pe##.

27. PENANGANAN KE:ADIAN LAR BIASA /KLB0

" A#"r e"i" K%$ "p"! ie"i" " e#er" i!"#"i3

R)"+ S"i! P"!i R"+" per )e)p"i i!e) pe#e"i"

" pe"#"" K%$.

* U! )ee!ei e6"r" ii """ K%$3 i"" rCei"

i7ei i r)"+"i!. Se"i ! e!ei ii3 rCei" e6"r"

"!i7 #" *er!" !)e6e#"+ p"" K%$ !i" !er"# "#i.

6 SrCei" i"" e+ IP&N *eer"")" e#" IP&%N.D"!"

"# i"p"!"ri rCei" i"+ e+ )i!e PPIRS3 ier!"i

""ii3 re)e"i "!i" "!3 " i#"" e*"#"i

*"+" "pr" ep"" Dire!r r)"+ "i!3" *"+" )i"i

e#" *"#i" "# !er"i!.

Ke"i" %"r $i"" I7ei R)"+ S"i! i!e!"p" e+ Dire!r

*er""r"per!i)*"#" K)i!e PPIRS P"!i R"+" Pr,"i

p"" +"i eC""i epie)i#i e6eer#"pei#"!"

"#" IRS e6"r" i#i7i" e")" < *" *er!r!-

!r!.Pei#"!" i#i7i" "#" e"i" IRS p"" "! ,"!

pe#")"!" !er!e!i,"p""i e*"#"i K%$.

24



e Pe"#"" K%$ IRS +"r i"" e#" e#er" " e6"r"

!erp" e+er+ r "# !er"i!3 iri"i" e+

K)i!e PPIRS. Se")" !er"iK%$3 Pe!#" R"#"/$"#i"

!er"i!3 Kep"" $"#i"3 " IP&%N3 +"r*erri"i e6"r"

i!ei7 e#" Ti) " K)i!e PPI R)"+ S"i! !)e"#"i

K%$ !ere*!.

7 Se!e"+ )eeri)" "pr" #"" """ K%$3 K)i!e PPIRS

*er")"IP&N/IP&O )e"" iCe!i#"i *er")" i !e)p"!

!er"i" K%$3 )eip!i:

• Me6"!"! e!i"p e"i" i7ei i r"#" e"i

prer SrCei" I7eiR)"+ S"i!

• Me6"!"! e!i"p e"i" i7ei i r"#" e"i

prer SrCei" I7eiR)"+ S"i!.

• $erri"i e#" IP&%N " Kep"" r"#" er!"

!er "# *er!"### ","* )e"#"i p"ie3 !

)e"" Ceri7i"i i"#i i7ei r)"+ "i!3

pee#"" i"#i IRS " )e#7ir)"i e*"#"i

" K%$. Se"i i! #" i"" iCe!i#"i !er+""p

e)#i" )*er pe"r"3 6"r" pe"r" "

e)#i" pee*"r""3 er!" "pe "i "#

iper" ! pe"##"#" "!" )e)!"

r"!"i pe"r".

• $erri"i e#" $"#i" %"*r"!ri) !

)e"":

o S,"* r"#/""! "# i#" !er!")i"i

*"!eri.

o Pe#")*i" *"+" "ri *er*"#"i "i !er"#"

)*er i7ei !i*i"" " "!i*i#r").

o Pe)""#" "*e i !e)p"! pe")p#" *"+"

pe)eri"""*r"!ri) p"ie pe"i!

)e"r. %"*e *er!i" A," $"+"Me"r

• $erri"i e#" er+ peri i *"#i" !er"i!

! )e)*eri" "ri7i"i-"ri7i"i peri+" "# !er"i!

25



e#" K%$3 )i"" pe""""Prer Te!"p

e6"r" *e"r.

# Ap"*i" +"i iCe!i#"i )ei)p" !e"+ !er"i K%$3 )""

K)i!e PPIRS)ee!"p" !"! i"#" *e6"" K%$ "

)e"pr" ep"" pi)pi" RS.

+ U! )e"##"#i K%$ K)i!e PPIRS *erri"i e#"

Dire!r"!Pe""" Mei3 P"i!i" K< RS3 %"*r"!ri)3 ("r)"i3

S"i!"i3 &SSD3 'ii3K")"r &6i " $"#i" !er"i! "i" e"i

e*!+".

i Ap"*i" iper" p"ie " K%$ ir e r)"+ "i!

r" i7ei "#!e"+ i!e!"p" e+ i" ee+"!".

A#"r K%$ IRS !i" )e"3 K)i!e PPI *er")" IP&%N "

per","! r"#")e"" "#"+-"#"+ pe6e#"+" "

pe)*"!"" e#" 6"r":

• Me"""" " )e#","i e6"r" e!"! pe""""

66i !"#" "# *e"r" !ep"!.

• Me##"" " )e#","i pe##"" "r#

!"#" " APD "i e"iii"i.

