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FORMULIR SURVEILANS HARIAN INFEKSI RUMAH SAKIT 005/rev00/HIPPII PUSAT/2017

RUMAH SAKIT : ……………………………………………………………

BULAN/TAHUN :
RUANGAN :
SURVEYOR :
DEPARTEMEN :

TINDAKAN INFEKSI RUMAH SAKIT TIRAH


TGL NAMA/RM U JK Dx Medis BARING PLEBITIS HASIL KULTUR AB
UC CVL IVL ETT/VENT VAP HAP ISK IAD

KETERANGAN
Dx Medis : Diagnosa Medis ETT : Endotracheal Tube
U : Usia HAP : Hospital Associated Pneumonia
JK : Jenis Kelamin VAP : Ventilator Associated Pneumonia
UC : Urine Catheter IAD : Infeksi Aliran Darah
IVL : Intra Vena Line/Vena Perifer
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JANUARI 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 9 1 9 0 0 9 0 0
2 9 1 9 0 0 9 0 0
3 8 1 8 0 0 8 0 0
4 12 1 12 0 0 12 0 0
5 24 5 24 0 0 24 1 0
6 18 1 18 0 0 18 1 0
7 10 2 10 0 0 10 1 0
8 6 0 6 0 0 6 0 0
9 5 1 5 0 0 5 1 0
10 12 0 12 0 0 12 0 0
11 24 9 24 0 0 24 1 0
12 12 3 12 0 0 12 1 0
13 11 1 11 0 0 11 2 0
14 10 2 10 0 0 10 1 0
15 6 2 6 0 0 6 0 0
16 6 0 6 0 0 6 2 0
17 14 1 14 0 0 14 1 0
18 16 6 16 0 0 16 0 0
19 9 3 9 0 0 9 2 0
20 15 1 15 0 0 15 1 0
21 10 1 10 0 0 10 1 0
22 5 1 5 0 0 5 1 0
23 9 2 9 0 0 9 0 0
24 7 2 7 0 0 7 0 0
25 12 2 12 0 0 12 0 0
26 13 2 13 0 0 13 2 0
27 14 1 14 0 0 14 0 0
28 15 3 15 0 0 15 1 0
29 14 2 14 0 0 14 0 0
30 12 2 12 0 0 12 0 0
31 12 2 12 0 0 12 0 0
JML 359 61 359 0 0 359 20 0
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : FEBRUARI 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 5 1 5 0 0 5 1 0
2 8 0 8 0 0 8 0 0
3 9 2 9 0 0 9 0 0
4 9 0 9 0 0 9 0 0
5 7 0 7 0 0 7 0 0
6 10 0 10 0 0 10 0 0
7 18 2 18 0 0 18 0 0
8 13 3 13 0 0 13 1 0
9 15 4 15 0 0 15 1 0
10 16 3 16 0 0 16 0 0
11 10 3 10 0 0 10 0 0
12 11 3 11 0 0 11 0 0
13 11 0 11 0 0 11 0 0
14 15 0 15 0 0 15 0 0
15 26 0 26 0 0 26 0 0
16 14 0 14 0 0 14 0 0 An.Rianti ido meninggal
17 11 0 11 0 0 11 0 0
18 6 1 6 0 0 6 0 0
19 3 0 3 0 0 3 0 0
20 2 0 2 0 0 2 0 0
21 3 0 3 0 0 3 0 0
22 10 2 10 0 0 10 0 0
23 8 3 8 0 0 8 1 0
24 7 0 7 0 0 7 1 0
25 7 0 7 0 0 7 0 0
26 5 0 5 0 0 5 0 0
27 5 0 5 0 0 5 0 0
28 4 0 4 0 0 4 0 0
JML 268 27 268 0 0 268 5 0
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MARET 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 14 14 0 0 14 0 0
2 6 1 6 0 0 6 0 0
3 5 1 5 0 0 5 0 0
4 5 0 3 0 0 5 0 0
5 4 0 4 0 0 4 0 0
6 11 0 11 0 0 11 1 0
7 17 3 17 0 0 17 0 0
8 12 3 11 0 0 12 2 0
9 11 5 11 0 0 11 0 0
10 3 0 3 0 0 3 0 0
11 3 0 3 0 0 3 0 0
12 4 0 4 0 0 4 0 0
13 11 0 11 0 0 11 0 0
14 11 0 11 0 0 11 0 0
15 15 4 15 0 0 15 0 0
16 16 3 16 0 0 16 0 0
17 6 1 6 0 0 6 0 0
18 5 0 4 0 0 5 0 0
19 7 0 7 0 0 7 0 0
20 5 2 5 0 0 5 0 0
21 9 2 9 0 0 9 1 0
22 11 3 11 0 0 11 0 0
23 11 3 11 0 0 11 0 0
24 20 4 20 0 0 20 0 0
25 15 2 1 15 0 0 15 0 0
26 14 3 14 0 0 14 0 0
27 18 5 1 18 0 0 18 0 0
28 17 4 17 0 0 17 1 0
29 28 3 1 28 0 0 28 0 0
30 18 4 18 0 0 18 0 0
31 11 2 11 0 0 11 0 0
JML 343 58 339 0 0 343 5 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : APRIL 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 6 0 6 0 0 6 0 0
2 10 0 10 0 0 10 0 0
3 13 3 13 0 0 13 0 0
4 16 5 16 0 0 16 0 0
5 20 7 20 0 0 20 0 0
6 14 8 14 0 0 14 0 0
7 14 8 14 0 0 14 0 0
8 11 3 11 0 0 11 0 0
9 10 1 10 0 0 10 0 0
10 6 1 6 0 0 6 1 0
11 10 0 10 0 0 10 2 0
12 18 3 18 0 0 18 2 0
13 10 2 10 0 0 10 0 0
14 6 0 6 0 0 6 1 0
15 6 0 6 0 0 6 0 0
16 6 0 6 0 0 6 0 0
17 4 0 4 0 0 4 0 0
18 6 0 6 0 0 6 0 0
19 6 0 6 0 0 6 0 0
20 2 0 2 0 0 2 0 0
21 4 0 4 0 0 4 0 0
22 4 0 4 0 0 4 0 0
23 8 0 8 0 0 8 0 0
24 6 0 6 0 0 6 0 0
25 8 0 8 0 0 8 0 0
26 6 4 6 0 0 6 0 0
27 7 2 7 0 0 7 1 0
28 4 1 4 0 0 4 0 0
29 4 0 4 0 0 4 0 0
30 1 0 1 0 0 1 0 0
JML 246 48 246 0 0 246 7 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MEI 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 1 0 1 0 0 0 0 0
2 2 0 2 0 0 0 0 0
3 3 0 3 0 0 0 0 0
4 3 0 3 0 0 0 0 0
5 3 0 3 0 0 0 0 1
6 6 0 6 0 0 0 0 1
7 5 0 5 0 0 0 0 1
8 4 0 4 0 0 0 0 1
9 6 0 6 0 0 0 0 1
10 9 0 9 0 0 0 0 1
11 11 0 11 0 0 0 0 0
12 7 0 7 0 0 0 0 0
13 9 0 9 0 0 0 0 0
14 8 0 8 0 0 0 0 0
15 6 0 6 0 0 0 0 0
16 8 0 8 0 0 0 0 0
17 9 0 9 0 0 0 1 0
18 13 1 13 0 0 0 0 1
19 15 0 15 0 0 0 0 1
20 15 0 15 0 0 0 0 1
21 15 0 15 0 0 0 0 1
22 9 2 9 0 0 5 0 0
23 12 0 12 0 0 6 0 0
24 15 0 15 0 0 7 0 1
25 14 5 14 0 0 0 0 0
26 4 3 4 0 0 8 0 0
27 5 2 5 0 0 5 0 0
28 11 2 11 0 0 11 0 1
29 11 2 11 0 0 8 1 1
30 21 3 21 0 0 6 0 0
31 27 6 27 0 0 13 0 0
JML 287 26 287 0 0 69 2 13
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JUNI 2022
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KET AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING
1 4 0 4 0 0 29 0 0
2 13 1 13 0 0 10 2 0
3 14 0 14 0 0 10 1 0
4 11 0 11 0 0 10 0 0
5 7 0 7 0 0 10 2 0
6 11 0 11 0 0 11 1 0
7 17 0 17 0 0 26 0 2 dirumah
8 19 4 19 0 0 32 1 1 dirumah
9 25 3 25 0 0 27 0 1 dirumah
10 11 0 11 0 0 22 0 1 dirumah
11 15 0 15 0 0 13 0 1 dirumah
12 12 0 12 0 0 11 0 0
13 28 3 28 0 0 9 0 0
14 29 3 29 0 0 14 0 0
15 19 3 19 0 0 14 0 0
16 14 1 14 0 0 16 0 0
17 11 0 11 0 0 9 0 0
18 12 0 12 0 0 8 0 0
