Comparison of Oral Hygiene Using Chlorhexidine Solution and Hexadol Solution Towards Prevention of Ventilator Associated Pneumonia in Patients with Mechanical Ventilators
DOI:
https://doi.org/10.33755/jkk.v8i1.313Keywords:
Chlorhexidine, Hexadol, Oral Hygiene, Mechanical ventilationAbstract
Aims: This study aimed to determine the effect oral hygiene using chlorhexidine solution and hexanol solution towards prevention of ventilator associated pneumonia in patients with mechanical ventilators.
Design: This type of research is a quasi-experimental study with a Control Group Pretest-Posttest research design
Methods: The data used in this study are primary data with data collection techniques using the observation sheet. Test the hypothesis using the Independent T-Test method
Results: The results showed that there was no significant difference between oral hygiene using Chlorhexidine and Hexadol in the prevention of VAP in Bekasi District Hospital with p value = 0.933 (p value > alpha 0.05).
Conclusions : It can be concluded that there is no difference in oral hygiene using chlorhxidine and hexadol on the prevention of VAP. Future study should conducted similar study using more rigors methods and large sample.
References
Dewi YI. Identifikasi Faktor Resiko Kejadian Infeksi Nosokomial Pneumonia Pada Pasien Yang Terpasang Ventilator Di Ruang Intensive Care. Riau University; 2015.
Vincent GK. The next four decades: The older population in the United States: 2010 to 2050. US Department of Commerce, Economics and Statistics Administration, US …; 2010.
Muscedere J, Dodek P, Keenan S, Fowler R, Cook D, Heyland D, et al. Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: prevention. J Crit Care. 2008;23(1):126–37.
Sedwick MB, Lance-Smith M, Reeder SJ, Nardi J. Using evidence-based practice to prevent ventilator-associated pneumonia. Crit Care Nurse. 2012;32(4):41–51.
Torres A, Niederman MS, Chastre J, Ewig S, Fernandez-Vandellos P, Hanberger H, et al. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European . Eur Respir J. 2017;50(3).
Othman AA, Abdelazim MS. Ventilator-associated pneumonia in adult intensive care unit prevalence and complications. Egypt J Crit Care Med. 2017;5(2):61–3.
CM R. Pola Resistensi Kuman Penyebab VAP di RSCM tahun 2006-2007. Jakarta Univ Indones. 2008;
Atashi V, Yousefi H, Mahjobipoor H, Bekhradi R, Yazdannik A. Effect of oral care program on prevention of ventilator-associated pneumonia in intensive care unit patients: A randomized controlled trial. Iran J Nurs Midwifery Res. 2018;23(6):486.
Pan W, Wang Y, Lin L, Zhou G, Hua X, Mo L. Outcomes of dexmedetomidine treatment in pediatric patients undergoing congenital heart disease surgery: a meta‐analysis. Pediatr Anesth. 2016;26(3):239–48.
Ibrahim SM, Mudawi AM, Omer O. Nurses’ knowledge, attitude and practice of oral care for intensive care unit patients. Open J Stomatol. 2015;5(07):179.
Maulana HR, Sumardi U, Koesoemadinata RC. Prevalensi Kandidiasis Invasif di Unit Perawatan Intensif Rumah Sakit Hasan Sadikin Bandung. J Penyakit Dalam Indones. 2019;6(1):8–14.
Luna CM, Blanzaco D, Niederman MS, Matarucco W, Baredes NC, Desmery P, et al. Resolution of ventilator-associated pneumonia: prospective evaluation of the clinical pulmonary infection score as an early clinical predictor of outcome. Crit Care Med. 2003;31(3):676–82.
Nursalam D, others. Manajemen Keperawatan" Aplikasi dalam Praktik Keperawatan Profesional. Salemba Medika; 2014.
Lewis SM, Giddens JF, Tashiro J, Sullins E, Long G. Medical-surgical nursing: Assessment and management of clinical problems. C.V.; 2003.
Aoun G, Nasseh I, Saadeh M, Cassia A, Berberi A. Effectiveness of Hexetidine 0.1% in Eliminating Candida albicans Colonizing Dentures: A Randomized Clinical In Vivo Study. J Int oral Heal JIOH. 2015;7(Suppl 1):1.
Himratul-Aznita WH, Abd-Aziz ZA. Antibiogroup resistant pattern of anaerobes isolated from root canals associated with periapical lesion. Res J Biol Sci. 2009;4(6):752–5.
Alp E, Gündogan K, Güven M, Sungur M. Assessment of Risk Factors for Ventilator Associated Pneumonia in the Medical Intensive Care Unit/Iç Hastaliklari Yogun Bakim Ünitesinde Ventilator Iliskili Pnömoni Için Risk Faktörlerinin Degerlendirilmesi. J Crit Intensive Care. 2011;2(2):34.
Koeman M, van der Ven AJAM, Hak E, Joore HCA, Kaasjager K, de Smet AGA, et al. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. Am J Respir Crit Care Med. 2006;173(12):1348–55.
Genuit T, Bochicchio G, Napolitano LM, McCarter RJ, Roghman M-C. Prophylactic chlorhexidine oral rinse decreases ventilator-associated pneumonia in surgical ICU patients. Surg Infect (Larchmt). 2001;2(1):5–18.
Rowe RC, Sheskey P, Quinn M. Handbook of pharmaceutical excipients. Libros Digitales-Pharmaceutical Press; 2009.
Subhan M, Amat S, Bakar AYA, Abdidin MHZ, Faisal RA, Tohirin T, et al. Level of resilient among international students in public higher education institutions in Malaysia. Sci J PPI-UKM. 2015;2(4):181–8.
Mandell LA, Wunderink RG, Anzueto A, Bartlett JG, Campbell GD, Dean NC, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007;44(Supplement_2):S27–72.