• Me"" " )e#","i pe)*"#" i)*"+ e#"

*e"r

• Me"" pe)i"+" p"ie "# !eri7ei3 i"!"

e#" p"ie "# ")"-")" !eri7ei/+r!i# "

)ee!" !"7 "# "" )e)*eri"pe"#""

@ipi"+" e#" !"7 "i"

• Ap"*i" iper" )e#" ep"" Dire!r U!")"

! )e#i"i r"#" "!" )e#i"i p"ie

*er"#!" "# i"##"p !er6e)"r e+i7ei.

• Me#","i e!"! peer"p" Ke,"p""" S!""r.

• R"#" "# !er"i K%$ +"r iii7ei.

K)i!e PPIRS )e"" )e!"i !e!"# e"i" "

!i"" "# !e"+i")*i !er+""p "!" "!" i7r)"i K%$.

K)i!e PPIRS !er )e"" )i!ri# " eC""i ")p"i

K%$ *er+"ii"!"i.

26



) S!"! K%$ ,"i* i"pr" e i" ee+"!" e!e)p"!.

K)i!e PPI )e"!"" K%$ ee"i i" " "i )"" i*"i

!erp""# !i" i!e)" " *"r.

21. PE+ERIKSAAN KLTR dan SWAB +IKROBIOLOGI DI LINGKNGAN

R+AH SAKIT

" S,"* i"" 2 "i e!"+ ! "re" ri!i @" rii !i##i " "#"!

!i##i

* Are" "i *i" iper" e,"!-,"! "!" *i" !er"i ,"*"+/K%$.

6 Peri"p" pe)""i" r"#" *"r p"" reC"i "!" !ri r)"+

"i!.

Di"" pe)eri"" p"" p"ie "# )eeri!" i7ei "# !er"i

ii 3i.

e K!r i"" i" "" 6ri#" " I%I " I%O.

23. PENANGANAN PASIEN I++NOSPPRESED

". Pe"#"" p"ie i))6pr)ie +"" )e"" e!"*ii"i

e""" ))3 *i" "+ !"*i r)"+ "i! )er e 7"ii!"

ee+"!" "# "i.

*. RS P"!i R"+" !i" )e"" per","!" p"ie

i)6)pr)ie.Ap"*i" !er"p"! p"ie i)6)pr)ie3)""

ir e7"ii!" ee+"!" "# "i".

23. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI

PE+LASARAN :ENA=AH

" Pe)i"+" e""+ "ri r"# per","!":

• Pre pe)i"+" +"r e"i e#" priip-priip

Ke,"p"""S!""r.

27



• Ape *"" " "#")" +"r iper+"!i". Ke"r#" p"ie

"# i#i)ei+"! e""+ e!e"+ ipi"+" "ri r"#

per","!" #" +"r)eer"p" Ke,"p""" S!""r.

•

Pe"#"" e)" e""+ pe!#" +"r )e##"" APD"# e"i.

* Per","!" e""+ i ")"r e""+:

• Pe!#" ")"r e""+ +"r )e"" Ke,"p"""

S!""r 5)e"" e*eri+" !"#" "# *e"r "

)e##"" APD "#e"i e#" rii p""" ere! /

6"ir" !*+ p"ie.• Pe#",e!" e""+ e#" )e##"" 6"ir" 7r)"e+ie

i""e"i prer " priip-priip Ke,"p"""

S!""r.

• Pe#",e!" e""+ !i" *e+ i"" p"" p"ie "#

)ei##""i*"! pe"i! )e"r.

• Pe)""r"" e""+ e6"r" +i#iei @)e)*eri+" *""3

)er"pi"r")*!3 )e""i3 )e)!# " )e6r+"r i""e#" )eer"p" Ke,"p""" S!""r.

• Se!e"+ ee"i per","!" e""+ !e)p"! " r"#" ,"i*

i"" e!")i"i.

6 Pe)eri"" p!-)r!e):

• Pe)eri"" p!-)r!e) i"" e#" )eer"p"

Ke,"p"""S!""r .

•J)"+ pe!#" +"r i*"!"i e)ii)" )#i.

• Prer i"" "") r"#" "# *erCe!i"i )e)""i.

• Terei" APD "# e"i e#" rii p""".

Pe)*eri+" " ii7ei ")"r e""+ e"i e#" e!e!"

p""Pe#e"" K")"r Je""+.

e Pe"!""""" i)*"+ " ie ")"r e""+ e"i e#"

e!e!" p""Pe#e"" K")"r Je""+.

28



7 Pe)""r"" e""+ *erpe"i! )e"r +"r i"" ee#er"

)#i3!i" )ee*i+i *"!" ,"! 4 ").

24. PERSIAPAN PE+AKAIAN RANGAN BAR PASKA KONSTRKSI 6

RENOASI RS

" Me"" ""ii ")p" reC"i " !ri !er+""p "i!"

"r"3!i#"! e*ii#" .

* Me"" e"i @pe)""#" r")*2 "!" #")*"r i"re"

reC"i ep"" pe!#" 3pe## " p"ie.

6 Me"" pe)*eri+" )eer+ " e!")i"i e)"

per)""3 !er)"ii#3 "#i!-"#i!3 ee" " i!e) Ce!i"i

*erii !i##i.

