Comparison of Catheter-associated Urinary Tract Infection Rates by Perineal Care Agents in Intensive Care Units

Ihnsook, Jeong; Park, Soonmi; Jeong, Jae Sim; Kim, Duck Sun; Choi, Young; Lee, Young Soon; Park, Young Mi

doi:10.1016/s1976-1317(10)60014-x

Cited by 12 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A similar study has also been carried out by Fitriana (2015) claiming that there is a significant correlation between the length of using catheters and urinary tract infections. On the contrary, a research carried out by Jeong et al (2010) shows that there is no difference in the incidents of bacteriuria among patients treated using water and soap in the first, second, and fourth weeks.…”

Section: Discussionmentioning

confidence: 93%

Catheter Care Using Soap and 10% Povidon-Iodin

Marlina

Wijayanti

2020

MJN

View full text Add to dashboard Cite

Background: The incidence of bacteriuria due to urethral catheterization is 60%. The occurrence of bacteriuria is caused by some factors, such as the technique and the length of urethral catheterization, disease, age, sex, drainage, and catheter care. Purpose: This study aimed to investigate catheters treatment using soap and povidon iodin 10%. Method: This research was a quantitative research with quasi experimental design and pretest-posttest control design. The study was conducted in a private hospital in Yogyakarta. The samples were 60 patients with 30 patients in the control group and 30 patients in the intervention group. The analyses employed the statistical test. Results: show that the significance value is 0.317 (p>0.05). There is no significant difference in the incidence of bacteriuria in the soap group and povidone-iodine 10% group with p=0.648. Conclusion: there was no significant difference of catheters treated with using soap and povidone iodine 10%.

show abstract

Section: Discussionmentioning

confidence: 93%

Catheter Care Using Soap and 10% Povidon-Iodin

Marlina

Wijayanti

2020

MJN

View full text Add to dashboard Cite

show abstract

“…Pembersihan dapat dilakukan menggunakan larutan NaCl 0,9% atau Povidone iodine 10%. NaCl 0,9% memiliki beberapa keunggulan yaitu menyebabkan efek plasmolisis pada bakteri, natrium bersaing dengan molekul protein untuk mendapatkan molekul air dalam larutan, akibatnya selubung cairan protein akan rusak, klor dapat merusak bakteri melalui proses oksidasi, memiliki efek bakterisidal dan tidak beracun serta tidak menyebabkan iritasi (Alvarez, 2010;Jeong et al, 2010;Kaehn & Eberlein, 2009;Melliawati, 2009). Povidone iodine 10% efektif dalam melawan banyak bakteri dan jamur, namun yodium (iodine) dapat mengakibatkan iritasi kulit (Boyce & Pittet, 2002).…”

Section: Pendahuluanunclassified

“…Iritasi pada uretra akan menjadi faktor prediposisi bagi pintu masukbakteri ke dalam jaringan (Potter & Perry, 2005) sehingga pemakaian povidone iodine pada area periuretra tidak mengurangi risiko ISK (Tietjen, Bossemeyer, & McIntosh, 2004). Selain dapat mengiritasi kulit, povidone iodine juga cukup mahal (Jeong et al, 2010). Perawat bisa mendeteksi risiko ISK dengan menggunakan uji dipstik leukosit esterase.…”

Section: Pendahuluanunclassified

“…Hasil penelitian yang menunjukan NaCl 0,9% lebih efektif digunakan untuk menurunkan ISK ditemukan oleh Jeong, et al (2010) dengan hasil penelitian adalah rata-rata insiden kumulatif ISK pada 4 agen (sabun dan air, busa pembersih kulit, povidone iodine dan NaCl 0,9% berturutturut adalah 3,72 ; 2,65 ; 4,18 ; 1,96. Meskipun kesimpulan penelitian ini tidak ada perbedaan yang signifikan insiden ISK pada keempat agen tersebut, namun insiden kumulatif yang terendah terlihat pada NaCl 0,9%.…”

Section: Hasil Dan Pembahasanunclassified

See 1 more Smart Citation

Comparation of Effectiveness of Normal Saline and 10% Povidone Iodine in Periurethral Cleaning

