Upload
nur-chamimah
View
235
Download
1
Embed Size (px)
Citation preview
7/23/2019 993 - PPI Pedoman Surveilance
1/74
Daa . Ra Wa, S
Da . H. Ma Saa,
D . H. Ma AM, M.
EAA DI
J
. MKKa K
PPI
MARSD
Paaa
KD
Uaa
EK AH AKI IA A AGG
: 993/E/IA/I/2014
EAG
EDA EIA
AH AKI IA A AGG
11 Jaa 2014
15 Jaa 2014
17 Jaa 2014
7/23/2019 993 - PPI Pedoman Surveilance
2/74
PERATURAN DIREKTUR RUMAH SAKIT ISLAM SULTAN AGUNGNOMOR : 993/PER/RSISA/I/2014
TENTANG
PEDOMAN SURVEILAN
RUMAH SAKIT ISLAM SULTAN AGUNG
DIREKTUR RUMAH SAKIT ISLAM SULTAN AGUNG
MENIMBANG : a. Baa aaaa a a aaa aa,
aa aa a a a
aaa aa aa a a aa
a;
b. Baa aa a aa a a
a aa aaa aa aa a aa
aa aa a aa aa
a, a, a aaaa a a
a;
.
Baa aa a a Paa a Paa
I (PPI) aaa aa a;
. baa baaa baa baaaa a
aa a,b, a , aa D a PaOaa Baa La Ra Sa Ia Sa A
Saa.
MENGINGAT : 1. UaUa Rb Ia N 44 a 2009
a Ra Sa
2.
UaUa Rb Ia N 36 a 2009
a Kaa
3.
UaUa Rb Ia N 29 a 2004
a Pa Ka
4. Paa M Kaa Rb Ia N
1045/M/P/XI/2006 a Pa Oaa
Ra Sa D La Da Kaa.
5.
Paa M Kaa Rb Ia N
1144/M/P/VIII/2010 a Oaa a Taa
Ka Da Kaa.
6.
Ka M Kaa Rb Ia N
1333/M/SK/XII/1999 a Saa Paaa Ra
Sa.
7/23/2019 993 - PPI Pedoman Surveilance
3/74
3
7.
Ka M Kaa Rb Ia N
1204/M/SK/II/2007 a Paaa Kaa
La Ra Sa.
8.
Ka M Kaa Rb Ia N
129/M/SK/XII/2008 a Saa Paaa MaRa Sa.
9. Sa Eaa D Ja Ba Paaa M N
H.K.03.01/III/3744/08 a Pba K a T
Paa a Paa I Ra Sa
10.Sa Ka M Kaa Rb Ia
N : HK.07.06/III/2371/2009 a I Paaa
Ra Sa Ia Sa A
11.
Sa Ka P Baa Yaaa Baa Waa
Sa A N 68/SK/YBWSA/V/2013 a
Paa S Oaa Ra Sa Ia Sa
A.
12.Sa Ka P Yaaa Baa Waa Sa
A N: 090/SK/YBWSA/XII/2009 a
Paaa D Ra Sa Ia Sa A Maa
Ba 20092013
M E M U T U S K A N :
MENETAPKAN :
KESATU : Pa Oaa Sa Ra Sa Ia Sa A
baaaa a aa Laa Ka .
KEDUA : Ka ba a aa aaa a aa
aa aa a aa.
KETIGA : Aaba a aa aaa aaa baa aa aa
aaa baa baaaa a
Daa : Saa
Taa : 15 Rab Aa 1435H
17 Jaa 2014M
RUMAH SAKIT ISLAM SULTAN AGUNG
SEMARANG
D. H. Ma AM, M. K
D Uaa
7/23/2019 993 - PPI Pedoman Surveilance
4/74
4
LAMPIRAN PERATURAN DIREKTUR RUMAH SAKIT ISLAM SULTAN AGUNG
NOMOR : 993/PER/RSISA/I/2014
TANGGAL : 17 JANUARI 2014
BAB I
EDAHA
A. AA BEAKAG
Paa a aa a a a aa aaa
aa aa a aa aa aa aa a
aa aa a, a, a aaaa a a
a. Saa a a Paa a Paa I (PPI) aaa
aa a, a aaa aa a a a aa,
aaaa a a baa aa aba a aa.
Kaa a aa aaa aa aa aa a
aa a a a aa a aa , a a a
a a aa aa baa a a PPI.
Da a aa aa aaa aa baa a a (
) aa baa a a a a (
) a ba a a a a. Kaa
a a ba aa a a aa . Maa aa a
a (Ha a ) a a a ba aH A I (HAI)a a a b a a
aa a a a a aa aa aa. Ja a baa
aa a aa, a a aa a aa a aa
aa aa aa aa aaa a. K a a
aa aa a a aa b I (I).
Kaa a aa aaa aa aa a
a a, aa a, a,
aa aa aa a a aa a a a a
aaa aa aa a ba. Ha aa a
aa aa baa aa aa,
a aaa aa a baa (KLB) a baa aa
a.
Kaa a IRS Ia b aaaa a a a aa
aa baba b aa aaaa. O aa
7/23/2019 993 - PPI Pedoman Surveilance
5/74
5
P Paaaa a I Ra Sa a ba aa
aa aaaa aa a a a.
Sa a a aa aaa a aa a a
aa aaaa a a ba a aa aa. Da aaa aa a aa a Paa a
Paa I a a (PPIRS) aaa aa a a
.
B. D H
1. UaUa Rb Ia N 29 a 2004 a Pa
Ka (Lbaa Naa RI Ta 2004 N 116, Tabaa Lbaa
Naa RI N 4431).
2. UaUa Rb Ia N 36 Ta 2009 a Kaa
(Lbaa Naa RI Ta 2009 N 144, Tabaa Lbaa Naa RI
N 5064)
3. UaUa Rb Ia N 44 Ta 2009 a Ra
Sa (Lbaa Naa RI Ta 2009 N 153, Tabaa Lbaa
Naa RI N 5072)
4.
Paa M Kaa Rb Ia N
1045/M/P/XI/2006 a Pa Oaa Ra Sa D
La Da Kaa.
5.
Paa M Kaa Rb Ia N
1144/M/P/VIII/2010 a Oaa a Taa Ka Da
Kaa.
6.
Ka M Kaa Rb Ia N
1333/M/SK/XII/1999 a Saa Paaa Ra Sa.
7.
Ka M Kaa Rb Ia N
1204/M/SK/II/2007a Paaa Kaa La Ra
Sa.
8.
Ka M Kaa Rb Ia N
129/M/SK/XII/2008 a Saa Paaa Ma Ra Sa.
9.
Sa Eaa D Ja Ba Paaa M N
H.K.03.01/III/3744/08 a Pba K a T Paa aPaa I Ra Sa.
C.
Da aaaa aa a aa aaaa a
a a a a, a a ba Ka
Kaa RI.
7/23/2019 993 - PPI Pedoman Surveilance
6/74
6
D.
T PPI a a Pa a Saa, Da Kaa a I
Pa.
E.
Da aaa Pa Sa I Ra Sa aaa
aa b a a a a a aa aa
b aa a a aa aa ba aaa a ba
aa.
7/23/2019 993 - PPI Pedoman Surveilance
7/74
7
BAB II
DEFIII DA JA EIA I
A.
DSa IRS aaa a a a, a,
aa a, a, aa a a a aa aa
a aa a a a aa aa baa
aa aa a a aa aa aaa,
aa a aa a aa a bba a aa.
.
,
. ( , .
I Ra Sa (IRS) aa Haa Aa I (HAI) aaa
a a aa a aa aaa RS aa aa aaa
aa a a a a a a aa aa ba aa a
a RS. IRS a a a aa RS a ba
a a a RS a a aba a aa aa aa.
Ra Pa Sa aaa a a
(IRS) a a aa a.
B.
Sa a a a a a a a a aa baa
aa a a, a ba a a bba.
Pbaabaa a a b :
1.
Aaa ba
2. Pbaa a a, aa aa aa
a a b
3.
Pbaa a a a4.
Pbaa a a aa ab
Pa a aaa aa a a aa a a a
a aa aa. O aa b aa a
aaaa a b a a a
a a a b a.
7/23/2019 993 - PPI Pedoman Surveilance
8/74
8
Aa a a a a aa aaa :
1.
Maaa aa aa I Ra Sa
2. Ma La I RS
3.
Ia Kaa La Baa (KLB) I Ra Sa
4.
Maa aa aa aa a aaa aaa aa aaa
5. M a a baa a a PPI RS
6.
M aa aaa a aaa
7.
Saa a aa RS
A. 1. I
Paa aaa aa a IRS aa a aa aa
( ) a RS. Da a aa a baa b
a aa a a a aa a a. Sbaa
ba (9095%) a IRS aaa a a a KLB a a a.
O aa aa a IRS a a a aa
b.
M aa a aa aa a a aa
, a a aa aa a aa a
a a a a aa aa a aa a
aa. Ba a aa aa a aa aa baa, baa
a aa a aa a aa a a.
A. 2.
Da a a a IRS a aa a
aa a a aa IRS. U aa a a a
baaa aa aa aa, b aa aa a aa a a.
A. 3. I K B (KB) I
Ba a aa aa a a, aa a aa a a ba a
a aa a aa aa b a a a
aa a aa aa a baa () a IRS.
Kaa La Baa (KLB) aaa ba aa aa aa aaa / aa aa a baa aa aa aa aa
a a aa aaa a aa aa
aba.
KB aaa ba aa aa aa RS a a
a aa aa a baa aa a .