M"" ,"* r"#" " i "i!" "r"3 +" i "re"

*erii !i##ie*e) r"#" i#"".

2. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI KA+AR BA<I

" R"#" / %i##"

• %"!"i ipe " "i e+"ri e#" )e##"" 6"ir" "*

e!r"

• R"#" i *#"r "! "i "") e)i##

• A& i*eri+" e!i"p "! *" e"i

• Pe)eri"" "ir *eri+ i"" e!i"p < *" e"i

• R"# *"i e+"! +"r !erpi"+ e#" r"#" *"i "i!

• S+ " ee)*"*" ")"r *"i e+"! : 21 ? 24 L& 4B

-=0F3 e"#"• ! ")"r *"i "i! : 22 ? 24 L& <B ? =0 F

• K" *"! i 6+e6 !e)per"!r"

* Per""!"

29



• Te)p"! !ir3 #"!#"3 !i)*"#"3 per""!" p+! !er"pi3

i*eri+" e!i"p +"ri e#" "i e)*"* )e)""i e!er#e

" "ir *eri+

•

$" )"i : i*eri+" e#" e!er#e " "ir *eri+ e!i"p+"ri

6 Per"r"!" *eer" i ")"r *"i

• Pe!#"

Me66i !"#" +"r i"" e*e) " e"+

!i"" / )e)*eri *"i3 "ri !ie!3

Per","! ")"r *"i +"r )e#i!i pr#r") C"66i"i

+ep"!i!i ;"ri6e". Ti" *e+ )e)ei+"r" "!" )e)""i per+i"" ""!

*eer".

Per","! "# )er","! *"i e+"! !i"*e+ )er","! *"i

"i!.

R")*! +"r ii"! / ip!# pee e+i##" !i"

)e#e"i )" *"i ""!)e)*eri *"i.

Me##"!i pp +"r )e#"" "r# !"#".

• I* "# )ei i ")"r *"i

Me66i !"#" e*e) " e"+ )ei *"i.

Me)*eri+" p!i# e*e) )ei *"i

Pe!#" "# )eeri)" ASI "# ip)p" "ri i* /

e"r#"3 )"" p"" *!+"r i!!p3 *eri "*e3 !"##"

" ,"! pe#")*i" ASI.

• $"i

$"i "# e+"! +"r ipi"+" "ri *"i "# "i!.

Pe)*eri" C"66i Hep"!i!i $ i*eri" 24 ") e!e"+ "+ir

e"#" *"ie#" ri,""! i* e#" Hep"!i!i

i*eri" i))i"i p"i7.

$"i e#" *er"! *"" r)" i)"i" 1 e+"ri

e*e) p! !"i p"!.

30



Per","!" !"i p"! e#" )e##"" "ir *eri+3

ieri#" " !i"i!!p e#" "".

$"i "# ir","! e#" *e i#+!3 )"!"" +"r i!!p

" i*" ""!i*eri .

Se!i"p *"i )e)p"i pere#"p" )"i#-)"i# "

ii)p" i!e)p"!"# "+ iei"".

2. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI KA+AR BERSALIN

" Pe6e#"+" !""r

$" / #" p""# " "r# !"#" +"r i#"" p"" e)"

prer"# *ere!+" e#" "r"+ "!" 6"ir" !*+ p"ie3

!er)" #"e*eri+" per""!" " i##"3 pe)eri""

p"e!".

Pei# )"!" @###e ip""i p"" e!i"p prer per"i".

Se)" *e" !"") "# !er!")i"i e+ "r"+ +"r "##

i*"#e"") +"rp 6!"ier "# !e"+ !erei".

Se)" ie "# !ere" " "r"+ i)"" e"") "!#

*er,"r"i#.

S!"77 "# )e)p"i ei/" !er*" "!" #re" p"" !"#"

)ere" +"r)e!p " !ere*! e#" pe!er e"p "ir "

e" )e##"" "r#!"#" ""! )e"#"i per"i".

S!"77 "# *eer" i")"r *er"i +"r i! "") pr#r")

C"66i"i Hep"!i!i$.

Se)" !ie " ")p"+ "# !er!")i"i e#" "r"+ +"r

i*"# e"") "!# p"!i i#.

* Per"r"!" *eer" i ")"r *er"i

• Pe!#" ")"r *er"i

D!er #"!i *" e*e) )e# per"i".

Me##"" APD e#"p @"r# !"#"3 )"er3 ###e3

"pr3 !pie*e) )e# per"i".

31



Me)""i "" "i "# !e"+ iei"" + ! ")"r

*er"i.

Me"""" e*i"" e*eri+" !"#" "# e7e!i7.

•

P"ie P"ie #"!i *" e*e) i!# per"i"

Ke"r#" "# )" e ")"r *er"i i*"!"i.

P"ie e#" i7ei +"r i!e)p"!" ir"# !ereiri

@i"i

• $"i

Per","!/*i" "# )eeri)" *"i *"r "+ir +"r

)e##"" APD e#"p.

