PELAKSANAAN MANAJEMEN INFEKSI PADA PASIEN POST OP APENDESITIS DI RSUP DR TADJUDDIN CHALID MAKASSAR
DOI:
https://doi.org/10.5281/zenodo.23094614Keywords:
Appendicitis, infection management, postoperative, wound care, infection preventionAbstract
Appendicitis is an inflammation of the appendix that may require surgery and carries a risk of surgical site infection during the postoperative period. Infection management is maintain the cleanliness of the surgical wound. This study aimed to describe the implementation of infection management for a postoperative appendicitis patient at Dr. Tadjuddin Chalid General Hospital, Makassar. A case study method was employed, utilizing a nursing care approach for a single patient Mr. M who was diagnosed with acute appendicitis and underwent a laparotomy. Assessments were conducted during the preoperative, intraoperative, and postoperative stages, focusing on nursing issues that arose throughout the perioperative process. In the postoperative stage, a risk for infection was identified associated with the effects of the invasive procedure manifested by redness, swelling, and discharge at the surgical wound site. Interventions included wound care, the application of aseptic techniques, hand hygiene before and after patient contact, the use of personal protective equipment, environmental hygiene maintenance, and patient and family education regarding signs and symptoms of infection and surgical wound care. The results indicated that following the implementation of infection management, the patient and their family understood infection prevention measures and were able to maintain the cleanliness of the surgical wound site. It is concluded that infection management through the application of aseptic techniques, hand hygiene, wound care, and patient and family education can support infection prevention in postoperative appendicitis patients.
References
Agustian Mombilia, Rosita, Febrianti N. Implementasi pencegahan infeksi dengan masalah risiko infeksi pada pasien post operasi apendisitis di RSUD Undata Sulawesi Tengah. Jurnal Kolaboratif Sains. 2024;7(3).
Bahardoust, M., Asadi Kalbibaki, Y., & Shiraghaie, S. (2025). Association between thickness of subcutaneous fat and incisional surgical site infection following appendectomy: A systematic review and meta-analysis on observational studies. BMC Surgery, 25, Article 312.
Calderwood MS, Anderson DJ, Bratzler DW, Dellinger EP, Garcia-Houchins S, Maragakis LL, et al. Strategies to prevent surgical site infections in acute-care hospitals: 2022 update. Infect Control Hosp Epidemiol. 2023;44(5):695–720.
Centers for Disease Control and Prevention. Surgical site infection (SSI) prevention guideline [Internet]. Atlanta (GA): Centers for Disease Control and Prevention; 2024 [cited 2026 Sep 3]. Available from: CDC Surgical Site Infection Prevention Guideline.
Farizal, Lestari. Pencegahan infeksi luka operasi pada pasien pascabedah. 2024.
Febtrina R, Malfasari E. Pengaruh teknik relaksasi napas dalam terhadap stres dan kecemasan pasien. 2020.
Halisyah LN. Asuhan keperawatan pada balita dengan post operasi laparatomi appendicitis di Ruang Yudistira RSUD Jombang. Jombang: Institut Teknologi Sains dan Kesehatan Insan Cendekia Medika Jombang; 2023.
Hasna Tunny, & Windarti Rumaolat. (2023). Evaluasi Penerapan dan Pendokumentasian Standar Asuhan Keperawatan Berdasarkan Buku SDKI, SIKI dan SLKI di RSUD Piru Maluku. Jurnal Pengabdian Masyarakat Nusantara, 4(3), 128–136.
Liu, F., Zhou, J., & Wu, X.-L. (2024). Effects of evidence-based nursing on surgical site wound infection in patients undergoing acute appendicitis surgery: A meta-analysis. International Wound Journal, 21(3), e14539.
Mardhiyah, T. (2024). Terapi Foot Massage Terhadap Penurunan Nyeri Pada Pasien Post Operasi Kolesistektomi Laparoskopi Kolelitiasis merupakan kandung empedu yang didalamnya terbentuk batu dan biasanya terdiri dari beberapa unsur barat berkisar antara 10-15 % dan di negara Kole. 01(01), 1–5.
Miftahur Rahman TH. Hubungan antara pelaksanaan prosedur pencegahan infeksi pada pasien post operasi dengan proses penyembuhan luka di Rumah Sakit Islam Unisma Malang. 2020;3:12–21
Mudrikah, U. M., & Waluyanti, F. T. (2021). Analysis Of Nursing Care In Post Appendictomy Patients With The Application Of Effleurage Techniques. Journal of Health and Cardiovascular Nursing, 1(2), 92–105.
Ningrum, et al. (2022). Tehnik relaksasi nafas dalam terhadap penurunan nyeri pada anak post operasi apendiktomi di Ruang Alamanda RSUD Tarakan. JCA Health Science, 1(2), 109–117.
Parmasih., Sari, Widya., Abdurrasyid., Astuti, A, I. (2021). Tehnik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Pada Anak Post Operasi Apendiktomi Di Ruang Alamanda Rsud Tarakan. JCA Health Science, 1(2), 109–117.
Rachmanto. Faktor-faktor yang berhubungan dengan tingkat kecemasan pasien preoperatif. 2023.
Rafika Nur Nadianti JM. Manajemen nyeri akut pada post laparatomi apendisitis. 2023;5(1):75–87.
Rahmawati SE, Rahayu TD, Permatasari ZDA, Sari IM, Lestari W. Edukasi perawat kepada pasien dan keluarga dalam pencegahan infeksi pada pasien post operasi di RSUD Dr Soehadi Prijonegoro. Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat. 2024;2(4):147–154. doi:10.61132/natural.v2i4.875.
RSUP Dr Tadjuddin Chalid Makassar. Data pasien post operasi apendisitis bulan April 2025. Makassar: RSUP Dr Tadjuddin Chalid Makassar; 2025.
Saad R, Zulkarnaen I, Dunggio ARS, Sartika D, Aditia D, Wahyuni T, et al. Pencegahan healthcare associated infection (HAIs) pada pasien post operasi terhadap knowledge perawat di rumah sakit. Innovative: Journal of Social Science Research. 2024;4(2):5331–5344.
Talan, D. A., & Di Saverio, S. (2021). Treatment of acute uncomplicated appendicitis. The New England Journal of Medicine, 385(12), 1116–1123.
Winarso, et al. Penerapan teori self-care deficit Orem dalam pemenuhan kebutuhan pasien. 2019.
World Health Organization. Global guidelines for the prevention of surgical site infection. 2nd ed. Geneva: World Health Organization; 2018