7/23/2019 993 - PPI Pedoman Surveilance
9/74
9
D aa aaaa aa a a aa
a RS a aa aa aaa aa a
a (a) aa a aa RS.
U a aaa aa a aa a aa
aa aa b aa a KLB, aa aaa a aa a aa a ba aab
.
Pa aaa a aa aa a aaa/ aaa
baa aa a baa. Sa KLB aaa aaba aa a
a baa b:
a.
Tba a a a ba a aa aa a a aa
a aa
b. Paa aa aa aa 3 (a) a
aa a, a aa b aa
.
Paa aa aa a a aa b baa a
ba aa a a, a aa b
aa
.
Ja a ba aa a 1 (a) ba a
aa a a aa b baa a aa aaaa ba
aa a ba
.
Raaaa a aa aa ba aa 1 (a) a
a aa a a aa b baa a aaaa
a aa aa ba aa a ba
. Aa aa a a a ( ) aa 1 (a)
a a aa 50% (a ) aa b
baa a aa aa a a a
ba aa a a aa.
. Aa a ( ) a ba a a
aa a a aa a a aa b ba a
ba aa a a aa
Taa aaa aa b aa a aa a aa
a aa aa aa a a KLB aa a a aa.
A. 4.
Daa a a a a ba a aa aa aa
aa aa aa aa aa a aa
(PPI). Daa aa a aa a aa a
aa b , aa a aa. Ua ba a a
7/23/2019 993 - PPI Pedoman Surveilance
10/74
10
baaa aa aa aa aa
aa aa PPI RS.
A. 5. I
Sa aaaa aa a a aaa aa a a
aa aa a aa a aaa, aa a a
a aa baba a aa baa aaaa a
aa baba a aa. Da aaa a
aa a aa aa a aaa aa aa aa aa
a baa aa a aa a, baa , baa
aaa a a a a IRS aa a aa
a a aa a a baa a aa aaaa.
A. 6.
Paaaaaa a a ba a a aa a aa a a
aa a a aa aa aba aa
a aa IRS.
Sa a ba aa aa aa aa baa aa
a a aa aa aa aaa a a.
A. 7.
Sa IRS aa aa a aa RS a
Paa Paa I. Aa a, a aa a
aa a aa aaa a ba b aa a
a baa aa ba aaa aa a a aa aa a
aa. O aa a a baa aa a a
baa a a IRS.
7/23/2019 993 - PPI Pedoman Surveilance
11/74
11
BAB III
EDE EIA I
M a IRS aa a a bbaa .1. B
( ) aaa a a aa a
aa IRS (aa ILO, IADP, ISK, a). Sa a ba
abaa a b aa IRS. Sa a
a a aba b. Sa , a a
aa a a aa a aa (>100 aa
a aa ba) a/aa b ba IRS.
( )aaa a a aa
aaaa aaaa aa IRS. Paa IRS baa
aa a aaa a aa . Daa
aa aa a b aa a
ba IRS. Sa baa a a aa a ba,
aa aaa a a IRS. Sa aa aa
a a aa aba b. Sa , a
aa aa aa a aa aa (< 100 aa
a aa ba, aa aaa a) a aa a b
a ba IRS (aa ILO aa a).
2. B
( ) aaa a
a aa a aa aaa a a a
aa aa a a. Daa a a aaa ,
aaa aaa, aba a aa aa. M a
aa aa a aa CDC aa a 1970, a
a baa a, aa a baa.
( ) aaa a a
aa aa, a, aa aa a . Ca a a aaa (ICU),
a aa a a a a a, aa a a
a. Sa a aa ba a a b aa a
a b aa a b .
7/23/2019 993 - PPI Pedoman Surveilance
12/74
12
3. B
aaa a a aa aa a a
a , aa a ba aa a . Sa ba
aa aa baa, aa a a aa bbaa aa
a a a.
( ) aaa a a
a a IRS ba a aa a ba, aa a . Kaa
a a aa a ba, a a a aa b a
a . Sa a aa aa a
a MRa Sa A
(MRSA) aa VaRa E (VRE)
4. B J
aaa a a aa aa a
aa aa a aa. Sa aa aaa b a aa,
a aa a IRS a b aa a a a.
( ) aaa a a
aa a a a a a a. Sa aa aa aa
IRS a a a b, ILO a ba b 30 a
(aa a) aa 1 a a a (a a). Sa aa
aa a a a a a ba a aa
a a a aa aa a a a a,
aa aa a a a a a aa a.
U aa aa aa a aa, a a a aa
a a a aaa a aa .
7/23/2019 993 - PPI Pedoman Surveilance
13/74
13
BAB I
DEFIII KA
I Ra Sa (IRS) aa aa a a a b baa (), aa a bba a a
aaa a. Ja a a aa a aa aaa a
a a a aa aaa. Da a a aa aaa
aa IRS a aa a a. B a a baa
aa aaa a ba a aa aa aa IRS. Da
aaa , aa IRS aa a a aa aa aaa
aa a a a ba aa a aa ba a
a a a aa a aa aa a a aa.
IRS aa a a aa aaa. U a aaa a
a IRS aa ba, b a a ba baa
b a b aa a a a aa a ba aa a
aa.
Pa aa a a a a aa a, a
a a b baa aa ba. Paa 23 a a
aaa baa aa a a, aa aa ba a aa
ba bab a a ba a baa. I
a a a aa ba 23 a, a a ba
ba a bbaa a, , ba aa baa a (aa Tb,
HIV, aa La). U , a aaaa a, ba a aaa,
aa aa baa aba ba .
J IRS aa baa, a a aaa a aa a a
aa aa a (aa aaa, aa, , b
aa, aa a, a ). Daaa IRS aa 4 (a) a
a a a I Aa Daa P (IADP), I a bba
a aaa a aa (VAP), aba
aaa a aa I Saa K (ISK), a aba aabaa (SSI)
A. I A D (IAD)
I Aa Daa P aa a a aba aa
ba a aaa a a aa a b
aa. Daa a CDC b baa ()
7/23/2019 993 - PPI Pedoman Surveilance
14/74
14
A a aa aa aa ba a a, a a
a a aa aa a, ba aa aa aaa a
a, a aa b baa a a a (
).
Ca aaa aaa a a (CVC : Ca V Ca), a (), aa.
1. D K I A D (IAD)
.
D IAD
Aaa aa a a a aa aa/
aa a aa a a a a aa baa
a a a a/aa a aa aaa
a a .
Sa Pb aa baa IADP. IADP bba a Pb
( & ). Pbaa aaa IADP a Pb
aaa:
1) Pb, aa aaaa aaa aa aa a
a . Taaaa aaa b aaa a,
ba, aa baa a a ba a
2) IADP aaa aaa baa a aaa aa a
aa
.
K IAD
Aa bbaa a a IADP. Ka IADP 1 a 2 aa
aa a a a a a < 1 a,
a a a a b:
1)
Ka 1 IADP
Da a aa 1 aa a a
Mba a aa a bba a
baa a a b a (a aa 1 & 2)
2) Ka 2 IADP:
Pa a a a aa : a ( >
38C), aa a Taa a aa a aa aba
a a bba a baa a a b
a, a
Ha a baa a 2 aa aa a
aba a bba aaa ba aa
a , aa (Cba ). Ba ,
(ba B aa) Pba , Sa
7/23/2019 993 - PPI Pedoman Surveilance
15/74
15
aa a a S , S a,
A , M , (a aaa 3&4)
3)
Ka 3 IADP
Pa aa a 1 a a a a aa b : a ( a > 38C), ( a < 37
C), a aa baaa a
Taa a aa a a aa aba a
a bba a baa a a b a
a
Ha a baa a 2 aa aa a
aba a bba aaa ba aa
a , aa (Cba ), Ba ,
(ba B aa) Pba , Sa
aa a a S , S a,
A , M .
K :
1. Daa a 1, a aa a aaa a 1 b
a aa a ab ba a aa .
2.
Daa a 1 a a aaa ba a a a
aa ba aa a aaa (a a 2
& 3). C ba a a ba a a a
aaa S. A, E , E , Pa ,Kba , Caa , a aa
3. Daa a 2 a 3 a 2 aa ab a a a
bba aaa :
a.
Da CV aa a CV a
b. Saa 2 a aba aa a a
a a b a 2 a (aa aba aa aa a
S a Saa, aa S a Rab, aa a a aa
S Ka) aa aa a a baaa a a a
bba.
.
Ma 1 b a aa a ab a baa aa a aa. (a aaa 4
a aaa ba)
C :
a.
Pa aa ab aa a 8.00 a a ab a a
8.15 aa a a aa, aa aa a a aba
a aa 2 b a ba (a 4 b). Ba 1 b
7/23/2019 993 - PPI Pedoman Surveilance
16/74
16
a baa a a aba aa aaa Sa
aa a, a .
b. Na ab aa aa Saa a Sab.
Da ba a aa . Kaa a a
aba aa > 2 a, aa a a aa a. Paa aba aa a aaaa, aa baaa
aa, aa 1 b aa aa ab. Aa a
a a , aa aa aba a aa b
a a a a a a b a 2 aaa a
a ba a aa a aa.
4.
Bbaa a aa aa a aaa
ba :
a. Ba aa a 1 a aa a ,
a aaa aa a a aa baa aa
(aa aa aa a ) aa aa baa ba
ba b aaa . S ba a aa
baa a bab .
b.
Ba ba aa a a a aa
a a b aa aba, aa a
aa aba aa aa 1 a, aa aa
baa baba b aaa .
.
Ba aa a a aba a bba
2 ab, aa aa baa baa aaa
.