Pe#+i"p eir *"i +"r )e##"" "# e"i p""i.

$"i "+ir3 !"i p"! ii"! e#" e) !"i p"! !eri " i*eri

"+0F/pCiie iie.BF p"" # !"i p"!.

$"i *"r "+ir i*eri+"3 e)i" *"i i)"i" e#"

"ir +"#"!.

6 %i##"

• R"# $er"i

Pe)*eri+" r"# *er"i i"" 2 e+"ri " e!i"p

ee"i !i"".

Pe)*eri+" )) i"" e)i## e"i p"" +"ri !i"

"" !i""/per"i".

Se)" !)p"+" "r"+ " 6"ir" !*+ +"r i*eri+"

e#" )e##""ei7e!" 6+rie.

Te)p"! !ir3 )e" p"ie3 e)"ri +"r i*eri+" e#"

)e##""e!ere e!r" e!i"p ee"i i#"".

• A"! " ie

I!r)e "# !e"+ ip""i i66i e#" "ir )e#"ir +""

! )e#+i"#"" "r"+ @pre e!")i"i "

"## iiri) e &SSD.

Ke)"" !eri !i" *e+ r*e3 !i" *e+ !er*" " !i"

!r3 " i+"!!"##" """r".

32



Se)" per""!" )ei !eri "# "" ip""i i*"!"i

e6p" e"ie#" eper"" ""! i!.

K"i #re +"r i#"!i e!i"p 1 *" e"i "!" "" per

*i" !ere" "r"+.

%ie p"ie +"r i#"!i e#er" e!e"+ p"ie ee"i

!i"".

%ie "# !e"+ !er!")i"i e#" "r"+ +"r

i)"" e "")"!# p"!i ,"r" i#.

Pe"#"" !er+""p i* "# pi!i7 !erp"p"r Cir "# i!"r" )e"i

"r"+? Hep"!i!i $3 & " HI;.

U! )e)ii)"" rei e"+ir" *"ie#" e"i" "r"+ "re"

i*"pi!i7 !ere" Cir "# i!"r" )e"i "r"+3 *e*er"p" "#"+

"# +"ri"":

Per!"+"" e"p! e!*" !e!"p !+ e")" )#i.

T"i p"! ie)/i!!p ee#er" )#i ! )e#+i"ri

!r"7i "i)"pi* "# !i" per.

S!i" " 6!+ "r"+ *"i i!" ")p"i "r"+ "#

*er"" "ri i*i*eri+".

D"") e""" i* pi!i7 )eeri!" Hep"!i!i $3 )"" r#"

!i)i"i !er+""p *"i e*"i" "!i7 i"".

P"" ""! *"i i)"i"3 +"r i"" e6"r" +"ri-+"ri

e+i##" e)""r"+ )ee)pe *i" i*eri+"3 e)"

per""!" "# i#"" i*"#ip"!i ,"r" i# "!"

i*eri+" e+i##" e)" "# )e#"#pr!ei !er"#"!.

Se#er" e!e"+ prer ii ee"i i""3 *"i *i"i!"#"i

e#" r)"3 !i" per i")*i !i"" pe#i"i".

%"" i)i"i *"i *"r "+ir e#" i* "# pi!i7

+ep"!i!i $.

33



2. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI KA+AR BEDAH

" Pe6e#"+" " pe#e"i" I7ei i K")"r $e"+ *er7 p"" p"ie3

pe!#"3 !ei pe)*e"+"3 i##"3 " per""!".

* PPI i K")"r $e"+ )eip!i :

• Ke*eri+" T"#"

Ke*eri+" !"#" i"""" )e"i pr"!e )e66i !"#"

)e##"" "* "!iep!i @6+r+eii 4 F " "ir )e#"ir3

"!"+"r*. Ke*eri+" !"#" ,"i* ii)pe)e!"i" i ")"r

*e"+ e+e!i"p pe!#" ")"r *e"+ e"i e#" e*i""

e*eri+" !"#" i RS P"!i R"+"

Peer"p" pr"!i e*eri+" !"#" e+ er+ pe!#"

")"r

*e"+ *erpe)" p"" i)" ""! e*eri+" !"#" ,"i*

i"""" @!""r WHO " e") "#"+ prer.

Ke*eri+" !"#" r#i6"3 )e##"" 6+r+eii 4 F3

e#"e") "#"+ prer " )e66i ")p"i i !"#".

• A"! Pei# Diri @APD

P""i "r# !"#" e"i r" !"#" " ei !i""

&6i !"#" e#er" e!e"+ )eep" "r# !"#"

P""i "r# !"#" *i" "" e)#i" "" !er!")i"i

"r"+3 6"ir" !*+3 ere!3 ere!3 *"+"/*e" !er!")i"i3

)"3 i! "# !i" !+3 "!" i! !+ "# p!ei"

!er!")i"i.

'"!i"+ "r# !"#" *i" "" )er","! p"ie "# *er*e".

M"er *e"+ ip""i e")" !i"" per"i " i#"!i

e#")"er *"r p"" ""! "" per"i *eri!".

