Perawatan Kateter Urine Dengan Chlorhexidine Gluconate 5% dalam Mencegah Infeksi Saluran Kemih

Muhamad Nor Mudhofar, Heru Purnomo, Mu'awanah Mu'awanah

Abstract


Background: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheters. Indwelling urinary catheter care is one way to prevent catheter-related urinary tract infections. Objective: This study aims to determine the effect of indwelling urinary catheter treatment using 5% chlorhexidine gluconate on urinary tract infections in the Blora Hospital. Methods: This research uses a quasi-experimental posttest-only design. The sampling technique was purposive sampling, 12 subjects were recruited. The independent variable is indwelling urinary catheter care, and the dependent variable is urinary tract infection. Data were collected using colony counts and bacterial types on the fourth day. Data were analyzed by using the Mann Whitney test. Results: The results of the study showed that there was no difference in the incidence of urinary tract infections between patients in the treatment group who received indwelling urinary catheter treatment using chlorhexidine gluconate 5% and patients in the control group who received standard catheter treatment (p=0.138). Conclusion: Perineal care agents do not affect the incidence of catheter-related urinary tract infections. Further research should involve a larger number of respondents and consider respondent characteristics such as antibiotic use, diabetes mellitus, and urine production to obtain more accurate results.


Keywords


Urinary tract infection, indwelling urinary, catheter care, chlorhexidine gluconate 5%

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References


Anderson, MJ, Horn, ME, Lin, YC, Parks, PJ & Peterson, ML. (2010). Efficacy of concurrent application of chlorhexidine gliconate and povidone iodine against six nosocomial pathogens. Association for Professionals in Infection Control and Epidemiology, 38, 826-831, diakses 01 Oktober 2014, .

Black, JM & Hawks, JH. (2009). Medical surgical nursing: clinical management for positive outcomes volume 1. Edisi 8. St. Louis: Elsevier.

Boyko, EJ, Fihn, SD, Scholes, D, Abraham, L & Monsey, B. (2005). Risk of urinary tract infection and asymptomatic bacteriuria among diabetic and non diabetic postmenopausal women. American Journal of Epidemiology, 161(6), 557-564.

Darmadi. (2008). Infeksi nosokomial: problematika dan pengendaliannya. Jakarta: Salemba Medika.

Davey, P . (2006). At a glance medicine. Jakarta: Penerbit Erlangga.

Graham, JC & Galloway, A. (2001). The laboratory diagnosis of urinary tract infection. Journal of Clinical Pathology, 54(12), 911, diakses 01 Januari 2015, .

Healthcare Infection Control Practices Advisory Comittee (HICPAC). (2009). Guideline for prevention of catheter-associated urinary tract infections. Centers for Disease Control and Prevention (CDC), 26(7), diakses 23 September 2014, .

Johnson, JY, Smith-Temple, J & Carr, P. (2005). Prosedur perawatan di rumah: pedoman untuk perawat. Jakarta: EGC.

Kuntaman, Mudihardi, E, Harsono, S, Debora, K & Mertaniasih, NM. (2011). Aspek mikrobiologi pada infeksi saluran kemih dalam Nasronudin (ed.), Penyakit infeksi di Indonesia: solusi kini dan mendatang. Edisi 2. Surabaya: Airlangga University Press.

Leaver, RB. (2007). The evidence for urethral meatal cleansing. Nursing Standar, 21(41), 39-42.

Nazarko, L. (2010). Effective evidence-based intermittent self catheterization: update. British Journal of Nursing, 2(18), diakses 12 September 2014, .

Nursalam. (2013). Metodologi penelitian ilmu keperawatan: pendekatan praktis. Edisi 3. Jakarta: Penerbit Salemba Medika.

Pargavi, B, Mekala, T, Selvi, AT & Moorthy, K. (2011). Prevalence of urinary tract infection among diabetics patients in Vandavasi, Tamil Nadu, India. International Journal of Biological Technology, 2(2), 42-45.

Polit, DF, Beck, CT & Hungler, BP. (2001). Essentials of nursing research: methods, appraisal and utilization. Edisi 5. Philadelphia: Lippincott Williams & Wilkins.

Potter, PA & Perry, AG. (2010), Fundamental keperawatan buku 3. Edisi 7. Jakarta: Penerbit Salemba Medika.

Turner, B & Dickens, N. (2011). Long-term urethral catheterization. Primary Health Care, 21(4), 32-39.

Sodikin. (2009). Buku saku perawatan tali pusat. Jakarta: EGC.

Suharto. (2011). Penatalaksanaan infeksi nasokomial berat dalam Nasronudin (ed.), Penyakit infeksi di Indonesia: solusi kini dan mendatang. Edisi 2, Surabaya: Airlangga University Press.

Sukandar, E. (2007). Infeksi saluran kemih pasien dewasa dalam Sudoyo, AW (ed.), Buku ajar ilmu penyakit dalam, infeksi saluran kemih pada pasien terpasang kateter di ruang Anggrek RSUD kota Madiun. Jurnal Kesehatan Aiptinakes Jatim, 3(1), 28-32, diakses 21 September 2014, .




DOI: https://doi.org/10.31983/jkm.v13i1.10389

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