U a aa aba ( aa a aa
WHO) aa a a TIDAK DIPAKAI
baa aaa 2 ba aa
Tab 4.1 C Kaaa ba
K K aaa Daa
baa
S Sa a (CNS) Caa S.
E
Ba Ba B. C
S. Saa S a S. Saa
7/23/2019 993 - PPI Pedoman Surveilance
17/74
17
Tab 4.2. C Kaaa aba ba
Naa ba Ia A Ia B Daa
baa
S. a ba S a ba S ba a aaS. OX R OX S ba a bba
CEFAZ R CEFAZ S
Cba P G R P G S ba a bba
C S C R
S a Sa ba S a Oba S a ba a aa
E R
Kaa: S : S R :
Caaa :
a.
Iaa, aa a ab 24 a a bba (aa a a
aba a aa) a TIDAK DIAMBIL DARI SELANG INFUS. Daa
ab aa a aa aa a a a (aa aa
bbaa a)
b. Ba a aa a baa a aa aa
a aa b aa IADP a a a aaa
aa, a a aa a a a
aa a a aa a b ba.
2. CE (C EI) / EI K
CSEP aa aa aa aa IADP aa a a ba.
Ta aa a aa a aa.
K CE
a.
Pa b 1 a a a 1 aa aa aa
aaa bab a : a ( a > 38 C,
( a < 37 C), a aa baaa, a
b.
Ta aa aa aa aa a, a
.
Ta a a a, a
. K aa a baa a
3.
F IAD
R IADP a aaa a a a aa a a.
Saa a a aa a a :
a.
Laa aaa : baa a aaa aa
b.
J a aaa (a a, a , aa, a baaa)
a aa.
. La aaa : b aa, a, a a,
7/23/2019 993 - PPI Pedoman Surveilance
18/74
18
.
T aaa : aa a, a, a,
a baa aaa aa (, a, )
. Paaa : a aaa, aaa aaa, aa
.
K a : a, a a aa
.
T .
4. D IAD
Daaaa aa a a aa a IADPaaa aaaa
a bba a a aa (aa a
aa, a aaa a aa, aa aaa
a, a aaaa a aa aa a aa
aa), a aaaa a a aa (aa aaa
a a aa aba).
Paa a a IADP a aa baa a aaa
a a a aba aa a aa,
aa baa a aaa a a aa aa
aa.
5.
IAD
Pb a a a aa a
a, a ba a a aa a aa aa aa
aa baa b, ba baa IADP. Paa ba a a
aa baa IADP ba a a a a baa b.
R :
a.
CDC : Mb a Ma W R, Ra a
R A 9,2002/V. 51/ N. RR10
b. CDC.2006. O F HaaAa I Sa
B.
(E)
Pa aa aaa aa aa a aa. Daa
a a aa baaa 3 (a) a, a aa ,
a a aba,
Aa 2 (a) Pa a bba a IRS, a Pa
a aaa aba aaa a aa aa b baa
() a Pa a a aba
aaa a a aa baa
().
7/23/2019 993 - PPI Pedoman Surveilance
19/74
19
1.
D K HA A
. D HA
HAP aaa aa aa baa a a a a
a a aa a a > 48 a aa aa baa ba a a aa aa baa. HAP
aa abaa a ba aa (a/a aa, a,
a, Eaa Tb/ETT)
. D A
VAP aaa aa aa baa a a a a
a aaa a a > 48 a a ba a
a aaaa aa aa
2.
D D
Pa (PNEU) a baaa a , a, a
aba. (La Gaba 4.2. Daa A Pa a Gaba
4.3 Daa A Ka Pa aa Ba a Aa).
.
G K
B Pa aaa ba a a 1 (a)a aa
a aa b :
1)
Da (38C) aa bab aa
2)
La (,4.000 WBC/3) aa L (12.000
SDP/2)
3)
U a b 70 a, aaa baa a
a a a bab aa.
a a a 2 aa b :
1) Tba ba aa baa a
2)
Ma aa a aa ba a b aa
(a aa) aa aa (aa )
3) R baa aa aa aa ba
4)
Mba aa a, aa aa O2
(PaO2/FO2240), aa ba , aa aaa a
Kaa :
1)
S aaa a baa aa , b
aa aa a a 25 a 10
a/aaa aa a (100) aa LPK
7/23/2019 993 - PPI Pedoman Surveilance
20/74
20
2)
Pbaa a aa a a aa, , ba,
a a
3) Daa aa a aa baa a
a a aa a b a 24 a, b a a
a aaa baa aa a
4) Taa aaa aa aa/ (RR) a
aa a aa > 25, ba a aa a
a 37 > 75, ba a ( aa 40) > 60, aa < 2
ba > 50, aa b 2 12 ba > 30
.
B aaa Pa aa Ra aaa ba a 2
a aaa a 1 aa b:
1)
Ia ba aa a a
2)
Ka
3) Kaa
4) Pa aa ba b 1 a
Caaa :
Paa a a aa a aa aa a (a
, ba aa, a a,
aa b a a) a aa, 1 b
a a a aa a
. K
Aa 3 (a) a
1)
Pa (PNU 1)
2) Pa a abaa aba (PNU 2)
3)
Pa aa a (PNU 3)
Gaba 4.2 a 4.3 aa aa a a
a a aa aaaa baa a aa.
1)
K 1 : K
Daa a baa PNU 1 ba aaa aa a
a b :
)
K 1 : a
Taa a Gaa K Pa (B.3.a.)
Taa Ra Pa (B.3.b.)
7/23/2019 993 - PPI Pedoman Surveilance
21/74
21
) K 1 2: ba b 1 a
Ba aa a
a a a 3 a aa b :
S a a ab, a a a bab
aa L (< 4.000/) aa ( 15.000/3) a
abaa aa a a ( 10 %
b b baa)
Ma ba aa baa
aa aa aaa aa
aaa aa aa a aa
()
Aa, aa, aa aaa a
a aa
R baa aa a a
Ba
Baaa (< a 100 /) aa aaa (> 170
/)
) K 13: aa b b a > 1 a aa
b 12 a, a a 3 a aa b :
Da ( > 38,4 C) aa (
7/23/2019 993 - PPI Pedoman Surveilance
22/74
22
Ma 1 a aa aba b :
K a aa aa a aa baa
a b a
K a aa a
K aa a Saa NaaBaa (BAL aa aa b )
5 % a aa aa BAL a ba
a aa aa a
Paa a a 1 (a) a
b b :
Pba ab aa a a
ba PMN a baa aa b a
a
K aa a a aa
B aaa a a a aa a
aa a aa
K
SNB : Saa Naa Baa (=LRT : L a a)
Ia a aa a aa.
Baa aa a aa a a aa a
aa aa a a. Paa a
, aaa baa CNS
aa a a aa aa a a
a a Na aba aa aa a aa ab
4.3
Paa aa a, a
aaa a aa a, aa
a a BAL aa aa b . S
a a aa a aa aa aa
a a
BAL : B aa aa
)
K 22 :
, , C, ,
:
Daa a baa PNU22, ba a bb
b :
Taa a aa Pa (B.3.a)
7/23/2019 993 - PPI Pedoman Surveilance
23/74
23
Taa Ra Pa (B.3.b)
Ma 1 (a) a aa ab b:
K aa Caa a
aaa
D a aa ab a aaa
Daaa aa 4 aa b IG a
a a aa a (aa a
, Caa)
PCR Caa aa Maa
T IF Caa
K aa aa IF La
, a aaa a aa
Ta a La a
I a a aa RIA aa EIA
Paa aa IFA aaa aa
4 aa b ab a a a aa
La a I a 1 :
128
K :
D a a aa aa bbaa
a (EIA, RIA, FAMA, IF) PCR aa
PCR : Pa Ca Ra, aa
a a aa baa aa a
a aa
Pa a aaa aaa a a ab aa a
a aa a ba a. Paa a a
a ba () aa aaa
aa a aa a ba ba
4 baa a a aa a a.
Ba aa baba RSV,
a aa a , aa
a a aa a aa aa aa
aa a aa a a aa
a aa .
) K 3 :
Pa Paa Pa I
7/23/2019 993 - PPI Pedoman Surveilance
24/74
24
Daa a baa PNU 3 ba a bb
b :
Taa a aa a aba a
a aa a aa :
H N aa
Taa Ra Pa
Ma 1 a aa aba b :
K aaa a a aa a
aa Caa
B aaa a aa a a
aa a SBL (BAL aa
aa b ) a 1 aa b :
Paa a
K a
Aa a a aa a aba
PNU 2
Kaa :
Ya aa a aaa a
:
Pa a ( ab 40
aa aa ( 160 , a
32 , aa 6 , 200 ) / a
> 2
S a a ab aa a a
baa (48 a)
S aa aa aa
aa ab a ba aa, , aa aa
baa. Ba aa a, a a
aa.
7/23/2019 993 - PPI Pedoman Surveilance
25/74
25
4.3. A K K
J / Pa a
S b
Baa baa (BAL)
P BAL
P b
S N b (b)
BAL
P BAL
104/ aa
104/
104/
104/
104/
104/
C : ,
Pa a aa ab a
aba aa aa
Ba a a baba RSV, a
aa a , aa a a aa
a aa aa aa aa a aa
a a a aa a aa .