19 11 0 11 0 0 8 0 0
20 9 0 9 0 0 14 2 0
21 10 0 10 0 0 21 0 0
22 13 1 13 0 0 29 0 0
23 13 1 13 0 0 14 0 0
24 14 3 14 0 0 13 0 0
25 7 0 7 0 0 8 1 0
26 5 1 5 0 0 8 0 0
27 11 1 11 0 0 6 0 0
28 21 6 21 0 0 15 0 0
29 18 1 18 0 0 14 1 0
30 11 3 11 0 0 11 0 0
JML 415 35 415 0 0 442 11 6
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JULI 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 12 4 12 0 0 12 0 0
2 9 1 9 0 0 9 0 0
3 4 1 4 0 0 4 0 0
4 4 1 4 0 0 4 0 0
5 9 1 9 0 0 9 0 0
6 11 3 11 0 0 11 0 0
7 10 4 10 0 0 10 0 0
8 9 2 9 0 0 9 0 0
9 7 1 7 0 0 7 0 0
10 4 1 4 0 0 4 0 0
11 3 1 3 0 0 3 0 0
12 4 0 4 0 0 4 0 0
13 9 0 9 0 0 9 0 0
14 7 3 7 0 0 7 0 0
15 6 1 6 0 0 6 0 0
16 3 1 3 0 0 3 0 0
17 3 3 3 0 0 3 0 0
18 3 0 3 0 0 3 0 0
19 6 0 6 0 0 6 0 0
20 7 1 7 0 0 7 0 0
21 5 0 5 0 0 5 0 0
22 5 0 5 0 0 5 0 0
23 2 0 2 0 0 2 0 0
24 1 0 1 0 0 1 0 0
25 1 0 1 0 0 1 0 0
26 5 1 5 0 0 5 0 0
27 7 2 7 0 0 7 0 0
28 5 0 5 0 0 5 0 0
29 6 1 6 0 0 6 0 0
30 3 1 3 0 0 3 0 0
31 2 1 2 0 0 2 0 0
JML 172 35 172 0 0 172 0 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : AGUSTUS 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 2 0 2 0 0 0 0 0
2 2 0 2 0 0 0 0 0
3 3 1 3 0 0 0 0 0
4 6 0 6 0 0 0 0 0
5 4 0 4 0 0 0 0 0
6 3 1 3 0 0 0 0 0
7 2 1 2 0 0 0 0 0
8 3 1 3 0 0 0 0 0
9 8 0 8 0 0 0 0 0
10 9 1 9 0 0 0 0 0
11 7 1 7 0 0 0 0 0
12 5 1 5 0 0 0 0 0
13 5 0 5 0 0 0 0 0
14 5 1 5 0 0 0 0 0
15 4 0 4 0 0 0 0 0
16 5 0 5 0 0 0 0 0
17 7 2 7 0 0 0 0 0
18 4 0 4 0 0 0 0 0
19 4 1 4 0 0 0 0 0
20 5 1 5 0 0 0 0 0
21 5 1 5 0 0 0 0 0
22 5 1 5 0 0 0 0 0
23 11 2 11 0 0 0 0 0
24 11 3 11 0 0 0 0 0
25 11 2 11 0 0 0 0 0
26 13 2 13 0 0 0 0 0
27 8 0 8 0 0 0 0 0
28 5 0 5 0 0 0 0 0
29 6 0 6 0 0 0 0 0
30 16 0 16 0 0 0 0 0
31 12 1 12 0 0 0 0 0
JML 196 24 196 0 0 0 0 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : SEPTEMBER 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 11 0 11 0 0 11 1 0
2 9 0 9 0 0 9 0 0
3 7 0 7 0 0 7 1 0
4 3 1 3 0 0 3 0 0
5 2 2 2 0 0 2 0 0
6 7 2 7 0 0 7 1 0
7 17 2 17 0 0 17 0 1 pinru dr hcu
8 27 0 27 0 0 27 0 1 pinru dr hcu
9 14 1 14 0 0 14 0 1 pinru dr hcu meninggal
10 8 2 8 0 0 8 0 0
11 8 0 8 0 0 8 0 0
12 3 0 3 0 0 3 0 0
13 7 0 7 0 0 7 0 0
14 13 1 13 0 0 13 0 0
15 12 3 12 0 0 12 0 0
16 12 4 12 0 0 12 0 0
17 5 2 5 0 0 5 0 0
18 3 1 3 0 0 3 0 0
19 3 1 3 0 0 3 0 0
20 9 2 9 0 0 9 0 0
21 13 0 13 0 0 13 0 0
22 10 2 10 0 0 10 0 1 dirumah
23 11 2 11 0 0 11 0 1 dirumah
24 12 2 12 0 0 12 0 1 dirumah
25 8 2 8 0 0 8 0 1 dirumah
26 7 2 7 0 0 7 0 1 dirumah
27 12 1 12 0 0 12 0 1 dirumah
28 15 2 15 0 0 15 0 1 dirumah
29 16 4 16 0 0 16 0 0
30 12 0 12 0 0 12 0 0
JML 296 41 296 0 0 296 3 10
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT (HAIs)
RSUD MALINGPING PROVINSI BANTEN
BULAN : OKTOBER 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 9 2 6 0 0 6 0 0
2 6 2 6 0 0 6 0 0
3 6 2 6 0 0 6 0 0
4 0 0 0 0 0 1 0 0
5 9 1 9 0 0 9 0 0
6 17 1 17 0 0 10 0 0
7 25 2 25 0 0 25 0 0
8 11 2 11 0 0 11 0 0
9 8 1 8 0 0 8 0 0
10 6 0 6 0 0 6 0 0
11 9 0 9 0 0 9 0 0
12 13 5 13 0 0 13 0 0
13 11 3 11 0 0 11 0 0
14 9 1 9 0 0 9 0 0
15 5 1 5 0 0 5 0 0
16 4 1 4 0 0 4 0 0
17 5 0 5 0 0 5 0 0
18 7 0 7 0 0 7 0 0
19 14 3 14 0 0 14 0 0
20 6 1 6 0 0 6 0 0
21 8 0 8 0 0 8 0 0
22 5 0 5 0 0 5 0 0
23 6 0 6 0 0 6 0 0
24 5 0 5 0 0 5 0 0
25 8 0 8 0 0 8 0 0
26 12 4 12 0 0 12 0 0
27 16 0 16 0 0 16 0 0
28 8 0 8 0 0 8 1 0
29 6 1 6 0 0 6 0 0
30 6 0 6 0 0 6 0 0
31 4 1 4 0 0 4 0 0
JML 264 34 261 0 0 255 1 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : NOVEMBER 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 5 1 5 0 0 5 0 0
2 18 3 18 0 0 18 0 0
3 18 3 18 0 0 18 2 0
4 13 3 13 0 0 13 0 0
5 8 3 8 0 0 8 1 0
6 3 1 3 0 0 3 0 0
7 2 1 2 0 0 2 0 0
8 4 1 4 0 0 4 0 0
9 12 2 12 0 0 12 0 0
10 8 2 8 0 0 8 0 0
11 7 1 7 0 0 7 0 0
12 7 2 7 0 0 7 0 0
13 5 0 5 0 0 5 0 0
14 7 0 7 0 0 7 0 0
15 12 1 12 0 0 12 0 0
16 14 1 14 0 0 14 0 0
17 10 3 10 0 0 10 0 0
18 12 1 12 0 0 12 0 0
19 8 2 8 0 0 8 0 0
20 7 1 7 0 0 7 0 0
21 6 0 6 0 0 6 0 0
22 7 2 7 0 0 7 0 0
23 11 3 11 0 0 11 0 0
24 9 2 9 0 0 9 0 0
25 12 4 12 0 0 12 0 0
26 5 2 5 0 0 5 0 0
27 5 1 5 0 0 5 0 0
28 6 1 6 0 0 6 0 0
29 9 1 9 0 0 9 0 0
30 14 4 14 0 0 14 0 0
JML 264 52 264 0 0 264 3 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : DESEMBER 2021
RUANGAN : TULIP
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 9 2 9 0 0 9 0 0
2 15 3 15 0 0 15 0 0
3 7 2 7 0 0 7 0 0
4 6 2 6 0 0 6 0 0
5 6 2 6 0 0 6 0 0
6 11 2 11 0 0 11 0 0
7 14 1 14 0 0 14 0 0
8 12 3 12 0 0 12 0 0
9 9 1 9 0 0 9 0 0
10 7 0 7 0 0 7 0 0
11 10 1 10 0 0 10 0 0
12 9 1 9 0 0 9 0 0
13 13 0 13 0 0 13 0 0
14 24 0 24 0 0 24 0 0
15 13 3 13 0 0 13 0 0
16 10 3 10 0 0 10 0 0
17 13 0 13 0 0 13 0 0
18 12 2 12 0 0 12 0 0
19 9 2 9 0 0 9 0 0
20 12 1 12 0 0 12 0 0
21 9 2 9 0 0 9 0 0
22 9 2 9 0 0 9 0 0
23 10 1 10 0 0 10 0 0
24 12 1 12 0 0 12 0 0
25 14 0 14 0 0 14 0 0
26 12 0 12 0 0 12 0 0
27 12 0 12 0 0 12 0 0
28 12 2 12 0 0 12 0 0
29 16 10 16 0 0 16 0 0
30 9 5 9 0 0 9 0 0
31 10 4 10 10 0 0
JML 346 58 346 0 0 346 0 0
apr mei jun jul
0 4.69 9.049 0
0 0.4 0.9 0

