| Summary: |
Hepatitis C is caused by hepatitis C
virus (HCV); a small RNA virus which is wrapped
by fat, its diameter is around 30 to 60 nm. An
acute HCV infection is generally asymptomatic
or minimally symptomatic. There are fi ve basic
guidelines according to the KDIGO (Kidney
Disease Improving Global Outcomes) for the
prevention, diagnosis, evaluation, and treatment
of hepatitis C in chronic kidney disease (Chronic
Kidney Disease).
Methods: The design of this research was
descriptive analytic design with cross
sectional approach. The population was 18
haemodyalisis patients with HCV rapid test
negative on assessment in March 2012 and
the sampling technique was total sampling.
This study consisted of 5 independent variable
application of universal precautions (hand
hygiene, the use of handscoen, the use of
masks, the use goggle and the use of dress/
apron), and one dependent variable: the
incident of hepatitis C. The instruments were:
observation sheets (checklist) for universal
precautions implementation and the results
of EIA (=ELISA/ Enzyme Linked Immuno Assay)
laboratory tests for hepatitis C incidents. Data
analysis was uniariat and multivariate analysis
(nominal regression test).
Results: hand hygiene signifi cantly aff ected
the incidence of hepatitis C with probability
value 0.012, as well as the use of handscoen
signifi cantly aff ected the incidence of hepatitis
C with probability value 0.002, while the use
of masks had no signifi cant eff ect on the
incidence of hepatitis C due to probability
value 1.000, while the statistical value of the
use of goggle glasses and dress/apron weren’t
found because none of the nurses wore goggle
glasses and apron when caring hemodyalisis
patient for both with isolation (positive
hepatitis B) and without isolation (hepatitis C
positive/negative). In general, the application
of universal precautions had signifi cant eff ect
in preventing the incident of hepatitis C with a
probability value of 0.000.
Pengaruh Penerapan Universal Precaution
(Hand Higiene dan APD) dalam Mencegah
Insiden Hepatitis C pada Pasien Hemodialisa
di RSU PKU Muhammadiyah Yogyakarta
Mashuri, Elsye Maria Rosa,
Yuni Permatasari Istanti
Universitas Muhammadiyah Yogyakarta
Conclusion: There was signifi cant eff ect of implementation of
universal precautions (hand hygiene and PPE) in preventing the
incident of hepatitis, especially for hand hygiene (hand wash)
and the use of gloves (handscoen).
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