7/23/2019 993 - PPI Pedoman Surveilance
26/74
26
G 1. D A
a aaa a aa a 1
aa b a a a aa a
b :
Ia ba aa a a
Ka
Kaa
Pa aa a < 1 a
Pa a b :
Da > 380C aa bab a
La (< 4000L)aa (>
12000 L)
Pbaa a a aa bab a
a a >70 a
Saa 1 a b aa a
a :
Da > 380C aa bab a
Pbaa a aa bab
a aa a > 70
Daa a ba ,
aa baa a aa, aa
aa aa Tb ba aa ba ba,
aa a, aa aa a
R aa aa aa ba
Pba aa a ( 02
a PaO2/FIO
7/23/2019 993 - PPI Pedoman Surveilance
27/74
27
G 2. D A K
B A
) F
Pa aa baa a:
- a a aa aa, aa a,
aa aa aaa (a)
Pa a a a
aa a 2 aab a a a
aa a b :
Ia ba aa a
Ka
Kaa
Pa aa a < 1
a
Pa aa a a
aa a 2 aab a a a
aa a b :
Ia ba aa a
Ka
Kaa
Pa aa a < 1
a
Ba < 1 aPba aa a (
02 a PaO2/FIO 15000 L) a
a (>10%
b baa)
Daa a ba
, aa baa a
aa, aa aa
aa A, a, aa
a a
aa aa ()
W, a aa
Ba
Baa ( 170/)
Aa > 1 a < 12
Sa 3 b :
Da (38.40C)aa
(< 36.50C) aa bab a
a a
La (< 4000L)aa
(> 15000 L) a
Daa a ba
, aa baa a
aa, aa aa
aa
Ra aaa aa aa
ba
Pba aa a (
02 a PaO2/FIO
7/23/2019 993 - PPI Pedoman Surveilance
28/74
28
- Paaa a aa aa aaa a:
Eaa Tb (ETT), Naa Tb (NGT), S
a, B, Ra .
- Oa a: , aa, , a
a a a .
Fa R aa Pa aaa a:
- K a: (>70 a), Pa ,
Pbaa (Ta aa Ab), Pa Pa
Ob K (PPOK), Pa Ja K,
Caa Vaa Da (CVO), Ka, ba
- Taa baa aa aaa: a, a
, ba aa, a, aaa a
a a aa, ba aaa a, a
ab, ba aa a
Pa b aa a IRS baa
baaa aa.
- Pa b VAP aaa a a a aa
a a a aaa aa
aa aa aa a ICU, NICU/PICU, HCU.
Sa a aa baa a aa
a aaa a a VAP
(1 ba, 6 ba, 1 a), aa
aa aaa a a aaa aa
a a a .
- Pa b HAP aaa a a ba aa a
aa a a, a a aa baa
a aaa a a HAP
(1 ba, 6 ba, 1 a), aa aa
aaa a a aa a a ba
(1 ba, 6 ba, 1 a).
)
D Daaaa aa a a aa a
Pa aa, aaa aa b
a aa HAP aa VAP.Daa a
a aaa aa a bUba a a
a aaaa a a a a
a a , a a aba.Pa
aa a aaa
7/23/2019 993 - PPI Pedoman Surveilance
29/74
29
a a, a aa aa
aa aba.
) KK
- Ha A Pa (HAP) a aa aa
baa a a aa.
- M a aa ba a aa,
a a a a
aa.
- Pa a a (VAP, a a aa
a a aa aa ba a
aa aaa aa a
a aa ba aa aaaa a
48 a b a , a
aa) a aa aa a aa aa.
- Paa a aa a aa
a, a baa baa aaa
a baba aaa a a a,
b a, aa aa, aa, aaa,
PPOK, a ba a, aaa
b, . Paa a aa a
aa a ba, a baa aaa
a aa, aa aa aa (aa
ab) a aa aa a. P aa
baa a HAP aa a
a, ba a a aa aaa
aa aaaa aa aa a
a. Ka a a a, ba
a a a aa aa
HAP .
- HAP aa aa a a: aa aa aba.
Pa aa b aa 4 a aa
aaa a baba Maaaaa, H a, a S a. Pbab
a a ba a a a
aa S a, a a S a
(MRSA). V (aa a A a B aa RSV) aa
baba a a a a a,
aa aa, a, a, a P
7/23/2019 993 - PPI Pedoman Surveilance
30/74
30
a a aa a a
a.
- Pa a baba aa ba (aa aa
a ba a aa aa aa a)
aa HAP a a aa aa a aa aa a aa aa ba aa
aa a a a a.
- HAP ba aa a aa aa a a
ba a a a a a a aa.
Paa a aa aaa aa HAP
ba aa a a, a bb
baa aa a aa . Pabaa
aa baa a aa ba a . ba
a. Da ba aa a aa a
b a aa a a.
- Paaa Ga ba a KOH
a a a/aa a a a a
a a aa a ba aa
a aa a bab . Na
a aa aa a a
aa aa a a
a aa. Saa , aa a
aa aaa, aa a baba HAP.
C. I K (IK)
I Saa K (ISK) aa a CDC b baa
(UT/), aa a a aa aa
(a a aa a ) aa baa baa a
Ib aa a aa aa (a, , a
, a a aa a a aa a ).
U , aa a ISK, I a abaa b
1.
Saa K Sa
2.
Saa K Aa3. Saa K aa
1. IK
.
IK:
1) Da (> 38C )
2) U
3)
F
4)
Da, aa
7/23/2019 993 - PPI Pedoman Surveilance
31/74
31
5)
N Sa Pb
. IK :
1)
Da > 38 CC a
2)
H < 37 C a
3) Aa
4) Baaa
5)
Laa
6)
Maa
2. K IK
T a aa a ba aa aaa ISK.
1)
T a a aa aa aa a
aa a a a a aba
aa2)
T a aa aa aa b: ISK ,a
aaa a a baa aa aaa ISK.
3) T a aa ba: aa a
a a aa aaa , aa
a aaa a ISK aa aa , a
a a aa.
Ha baa aa a (a) >105 a
a a a a b a 2 (a) .
1) T a () a a/aa
.
2)
P (aa >10 aa aa>3 (7
LPB( a /1000) a aa aa
a).
3) Da a a aaa Ga a a a
a.
4) Pa 2 aa aaa a a
aa (ba a a aa S. a) a a
102 a a a a (a aa
aa ab).
5) K a 5105 /1 a a a (ba
a a aa S.a) aa a a aa
baa aba ISK.
7/23/2019 993 - PPI Pedoman Surveilance
32/74
32
6)
D a baa 1SK.
7)
D ba a a a ISK.
3. K IK :
.
IK :
1) Ka 1 ISK a.
a)
Da a a ISK (2.a.), a
b)
T a a (3.a)
2) Ka 2 ISK a.
a) Da a a ISK (2.a.), a
b)
Sa a (3.b)
3)
Ka 3 ISK a aa a a.
a) Da a a aa ISK (2.b.), a
b)
T a a (3.a)
4)
Ka 2 ISK a aa a ..7 1 a.
a) Da a a ISK aa a a SK
(2.b.),a
b)
Sa T a ': (3.b)
.
1K A
ISK aa a a A a b :
1)K 1 IK A:
a)
Pa a aa a aa a 7 a
b baa , a
b)T a a ISK , a
)
S ISK a.
2)
K 2 1K A:
a)Pa aa a a aa 7 a b baa
aa , a
b)
T a a a a a
aa 2 b, a
)
S ISK a.
Caaa:a.
K a a a aa aa
a ISK
b.
K a a ab a a
a aa aa a ISK.
. S a aaa a a
ba, aa a a aa
a, aa aa.
7/23/2019 993 - PPI Pedoman Surveilance
33/74
33
.
Paa ba, ab a a aa a
aa aa a b.
3)I K (G. , K K,
)Ha aaa a a a a
aa baa b :
a)
Ka I ISK La:
Da a a a aa (a )
aa aa .
b) Ka 2 ISK La:
Da ab aa aa a a a ba
aa aa a, aa baa aa a
aa a.
)
Ka 3 ISK a:
.1) Da a a a aa aa aa baa
b :
Da ( > 38 C )
N a
N a aa aa a a , a
.2) aa aa a a a b
Daa a a a a .
Ka a b aa aa a a
a a a a a Taa b aaa aa aa
a (USG, CT Sa, MRI, Raab Sa).
Da a aa.
D a aa ba baa
aba a a a.
.3) Ka 4.15K a a b 38C a
H
7/23/2019 993 - PPI Pedoman Surveilance
34/74
34
aa aa a a a b :
Daa a a a a .
Ka a b aa aa a a
a a a a a .
Taa b aaa aa aaa (USG, CT Sa, MR1, Raab Sa).
Da a aa.
D a aa ba baa
aba a a.
.
F IK
Fa aa ISK aaa a a aa
a, a aa a baa a:
1)
K a (a ): ba a (aa
DM), a Jaa aa b (aa a),
a (aa: , a , ).
2)
P aaa: aaa, a a.
3)
Paaa: Paaa a a, a a, a
a , aa (aba a ).
G 4.4.K
. D IK
Pa aa a ISK aaa a a aa
aa. Daaaa a aaa aaaa a bba
a a , aaaa a a aa aaa
7/23/2019 993 - PPI Pedoman Surveilance
35/74
35
a, a a aa aa a aa a a
.
D. I (I)
ILO aa a CDC bU baa (SSI).Aa bbaa a aa a, a aa aa aa ILO a
a baaa baa a a aa aa a a,
a aHa:
1.
ILO Sa: ba aa aa a aa baa
(ba)
2.
ILO Pa: ba a aa a a b aa (.a
a aa )
3.
ILO Oa/Ra b: ba aa aa a aa aa
a aa b.
U aa aa a aa Gaba 4.5.
1. K I
. K I ( /):
1)
I a a aa a 30 a a aaa a
2) Ma aa aa a aa baa (ba)
aa a a
3)
Pa aaa a/ aa a
aaa baa :
a) Daa baa a a.