9.049
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JANUARI 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 26 1 26 0 0 26 2 1
2 29 0 29 0 0 29 0 0
3 26 0 26 0 0 26 0 0
4 22 0 22 0 0 22 0 0
5 24 1 24 0 0 24 1 0
6 31 3 31 0 0 31 1 0
7 36 0 36 0 0 36 0 0
8 30 0 30 0 0 30 0 0
9 34 4 34 0 0 34 1 0
10 33 2 33 0 0 33 0 0
11 35 0 35 0 0 35 0 0
12 35 1 35 0 0 35 0 0
13 39 1 39 0 0 39 0 0
14 28 4 28 0 0 28 0 0
15 31 2 31 0 0 31 0 0
16 33 1 33 0 0 33 0 0
17 30 1 30 0 0 30 0 0
18 21 2 21 0 0 21 0 0
19 25 1 25 0 0 25 2 0
20 24 1 24 0 0 24 0 0
21 24 1 24 0 0 24 0 0
22 26 0 26 0 0 26 0 0
23 25 1 25 0 0 25 0 0
24 24 2 24 0 0 24 0 0
25 24 2 24 0 0 24 1 0
26 28 3 28 0 0 28 0 0
27 24 2 24 0 0 24 0 0
28 24 4 24 0 0 24 0 0
29 26 4 26 0 0 26 0 0
30 25 1 25 0 0 25 0 0
31 24 3 24 0 0 24 0 0
JML 866 48 866 0 0 866 8 1
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : FEBRUARI 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 20 1 20 0 0 3 0 0
2 17 2 17 0 0 0 0 0
3 16 2 16 0 0 0 1 0
4 21 2 21 0 0 0 0 0
5 19 1 19 0 0 0 0 0
6 15 2 15 0 0 0 0 0
7 17 1 17 0 0 0 0 0
8 19 0 19 0 0 0 0 0
9 23 3 23 0 0 0 0 0
10 20 3 20 0 0 0 0 0
11 25 4 25 0 0 0 0 0
12 27 4 27 0 0 0 0 0
13 21 3 21 0 0 0 0 0
14 21 3 21 0 0 0 1 0
15 20 4 20 0 0 0 0 0
16 23 3 23 0 0 0 0 0 deku dirumah
17 27 2 27 0 0 1 1 0
18 25 2 25 0 0 2 1 0
19 23 4 23 0 0 2 1 0
20 24 1 24 0 0 1 0 0
21 21 0 21 0 0 0 1 0
22 15 1 15 0 0 0 0 0
23 19 3 19 0 0 1 1 0
24 27 5 27 0 0 1 0 0
25 17 3 17 0 0 0 1 0
26 13 1 13 0 0 0 0 0
27 13 1 13 0 0 0 0 0
28 16 4 16 0 0 0 0 0
JML 564 65 564 0 0 11 8 0
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MARET 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 19 2 19 0 0 1 0 0
2 19 2 19 0 0 1 1 0
3 25 1 19 0 0 1 1 0
4 23 1 23 0 0 0 0 0
5 26 1 26 0 0 0 0 0
6 17 1 17 0 0 0 0 0
7 19 1 19 0 0 0 0 0
8 16 1 16 0 0 1 0 0
9 15 1 15 0 0 0 2 0
10 20 1 20 0 0 2 0 0
11 17 3 17 0 0 0 2 0
12 14 3 14 0 0 0 0 0
13 11 2 11 0 0 0 0 0
14 7 1 7 0 0 1 0 0
15 13 2 13 0 0 1 0 0
16 12 1 12 0 0 1 0 1 deku dirumah
17 15 2 15 0 0 3 0 1 deku dirumah
18 23 0 23 0 0 0 0 0
19 13 0 13 0 0 0 0 0
20 17 0 17 0 0 0 0 0
21 19 0 19 0 0 0 2 0
22 18 0 18 0 0 0 0 0
23 19 1 19 0 0 0 0 0
24 15 1 15 0 0 0 0 0
25 16 1 16 0 0 0 0 0
26 17 0 17 0 0 0 0 0
27 14 0 14 0 0 0 0 0
28 16 1 16 0 0 0 0 0
29 14 0 14 0 0 0 0 0
30 14 1 14 0 0 0 0 0
31 21 2 21 0 0 0 0 0
JML 524 33 518 0 0 12 8 2
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : APRIL 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 20 2 20 0 0 20 0 0
2 19 3 19 0 0 19 0 0
3 19 2 19 0 0 19 0 0
4 14 2 14 0 0 14 0 0
5 14 2 14 0 0 14 0 0
6 20 1 20 0 0 20 0 0
7 18 3 18 0 0 18 1 0
8 15 1 15 0 0 15 0 0
9 16 1 16 0 0 16 0 0
10 18 1 18 0 0 18 0 0
11 18 1 18 0 0 18 2 0
12 17 1 17 0 0 17 2 0
13 24 1 24 0 0 24 2 0
14 24 1 24 0 0 24 0 0
15 26 1 26 0 0 26 0 0
16 27 1 27 0 0 27 0 0
17 27 1 27 0 0 27 0 0
18 26 2 26 0 0 26 0 0
19 20 1 20 0 0 20 0 0
20 18 2 18 0 0 18 0 0
21 14 3 14 0 0 14 2 0
22 14 3 14 0 0 14 0 0
23 14 2 14 0 0 14 0 0
24 17 1 17 0 0 17 0 0
25 22 2 22 0 0 22 0 0
26 18 1 18 0 0 18 0 0
27 13 0 13 0 0 13 0 0
28 13 2 13 0 0 13 0 0
29 14 1 14 0 0 14 0 0
30 13 2 13 0 0 13 0 0
JML 552 47 552 0 0 552 9 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MEI 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 9 2 9 0 0 1 0 0
2 4 1 4 0 0 1 1 0
3 8 2 8 0 0 1 0 0
4 13 1 13 0 0 0 1 0
5 20 0 20 0 0 0 3 0
6 25 2 25 0 0 0 0 0
7 22 1 22 0 0 0 0 0
8 18 2 18 0 0 0 3 0
9 19 3 19 0 0 0 0 0
10 19 4 19 0 0 0 1 0
11 17 1 17 0 0 0 0 0
12 25 2 25 0 0 0 0 0
13 27 3 27 0 0 0 1 0
14 24 3 24 0 0 0 0 0
15 21 2 21 0 0 0 1 0
16 22 0 22 0 0 0 0 0
17 25 4 25 0 0 0 0 0
18 20 0 20 0 0 0 0 0
19 20 0 20 0 0 0 0 0
20 23 0 23 0 0 0 0 0
21 8 0 8 0 0 0 0 0
22 29 1 29 0 0 0 0 0
23 34 1 34 0 0 0 0 0
24 28 0 28 0 0 0 0 0
25 20 0 20 0 0 0 0 0
26 24 8 24 0 0 0 1 0
27 28 8 28 0 0 0 4 0
28 26 2 26 0 0 0 0 0
29 26 1 26 0 0 0 0 0
30 28 0 28 0 0 0 0 0
31 19 0 19 0 0 0 0 0
JML 651 54 651 0 0 3 16 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JUNI 2022
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 21 0 21 0 0 0 0 0
2 25 2 25 0 0 0 0 0
3 27 1 27 0 0 0 0 0
4 24 1 24 0 0 0 0 0
5 23 1 23 0 0 0 0 0
6 30 3 30 0 0 0 0 0
7 25 2 25 0 0 0 0 0
8 29 2 29 0 0 1 1 0
9 25 0 25 0 0 0 5 0
10 29 1 29 0 0 0 0 0
11 29 1 29 0 0 0 0 0
12 33 1 33 0 0 0 0 0
13 33 0 33 0 0 0 1 0
14 24 4 24 0 0 0 0 0
15 24 3 24 0 0 2 2 0
16 23 1 23 0 0 0 0 0
17 25 3 25 0 0 3 1 0
18 23 2 23 0 0 1 0 0
19 25 2 25 0 0 0 0 0
20 26 4 26 0 0 0 0 0
21 30 3 30 0 0 1 2 0
22 31 2 31 0 0 2 1 0
23 32 0 32 0 0 0 0 0
24 28 5 28 0 0 1 0 0
25 27 5 27 0 0 0 3 0
26 26 2 26 0 0 0 5 0
27 24 0 24 0 0 1 5 0
28 24 2 24 0 0 0 2 1 dirumah
29 15 2 15 0 0 0 2 0
30 24 4 24 0 0 2 0 0
JML 784 59 784 0 0 14 30 1
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JULI 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 12 0 12 0 0 12 0 0
2 12 1 12 0 0 12 1 0
3 11 1 11 0 0 11 0 0
4 9 2 9 0 0 9 0 0
5 13 1 13 0 0 13 1 0
6 15 1 15 0 0 15 1 0
7 14 1 14 0 0 14 1 0
8 11 1 11 0 0 11 0 0
9 10 1 10 0 0 10 0 0
10 9 1 9 0 0 9 0 0
11 10 1 10 0 0 10 0 0
12 10 2 10 0 0 10 0 0
13 8 2 8 0 0 8 1 0
14 5 2 5 0 0 5 0 0
15 6 2 6 0 0 6 0 0
16 10 3 10 0 0 10 0 0
17 6 1 6 0 0 6 0 0
18 9 2 9 0 0 9 0 0
19 6 2 6 0 0 6 0 0
20 5 0 5 0 0 5 1 0
21 5 0 5 0 0 5 0 0
22 6 0 6 0 0 6 0 0
23 5 1 5 0 0 5 0 0
24 8 1 8 0 0 8 0 0
25 7 4 7 0 0 7 0 0
26 6 4 6 0 0 6 1 0
27 8 4 8 0 0 8 0 0
28 5 0 5 0 0 5 0 0
29 6 2 6 0 0 6 0 0
30 5 2 5 0 0 5 0 0
31 7 2 7 0 0 7 0 0
JML 259 47 259 0 0 259 7 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : AGUSTUS 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 6 1 6 0 0 6 0 0
2 6 1 6 0 0 6 0 0
3 6 0 6 0 0 6 0 0
4 4 0 4 0 0 4 1 0
5 4 0 4 0 0 4 0 0
6 6 0 6 0 0 6 0 0
7 7 0 7 0 0 7 0 0
8 8 0 8 0 0 8 0 0
9 10 0 10 0 0 10 0 0
10 7 1 7 0 0 7 0 0
11 6 1 6 0 0 6 0 0
12 6 0 6 0 0 6 0 0
13 8 0 8 0 0 8 0 0
14 8 1 8 0 0 8 0 0
15 8 1 8 0 0 8 0 0
16 9 0 9 0 0 9 0 0
17 14 1 14 0 0 14 1 0
18 13 1 13 0 0 13 1 0
19 15 1 15 0 0 15 0 0
20 17 1 17 0 0 17 0 0
21 15 1 15 0 0 15 0 0
22 14 2 14 0 0 14 0 0
23 15 2 15 0 0 15 0 0
24 18 2 18 0 0 18 0 0
25 20 1 20 0 0 20 0 0
26 19 0 19 0 0 19 0 0
27 19 3 19 0 0 19 0 0
28 18 2 18 0 0 18 0 0