Ke"" "pr e*e) "" )e)""i #" !eri

Ke"" '" !eri ! !i"" per"i

Ke"" '" *eri+ !i" !eri ! )ei#i i! "ri

34



!")i"i " )e6e#"+ *" )e"i !r3 e")"

!i"" /)er","! p"ie "# )e)#i" !er"i"

per6i" 6"ir" !*+p"ie.

T!p ep"" i#"" )"i pi! )" ")"r *e"+3 "

i#"!ie!i"p "i ee"i per"i.

'"" "" "i "# !er!!p *"#i" ep"3 " !i"

*#*#.

6 Pe"#"" per""!" per","!" p"ie

• Pe)*eri+" " ei7ei i"" e#er" e!e"+ ""!-""!

iper#""" i"" e+ pe!#" !er"!i+.

• Per""!" ! Ce!i"i " per"p"" "# i#"" p""

peeri!" T$"# iper"i i#"" ""! "# e"i p""i.

Pe)*eri+" i##"

• Me##"" 6"ir" ei7e!" ! RS e"i e#" pe)"

RS

• Te)p"! !ir/ ri3 )e"3 per)"" )e" per"i3 per)"" )e"

i!r)e! i*eri+" e!i"p ee"i ip""i p"ie e#"

)e##"" 6ri 030B F "!" ei7e!" "# "i e"ie*i"" R)"+ S"i!

• Pe"#"" i)*"+3 ")p"+ )ei @i7ei "") "!# i#

e)i" i*""r i i6eer"!r3 *e" !"") )" e "") *

"7e!3")p"+ ))/r)"+ !"##" @ i7ei i*"# i TPA.

• Pe"#"" !)p"+" "r"+ "!" *"+" i7ei +"r i*eri+"

e"iSPO.

e P"ie• P"ie *er+e!i )er 1 *" e*e) per"i.

• M"i p"ie e#" "!iep!i )"") " p"#i +"ri e*e) per"i.

• &r r")*!3 i"" *i" *e"r-*e"r iper" e#er" e*e)

per"ie#" )e##"" 6ipper *" r"r.

• P! per"i3 )eip!i pe6e#"+" " r","!" p"ie e*e)3

e")"p"ie " e"+ p"ie per"i.

35



• Peeri!" T$ e,"! i*"," )" ")"r per"i e#er" "##

)" ")"r per"i !i" iper*e+" )e## i i##"

")"r per"i.M"er *e"+ +"r ip""i p"ie e")" p"ie

ipi"+ e ")"r per"i• P"ie T$ +"r ipi+" e""r"" ir"# ")"r per"i /

r"#""!ei3 !i" *e+ ir"#" pe)i+".

7 Pe!#"

• Me)*eri" peii" " pe"!i+" ep"" pe!#" ")"r *e"+

• Me)*eri" )!iC"i ep"" pe!#".

• Pe!#" !i" )e)""i ") !"#"3 #e"#3 6i6i.

• Ti" *er p""# " )e)""i !e

• Pe!#" "# "i! )e"r i"r"# ! *eer" i ")"r *e"+.

2. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI INTENSIE

CARE NIT /IC0

" Pe! U)) :

• H" H#iee @Ke*eri+" T"#"

Ke*eri+" !"#" "# eri# )erp"" ""+ "! 6"r" "#

p"i# pe!i#e*"#"i r" pe#e"i" i7ei i R)"+

"i!. T"#" +"r i66ie*e) " e"+ )er","! p"ie

"!" )e"#"i per""!" )ei "#i#"" e+ p"ie.

T"#" #" +"r i66i i" !er!")i"i e#"6"ir" !*+

p"ie3 e*e) )e"" !i"" iC"iCe3 e*e) "

e!e"+)eep" "r# !"#"3 e*e) )e)"i er" "

e!e"+ !#" er" ee"i3e!e"+ !" e#" i##"

ei!"r p"ie.

• S"r# !"#"

U! )ei#i !"77 I&U3 "r# !"#" +"r i#"" i"

"" !"e#" 6"ir" !*+ "i" " "r# !"#"

+"r iep" e!e"+ ee"i)e"" per""! !

)e)ii)"" !er"i" !")i"i i"#3e)i" e#er"

"" e*eri+" !"#".

36



• K!"i

Ti) pe6e#"+" " pe#e"i" i7ei +"r "p"!

i"i" e*"#"i "r")*er "") )e"" rCei"

" pe#"i" pe#e"i" i7ei iI&U. Di")pi# i! !i)PPI #" +"r )ee!"p" " )e"")i!ri#

!er+""p prer !erii"i " ei7ei !er+""p

per""!""# i#"" i I&U 3 #" !er+""p pe"#""

*i" !er"i " !er!"r).

* Prer IC"iCe

• Ji" prer iC"iCe i#"" e*"#"i pii+" !

)ee")"!" i," p"ie " "#"! *er)"7""! "")

pe"#"" p"ie3 )"" prerpe#e"i" i7ei e*"#"i)""

ie"" i "!" "p"! i"*"i".

• Prer iC"iCe +"r i"" e#" )eer"p" !ei "ep!i.

