Comparison of the Implementation of Surgical Site Infection Bundles on the Incidence of Infection in Clean and Clean-Contaminated Wounds in the Surgery Room of the General Hospital in North Aceh Regency

Prevention and control of infections in hospitals is a crucial component of healthcare service quality. Surgical site infections (SSIs) are a common and often preventable issue. SSIs can lead to increased morbidity, mortality, longer hospital stays, higher costs, and patient claims, all of which are closely linked to hospital quality and services. The aim of this study is to determine the impact of seven infection control bundles on post-operative patients with clean and clean-contaminated wounds and the incidence of infections in the surgical room of the General Hospital in North Aceh Regency. The study population consisted of 208 post-operative patients treated in the surgical room. Samples were taken using a non-probability sampling technique. The analysis method used was binary logistic regression. Variables associated with infection incidence in the clean wound group included pre-operative bathing (p=.005), prophylactic antibiotics (p=.000), temperature monitoring (p=.000), perioperative skin antiseptics (p=.000), oxygen supplementation (p=.000), and blood glucose control (p=.008), while the surgical risk index calculation was not associated (p=.362). In the clean-contaminated wound group, pre-operative bathing was associated with infection incidence (p=.001). There was no single dominant factor affecting infection incidence in the clean wound group (p>.05), while the most dominant factor in the clean-contaminated wound group was pre-operative bathing (p=.001).