29 12 1 12 0 0 12 0 0
30 12 2 12 0 0 12 0 0
31 11 2 11 0 0 11 0 0
JML 341 28 341 0 0 341 3 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : SEPTEMBER 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 18 2 18 0 0 0 0 0
2 21 1 21 0 0 0 4 0
3 17 2 17 0 0 0 0 0
4 26 1 26 0 0 0 0 0
5 23 1 23 0 0 1 1 0
6 21 1 21 0 0 1 0 0
7 17 1 17 0 0 1 1 0
8 12 2 12 0 0 3 1 0
9 18 2 18 0 0 0 0 1 dirumah
10 12 4 12 0 0 0 0 0
11 19 4 19 0 0 0 0 0
12 17 4 17 0 0 0 0 0
13 20 3 20 0 0 0 0 0
14 14 1 14 0 0 0 1 0
15 17 2 17 0 0 1 3 0
16 18 0 18 0 0 0 0 0
17 15 1 15 0 0 0 0 0
18 19 0 19 0 0 0 0 0
19 17 0 17 0 0 0 0 0
20 20 0 20 0 0 1 3 0
21 23 2 23 0 0 0 0 0
22 22 2 22 0 0 0 1 0
23 22 1 22 0 0 0 1 0
24 13 1 13 0 0 0 0 0
25 19 2 19 0 0 0 0 0
26 20 2 20 0 0 0 1 0
27 19 1 19 0 0 0 0 0
28 21 3 21 0 0 0 0 0
29 19 2 19 0 0 0 0 0
30 23 1 23 0 0 0 0 0
JML 562 49 562 0 0 8 17 1
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT (HAIs)
RSUD MALINGPING PROVINSI BANTEN
BULAN : OKTOBER 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 23 5 23 0 0 1 0 0
2 27 5 27 0 0 1 2 0
3 23 2 23 0 0 0 0 0
4 30 2 30 0 0 0 0 0
5 20 3 20 0 0 0 0 0
6 25 2 25 0 0 1 2 0
7 29 3 29 0 0 1 1 0
8 24 4 24 0 0 0 0 0
9 26 4 26 0 0 0 0 0
10 20 2 20 0 0 0 0 0
11 19 4 19 0 0 0 0 0
12 17 2 17 0 0 0 0 0
13 24 1 24 0 0 0 0 0
14 29 0 29 0 0 0 0 0
15 28 2 28 0 0 0 0 0
16 23 2 23 0 0 1 2 0
17 22 2 22 0 0 0 0 0
18 22 2 22 0 0 0 0 0
19 17 3 17 0 0 0 0 0
20 19 3 19 0 0 0 0 0
21 21 3 21 0 0 2 0 0
22 19 3 19 0 0 1 0 0
23 12 1 12 0 0 0 1 0
24 7 0 7 0 0 0 0 0
25 5 0 5 0 0 0 0 0
26 12 2 12 0 0 0 0 0
27 17 2 17 0 0 0 0 0
28 20 1 20 0 0 0 4 0
29 16 0 16 0 0 0 0 0
30 14 0 14 0 0 0 0 0
31 16 0 16 0 0 0 0 0
JML 626 65 626 0 0 8 12 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : NOVEMBER 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 18 1 18 0 0 0 0 0
2 12 2 12 0 0 0 0 0
3 14 2 14 0 0 1 2 0
4 10 1 10 0 0 0 0 0
5 14 2 14 0 0 0 0 0
6 11 0 11 0 0 0 0 0
7 14 2 14 0 0 3 0 0
8 16 6 16 0 0 2 1 0
9 20 6 20 0 0 0 0 1 deku dirumah
10 20 4 20 0 0 1 1 0
11 19 3 19 0 0 0 0 0
12 22 4 22 0 0 0 0 0
13 18 4 18 0 0 0 0 0
14 18 2 18 0 0 0 0 0
15 19 3 19 0 0 0 0 0
16 12 0 12 0 0 0 0 0
17 19 2 19 0 0 0 0 0
18 17 1 17 0 0 0 0 0
19 14 1 14 0 0 0 0 0
20 20 0 20 0 0 0 0 0
21 14 0 14 0 0 0 0 0
22 25 4 25 0 0 0 0 0
23 26 5 26 0 0 0 0 0
24 27 2 27 0 0 0 0 0
25 33 5 33 0 0 0 0 0
26 31 7 31 0 0 0 4 0
27 28 5 28 0 0 0 0 0
28 38 5 38 0 0 0 0 0
29 30 6 30 0 0 0 0 0
30 25 3 25 0 0 0 0 0
JML 604 88 604 0 0 7 8 1
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : DESEMBER 2021
RUANGAN : BOUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS KETERANGAN
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 30 0 30 0 0 30 0 0
2 30 4 30 0 0 30 0 0
3 29 5 29 0 0 29 2 0
4 23 2 23 0 0 23 0 0
5 29 2 29 0 0 29 0 0
6 23 2 23 0 0 23 0 0
7 24 4 24 0 0 24 0 0
8 15 1 15 0 0 15 1 0
9 19 3 19 0 0 19 0 0
10 22 2 22 0 0 22 0 0
11 24 0 24 0 0 24 0 0
12 29 4 29 0 0 29 0 2 dirumah
13 28 3 28 0 0 28 0 2 dirumah
14 29 4 29 0 0 29 0 0
15 25 2 25 0 0 25 0 1 dirumah
16 21 3 21 0 0 21 0 1
17 25 0 25 0 0 25 0 0
18 20 1 20 0 0 20 0 0
19 24 4 24 0 0 24 0 0
20 26 3 26 0 0 26 0 0
21 26 3 26 0 0 26 0 0
22 34 3 34 0 0 34 4 1 dirumah
23 37 3 37 0 0 37 1 0
24 32 2 32 0 0 32 0 0
25 34 4 34 0 0 34 0 0
26 34 3 34 0 0 34 0 0
27 30 3 30 0 0 30 0 0
28 24 3 24 0 0 24 0 0
29 28 3 28 0 0 28 3 0
30 28 1 28 0 0 28 0 2 dirumah
31 24 2 24 0 0 24 0 1 dirumah
JML 826 79 826 0 0 826 11 7
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JANUARI 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS ANTI BIOTIK
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 14 3 0 0 0 0 0 0
2 8 2 0 0 0 0 1 0
3 4 0 0 0 0 0 1 0
4 4 0 2 0 0 4 0 0
5 10 0 1 0 0 2 0 0
6 11 0 11 0 0 1 0 0
7 8 0 2 0 0 2 0 0
8 6 0 0 0 0 0 0 0
9 5 1 2 0 0 2 0 0
10 3 1 3 0 0 3 0 0
11 6 1 4 0 0 4 0 0
12 7 0 5 0 0 5 1 0
13 5 0 3 0 0 3 1 0
14 6 1 3 0 0 3 0 0
15 7 1 3 0 0 3 0 0
16 8 1 1 0 0 1 0 0
17 9 1 1 0 0 1 0 0
18 11 3 4 0 0 4 0 0
19 9 0 5 0 0 5 0 0
20 11 1 4 0 0 4 0 0
21 11 2 4 0 0 4 0 0
22 6 0 4 0 0 4 0 0
23 7 0 4 0 0 4 1 0
24 6 0 6 0 0 6 0 0
25 10 1 8 0 0 8 0 0
26 12 1 8 0 0 8 0 0
27 13 1 4 0 0 4 0 0
28 9 2 2 0 0 2 0 0
29 10 2 2 0 0 2 0 0
30 5 0 1 0 0 1 0 0
31 4 0 1 0 0 1 0 0
JML 245 25 98 0 0 91 5 0
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : FEBRUARI 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS ANTI BIOTIK
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 3 0 3 0 0 0 0 0
2 3 0 3 0 0 0 0 0
3 5 0 5 0 0 0 1 0
4 6 1 6 0 0 0 1 0
5 4 0 4 0 0 0 0 0
6 3 0 3 0 0 0 0 0
7 3 0 3 0 0 0 0 0
8 2 0 2 0 0 0 0 0
9 3 0 3 0 0 0 0 0
10 3 1 3 0 0 0 0 0
11 3 0 3 0 0 0 0 0
12 1 0 1 0 0 0 0 0
13 3 0 3 0 0 0 0 0
14 3 1 3 0 0 0 0 0
15 4 2 4 0 0 0 0 0
16 3 0 3 0 0 0 1 0
17 1 0 1 0 0 0 0 0
18 3 2 3 0 0 0 0 0
19 3 0 3 0 0 0 0 0
20 1 0 1 0 0 0 0 0
21 0 0 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
23 1 2 1 0 0 0 0 0
24 0 2 0 0 0 0 0 0
25 1 2 1 0 0 0 0 0
26 1 0 1 0 0 0 0 0
27 1 2 1 0 0 0 0 0
28 2 3 2 0 0 0 0 0
JML 66 18 66 0 0 0 3 0
LAPORAN DISEMINASI PROGRAM SURVEILANS HAIs PPI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MARET 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 2 0 2 0 0 2 0 0
2 0 0 0 0 0 0 0 0
3 5 2 5 0 0 0 1 0
4 5 1 5 0 0 0 1 0
5 0 0 0 0 0 1 1 0
6 0 0 0 0 0 1 0 0
7 0 0 0 0 0 0 2 0
8 0 0 0 0 0 0 0 0
9 2 0 2 0 0 0 0 0
10 2 0 2 0 0 0 0 0
11 2 0 2 0 0 0 1 0
12 1 0 1 0 0 0 0 0
13 1 0 1 0 0 0 0 0
14 4 0 4 0 0 0 0 0
15 5 1 5 0 0 1 0 0
16 5 1 5 0 0 0 1 0
17 5 1 5 0 0 0 4 0
18 4 1 4 0 0 1 0 0
19 4 1 4 0 0 1 0 0
20 2 1 2 0 0 1 0 0
21 3 1 3 0 0 1 0 1
22 7 2 7 0 0 1 0 1
23 5 2 5 0 0 5 1 1
24 5 2 5 0 0 2 0 1
25 7 4 7 0 0 1 1 1
26 8 3 8 0 0 2 1 1
27 6 1 6 0 0 0 0 0
28 6 1 6 0 0 0 1 0
29 3 3 3 0 0 0 0 0
30 1 0 1 0 0 0 0 0
31 1 0 1 0 0 0 0 0
JML 101 28 101 0 0 20 15 6
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : APRIL 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 7 2 7 0 0 7 0 0
2 6 1 6 0 0 6 0 0
3 5 1 5 0 0 5 0 0
4 6 1 6 0 0 6 0 0
5 5 2 5 0 0 5 0 0
6 3 2 3 0 0 3 0 0
7 3 0 3 0 0 3 0 0
8 5 1 5 0 0 5 1 0
9 6 1 6 0 0 6 0 0
10 5 1 5 0 0 5 0 0
11 2 1 2 0 0 2 0 0
12 2 2 2 0 0 2 1 0
13 4 1 4 0 0 4 1 0
14 6 2 6 0 0 6 0 0
15 2 3 2 0 0 2 0 0