7/23/2019 993 - PPI Pedoman Surveilance
36/74
36
b)
D'aa a a bab a baa aa aa
aa a ab aa a a a
a.
)
Saaa aa:
a aa aa aa baa b : aa ,baa a a, aa, aa aa
aa
abaa, a
a aa a ba ba a
a baa aa a aa baa. Ha baa
a a a a .
4)
Da ILO a ba aa a
aa a b.
Taa 2 (a) ILO a, a :
1)
Sa a a (SIP) :
I"a aa a aa a a a
aa aa a a a aa b (
aa a Ca aa aa aa aa a ba
a ).
2) Sa a a (SIS)
a aa a aa a a
aa aa a b a a ( aa
[baaa aa a] CBGB).
CBGB: Ca ba a
/ I :
1) Jaa aa " ab" (aa a a aaa
a aa [a] aa a a/a a aa
a aa) baa a
2)
Jaa aa a a a ("a ab
") baa ILO, baa aa baa
(SKIN) aa aa a (ST) a a
aaaa . Laa aa aa aa ba ba a baa CIRC. S a a
aa a aa NHSN Laa aa a
baa baa BURN.
3)
Ba aa a a aa a aa
aa a aa , aa baa ILO a ("
a SSI"). Aaba a baa ILO
a a ILO a aaa baa ILO a.
7/23/2019 993 - PPI Pedoman Surveilance
37/74
37
. K I (D I):
1)
a a aa a 30 a a aa
a aa aaa a aa aa a 1 a ba
a a aaa a a a aa
aaa a a a2) Ma aa a a b aa (aa a aa )
aa a a
3)
Pa aaa a / aa a
aaa baa :
a) Daa a aa a aa a ba a
a aa a aa aa a a'.
b)
Ta aa aa "" aa a
a aa ba ba a a baa
aa a aabaa a aaba a a
aaa a aa aa aa baa b:
b (> 38 C), aa a a. Ha baa a
a a a aa a .
) Ab aa aaa b a aa a a
aa a a baaa aa a,
aa a', aa baaa a aa
a (PA) aa a.
)
Da ILO a ba aa a
aa a b.
Ya a a a aaa a ba. baa aa,
aa a baa ba a aa ( a a
a, a b aa a ba baa a aa,
a baa (a), aa a a a) a
aa aa b a aa a aa a aa
a Ca a aa aa ba a
a a a a.
2 I , :1)
(DIP) :
a Eaa a aa a a a
aa aa a' a a aa 'bb (
aa a Ca aa aa aa aa a' ba
a ).
2) (DIS) :
7/23/2019 993 - PPI Pedoman Surveilance
38/74
38
a aa a aa a a
aa aa a b a a ( ' Paa
[baaa aa a] CBGB).
/ I :Aaba a baa ILO a a ILO
a aaa baa ILO a.
.
K I / (/
1) I a a aa a 30 a a aa
a aa aaa a aa aa a 1 a ba
a' a aaa a a a aa
aaa a a a
2) I a a baa a b, a , aa
a aa a aa ba aa aa aa
/ aa a
3) Pa aaa a/ aa a
aaa baa :
a)
Daa a a a a aa a "
" aa a/a b.
b) Daa a a baD a baa aa aa aa
a ab aa a a aa b.
)
Ab aa aaa b a aa a
aa/a b a a baaa
aaa, aa a, aa baaa a
aa a (PA) aa a.
)
Da ILO a/a b ba aa
a aa a b.
/ I / :
1)
Oa aa a b a baa/a b
aa a , aa aa aa , a aa ba
aa aa aa aa a. Ta aa aa
a b a a aa aa ILOa/a b aa a aa
.
2)
Saa a aa a aa aa
aa ILO aa b (Ia a a a
b). Sbaa , aa aa a a
a a ab baaa, aa aa baa ILO
7/23/2019 993 - PPI Pedoman Surveilance
39/74
39
a/a b a a a aa "a
aba" (ILOIAB).
3) Daa aa a a aa aa aaa /
aa ILO a/a b.
BONE
DISC
ENDO
IAB
LUNG
ORAL
VASC
SA
IC
EYE
BRST
EAR
VCUF
SINU
MED
OREP
JNT
GIT
EMET
CARD
MEN
OUTI
UR
4)
Baaa a/a b a (a) a a
. I b a a a a a
aa baa a a , a aaa b
a aaa baa a ILO a.
2. F I
Fa aa ILO aa baa a:
a.
a , aa a, ba, a ba,
ASAS, a MRSA, aa aa a a, a, DM,
a aaa.
b. P a: C ab b a, aa,
ab a, aaa a, aa b a 1 ,
ba a, a aa, a b a, a
, a.
.
J a: a b, a b aa, a
.
. Paaa aa : a aaa, aaaa
aaa (aa ba), aa aaa.
E.
I
1.
Pb aa aa HAI CDC, a aa CVSVASC
(Aa ).
K
I a aa a a a 1 a a b:
a.
Ha a a aa a a ab aa a.
Taa b a a aa a a a aa a
aa baaa b a.
b.
Pa a a 1 aa a aa b, aa
a bab aa:
7/23/2019 993 - PPI Pedoman Surveilance
40/74
40
- Da (>38C), a, a, aa aa aa a a
ba, a
- K aa a aa aa b >
15 ba, a
-K aa a aa aa a a.
. Aaa aa aa aa a a ba.
. U a 51a, a a aa a aa b,
aa a bab aa:
- Da (>38C a), (
15 ba, a
- K aa a aa aa a a.
a. a aaa aa, , aa a aa a
aa a baa CVSVASC aa aaa a a
aa.
b.
I aa a a aa , aa
baa IADP.
2. IFEKI DEKBI
Ka b:
b a a b:
a.
Pa a a a 2 (a) aa a aa b, a
a a bab aa: aa, a, aa
baa a b, a
b. Ma a 1 (a) a b b:
Ha a aa aa aa a ab aa
ba.
Ha aa .
a. Aaa aa aa, b baa b .
b.
K a aa b b baa b
.S a ba aa a ab a baa
aa a b a aa a aa. S
aa a aa b a .
C:
J IRS a, a aa IRS baaa CDC aa a aa aa 6.
7/23/2019 993 - PPI Pedoman Surveilance
41/74
41
BAB
AAJEE EIA
A. I K
Aaba a a IRS, aa aa a a a aa
1. Aaa a IRS aaa aa a aa a?
2.
Aaa a IRS aaa baaa a aa a aba?
3.
Aaa a IRS aaa aa aa ?
A. 1. K I
Paa a aa a, a a a aa K/T PPI
aa aa a aa ba a aa
aaa.Maa a a aa aa aaa ba a IRS aa aa.O aa aa a
aa aa aa Ib aa aaa a aaa
aaa a, aa a a aa aaa a a aa aa
a a aaa a aa, a a a
a a aa a .
Sa a aaa aa a aa aa a a
IRS aa a a a a a a a KT PPI
b a aa a bbaa b a a a
a aaa a IRS aa a.
A. 2. K I
Sa a aaa aa a a, aa a ,
aa aaa a a a a
aa a aa .Daa a a aaa
a a aaa a a aa aa a
aa.
Sa a baaa aa a aba, aaaa aaa
aa a aa aba aa aa .O aa a
a a a a BAL aa (baaa aa a
aa ) aa, aa aa, aa a baa
aa a aa aa aa aa baa IRS (aa
a' aa aa a a ba ).
7/23/2019 993 - PPI Pedoman Surveilance
42/74
42
A. 3. K I
Ya a a a aaa aaa a a
aa aa a a a a a aa a aa (a ba a aa a a a a a aa
aaa a).
Sa ! aa aaa aaa a a a
a aa aa IRS.
Ka a a aa aa a aaa
1.
Daa a a a .
2.
Aaa a K/T PPI a aaa.
3. Ma aa aa baaa a a aa ba
a ba.
Kaaa aaa a b aa a b ba
baa a .
S a IRS aa Naa a a a baaa
a a a a .
Sa a aa aa bab (Ia ab 4) aa
a a ba aa IRS a aa a
a ( ).
1.
D
T PPI ba aab aa a aa b aa, aa
a a a' aa aa a IRS a
a a aa.Saa aaa aa aaa 1PCN a
ba IPCLN.
Baa b aa a aa aaa a IRS a
a aaa a ba a a a. K/TPPI a a a a aa b aa a aaa
a aa a a ba:Ia / a a b, aa aa
aaaa a a ba aa aaaa a a
KLB.
Sa a b a ,aa, a a aa
a, a aa, aaa , aaa aa. aa
7/23/2019 993 - PPI Pedoman Surveilance
43/74
43
K/T PPI aa a ba a a a a
a aa aa a aaa.
2. D
.
DPa a aa aa aa ) a IPCN,
aaIPCLN a a a aa a a a a
aaaba , a a IPCN aa a IPCO (I
P C O) aa IPCD (I P C D)
a ba a a a aaa IRS baaa a
a aa a aaa IRS.
.
J D D
1) Daa a: aa, aa a, a, aaa
, aa a RS.
2)
I: aa , a , a aaa
aa; aa a.
3) Fa : aa, , a a a bba a IRS.
4)
Daa aba: ba, aba, , a.
5)
Daa Ra/a: Xa, CT a, MRI, b.
.
1)
Caaa a/a/a aa, aaa aba b.
2)
Maa baa a aa a b a
aa.
3)
Daaaa a (aaa a aa ) a
a:
.
Ha aba a a/a
.Caaa aa a a a
.Da aa a RS
.
Raa a a aa
.Caaa a a ba
. Caaa
.
Ia ba ab4)
U a SSI a, b aa a aaa a
ba, aaa , a .