Tei "ep!i +"r i!er"p" ! e)" prer iC"iCe "

pe##"!i" *"!" per )e)""i "r# !"#" !eri. D"") i!"i

e)er#e6 i)"" prer "# i"" !i" 6p *"i "")

!ei "ep!i3 )"" eper!i pe##"!i" "!e!er rie3 iC "!e!er "#

)#i "p"! !er!")i"i)"" e*"i" i#"!i e!e"+ ii

p"ie !"*i.

• K""i pe)*+ "r"+

$"#i" "# ip""# ""i )erp"" !e)p"! )""

)irr#"i)ee "") "ri#" *!" " ir"i "r"+ "#

"#"! p!ei". Oe+"re" i! !"77 "# "" )e""

pe)""#" ""i +"r !ere*i+"+ )e"" e*eri+"

!"#" " )e)""i "r# !"#" er!"!i"" )eii7ei i!

e*e) pe)""#" ""i.

• K""i Ce" e!r"

Pe)""#" ""i Ce" e!r" +"r i"" e#"

)eer"p" !ei"ep!i !er)" )e)""i "r# !"#" !eri3

)e"" peri"p" i!"# "" i! e#" "!iep!i "

)e)""# e !eri p"" "re""# !e"+ ii"p". &"ri *"#i"

37



"# )e)p"i rii "# re"+ eper!i*6"Ci6"3 i!er"

#"ri.

• Pe##"!i" ""i

K""i i!r"Ce" +"r i#"!i e6"r" re#er @ 2 ").K+ *"i3 ""i )*ii6" "!e!er ip""# e#" !ei !eri

)e##"" " per"i3 "r# !"#" !eri3 )"er " e !eri.

Pe##"!i" pii ""i )*ii6" "!e!er i"" !i" )ee*i+i B

? +"ri.

6 Per""!"

Ti#"! !erii!" "# *e"r3 ei7e!" " e!")i"i +"r i""

p""e)" per"!" "# "" i#"". Se!i"p p"ie +"r )e)p"i

per""!"eiri-eiri " *i" ip""i "# "!" )e##"" ""! "#

e"i p""i.

• I!e) e"i p""i

I!e) "# e"i p""i eper!i per""!" "ir," "# !" "##

e#""r" per"7"" eper!i ETT " "ir,"3 6"e 6!i

i)"" "ri )"7"!r" !e"+ i*eri "*e e"i p""i3 )"" !i"

*e+ ip""i "# "!" i"r "#.

• I!e) "# "p"! ip""i "#

I!e) "# "p"! ip""i "# +"r i"" e!")i"i "

ii7ei"# *e"r e*e) i#"" e)*"i " "p"*i" prer

"# ""i"" )ei*"!" *"#i" !*+ "# !eri3 )""

per""!" !ere*! +"r"") e""" !eri.

• &ir6i! ;e!i"!r

U! e!i"p p"ie3 *re"!+i# 6ir6i!3 +)ii7ier +"r i#"!i e!i"p B-

+"ri"!" "p"! i#"!i i" !r3 6ir6i! "p"! ii#i e#" pii

7i!er "#*e"r3 e"#" *"6!eri" 7i!er ip""i "! p"ie "!

*"6!eri" 7i!er.

Sp"i

• Are" pei)p""

38



I!e) "# *eri+ " !eri !i" *e+ ii)p" "") "re" "#

")".%"i "!" r"#" !erpi"+ +"r i#"" ! "re" *eri+

" !r.

•

I!e) !eriSe)" i!e) "# !e"+ !eri +"r ii)p" i "re" "# *eri+ "

eri#.Ji" *#" !eri )e#"")i er"" "!" *6r3 )""

e)""!ere*! i"!"" !i" !eri "#i " i!e) i"")" !i"

*e+i#"". Pe#e6e" i!e) !eri p"" ! !eri +"r

i"" e6"r"re#er. Se)" i!e) !eri +"r i6e e!+"

e)""" e*e)i#"" @i*".

e Pe#e"" %ie

• %ie !r """+ )erp"" )*er !")i"i )irr#"i)e

"#i#i7i" ie !r ""! pe##"!i" ie @e+ "re" i!

pe##"!i" ie !i"*e+ i"" e#" )e#i*"" ie e

"r".

• %ie ii)p" i !e)p"! "# *eri+3 eri# " !er!!p !

)e6e#"+!")i"i )" "ri "r". Ji" ie *eri+ !i" "i

i#""3 )""!i" *e+ ii)p" i "re" pei)p"" ! ie

r"#"3 !e!"pi +"rie)*"i" e "r ! i66i "#.

• Ti" *e+ )ee!"" ie !r i "!"i3 i ri "!" i )e".

%ie!r i)"" e "") "!# p"!i !r ie !r

"# !e"+!erei". Tr ie "# i#"" ! )e#"#!

ie !r !i"*e+ i#"" ! )e)*"," ie *eri+.