16 2 0 2 0 0 2 0 0
17 2 0 2 0 0 2 0 0
18 4 0 4 0 0 4 1 0
19 4 1 4 0 0 4 0 0
20 7 3 7 0 0 7 0 0
21 6 0 6 0 0 6 0 0
22 7 0 7 0 0 7 0 0
23 5 0 5 0 0 5 0 0
24 6 1 6 0 0 6 0 0
25 6 1 6 0 0 6 0 0
26 3 1 3 0 0 3 0 0
27 3 0 3 0 0 3 0 0
28 2 0 2 0 0 2 0 0
29 3 1 3 0 0 3 0 0
30 2 1 2 0 0 2 0 0
JML 129 30 129 0 0 129 4 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : MEI 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 1 1 1 0 0 0 2 0
2 1 1 1 0 0 0 1 0
3 2 0 2 0 0 0 0 0
4 2 0 2 0 0 0 1 0
5 2 1 2 0 0 0 1 0
6 1 1 1 0 0 0 0 0
7 1 0 1 0 0 0 0 0
8 2 0 2 0 0 0 1 0
9 3 1 3 0 0 0 0 0
10 5 2 5 0 0 0 0 0
11 4 2 4 0 0 0 0 0
12 4 1 4 0 0 0 0 0
13 2 2 2 0 0 0 0 0
14 3 0 3 0 0 0 0 0
15 3 0 3 0 0 0 0 0
16 5 0 5 0 0 0 0 0
17 5 0 5 0 0 0 1 0
18 8 1 8 0 0 0 0 0
19 8 1 8 0 0 0 1 0
20 5 0 5 0 0 0 0 0
21 6 0 6 0 0 0 0 0
22 5 0 5 0 0 0 0 0
23 5 0 5 0 0 0 1 0
24 4 0 4 0 0 0 0 0
25 6 0 6 0 0 0 0 0
26 6 0 6 0 0 0 2 0
27 6 0 6 0 0 0 1 0
28 6 1 6 0 0 0 0 0
29 5 1 5 0 0 0 0 0
30 4 1 4 0 0 0 1 0
31 5 2 5 0 0 0 1 0
JML 125 19 125 0 0 0 12 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JUNI 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 12 1 12 0 0 0 0 0
2 7 1 7 0 0 0 1 0
3 8 3 8 0 0 0 1 0
4 7 3 7 0 0 0 0 0
5 4 0 4 0 0 0 0 0
6 4 0 4 0 0 0 1 0
7 7 0 7 0 0 0 0 0
8 7 0 7 0 0 0 0 0
9 7 1 7 0 0 0 0 0
10 5 0 5 0 0 0 0 0
11 3 1 3 0 0 0 0 0
12 5 0 5 0 0 0 0 0
13 7 2 7 0 0 0 0 0
14 7 2 7 0 0 0 0 0
15 8 2 8 0 0 0 0 0
16 8 1 8 0 0 0 0 0
17 7 0 7 0 0 0 1 0
18 18 0 18 0 0 0 0 0
19 3 0 3 0 0 0 0 0
20 5 0 5 0 0 0 0 0
21 6 0 6 0 0 0 0 0
22 4 0 4 0 0 1 0 1
23 1 1 1 0 0 1 0 1
24 1 1 1 0 0 1 0 1
25 1 0 1 0 0 0 1 0
26 2 1 2 0 0 1 1 0
27 5 1 5 0 0 0 0 0
28 7 1 7 0 0 0 0 0
29 10 1 10 0 0 0 0 0
30 6 0 6 0 0 0 2 0
JML 182 23 182 0 0 4 8 3
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : JULI 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 3 0 3 0 0 3 1 0
2 4 0 4 0 0 4 0 0
3 4 0 4 0 0 4 1 0
4 2 0 2 0 0 2 0 0
5 5 1 5 0 0 5 0 0
6 3 1 3 0 0 3 0 0
7 4 0 4 0 0 4 0 0
8 1 0 1 0 0 1 0 0
9 1 0 1 0 0 1 0 0
10 2 1 2 0 0 2 1 0
11 1 1 1 0 0 1 0 0
12 4 1 4 0 0 4 0 0
13 3 1 3 0 0 3 0 0
14 3 2 3 0 0 3 1 0
15 2 2 2 0 0 2 1 0
16 1 1 1 0 0 1 1 0
17 0 0 0 0 0 0 0 0
18 3 0 3 0 0 3 0 0
19 3 0 3 0 0 3 0 0
20 3 0 3 0 0 3 0 0
21 2 0 2 0 0 2 0 0
22 2 0 2 0 0 2 0 0
23 2 1 2 0 0 2 0 0
24 4 2 4 0 0 4 0 0
25 2 1 2 0 0 2 0 0
26 2 0 2 0 0 2 0 0
27 2 0 2 0 0 2 0 0
28 5 0 5 0 0 5 0 0
29 3 1 3 0 0 3 0 0
30 3 1 3 0 0 3 0 0
31 1 0 1 0 0 1 0 0
JML 80 17 80 0 0 80 6 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : AGUSTUS 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 1 1 1 0 0 0 0 0
2 1 1 1 0 0 0 0 0
3 1 1 1 0 0 0 0 0
4 1 1 1 0 0 0 0 0
5 1 0 1 0 0 0 0 0
6 1 0 1 0 0 0 0 0
7 2 0 2 0 0 0 0 0
8 2 0 2 0 0 0 0 0
9 3 0 3 0 0 0 0 0
10 0 0 0 0 0 0 0 0
11 2 0 2 0 0 0 0 0
12 2 0 2 0 0 0 0 0
13 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
17 1 1 1 0 0 0 0 0
18 1 1 1 0 0 0 0 0
19 2 0 2 0 0 0 0 0
20 2 1 2 0 0 0 0 0
21 2 0 2 0 0 0 0 0
22 1 2 1 0 0 0 0 0
23 3 2 3 0 0 0 0 0
24 2 0 2 0 0 0 0 0
25 2 0 2 0 0 0 0 0
26 0 0 0 0 0 0 0 0
27 2 2 2 0 0 0 0 0
28 3 2 3 0 0 0 0 0
29 3 2 3 0 0 0 0 0
30 4 1 4 0 0 0 0 0
31 8 2 8 0 0 0 0 0
JML 53 20 53 0 0 0 0 0
FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : SEPTEMBER 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 7 0 7 0 0 0 0 0
2 6 1 6 0 0 0 1 0
3 3 0 3 0 0 0 0 0
4 3 0 3 0 0 0 0 0
5 2 1 2 0 0 0 0 0
6 4 1 4 0 0 0 0 0
7 4 1 4 0 0 0 0 0
8 10 1 10 0 0 0 1 0
9 5 1 5 0 0 0 1 0
10 5 1 5 0 0 0 1 0
11 5 1 5 0 0 0 0 0
12 2 1 2 0 0 0 0 0
13 7 1 7 0 0 0 0 0
14 7 0 7 0 0 0 0 0
15 5 0 5 0 0 0 1 0
16 2 1 2 0 0 0 0 0
17 6 2 6 0 0 0 0 0
18 4 2 4 0 0 0 0 0
19 6 1 6 0 0 0 0 0
20 5 1 5 0 0 0 0 0
21 2 1 2 0 0 0 1 0
22 5 1 5 0 0 1 0 0
23 6 1 6 0 0 0 0 0
24 7 0 7 0 0 0 0 0
25 6 0 6 0 0 0 0 0
26 4 0 4 0 0 0 0 0
27 4 0 4 0 0 0 0 0
28 5 0 5 0 0 1 1 0
29 7 1 7 0 0 0 3 0
30 6 0 6 0 0 0 0 0
JML 150 21 150 0 0 2 10 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT (HAIs)
RSUD MALINGPING PROVINSI BANTEN
BULAN : OKTOBER 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 5 1 5 0 0 0 0 0
2 4 1 4 0 0 0 0 0
3 1 0 1 0 0 0 0 0
4 3 2 3 0 0 0 0 0
5 7 3 7 0 0 0 0 0
6 8 1 8 0 0 0 2 0
7 5 0 5 0 0 0 0 0
8 5 1 5 0 0 1 1 0
9 3 0 3 0 0 0 0 0
10 2 0 2 0 0 0 0 0
11 3 0 3 0 0 0 0 0
12 6 2 6 0 0 0 1 0
13 5 2 5 0 0 0 0 0
14 4 0 4 0 0 0 2 0
15 1 0 1 0 0 0 0 0
16 1 0 1 0 0 0 0 0
17 1 0 1 0 0 0 0 0
18 1 0 1 0 0 0 0 0
19 2 0 2 0 0 0 0 0
20 6 1 6 0 0 0 2 0
21 6 1 6 0 0 0 0 0
22 9 3 9 0 0 0 2 0
23 6 2 6 0 0 0 0 0
24 3 1 3 0 0 0 0 0
25 3 1 3 0 0 0 0 0
26 7 1 7 0 0 0 1 0
27 8 0 8 0 0 0 0 0
28 5 0 5 0 0 0 2 0
29 5 1 5 0 0 0 0 0
30 5 1 5 0 0 0 0 0
31 3 0 3 0 0 0
JML 133 25 133 0 0 1 13 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : NOVEMBER 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 3 0 3 0 0 3 0 0
2 6 0 6 0 0 6 0 0
3 6 0 6 0 0 6 1 0
4 5 0 5 0 0 5 0 0
5 5 0 5 0 0 5 0 0
6 6 0 6 0 0 6 2 0
7 5 0 5 0 0 5 1 0
8 6 0 6 0 0 6 0 0
9 6 0 6 0 0 6 1 0
10 6 2 6 0 0 6 0 0
11 6 0 6 0 0 6 2 0
12 5 0 5 0 0 5 0 0
13 7 0 7 0 0 7 1 0
14 6 0 6 0 0 6 1 0
15 6 0 6 0 0 6 0 0
16 2 0 2 0 0 2 0 0
17 3 0 3 0 0 3 1 0
18 4 0 4 0 0 4 0 0
19 4 0 4 0 0 4 0 0
20 4 1 4 0 0 4 0 0
21 1 0 1 0 0 1 1 0
22 3 1 3 0 0 3 0 0
23 5 1 5 0 0 5 0 0
24 5 0 5 0 0 5 0 0
25 6 0 6 0 0 6 0 0
26 8 0 8 0 0 8 0 0
27 5 2 5 0 0 5 0 0
28 5 0 5 0 0 5 0 0
29 6 1 6 0 0 6 0 0
30 6 0 6 0 0 6 0 0
JML 151 8 151 0 0 151 11 0
LAPORAN SURVEILANS BULANAN INFEKSI RUMAH SAKIT
RSUD MALINGPING PROVINSI BANTEN
BULAN : DESEMBER 2021
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 10 0 10 0 0 10 0 0
2 8 0 8 0 0 8 0 0
3 11 0 11 0 0 11 0 0
4 11 0 11 0 0 11 1 0
5 0 0 0 0 0 0 0 0
6 4 1 4 0 0 4 0 0
7 11 2 11 0 0 11 0 0
8 13 2 13 0 0 13 0 0
9 13 2 13 0 0 13 0 0
10 10 1 10 0 0 10 0 0
11 5 0 5 0 0 5 0 0
12 5 0 5 0 0 5 0 0
13 3 0 3 0 0 3 0 0
14 8 1 8 0 0 8 0 0
15 14 2 14 0 0 14 0 0
16 11 0 11 0 0 11 0 0
17 8 0 8 0 0 8 1 0
18 7 0 7 0 0 7 0 0
19 3 0 3 0 0 3 0 0
20 9 3 9 0 0 9 0 0
21 8 2 8 0 0 8 0 0
22 9 2 9 0 0 9 0 0
23 5 0 5 0 0 5 0 0
24 5 2 5 0 0 5 0 0
25 6 1 6 0 0 6 0 0
26 6 1 6 0 0 6 0 0
27 5 1 5 0 0 5 0 0
28 11 1 11 0 0 11 0 0
29 9 2 9 0 0 9 1 0
30 8 2 8 0 0 8 2 0
31 13 3 13 0 0 13 0 0
JML 249 31 249 0 0 249 5 0

FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT


RSUD MALINGPING PROVINSI BANTEN
BULAN : September 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 5 0 5 0 0 0 0 0
2 6 0 6 0 0 0 0 0
3 7 0 7 0 0 0 0 0
4 7 1 7 0 0 0 1 0
5 7 0 7 0 0 0 0 0
6 8 1 8 0 0 0 0 0
7 8 0 8 0 0 0 0 0
8 8 0 8 0 0 0 1 0
9 8 0 8 0 0 0 0 0
10 6 0 6 0 0 0 0 0
11 6 6 0 0 0 1 0
12 6 0 6 0 0 0 1 0
13 10 1 10 0 0 0 0 0
14 9 2 9 0 0 0 1 0
15 5 1 5 0 0 0 0 0
16 5 2 5 0 0 0 1 0
17 2 0 2 0 0 0 0 0
18 3 0 3 0 0 0 0 0
19 3 0 3 0 0 0 0 0
20 8 1 8 0 0 0 0 0
21 6 0 6 0 0 0 0 0
22 4 0 4 0 0 0 1 0
23 5 0 5 0 0 0 0 0
24 5 0 5 0 0 0 0 0
25 8 0 8 0 0 0 0 0
26 11 0 11 0 0 0 0 0
27 11 2 11 0 0 0 0 0
28 11 2 11 0 0 0 0 0
29 11 1 11 0 0 0 0 0
30 8 1 8 0 0 0 0 0
JML 207 15 207 0 0 0 7 0

FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT


RSUD MALINGPING PROVINSI BANTEN
BULAN : Agustus 2022
RUANGAN : WIJAYA KUSUMA
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 8 0 8 0 0 0 0 0
2 9 3 9 0 0 0 2 0
3 11 1 11 0 0 0 0 0
4 3 0 3 0 0 0 0 0
5 4 0 4 0 0 0 0 0
6 5 0 5 0 0 0 0 0
7 6 1 6 0 0 0 0 0
8 8 1 8 0 0 0 0 0
9 9 1 9 0 0 0 0 0
10 10 1 10 0 0 0 1 0
11 7 1 7 0 0 0 0 0
12 5 1 5 0 0 0 0 0
13 6 0 6 0 0 0 0 0
14 7 0 7 0 0 0 1 0
15 6 0 6 0 0 0 1 0
16 7 1 7 0 0 0 2 0
17 6 0 6 0 0 0 0 0
18 7 1 7 0 0 0 2 0
19 7 0 7 0 0 0 0 0
20 6 1 6 0 0 0 0 0
21 6 0 6 0 0 0 0 0
22 4 0 4 0 0 0 0 0
23 7 2 7 0 0 0 0 0
24 7 1 7 0 0 0 0 0
25 7 2 7 0 0 0 2 0
26 5 0 5 0 0 0 0 0
27 4 0 4 0 0 0 0 0
28 4 0 4 0 0 0 0 0
29 3 0 3 0 0 0 0 0
30 8 2 8 0 0 0 1 0
9 2 9 1
JML 201 22 201 0 0 0 13 0