.
B IC
1) Aa aaa a/a/a aa aa a a
a , aa a aa aaa
IRS.
7/23/2019 993 - PPI Pedoman Surveilance
44/74
44
2)
R aa aba a a a a
(aa b, a a) a
baaa a a aba a a
a a a a ,
a aa aa a a aa a a IRS.3) Saa aa a aa, aa ba
aa, aaa , ba ba ab, a Caaa M
Pa; baa a aa a ba
a aa a a .
4) Laa aa a a a a IRS;
aaa a a ba a aa, aa
aba, aaaa, aa a, b.; ba aa
aa, aa aa a , a
aa a a, aa, a !
aa.
5)
R a aa a b a aa Ia IRS.
3. D D
.
Pa a aa &a aa a IPCN, aa
1PCI_N a a a.Daa a aa , aaa aa
aa baa a bba a aa a a aa
aa.
. J
1)
Ja a a a b a IRS.
2)
U aa a a IRS a bba a aa:
aaa aa a a a a a a a aaa
aa (a, a , a a ) aa aa a aa
a. Jaa a aa aa a a
aa baa a.
3) U a SSI aa a : aa a
a a 1 a (a: ,
aa, a , b.)
.
1)
U a a a bba a aa: aa aa
aaa a aaa a aa a a
a a aa a a a a aa aa a
a bba a aa IRS (a: a ,
a, aa a a).
7/23/2019 993 - PPI Pedoman Surveilance
45/74
45
2)
U a SSI: aaa aa aa a a aa a
aa a.
. B IC
1)
U a a a bba a aa: aaaaa a a a aa a a a a aa
aa aa.
2)
U a SSI : aaa aa a aa a a aaaa
a a a.
4.
.
Aa aa a aa aa.
Taa a a a aa aa a a a IRS,
a: aa a, a a aa aba.
. D
Daa a aa.
Da a a aaa aba a aa aa
a a aa :
1) a a a a a aa a ,
2)
a a aaa a,
3)
a a a aaa a a a a
4)
a a aaa a a
. D
M a aa aa a IRS aaa a a
a a a aa a aaa (baa). Daa
a aaa a aa aa aaaa a
aa aa , ba a aaaa
a aa aa aa aba baa
aa a.Kaa a aaa aa , aa
K/T PPI aa aa aa a a a
a aa a a aa.
Baaa, a a ;a a aa a ba
a a a a (ba a a
IRS aa aaa ba) a aa a a
aaa IRS a ab aa a a
a I a. Saa aba
a aa baa b.Ha aa ba K/T
7/23/2019 993 - PPI Pedoman Surveilance
46/74
46
(/)
PPI a a aa a aa b a.D baa
aa ba a, aa aaa, a ,
a ba ab.U aaa aa a b aa
aa aa aaaa a , aa a a
a aaa. Ka baa a aba b aa aa K/T PPI aaa a
a a a aaa aa aba, aa
abaa aaa IRS a abaa aa aaa aa aa
a ba ba a a () a
aa a aa aa a aa Kaaaa
Saa aa a.
.
:
1)
Caaa / aaa aa.
2)
Caaa a aa a (aba a a).
3) Pa / aa a.
4) Faa
5)
Ra
5. :
a.
Pa aa a a a aa IPCN a
ba IPCLN.
b.
Daa a a a a, a a a,a
aaa aaaa aa (a a, a a,
a a a, a a ) a a a a.
.
Daa a aa ba aa a ba
aa (ISK), aa aa (IADP), a ba
a aa a a a a aa a
a, a a (ILO).
6. A D
Ma a a.
La aaa a baba a aa. Baa aaa aa abaa b :
= a, aaa a a aa aa a .
= a, aaa a a a aa a aa
aa b baa aa a a aa.
7/23/2019 993 - PPI Pedoman Surveilance
47/74
47
I = (A / I)
= aa ba a aa ba aa a aa a baa (100,
1000 aa 10.000).
aaa a a a
a a b a a.
Aa a aa a a aa aa Oa IRS aa a a
, a .
.
Aaa a a ba a a a a b aa a
a aa a a.
D aa a IRS aa aaa a a IRS ba aa
a ba a a a
aaa IRS a aa aa a a aa
.
Aaa a a a ba ba a aa a aa,
a.: a ( a) aa aa a a
( a).
P a a a aaa a a IRS a aa
ba a a a aa .
Ra aaa ba aaa a a aaa
baa b :
I = I a
P = Pa a
LA = Ma aaaa a aa aa a a
LN = Na aaaa a aa aa a a aa
aaa
Ib IRS.
INTN = Ia aaaa aaa a a a a a a
aa aa IRS aa aa a aa
a
aa Ib IRS b.
Daa aa a a aa a a a. ba
a aa aa aa a a a
a aa IRS baaa Ib a aa aa a a
IRS.
Ha aa Ib a a a aa Wa a baa
b:
7/23/2019 993 - PPI Pedoman Surveilance
48/74
48
Daa Pa aa a I a Laa I.
.
Aaa aaaa a aa a, a aa baa
a a baba .I aa aa a
a a aa a aa a.
C a a I D Ra (IDR) a aa
a a aaa a IRS 1000 a/a.
aa ba aa aa aaa baa b :
1)
Saa ba ba a a aa a a
aa a aa a aa a (aa a
aa a aa, a ba aa ).C a (IDR)
Ja a ISK / a a aaa a.
Lb ba aaa I Ra (IR) baa
Ja 1SK a a a aa a .
O aa 1DR aa aaa a aa
a a (aa a aaa a ) a
bba aa a .
2)
Ja a a a aa aaa Aa Ra (AR) a a
b a a. Baaa aaa a
(%) aa 100 a aa aa aaKLB IRS a aa aaaaa a a a aa a .
Sa aa aa a aa ba a a
a a a a a a IPCN a ba
a ( ). Daa a baa aa aa
ba, aa aa aa aa aa aa.
Baa aa a a a a a aa aaa
aa aaa a aa aa ,
a a ! a. La a a a aa
baaa a aaa aa a aa aa, a a a
aa aaa aa a.
Daa aa b aa bba.a a a a
baa, a :
1) M a aa aa, aa
aa .
= ( I) / A
7/23/2019 993 - PPI Pedoman Surveilance
49/74
49
K aa ba a b a, a aa a
Ib ba a aa a aa a aa
a a.Sa aa a a, a
Iaba a baaa, aa aa .Na
a a baa aa aaa aa baba a aaa.Ta a a aa
aaa a a aa a .Sa
a aa a aa IRS ba
aa aa aa a baa. M a Ib
a a Ib a aaa a a.
2) Ma a a a a a aa.
Pa a a aa aa a
baa a a a a a a aa
aaaa a a.
7. E, D
Ha a aa aa aa aaaa a
aa a aa a a (PPIRS) aa a a
.
B. I D K
Da a a a (a) a abaa a a . Daa
baa a aa a aa a a a, aa a
b a aa b a aa a a
ba ba aa aa . Kaa a
aa a aa , aa a
a aaa.
Fa aaa a ba ba a 2 a a a
a a .
1. F aaa a a a aa a a a
aa a aa. Ma a aa a
a a a a aa (a).2.
F aaa a b bba a aaaa
aa aaa (a a a a).
M a a a ba IRS, a a b
baa aaa aaa ; a b ,
aa a, aa a aa aaa aa a a. Baa
aaa a aa a aa a a a b ba
7/23/2019 993 - PPI Pedoman Surveilance
50/74
50
a a aaa. Aa b aa baa ba aa
a a a baa b a a aa baa b a a a
a. R aa a a (ILO), baa a
bbaa a. Daaaa, a aaa baaYaa a
aaaa, a aa a a a, aa a'a a a. O aa aa b a aa
a aa aa ILO aa aa aa b.
Da a aa a a a a, aaba aa baa
aa a a aa a a a aa aa
baaa a baa.
C.
I D
Ra a aa aa aa a IRS aa a
aa a aa IRS a baa aa a IRS a
a a a a aa a a a aa. Maa
baa a IRS a a ICU aa aa a aa a IRS
a aa a (ba a) a a aa a aa
baa aa a a a .
M aa a a aa aa a a
aaa a a a aaaa b a aa aa
aa aa a a a.Baa a aa baa aa a
a a a baa a aaa a a
aaa / aaa a aa aa aaa aa aa aa
aa a aa IRS.
M aa baa, a baa a a a aaa
baa aa b.
, a aa aa aa a a aaaa
a a aaa a aa aa a a a a
aaa a aa. Ha ba aa a a a aa aa.
K, a aa a aa bb aba a
aaa a b aa a aa aa
a a a aa a IRS a aa.
7/23/2019 993 - PPI Pedoman Surveilance
51/74
51
a aaa aa
DU =
a aa a
K, aa a aa aa a . Fa C
aa a aa aa aaa a IRS, a a b a
aaa a aa baa a a a a a a a a
a. Sbaa , a a a a a
aaa a a b baaaa a a a a aa a .
K, a a a (aa a a a / a,
a a aa, aa a a) a ba
aa a IRS a a a a b.
M a a a b aa, a
a aa a aa b aa aa a a
baa a b aa aa ba a.
K K
Ua aa (D Ua = DU) a baa b :
D ICU aa a aa aa a aaa aa a a a a
a aaa a, a a aaa a . DU a ICU
aa aa a aa a aa aa a a
ba a ba IRS. Maa DU aa aa baa aa
ba aa a a aa b, a a a aa
aa .DU a bba a a ( a)
a baa a aaa aa, a aaa.
Paa K/T PPI a aa a aa a a a.