7 O*"!-*"!"

• O*"!-*"!" +"r ii"p" e#" )e##"" !ei !"p"

e!+"3*"!-*"! p"re!er" +"r ii"p" e6"r" "ep!i

)e##"" pi! ""r) !eri. &"ir" i!r"Ce" " 6"ir" iri#"i

!eri +"r i*eri "*e!"##"3 ,"! i*" " i*"# e!e"+ 24

") @i" e!e"+ i*" "!i" i#"" "#i.

• A!i*i!i"

Pe)*eri" "!i*i!i" p"" p"ie I&U "# !i" )e)per+"!i" p"

ei!iCi!" )" "" )e)*eri" "i !er"i" K%$ i7ei eri

39



e#" eei "# 7"!". A"" e*i"" pe##""

"!i*i!i" ir)"+ "i! "" e*i+ r"i" "") pe)*eri"" "

)erp""ep!" "# "p"! i!eri)" e6"r" +) i*"i#"

)ere" "#!i" )e)p"i e*i"" !e!"# pe)*eri""

"!i*i!i" "# *e"r.

• Pe)*eri" )!i e

K"re" """ p!ei !er"i i7ei i"#3 )"" pe##"" Ci"

!)!i e " ")p ! p"ie e*i+ "ri "! "#"! !i"

i"r"i!er"p" i RS P"!i R"+"3 e+ "re" i! ii Ci" "!"

")p +""i#"" e+ "! p"ie "" e#" "!er"!i7 "i"

"i! e#")e)i"+" ii Ci" e "") *e*er"p" pi! !eri3 *eri

!"##" " ") *"Ci" p"" pi! " ii)p" "") e)"ri

pei#i *"! ! e")" 24").

# ("!r P"ie " Pe!#"

• I"i

Se!i"p p"ie "# i6ri#"i "!" i"!"" )e)p"i pe"i!

)e"r3)"" +"r i!e)p"!" !erpi"+ "ri p"ie "i @")"r

i"i.

• H#iee

P"ie "# ir","! i I&U e6"r" r!i +"r i"" per"

+#ieee#" *"i. De#" )e"" per" +#iee "# *"i

"" )e6e#"+!er"i" i7ei i"# " )e)*eri" ee#"r"

" )e#r"#i !re *"#i p"ie.

• Pe!#"

Se)" !"77 "# *er!#" i I&U +"r )e)""i er"#") "#

*eri+. S!"7I&U !i" iper*e+" )e)""i per+i"" !er)"

6i6i ",i ""!)ere" !#"3 +" ii "re" p!ei" )ee*"r"

)" "!")e#"i*"!" i"i )".S!"7 "# ie!"+i

)e#i"p pe"i! )e"r *"i )e"i pe)*+ "r"+)"p

)e"i "r" +"r *er*"! " )e"pr" e perCir.

+ Pe#e"i" " i!" i I&U

40



• D"") " !er!e! pe## +"r i*"!"i e"i e#"

eper""3+" ii ! )e)*eri" e")"" " e")""

*"#i p"ie. Ji"p"ie ir","! i ")"r i"i I&U3 )"" pe##

+"r i*eripee"" ! )eer"p" e,"p""" !""r !er)" pe#"" APD3 " ""-"" i *","+ )r!i" *e+

)" e "") I&U3 + ! *"i pe##

"#iper*e+" +"" r"# !".

• Pe## ,"i* )e"" e*eri+" !"#" e*e) " e"+

)e##i p"ie I&U.

• Pe## !i" per )e)""i *" #"!i p"" ""! )e##i

p"ie iI&U.i Pe#e"i" %i##"

• Pe"#"" ")p"+

Se)" pe)*"#" ")p"+ +"r )e#i!i !"!"6"r"

pe"#"" "pe)*"#" ")p"+ +"r e"i e#"

"!e#ri ")p"+ @ii " ii

J"r) *e" " *e" !"") "i" +"r i*"# e "")

!e)p"!"# !e"+ iei"" @+"rp 6!"ier. $e" *"!" "# !er!")i"i e+ "r"+ " 6"ir" !*+

+"ri*"# e "") "!# ")p"+ ,"r" i#.

• S+ " ee)*"p" "r"

Pe#e6e" + " ee)*"p" "r" +"r i"" e!i"p +"ri.

• He Keepi#

Pe)*eri+" +"ri" : "!"i +"r i*eri+" e!i"p +"ri e#"

)e##"" "i pe " ei7e!"3 i"" 2 e+"ri "!"

e,"!-,"!.

Pe)*#"r" : i"" 1 *" e"i "!" )ei+"! )"+

p"ie

25. PENCEGAHAN DAN PENGENDALIAN INFEKSI /PPI0 DI POLI KLINIK GIGI

41



" J"r !")" pee*"r" )irr#"i)e p"" pr"!e !er #i#i """+

)e"i :

• K!""##e#" " i7ei "!" "iC" " "r"+ "#

!eri7ei• K!" !i" "##"ri ""!-""! "# !er!")i"i

• Per6i" "r"+3 "iC" "!" erei "7"ri# "## p"" i!

"#!er" )"p !+ "!" )"

• Aer "!" pee*"r" )irr#"i)e )e"i "r".