FORMULIR SURVEILANS BULANAN INFEKSI RUMAH SAKIT


RSUD MALINGPING PROVINSI BANTEN
BULAN JANUARI 2023
RUANGAN BUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT TIRAH HASIL
TGL JUMLAH PASIEN PLEBITIS DEKUBITUS AB
UC CVL IVL ETT/V VAP HAP ISK IAD BARING KULTUR
1 29 1 29 0 0 0 0 0
2 35 1 35 0 0 1 1 1
3 26 1 26 0 0 1 0 0
4 24 2 24 0 0 1 1 0
5 26 1 26 0 0 0 1 0
6 28 0 28 0 0 1 0 0
7 31 0 31 0 0 1 1 0
8 33 0 33 0 0 0 3 0
9 33 1 33 0 0 1 5 1
10 32 1 32 0 0 1 2 1
11 32 2 32 0 0 1 1 1
12 35 2 35 0 0 2 1 0
13 30 3 30 0 0 0 0 0
14 27 1 27 0 0 0 0 0
15 26 0 26 0 0 0 0 0
16 37 4 37 0 0 0 1 0
17 31 5 31 0 0 0 4 0
18 21 4 21 0 0 0 1 0
19 26 3 26 0 0 1 5 0
20 21 6 21 0 0 0 2 0
21 23 4 23 0 0 1 0 0
22 25 4 25 0 0 1 0 0
23 26 4 26 0 0 1 0 0
24 25 2 25 0 0 0 0 0
25 20 3 20 0 0 0 2 0
26 28 4 12 0 0 0 0 0
27 28 3 28 0 0 0 3 0
28 19 1 19 0 0 0 2 0
29 10 1 10 0 0 0 0 0
30 10 1 10 0 0 0 0 0
31 9 1 9 0 0 0 1 0
JML 806 66 790 0 0 14 37 4
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : JANUARI 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK VK HCU PERI IGD MATA P.BDH ISO JUMLAH PASIEN
1 3 8 0 0 5 1 0 0 0 0 0 14
2 4 12 0 0 0 0 0 0 2 0 0 14
3 5 3 0 2 0 0 0 0 0 0 0 5
4 6 5 0 1 9 1 0 0 0 0 0 16
5 7 1 0 0 1 0 0 0 0 0 0 2
6 10 12 0 0 5 0 0 0 0 0 0 17
7 11 13 0 1 4 1 0 0 7 0 0 26
8 12 4 0 1 3 0 0 0 0 0 0 8
9 13 3 0 0 8 0 0 0 0 0 0 11
10 17 12 0 1 5 1 0 0 0 0 0 19
11 18 11 0 0 3 0 0 0 6 0 0 20
12 19 2 0 0 2 0 0 0 0 0 0 4
13 20 4 0 1 8 0 0 0 0 0 0 13
14 24 5 0 1 8 1 0 0 0 0 0 15
15 25 12 0 1 5 1 0 0 0 0 0 19
16 26 3 0 2 0 0 0 0 0 0 0 5
17 27 7 0 2 10 0 0 0 0 0 0 19
18 28 1 0 2 1 0 0 0 0 0 0 4
19 31 5 0 0 0 2 0 0 0 0 0 7
JUMLAH TOTAL 123 0 15 77 8 0 0 15 0 0 238
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : FEBRUARI 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH ISO JUMLAH PASIEN
1 2 6 0 0 0 0 0 0 0 0 0 6
2 3 2 0 2 10 0 0 0 0 0 0 14
3 7 11 0 0 5 0 0 0 0 0 0 16 An.Rianti /ido/+
4 8 9 0 1 5 1 0 0 7 0 1 24
5 9 7 0 1 2 0 0 0 0 0 0 10
6 10 2 1 0 3 0 0 0 0 0 0 6
7 11 2 0 0 2 0 0 0 0 0 0 4
8 14 9 0 1 7 0 0 0 0 0 0 17
9 15 10 0 0 5 0 0 0 0 0 0 15
10 16 4 0 0 1 0 0 0 0 0 0 5
11 17 4 0 1 8 0 0 0 0 0 0 13
12 21 4 0 0 5 2 0 0 0 0 0 11
13 22 7 0 1 1 1 0 0 0 0 0 10
14 23 3 0 0 2 0 0 0 0 0 0 5
JUMLAH TOTAL 80 1 7 56 4 0 0 7 0 1 156
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : MARET 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH ISO JUMLAH PASIEN
1 1 8 0 1 4 1 0 0 0 0 0 14
2 2 0 0 1 4 0 0 0 0 0 0 5
3 7 8 0 0 5 1 0 0 0 0 0 14
4 8 7 0 0 5 0 0 0 3 0 0 15
5 9 2 0 2 6 0 0 0 0 0 0 10
6 10 0 0 0 7 0 0 0 0 0 0 7
7 11 0 0 0 3 0 0 0 0 0 0 3
8 14 9 0 0 2 1 0 0 0 0 0 12
9 15 14 0 1 0 1 0 0 0 0 0 16
10 16 5 0 0 3 0 0 0 0 0 0 8
11 17 0 0 0 6 0 0 0 0 0 0 6
12 21 5 0 2 6 1 0 0 0 0 0 14
13 22 8 0 2 3 1 0 0 0 0 0 14
14 23 4 0 0 0 0 0 0 0 0 0 4
15 24 2 0 1 7 1 0 0 0 0 0 11
16 25 1 0 0 2 0 0 0 0 0 0 3
17 28 8 0 2 6 0 0 0 0 0 0 16
18 29 16 0 0 3 1 0 0 3 0 0 23
19 30 6 0 0 1 0 0 0 0 0 0 7
20 31 0 0 0 5 0 0 0 0 0 0 5
JUMLAH TOTAL 103 0 12 78 4 0 0 6 0 0 207
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : APRIL 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH ISO JUMLAH PASIEN
1 1 0 0 0 2 0 0 0 0 0 0 2
2 4 8 0 1 6 0 0 0 0 0 0 15
3 5 12 0 1 3 0 0 0 1 0 0 17
4 6 2 0 0 0 0 0 0 0 0 0 2
5 7 0 0 1 7 0 0 0 0 0 0 8
6 8 0 1 0 0 0 0 0 0 0 0 1
7 11 6 0 1 7 0 0 0 0 0 0 14
8 12 8 0 2 3 0 0 0 4 0 0 17
9 13 1 0 0 0 0 0 0 0 0 0 1
10 14 0 0 1 9 0 0 0 0 0 0 10
11 18 5 0 1 4 1 0 0 0 0 0 11
12 19 5 0 0 4 0 0 0 4 0 0 13
13 21 1 0 0 5 0 0 0 0 0 0 6
14 22 5 0 0 0 0 0 0 0 0 0 5
15 25 6 0 2 0 0 0 0 0 0 0 8
16 26 4 0 0 0 0 0 0 0 0 0 4
17 28 0 0 0 11 0 0 0 0 0 0 11
JUMLAH TOTAL 63 1 10 61 0 0 0 9 0 0 145
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : MEI 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 9 9 0 1 4 1 0 0 0 0 15
2 10 8 0 2 6 1 0 0 0 0 17
3 11 4 0 0 2 0 0 0 0 0 6
4 12 1 0 0 7 0 0 0 0 0 8
5 13 0 1 0 3 0 0 0 0 0 4
6 17 11 0 0 8 0 0 0 3 0 22
7 18 5 0 1 0 0 0 0 0 0 6
8 19 5 0 0 9 1 0 0 0 1 15
9 20 2 0 0 4 0 0 0 0 0 6
10 23 11 0 0 5 1 0 0 0 0 17
11 24 10 0 5 0 1 0 0 6 0 22
12 25 4 0 1 1 1 0 0 0 0 7
13 30 13 0 1 6 0 0 0 0 0 20
14 31 7 0 1 1 0 0 0 11 0 20
JUMLAH TOTAL 90 1 12 56 3 0 0 20 0 185
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : JUNI 2022


