MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM

Mardiyono Mardiyono, Djamaluddin Ramlan, M. Choiroel Anwar, Rr. Sri Endang Pujiastuti, Umi Margi Rahayu

Abstract


Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.

To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.

Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).

A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.

Keywords


diabetic ulcer, modern dressing; ozone bagging; wound healing process

Full Text:

PDF

References


Patricia Gonce Morton DF, Carolyn M. Hudak, Barbara M. Gallo. Keperawatan Kritis: Pendekatan Asuhan Holistik. Jakarta: EGC; 2011.

International Diabetes Federation. IDF Diabetes Atlas, Seventh edition2015.

Nicholas D. Barwell MCD, Brian Kennon, Helen E. Hopkinson, Claire McDougall, Mattew J. Young, Hannah M.A. Robertson, Duncan Stang, Stephanie j. Dancer, Andrew Seaton, Graham P. Leese, on behalf of the Scottish Diabetes Foot Action Group. Diabetic Foot Infection: Antibiotic therapy and good practice recommendations. International Juurnal Of Clinical Practice. 2017.

Katrien T.B . Santema RMS, Mark J.W. Koelemay, Jim A. Reekers, Laura M.C. Van Dortmont, Arno OOmen, Luuk Smeets, Jan J. Wever, Dink A. Legemate, Dirk T. Ubbink. Hyperbaric Oxygen Therapy in The Treatment of Ischemic Lower Extremity Ulcers in Patient With Diabetes: Result Of The DAMO2CLES Multicenter Randomized Clinical Trial. Diabetes Care Journal. 2017.

American Diabetes Association. Standars Of Medical Care In Diabetes-2017. The Journal of clinical and applied research and education. 2017;40(1):142.

PERKENI. KONSENSUS, Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Di Indonesia 2015: PB. PERKENI; 2015.

Suriadi. Pengkajian Luka dan Penanganannya. Jakarta: Sagung Seto; 2015.

S. Eko Ch. Purnomo SUD, Kurniati Puji Lestari. Efektifitas Penyembuhan Luka MEnggunakan NaCl 0,9% dan Hydrogel Pada Ulkus Diabetikum di RSU Kota Semarang. Prosiding Konferensi Nasional II PPNI Jawa Tengah. 2014.

Langi YA. Penatalaksanaan Ulkus Kaki Dabetes Secara Terpadu. Jurnal Biomedik 2011;3(2).

Borges GÁ, Elias ST, da Silva SMM, Magalhães PO, Macedo SB, Ribeiro APD, et al. In vitro evaluation of wound healing and antimicrobial potential of ozone therapy. Journal of Cranio-Maxillofacial Surgery. 2017;45(3):364-70.

Jing Zhang MG, Cuihua Xie, Xiangdrong Luo, Qian Zhang, Yaoming Xue. Clinical Study: Increased Growth Factors Play a Role in Wound Healing Promoted By Noninvasive Oxygen-Ozone Therapy In Diabetic Patients With Foot Ulcers. Hindawi Publishing Corporation. 2014;2014(Oxidative Medicine and Cllular Longestive).

Maryunani A. Perawatan Luka mOdern Praktis Pada Wanita Dengan Luka Diabetes. Jakarta: TIM; 2013.

Vonny Nurmalya Megawati MNF. efektifitas modifikasi balutan modern dan terapi ozon terhadap penyembuhan ulkus diabetikum di WOCARE Clinic Bogor. Jurnal penelitian. 2016;2(1).

Handayani LT. Studi Meta Analisis Perawatan Luka Kaki Diabetes Dengan Modern Dressing. The Indonesian Journal Of Health Science. 2016;6(2).

Sayogo W. Potensi+ Dalethyne Terhadap Epitelisasi Luka pada Kulit Tikus yang Diinfeksi Bakteri MRSA. Biosains. 2017;19(1).

Ervina WF. Pengaruh Pemberian+ dalethyne Terhadap Jumlah Ekspresi IL-1β Pada Tikus yang Diinfeksi P. aeruginosa. Biosains. 2017;19(1).

Yoland. Modern Dressing pada Penyembuhan Ulkus Diabetikum. Junal Keperawatan. 2016;5(1).

Kowalak W, Mayer. Buku Ajar Patofisiologi. Jakarta: EGC; 2016.

Rosato ML, Schiaffino L, Luongo M, Mascolo L, Mattera S, Mainini M. Oxygen-ozone therapy effects on PaO2 value in a diabetic patient suffering from chronic peripheral obliterative arteriopathy. Ozone Therapy. 2016;1(1):21-2.

Bayer S, Kazancioglu HO, Acar AH, Demirtas N, Kandas NO. Comparison of laser and ozone treatments on oral mucositis in an experimental model. Lasers in medical science. 2017;32(3):673-7.

Franzini M, Valdenassi L, Ionita G. First evaluations of oxygen-ozone therapy in antibiotic-resistant infections. Ozone Therapy. 2016;1(1):5-7.

I Wayan Putu Sutirta Yasa KS, Anak Agung Gede Sudewa Djelantik, I Nyoman Mantik Astawa. Hubungan Positif Antara Ulkus Kaki iabetik Dengan Persentase Sel Bermarkah CD4+ Pembawa Malondialdehid. Bali: Udayana University; 2017.

Werna Nontji SH, Rosyidah Arafah. Teknik Perawatan Luka Modern dan Konvensional Terhadap Kadar Interleukin 1 dan Interleukin 6 Pada Pasien Luka Diabetik. Jurnal Ners. 2015;10(1).

Izadi M, Jafari NJ, Hosseini MS, Shafaat O. Therapeutic effects of ozone in patients with diabetic foot ulcers: review of the literature. Biomedical Research. 2017;28(18).

Zhang J, Guan M, Xie C, Luo X, Zhang Q, Xue Y. Increased growth factors play a role in wound healing promoted by noninvasive oxygen-ozone therapy in diabetic patients with foot ulcers. Oxidative medicine and cellular longevity. 2014;2014.

Fedorko L, Bowen JM, Jones W, Oreopoulos G, Goeree R, Hopkins RB, et al. Hyperbaric oxygen therapy does not reduce indications for amputation in patients with diabetes with nonhealing ulcers of the lower limb: a prospective, double-blind, randomized controlled clinical trial. Diabetes Care. 2016;39(3):392-9.

Yücesoy T, Kütük N, Canpolat DG, Alkan A. Comparison of Ozone and Photo-Biomodulation Therapies on Mental Nerve Injury in Rats. Journal of Oral and Maxillofacial Surgery. 2017.

Akdeniz SS, Beyler E, Korkmaz Y, Yurtcu E, Ates U, Araz K, et al. The effects of ozone application on genotoxic damage and wound healing in bisphosphonate-applied human gingival fibroblast cells. Clinical oral investigations. 2017:1-7.




DOI: https://doi.org/10.31983/jahmt.v1i1.5308

Article Metrics

Abstract view : 1298
Download PDF : 1977

Refbacks

  • There are currently no refbacks.


Journal of Applied Health Management and Technology (p-ISSN: 2715-3061  e-ISSN: 2715-307X , Postgraduate Program, Poltekkes Kemenkes Semarang.
St. Tirto Agung, Pedalangan, Banyumanik, Semarang City, Central Java, Indonesia, Postal code 50268 Telp./Fax: (024)76479189

https://jurnal.usk.ac.id/lib/pkp/gacor4d/https://htn.parahikma.ac.id/sbotop/https://jurnal.usk.ac.id/lib/pkp/slotraffi/https://kemahasiswaan.mercubaktijaya.ac.id/sistem/