Sba a aaa / aaa aa a aaa
a "aaa aaa a aa aa a a a
IRS a aa 7'. Paa aa DU ICU a a
Ib a.U a a aa aa a , aa
b a a a a aa baaa.aa,
ba aaaa a ba. Ma aaa
a a ba a aaa aaa a aa.
7/23/2019 993 - PPI Pedoman Surveilance
52/74
52
BAB I
EAA
Laa baa a, a a, a a. Daa aa aa
aa bbaa b, a a a aaa .a a.
Paa aa a a, aa, aa aa . Ba ba
aa b ab, a,a . Paa ba a aa a.
Laa ba aa , a ba, a, , aa
Ta ba aa baa b:
1.
Maa a IRS a baa a a ().
2.
Maa aa a a aa
Sa ba a aaaa aaba aaa baa aa a ba aaaa aa
a aa . O bab a a aa a
aaa aa , a a, aa aa
a aa baba, a aab aa ba aa
b aa.
O aa IRS a a a aa , aa aa a aa
aa a aa aaa a baba aa aaaaa.
Dbbaa aa aa ba aaa. Daa a aa
ba a a aa aa a baa aaa.
Ta a aa a a aa aaaa a b
aa a aa IRS. Laa aa aa
baa, a, aa. B aaa aa aa a aa
a, , aa b.
Sa aaa K/T PPI aa aa a aa b
aa a a a ba aa aa a (aa), ab,
a aa K/T PPI. Aa a aa a a aa
aaaa ba abaa a, a a
a a a a.
7/23/2019 993 - PPI Pedoman Surveilance
53/74
53
4.4H I
.
EIA
AI
A IK
EA
IFEKI
DAA
DEIA
AJ /
AI
Daa a
a
Sa
Sa
a a
a
a
aa
a
Sa
a
a
aa
aa
ba a
aa
Ja :
1.Pa a
aa a
a a
aa
a
2.
Paa
a
3.Oa
aa
La a 100
a a aa
a :
1.
Saa
a
2.S ba
a
3.
S a
aaa.
La 100
aa a
La 100
Oa Caa.
Raa Sa
a
a aa
a
a
aa 48
a a
a
Sa
a
a
aa
aa
ba a
aa
1.
a
2.
a a
3.
a
a
4.
a
5.
a aa
aa 1 ba
a aa
aa 1 ba
ba
6. a aa
a a
a a aa
aa 10 ba
a aa
aa 1 ba
ba.
1.
Aa
ICU a
100 a
aa 1000
a/a.
2.
Aa ISJ Ra
Sa a
1000 a
a.
3.
ANa
a
1000
aaa
a
4.ANa
a
Ra Sa
a
1000 a
a
ICU.
:
1.
U
2.
Ca L
3.Va
Ka
7/23/2019 993 - PPI Pedoman Surveilance
54/74
54
Ra aa
ba
Sa ba
a
aaa
a III.
Sa
a
aa 48.
Ja a
a
Sa
IRS a
aa
baa
.
Daa
a
4 aa
a ba
ba (BB) a
Ja ba
100 a a
1000 a aa.
Daa 4 a aa
a
BB a
1.Raaa a 100
a b
aa 1000 a
aa.
2.
a
baa
a
1000 a
a.
:
1.
Saa
2. U a
a ba
a
3. Ca
(ba)
4.
VaPa Oa Sa
a a
aa
aa
a
Sa
aa
aa
aa
a a
a
a
aa
ba a
aa.
Daa a
a a
a aa :
1.
Taa
a
2. J a
3.
N
a
4.
U5.
J a
6.
Laa a
7. J a
8.
A
9.
ASA
10.E
11.
Taa
SSI a b ;
1.
I
a
2.2. Ka a
Ra
a
aa aa a
a
a .
7/23/2019 993 - PPI Pedoman Surveilance
55/74
55
12.P
aa
13.
Paa
14.Taa
a
D
Sa
Saa
a
aa
Saa
a
aa
1. a aa
a
aaa
2. a a
a a
a aa
a a
aa3.
a aa
aa a
a
Aa aaaa
a 1000
a aa
1.
U
2. J aaa
3.
Ta
4.
Ta
aaaa
Aa aaaa
a
aa a
100 a a
aa a, aa
a 1000 a
aa.
S a
100 a
a aa a,aa 1000 a
aa.
DRG
a
100 a a
a a aa
DRG.
Pa a Saa
a
aa
Saa
a
aa
Naa aa
ba
SSI a
a,
a .
Oa aaa a a
aa
a
a .
Raaaa
a a
a a.
7/23/2019 993 - PPI Pedoman Surveilance
56/74
LAPORANBULAN
DEPARTEMEN
KARAKTERPENANGGU
NGJAWABPPI
EAEA
EAEFIE
K
IAD
%
%
I
AAEGGAAA
IBIIKA
/
ACAAB
AAAB
1ACA
2
Ma:
ADNURSE
I
AHAKI:
: :
AIABE
EE
EAI
IAHBA
IG
E
K
%
I
%
HA
%
I
ID
I
IKA
AGDIGAKAADAAIEBEIIKIFEKI
AHAKI
ACA
3ACA
JEIAIB
....,....
IPCNLRaa:
.
FIAAHAIEIA
FEKIAHAKI&EAKAIAAIBIIKA
..
EIA
IAHBAIG
A
%
D
%
IIK
/JAH
F.
03
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
57/74
BAB II
E
I a a a aaa a a ba a a ba
aa aa a aa a aa. U a aaa a a a, a a aaa.
Paaaa a a aa a a a a IPCN.
U a aa IPCN a a a.
7/23/2019 993 - PPI Pedoman Surveilance
58/74
AIAAIA
1. : Ra Ma S (2009) (IADP)
Ea a a aaa, aaa a aaa a a
a aa IADP
A
1.
Paa aa aa aaa
2.
Laa ba aa
3. Ha aaa aa a a aa a aa
4.
Gaa aaa a
5.
Paaa APD aa aa aaa a a
6. Paaa a bba ba aa
aa a a > 2 ba
1.
Laa aa (b), aa a, a
b ba aa/a
2. Sa aa a a a a
3.
U a a aa aa () aa a aa, aa
a a aaa a aa aa a a a
bba a 57 a, aa ba , a aa
bab, aa aa ba a 2 a aa a .
4.
Jaa aa b , a aaa , a a, a
a aa a b a 96 a.
5.
Laa a aa aaa IADP
6.
Paaa a ab aa aa aaa a aa
7/23/2019 993 - PPI Pedoman Surveilance
59/74
1.: Paa K Paa IADP
Ja aa a IADP aa a aa aa aa PPI :
1.
Maa a ICU a a aa >2 ba a a a
2.
Paaa a aa aba a aaaa a a aa
a aa3. Paaa (ba aa) a a a
a aa a a aa> 2 ba
4.
Paaa aba / b aba aa a a aa
a a aa a aa
R :
Pa VD Ra, DG Ma a INICC 2008 :
Ka a HAI ba a aa / b aa :
19921998 6.0 1000 a aaa aa.
19952003 4.9 1000 a aaa aa.20072008 1000 a aaa aa.
7/23/2019 993 - PPI Pedoman Surveilance
60/74
2. C I A D (IAD)
T Pa
La I :
C a :
Daa Raa A Ra Sa X baa b :
Ja a aa ba Fba 2009 = 196 a
Ja a aa = 960 a
Ja a aa = 90 a a a a aaa =
212 a
Da aaaa IRS baaa a a aa a a baa 9 a.
La IADP = 9/212 1000 = 42.5%
7/23/2019 993 - PPI Pedoman Surveilance
61/74
3. C A HA
:
Caa aa aa aa aa a baa aa ba.
Ta a a a
Aa VAP aaa Ja VAP ba
a aa aaa aa a a
Aa VAP =
Aa HAP aaa Ja a HAP
ba a a a aa a a a aa b.
Aa HAP :
C a HAP :
Daa a ba Db 2008 a a aa RS X : a a
a a 77 a, a a aa 833 a, a a a ba baa:
16 a a
9 a a Ja a a a a 375, a
Da HAP 2 a : a MO Kba a
Baa aa HAP ?
Aa HAP aaa : 2/375 1000 = 5,33%
Daa a ba Jaa 2009 a ICU :
Ja a 5 a
Taa a a 3 a
Ja a aaa aa a 30 a
T VAP baa 1 a aa : a, aaa , a aa, , Xa a a (+)
Baa aa VAP ?
Aa VAP aaa : 1/30 1000 = 33,3%
7/23/2019 993 - PPI Pedoman Surveilance
62/74
4. C I K (IK)
B IK
Pa a b aa ISK RS a a a a aa aa
a a aa a 2 24 a.
D
- Daa aa aa a aa, aaa
a aa aa a a a a aa.
- Ia ISK :
* Laa
* Laa a aa : Oba aa aaaa
- Daa ISK RS a aa aa a ab aa a,
aa .
- Daa a aa a baba.
C :
Daa aaa aaa
Ra/U : ICU../RS X. Ba : J.. Ta : 2009..
T. N. Naa
Paaa aa
KAb
a
K.ET
T CVL IVL UC
010709 1 A 1 A
2 B 1 U
(+)
C E.
3 C 1
020709 1 D 1
2 F 1 U
(+)
A Pa
3 F 1 A
D
310709 1 M 1 C
2 N 1 C D ISK 3 O 1 G
4 R 1 M
7/23/2019 993 - PPI Pedoman Surveilance
63/74
C a baa :
F Baa
Daa aaa aa &
Ra/U :./ Ba :. Ta:
TJ
PETT CVL IVL UC VAP Baa Pb ISK
1 3 2 2 3 3 1
2 3 2 2 3 2 1
D. 2
31 4 1 1 1 1 1
Ja 196 212 5
- Na
Na aaa a a aba aa a
a a a aa a .