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 2 5 0 2 8 1 0 0 0 0 16
2 3 1 0 0 3 0 0 0 0 0 4
3 6 9 0 2 6 0 0 0 0 0 17
4 7 10 0 1 4 0 0 0 6 0 21
5 8 7 0 0 0 0 0 0 0 0 7
6 9 3 0 1 8 0 0 0 0 0 12
7 10 1 0 0 2 0 0 0 0 0 3
8 13 10 1 1 0 0 0 0 0 0 12
9 14 8 0 0 0 1 0 0 10 0 19
10 15 3 0 0 0 0 0 0 0 0 3
11 16 0 0 4 8 1 0 0 0 0 13
12 17 1 0 0 4 0 0 0 0 0 5
13 20 4 0 1 6 0 0 0 0 0 11
14 21 5 0 0 6 0 0 0 7 0 18
15 22 2 0 0 2 0 0 0 0 0 4
16 23 2 0 0 7 0 0 0 0 0 9
17 24 2 0 0 3 0 0 0 0 0 5
18 27 10 0 0 4 0 0 0 0 0 14
19 28 10 0 0 2 0 0 0 7 0 19
20 29 1 0 1 0 0 0 0 0 0 2
21 30 3 0 1 0 0 0 0 0 0 4
JUMLAH TOTAL 97 1 14 73 2 0 0 30 0 218
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : JULI 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 1 3 0 3 8 0 0 0 0 0 14
2 5 5 0 2 3 0 0 0 0 0 10
3 6 6 0 0 0 0 0 0 6 0 12
4 7 1 0 0 3 0 0 0 0 0 4
5 8 2 0 0 2 0 0 0 0 0 4
6 9 0 0 0 1 0 0 0 0 0 1
7 12 1 0 2 5 0 0 0 0 0 8
8 13 5 0 0 3 1 0 0 7 0 16
9 14 2 0 0 2 0 0 0 0 0 4
10 15 0 1 0 3 0 0 0 0 0 4
11 19 6 0 0 3 1 0 0 0 0 10
12 26 4 0 1 7 0 0 0 0 0 12
13 27 3 0 1 3 0 0 0 3 0 10
14 28 3 0 0 2 0 0 0 0 0 5
15 29 0 0 0 4 0 0 0 0 0 4
16 30 0 0 0 2 0 0 0 0 0 2
19 30 0 0 0 1 0 0 0 0 0 1
JUMLAH TOTAL 41 1 9 52 1 0 0 16 0 120
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : AGUSTUS 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 2 2 0 0 5 0 0 0 0 0 7
2 3 3 0 1 4 0 0 0 3 0 11
3 4 3 0 2 0 0 0 0 0 0 5
4 5 0 0 0 4 0 0 0 0 0 4
5 6 0 0 0 1 0 0 0 0 0 1
6 9 5 0 0 3 0 0 0 0 0 8
7 10 5 0 1 1 0 0 0 0 0 7
8 12 0 1 0 4 0 0 0 0 0 5
9 13 0 0 0 2 0 0 0 0 0 2
10 16 6 0 0 3 0 0 0 0 0 9
11 19 1 0 0 5 0 0 0 0 0 6
12 20 0 0 0 1 0 0 0 0 0 1
13 23 6 1 1 7 0 0 0 0 1 16
14 24 10 0 0 0 1 0 0 4 0 15
15 25 6 1 0 0 0 0 0 0 0 7
16 26 3 0 0 4 0 0 0 0 0 7
17 30 10 1 0 7 0 0 0 0 0 18
18 31 5 0 0 6 0 0 0 5 0 16
JUMLAH TOTAL 65 4 5 57 1 0 0 12 1 145
SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : SEPTEMBER 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 1 6 0 0 3 0 0 0 0 0 9
2 2 0 1 0 6 0 0 0 0 0 7
3 3 0 0 0 3 0 0 0 0 0 3
4 6 4 0 2 4 1 0 0 0 0 11
5 7 11 0 0 3 0 0 0 4 0 18
6 8 7 0 0 2 0 0 0 0 0 9
7 9 7 0 0 2 0 0 0 0 0 9
8 10 0 0 0 2 0 0 0 0 0 2
9 13 6 0 1 2 0 0 0 0 0 9
10 14 8 0 0 0 1 0 0 6 0 15
11 15 6 0 0 0 0 0 0 0 0 6
12 16 3 0 2 5 1 0 0 0 0 11
13 17 0 0 0 2 0 0 0 0 0 2
14 20 8 0 1 5 1 0 0 0 0 15
15 21 7 0 0 5 2 0 0 3 0 17
16 22 6 0 2 0 0 0 0 0 0 8
17 23 4 0 0 6 0 0 0 0 0 10
18 24 0 0 0 1 0 0 0 0 0 1
19 27 5 0 2 5 1 0 0 0 0 13
20 28 9 0 1 5 0 0 0 6 0 21
21 29 6 0 0 4 0 0 0 0 0 10
22 30 3 0 2 2 0 0 0 0 0 7
JUMLAH TOTAL 106 1 13 67 7 0 0 19 0 213
LAPORAN BULANAN SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : OKTOBER 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 1 0 0 0 2 0 0 0 0 0 2 Tidak ada kejadian
2 4 5 0 3 2 0 0 0 0 0 10
3 5 8 0 0 0 2 0 0 7 0 17
4 6 8 0 2 1 0 0 0 0 0 11
5 7 2 0 0 8 0 0 0 0 0 10
6 11 8 0 0 7 0 0 0 0 0 15
7 12 6 1 1 3 0 0 0 0 0 11
8 13 3 0 0 0 0 0 0 0 0 3
9 14 1 0 7 0 0 0 0 0 0 8
10 15 0 0 0 3 0 0 0 0 0 3
11 18 5 0 0 0 0 0 0 0 0 5
12 19 5 0 0 0 0 0 0 4 0 9
13 21 0 0 2 6 0 0 0 0 0 8
14 22 0 0 0 1 0 0 0 0 0 1
15 25 2 0 0 0 0 0 0 0 0 2
16 26 6 0 2 0 1 0 0 6 0 15
17 27 5 0 1 0 0 0 0 0 0 6
18 28 2 0 1 9 0 0 0 0 0 12
19 29 0 0 1 1 0 0 0 0 0 2
JUMLAH TOTAL 66 1 20 43 3 0 0 17 0 150
LAPORAN BULANAN SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : NOVEMBER 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 1 8 0 0 5 0 0 0 0 0 13 Tidak ada kejadian
2 2 7 0 0 1 0 0 0 3 0 11
3 3 4 0 1 1 2 0 0 0 0 8
4 4 2 0 0 7 0 0 0 0 0 9
5 5 0 0 0 1 0 0 0 0 0 1
6 8 7 0 0 5 1 0 0 0 0 13
7 9 8 0 2 5 1 0 0 0 0 16
8 10 3 0 0 3 1 0 0 0 0 7
9 11 1 0 0 6 1 0 0 0 0 8
10 12 0 0 0 2 0 0 0 0 0 2
11 15 6 0 3 7 0 0 0 0 0 16
12 16 9 0 0 5 2 0 0 0 0 16
13 17 2 0 0 4 1 0 0 0 0 7
14 18 3 0 0 5 0 0 0 0 0 8
15 19 0 0 0 1 1 0 0 0 0 2
16 22 3 0 1 5 2 0 0 0 0 11
17 23 5 0 0 7 0 0 0 0 0 12
18 24 3 0 0 2 0 0 0 0 0 5
19 25 5 0 2 8 0 0 0 0 0 15
20 26 2 0 0 2 1 0 0 0 0 5
21 29 5 0 2 6 0 0 0 0 0 13
22 30 6 1 0 3 1 0 0 4 0 15
JUMLAH TOTAL 89 0 11 91 13 0 0 3 0 213
LAPORAN BULANAN SURVEILANS INFEKSI DAERAH OPERASI (IDO)
RSUD MALINGPING PROVINSI BANTEN

BULAN : DESEMBER 2021


RUANGAN
NO TGL KETERANGAN
TLP BGV WK NFS HCU PERI IGD MATA P.BDH JUMLAH PASIEN
1 1 6 0 0 8 0 0 0 0 0 14 Tidak ada kejadian
2 2 9 0 0 2 0 0 0 0 0 11
3 3 2 0 0 6 0 0 0 0 0 8
4 7 8 0 0 1 0 0 0 0 0 9
5 8 3 0 0 3 0 0 0 3 0 9
6 10 1 0 0 6 0 0 0 0 0 7
7 11 0 0 0 4 0 0 0 0 0 4
8 14 5 0 0 2 0 0 0 0 0 7
9 15 7 0 0 3 0 0 0 3 0 13
10 16 0 0 0 1 0 0 0 0 0 1
11 17 5 0 0 2 0 0 0 0 0 7
12 18 0 0 0 1 0 0 0 0 0 1
13 21 8 0 0 4 0 0 0 0 0 12
14 22 9 0 0 2 0 0 0 8 0 19
15 23 1 0 0 1 0 0 0 0 0 2
16 28 8 0 0 4 0 0 0 0 0 12
17 29 9 0 0 1 0 0 0 2 2 14
18 30 2 0 0 2 0 0 0 0 0 4
JUMLAH TOTAL 83 0 0 53 0 0 0 16 2 154
februari 2023
BUGENVILE
TINDAKAN INFEKSI RUMAH SAKIT
JUMLAH PASIEN
UC CVL IVL ETT/V VAP HAP ISK IAD
23 1 23 0 0
29 2 29 0 0
30 1 30 0 0
28 1 28 0 0
26 1 26 0 0
26 1 26 0 0
29 0 29 0 0
20 0 20 0 0
15 3 15 0 0
22 1 22 0 0
20 4 20 0 0
20 5 20 0 0
17 3 17 0 0
18 3 18 0 0
21 3 21 0 0
17 4 17 0 0
19 3 19 0 0
19 1 21 0 0
22 2 22 0 0
33 2 33 0 0
36 2 36 0 0
32 2 33 0 0
20 3 20 0 0
32 2 32 0 0
24 2 20 0 0
20 2 22 0 0
24 2 24
22 4 22
618 54 619 0 0
TIRAH DEKUBIT HASIL
PLEBITIS AB
BARING US KULTUR
0 2 0
0 1 0
0 3 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
1 0 1
1 0 1
1 2 1
1 1 1
1 0 1
1 0 1
1 0 1
1 2 1
1 0 1
0 1 0
1 0 0
0 0 0
2 3 0
1 3 0
1 1 1
1 3 1
1 0 1
1 0 1
1 2 1
1 0 1
17 23 13

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