Awaluddin¹

2016

Endurance

View full text Add to dashboard Cite

Currently,urinary tract infection incidence in patients with indwelling urinary catheter ranges between 10-80%. They are at risk for other problems that can cause death. Appropriate action is required to decrease urinary tract infection risk by periurethral area cleaning. The aim of this study is to analyze the differences of the effectiveness of the use of normal saline and 10% povidone iodine for periurethral area cleaning in decreasing urinary tract infection risk. Research methods uses experimental design with the population of patients who used indwelling urinary catheter. Samples were obtained by consecutive and allocation by randomization which were divided into 2 groups, each group were 17 respondents. In the treatment group, periurethral area was cleaned with normal saline and in the control group with 10% povidone iodine. Urinary tract infection risk assessment was carried out by the leukocyte esterase dipstick test at 8 hours after insertion. The results indicate that the incidence of urinary tract infections risk in the group using normal saline smaller than 10% povidone iodine with a comparison of 1:1.3. Number need to treat in this study was 6. The conclusion of this study is normal saline is more effective in reducing urinary tract infection risk. Keywords: normal saline; periurethral cleaning; 10% povidone iodine Abstrak Saat ini kejadian infeksi saluran kemih pada pasien yang dipasang kateter urin menetap berkisar antara 10-80%. Mereka berisiko terkena permasalahan lain yang dapat menimbulkan kematian. Diperlukan tindakan tepat untuk mengurangi risiko infeksi saluran kemih dengan melakukan pembersihan area periuretra. Penelitian ini bertujuan untuk menganalisis perbedaan efektifitas penggunaan NaCl 0,9% dan povidone iodine 10% untuk pembersihan area periuretra dalam menurunkan risiko infeksi saluran kemih. Metode penelitian menggunakan rancangan eksperimen dengan populasi pasien yang dilakukan kateter urin menetap di salah satu rumah sakit di Jawa Barat. Sampel diperoleh berdasarkan consecutive dan alokasi subjek secara random yang dibagi ke dalam 2 kelompok, masing-masing 17 responden. Kelompok perlakuan diberikan tindakan pembersihan area periuretra dengan NaCl 0,9% dan kelompok kontrol dengan povidone iodine 10%. Penilaian risiko infeksi saluran kemih dilakukan dengan uji dipstik leukosit esterase pada 8 jam setelah pemasangan. Hasil penelitian ini menunjukan kejadian risiko infeksi saluran kemih pada kelompok yang menggunakan NaCl 0,9% lebih kecil dibanding dengan povidone iodine 10% dengan perbandingan 1:1,3. Number need to treat pada penelitian ini adalah 6, sehingga NaCl 0,9% lebih efektif dalam menurunkan risiko infeksi saluran kemih.Kata Kunci :NaCl 0,9%; pembersihan periuretra; povidoneiodine 10%

show abstract

“…Numerous studies have been conducted on perineal care. Recommended methods include washing the perineal area with soap and water, normal saline solution, chlorhexidine, skin foams, and even just water (17)(18)(19). There is no consensus on what is the best material for washing and caring for the perineal area.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study

et al. 2020

View full text Add to dashboard Cite

Background: Urinary tract infection is the most common site of infection associated with health care in the Intensive Care Unit (ICU) patients. Long-term catheterization is the most important risk factor for Urinary Tract Infections (UTIs). These infections are more common in women than in men. Colonized microorganisms in the perineal skin and around the urethra may move into the urinary system through the external surfaces of the urinary catheter to cause infection. Objectives: The present study aimed to compare the effect of perineal care with normal saline and 2% chlorhexidine solution on the rate of catheter-associated urinary tract infection (CAUTI) in women hospitalized in ICUs. Methods: A quasi-experimental study was performed on 70 female patients hospitalized in the ICU of Khatam-Al-Anbia Hospital of Zahedan in 2019. The research units meeting the inclusion criteria were selected using convenience sampling and then randomly divided into two groups of normal saline (n = 35) and chlorhexidine (n = 35). The perineal area of patients in the first group was washed with normal saline and the second group with 2% chlorhexidine solutions twice a day for seven days in both groups. To diagnose UTIs, urine samples were cultured on the first and seventh days. Data were analyzed using SPSS 21 via the independent t-test, chi-square test, and Fisher’s exact test at a significance level of less than 0.05. Results: Finally, 60 participants completed the study. The two groups did not differ significantly in terms of age, marital status, level of education, cause of hospitalization, antibiotic use, underlying diseases, fluid intake, and urinary output. At the end of the seventh day after the intervention, the incidence of UTIs was significantly lower in the chlorhexidine group (13.3%) than in the normal saline group (76.7%) (P = 0.001). Conclusions: The results showed that washing the perineal area every 12 hours with 2% chlorhexidine solution compared to normal saline reduces the incidence of CAUTIs in women hospitalized in ICUs. Therefore, perineal care with a 2% chlorhexidine solution is recommended for perineal care of female patients with urinary catheters hospitalized in ICUs.

show abstract

Comparison of Catheter-associated Urinary Tract Infection Rates by Perineal Care Agents in Intensive Care Units

Abstract: The type of perineal care does not influence the incidence of CAUTIs. Further confirmatory studies with a larger patient population should be conducted, as well as determining perineal agent preference.

Cited by 12 publications

References 16 publications

Catheter Care Using Soap and 10% Povidon-Iodin

Catheter Care Using Soap and 10% Povidon-Iodin

Comparation of Effectiveness of Normal Saline and 10% Povidone Iodine in Periurethral Cleaning

Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study

Contact Info

Product

Resources

About