* Se)" p"ie "# "!"# +"r i"##"p 6"rrier "ri )irr#"i)e

p"!#e.

• EC""i p"ie : )e#e!"+i ri,""! ee+"!" "# e#"p

• Peri#" iri :

Hi"ri )e)e#"# e"! "# !i" i*!+" p"" ,"!

)er","! p"ie3 +i"ri !" e#" )"!"3 +i#3 )! "

r")*! er!" +i"ri )e)e#"# " "!" "*r"i.

T!pi " "!" e6e!-e6e! p"" "ri e#" pe!er e"p "ir.

Me"" e*eri+" !"#" e*e) " e!e"+ )er","! p"ie

e#" chlorhexidine 2 F.

• D!er #i#i )e)""i *" pr"!e "# *eri+ " *ere#" pee.

• D!er #i#i " per","! #i#i +"r )e##"" :

S"r# !"#" : "r# !"#" "!e *eri+ i#"" p"" ""!

)e)eri" p"ie !"p" e)#i" !er"i" per"r"+"3

"r# !"#" !eri i#"" p"" ""! )e"" !i""

*e"+3 "r# !"#" r)"+ !"##" i#" p"" ""!

)e)*eri+" ""!/per)"" er" "!" *i" )e##""

*"+" i)i".

K"6")"!" pei# : )ei#i )"!" "ri p"!!er " e*ri

"# i"i*"!" e+ +i#+ pee +"pie6e3 pe)*eri+" "r"#

#i#i.

M"er : )e6e#"+ !er+irp" "er "# "p"! )e#i7ei

"r" per"7"" "!" )"p *","+.

6 S!erii"i i!r)e :

Se*e) i!eri" ""!-""! +"r i*eri+" !ere*i+ "+ "ri

42



e*ri r#"i3 "r"+ " "iC"

Se!e"+ i*eri+"3 i!r)e +"r i*# ! !erii"i

Pre !erii"i i"" i &SSD

I!r)e +"r !e!"p !eri +i##" ""! ip""i3 pe)*#

i!r)e +"" *e+ i*" e#er" e*e) i#""3 "p"*i"

"") ,"! 1 *" !i" i#"" +"r i!eri" "#.

Me!pi pe#"#" ")p3 !)*-!)* p"" i! #i#i3 *"i i!r)e3

#""! !+ree ," ri#e3 "iC" ee6!r3 # ""! !")*"" i"r3

""r" ep""e#" p"!i3 ")i) 7i e"i p""i ! !i"p p"ie.

e Pe)*"#" *"r"#-*"r"# *e" p""i eper!i "r# !"#"3 )"er3

pe!pper)"" "# !er!")i"i "r"+ "!" 6"ir" !*+ e "")

!e)p"! ")p"+i7ei e"#" *e" !"") eper!i "r) "!" pi"

6"pe i)"" e"") !e)p"! ")p"+ *e" !"").

7 $er)r "!iep!i6 e*e) !i"" e!er"#i#i3 e7e!i7 )erei

)"+r" )irr#"i)e r##" )!

37. PERBANDINGAN DATA DASAR INFEKSI /BENCH+ARKING0

" Per*"i#" "!" ""r i7ei i"" e6"r" i!er" @"!"r i!

)"pe!er" @e#" R)"+ S"i! "i "# eei "!" e#" pr"!i

!er*"i /*!i i)i"+ "# i"i.

* Per*"i#" "!" ""r i7ei i"" e+ !i) Pe6e#"+" "

Pe#e"i"I7ei e!i"p *" @*e6+)"ri# i!er" " e!"+ e"i

@*e6+)"ri#e!er".

6 R)"+ "i! "# )e"i )i!r" "") *e6+)"ri# e!er" """+ r)"+

"i!" / "i" "# e!"r" )"p r#"i"i ee+"!" i!er"i"

"#!er*!i )e)iii pr"!i !er*"i e6"r" i)i"+.

H"i per*"i#" i""i"3 i!i""!i " i"pr" ep"" Direi

e6"r"!er!i "") *e! "pr" *"" PPI @*e6+)"ri# i!er" "

"pr"rCei" !"+" @*e6+)"ri# e!er".

e H"i per*"i#" "!" ""r i7ei i!er" )"p e!er"

iri"i""") r"p"! !i) p" PPI e!i"p < *" e"i.

43



<1. Ri M""#e)e! PPI

" Se!i"p ## !#" )e"" pe#"i" ri PPI i )"i#-)"i#

r"#".

* Pe#"i" i""r" p"" )""#e)e! ri.

6 Di"" ""ii ri )""#e)e! PPI e+ IP&N *er")" )i!e

PPI.

K)i!e PPI )ee!"p" +"i ""i ! i"i" pr#r") er"

PPIRS p"!i r"+".

e Ri PPI #" !er"i! e"i" K%$

Pr,"i3 10 (e*r"ri 2014

Ke!" K)i!e PPI

RSPR

@r. S+"r!3 SpAN.M&

Contoh Kebijakan Ppi (1)

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