- Da
Da aaa a a aaa a aa a
a aa a a.
T a
Aa (Ra) ISK RS = 5/2 1000 = 23.5 a aaa a.
7/23/2019 993 - PPI Pedoman Surveilance
64/74
5.C (I)
K :
1.
J a :
La b a b aa : 0
La b aa a : 1
Kaa :
1) La b : aa, a a a , a ba aa
aaa a a.
2)
B aa : a a ba aa aaa a
a.
3) Kaa a ba : aa ba.
4)
K a : aa ba, aa. Fa.
2.
Laa Oa : a a ba aa a
Sa a bba aa a (a ab)
Laa a a aa a a a a a, ).
Ba b a a a a, : 1
3.
ASA S
ASA 12, : 0
ASA 35, : 1
X / Y 100%
X : a a a a aa a .
Ja a a aa a .
7/23/2019 993 - PPI Pedoman Surveilance
65/74
6..JJ I K CDC.
I
ASB Aa baa
SUTI Sa a a
OUTI O a a
I
SUO Sa a a SSI
SIS Sa a a SSI
DIP D a a SSI
DIS D a a SSI
Oa/a Oa/a SSI, Ia :
BONE
BRST
CARD
DISC
EAR
EMET
ENDO
EYE
GIT
IAB
IC
JNT
LUNG
MED
MEN
ORAL
OREP
OUTI
SA
SINU
UR
VASC
VCUP
BI B
LCBI Laba ba
CSEP Ca
E
PNU1 Ca a
PNU2 Pa aba
PNU3 Pa a
BJ B
B O
JNT J ba
DISC D a
C C
IC Iaaa
MEN M
SA Sa ab
7/23/2019 993 - PPI Pedoman Surveilance
66/74
C C
VASC Aa
ENDO Ea
CARD Ma a
MED Ma
EE E, , , ,
CONJ C
EYE E, a
EAR Ea, a
ORAL Oa a (, , )
SINU S
UR U a a, a, a,
GI G
GE Ga
GIT Gaa (GI) aHEP Ha
IAB Iaba,
I ,
BRON B, ab, a,
LUNG O a a
E
EMET E
EPIS EVCUF Vaa
OREP O a a a
a
SKIN S
ST S
DECU Db
BURN B
BRST Ba Ab a
UMB OaPUST P
CIRC Nb
I
DI Da
7/23/2019 993 - PPI Pedoman Surveilance
67/74
BULAN/TAHUN
:
RUANGAN
:
SURVEYOR
:
DIVISI/DEPARTEMEN
:
G
AA/
JK
KEEAGA
DMEDIS:DaaM
U
S
:S
J
UC
:UKa
H
IVL
:IaVaL/V
aP
V
ETT
:EaaTb
I
7
.
F
C
I
C
E/EI
A
HA
IK
IAD
IDAKA
IFEKIAHAKI
D.
EDI
:Ua
:JKa
AP
:H
aAPa
AP
:V
aAaPa
D
:I
AaDaa
IEIAHAIAIFEKIAH
AKI
AH
AKI:
..
IAH
BAIG
HAIK
AB
F
.01
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
68/74
BULAN/TAHUN
:
RUANGAN
:
SURVEYOR
:
DIVISI/DEPARTEMEN
:
G
AA/
JK
KEEAGA
DMEDIS:DaaM
U
S
:S
J
UC
:UKa
H
IVL
:IaVaL/V
aP
V
ETT
:EaaTb
I
7
.
F
C
I
C
E/EI
A
HA
IK
IAD
IDAKA
IFEKIAHAKI
D.
EDI
:Ua
:JKa
AP
:H
aAPa
AP
:V
aAaPa
D
:I
AaDaa
IEIAHAIAIFEKIAH
AKI
AHAKI:
..
IAH
BAIG
HAIK
AB
F.
01
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
69/74
BULAN
:
TAHUN
:
RUANGAN
:
SURVEYOR
:
C
I
C
E
/
B
B
K
IDAKA
G
JK
D
.
EDI
KETERANGAN
DMEDIS
:DaaM
U
U
:Ua
S
:S
JK
:JKa
UC
:UKa
HAP
:HaA
IVL
:Iaa
/
VAP
:Va
AHA
IK
EBII
IAD
I
ID
I
A
IFEKIAHAKI
IAH
BAIG
DEK
HAI
K
AB
CVL
:CaVaL
SSI/IDO
OB
:OaB
ILD
Pa
OBT
:OaBT
a
ILK
aP
OK
:OaaK
ILS
DEKU
:Db
PLEB
IEIABAAIFEKI
AHAKI
AHAKI:
..
B
1
2
3
>3
DAA
H
AB
IE
JEIKA
CA
AIBIIK
:SaSI/IDaaOa
:ILaDaa
:ILaK
:ILaSa
:Pb
F.
02
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
70/74
LAPORANBULAN
DEPARTEMEN
DOKTERPENANGGUNGJAWABPPI
VENASENTRAL
VEN
APERIFER
KAT
IAD
%
N
P
LEBITIS
%
N
IS
LAPORANPENGGUNAANANTIBIOTIKAa
MACAMA
BYANGDIGUNAK
TANPAAB
1M
ACAM
2MACA
Ma:
ADNURSE
FIA
IFEKIAH
AHAKI:
:
.
:
.
:
.
VARIABEL
TER
OPERASI
TIRAHBARING
ETT/V
K
%
N
SSI
%
N
HA
P
%
N
ILS
ILD
ILO
aaSUNTIK
AN
NPADAPASIENBERISIKOINFEKSIRUMAHSAKIT
3MA
CAM
JENISANTIBIOTIK/JUMLAH
.,..
IPCNLRaa:
.
AHAI
EIA
AKI&EAKAIAAIBIIKA
..
ENTILATOR
T
IRAHBARING
AP
%
N
Db
%
F.
03
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
71/74
F
BULAN/TAHUN
:
RUANGAN
:
SURVEYOR
:
DIVISI/DEPARTEMEN
:
G
AA
/
JK
D
.
EAI
JE
B
KETERANGAN
DOa
:Daa
Oa
S
:S
U
:Ua
JK
:JKa
P
:Pa
RMULIRSURVEILANSHARIANINFEKSIRUMAHSAKIT
RUM
AHSAKIT:..
IEAI
AACE
KAIFIKA
KA
EAI
AA
B
K
1
2
3
4
5
I
ID
I
RM
:RaM
OB
:OaB
OBT
:OaBT
a
OK
:OaK
EAI
ID
AIBIIK
CI
EEKIF
FI
EAI
IDO
:I
DaaOa
ILD
:I
LaDaa
ILO
:I
LaOa
ILS
:INLaSa
F.04
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
72/74
BULAN/TAHUN
:
RUANGAN
:
SURVEYOR
:
DIVISI/DEPARTEMEN
:
TGL
JML.OP
SUBDIVISI
JENISOPERASI
OB
OBT
OK
KETERANGAN
JML.OP
:Ja
Oa
JK
:JKa
OB
:Oa
B
OBT
:Oa
BTa
OK
:Oa
K
ASASCORE
KLASIFIKASILUKAOPERASI
OPERASI
2
3
4
5
ILS
ILD
ILO
CITO
ELEKTIF
RM
:RaM
IDO
:IDaaOa
ILD
:INLaDaa
ILO
:ILOa
ILS
:ILaS
a
FIEIAHAIAIFEKIAH
AHAKI:..
IDO
ANTIBIOTIK
H
KU
ILS
ILD
ILO
PROFIL
TERAPI
P:Pa
AKI
F.
05
.K
I
7/23/2019 993 - PPI Pedoman Surveilance
73/74
DAFA IGKAA DA IIAH
AR : Aa Ra, a b a a
BAL : Baa aa
CDC : C Da C
CFU : C F U
C
E
C
: Ha baa a ba a
A I : I a baa a a
EIA : E aa
FAMA : FAb Mb A
CBGB : Ca ba a
HAI : Ha A I. I a a
HAI : Haa Aa I. Pa a b a
a aa a a a a aa aaa
aa aa. Ja a baa aa a aa
a a aa a aa a aa aa aaaa aa aaa a.
IADP : I Aa Daa P (BSI / Ba )
IFA : I ab
ILO : I La Oa (SSI / Sa S I)
I : Ja a IRS ba aa a ba
a a a aaa IRS a aa
aa a a aa a.
I D : Raa aa a aa a, a aa
baa a a bba
I D
Ra ( IDR )
: Ja IRS 1000 a / a
Da : a a a aa a aa
aa b baa aa a a aa a
IP : Ia Pa (Kaaaa )
IRS : I a a. K a a aa
aa a a
ISK : I aa (UTI/ )
ISPA : I aa aaa aa
ISPB : I aa aaa baa
KPPI : K Paa a Paa I
LRT : L a a
MRSA : MRa Sa ANa : a a aa aa a
NNISS : Naa Na I Sa
PCR : Pa a a
PMN : Pa
PPI : Paa a aa
PPIRS : Paa a aa a a
Pa : Ja a a ba ba a aa a
7/23/2019 993 - PPI Pedoman Surveilance
74/74
a aa a a ( a)
aa aa a a ( a)
RIA : Raaa
Sa : Ja aa IRS a aa ba a a IRS
a baba a
SP : Saa Pa (Kaaaa Saa)
Sa : a a a aa a aa IRS ba
a a a a bb a aa IRS
TPPI : T Paa a aa
VAP : Va Aa Pa
VRE : Va Ra E