INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL
Background : Infection that related to spinal anesthesia is a serious complication which may cause meningitis, paralysis and even death. Many studies showed that the skin puncture site was a potential pathogen source during spinal anesthesia procedure. Therefore, effective skin disinfection before t...
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| Format: | Thesis |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| _version_ | 1826047975332249600 |
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| author | , Rizqi Adhelia , Dr.Yusmein Uyun, Sp.An, KAO |
| author_facet | , Rizqi Adhelia , Dr.Yusmein Uyun, Sp.An, KAO |
| author_sort | , Rizqi Adhelia |
| collection | UGM |
| description | Background : Infection that related to spinal anesthesia is a serious complication
which may cause meningitis, paralysis and even death. Many studies showed that
the skin puncture site was a potential pathogen source during spinal anesthesia
procedure. Therefore, effective skin disinfection before the procedure must be
performed. Povidone iodine is the most common antiseptic for skin disinfection
before spinal anesthesia procedure and has been already stated in Guidelines of
Anesthesiology Practice in Sardjito Hospital, Yogyakarta. Despite it had been
disinfected with povidone iodine, microorganisms could still exist and retained on
the hair follicles. Isopropyl alcohol is a potent and common alcohol for
disinfection procedure. Isopropyl alcohol has better permeability to lipid layer
both hair follicles and corneum stratum. The aim of this study is to compare
positive skin swab culture incidence among patients who are performed with
povidone iodine and isopropyl alcohol-povidone iodine sequentially for skin
disinfection in spinal anesthesia procedure.
Methods : Design of this study is randomized controlled clinical trial. Fifty four
patients who had spinal anesthesia were enrolled and divided into 3 groups,
povidone iodine (PI) group with 30 seconds (PI 30 seconds) and 2 minutes drying
time (PI 2 minutes) and isopropyl alcohol-povidone iodine (IA+PI) group. The
skin cultures were obtained after disinfection procedure. Incidence of positive
skin culture were recorded then.
Results : The insidence of positive skin swab culture in PI 30 seconds group, PI 2
minutes group and IA+PI group were 22.2%, 22.2% dan 16.7% (p>0.05),
respectively. Povidone iodine drying time 30 seconds and 2 minutes statistically
were not significant related to incidences positif skin swab cultures after
disinfection. There was no side effect of isopropyl alcohol and povidone iodine
usage in this research.
Conclusion : Incidence of positive skin swab culture after disinfection with
isopropyl alcohol-povidone iodine were the least compared with povidone iodine
only (16.7% vs 22.2%, p >0.05). |
| first_indexed | 2024-03-13T23:20:06Z |
| format | Thesis |
| id | oai:generic.eprints.org:128180 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T23:20:06Z |
| publishDate | 2014 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:1281802016-03-04T08:11:23Z https://repository.ugm.ac.id/128180/ INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL , Rizqi Adhelia , Dr.Yusmein Uyun, Sp.An, KAO ETD Background : Infection that related to spinal anesthesia is a serious complication which may cause meningitis, paralysis and even death. Many studies showed that the skin puncture site was a potential pathogen source during spinal anesthesia procedure. Therefore, effective skin disinfection before the procedure must be performed. Povidone iodine is the most common antiseptic for skin disinfection before spinal anesthesia procedure and has been already stated in Guidelines of Anesthesiology Practice in Sardjito Hospital, Yogyakarta. Despite it had been disinfected with povidone iodine, microorganisms could still exist and retained on the hair follicles. Isopropyl alcohol is a potent and common alcohol for disinfection procedure. Isopropyl alcohol has better permeability to lipid layer both hair follicles and corneum stratum. The aim of this study is to compare positive skin swab culture incidence among patients who are performed with povidone iodine and isopropyl alcohol-povidone iodine sequentially for skin disinfection in spinal anesthesia procedure. Methods : Design of this study is randomized controlled clinical trial. Fifty four patients who had spinal anesthesia were enrolled and divided into 3 groups, povidone iodine (PI) group with 30 seconds (PI 30 seconds) and 2 minutes drying time (PI 2 minutes) and isopropyl alcohol-povidone iodine (IA+PI) group. The skin cultures were obtained after disinfection procedure. Incidence of positive skin culture were recorded then. Results : The insidence of positive skin swab culture in PI 30 seconds group, PI 2 minutes group and IA+PI group were 22.2%, 22.2% dan 16.7% (p>0.05), respectively. Povidone iodine drying time 30 seconds and 2 minutes statistically were not significant related to incidences positif skin swab cultures after disinfection. There was no side effect of isopropyl alcohol and povidone iodine usage in this research. Conclusion : Incidence of positive skin swab culture after disinfection with isopropyl alcohol-povidone iodine were the least compared with povidone iodine only (16.7% vs 22.2%, p >0.05). [Yogyakarta] : Universitas Gadjah Mada 2014 Thesis NonPeerReviewed , Rizqi Adhelia and , Dr.Yusmein Uyun, Sp.An, KAO (2014) INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68515 |
| spellingShingle | ETD , Rizqi Adhelia , Dr.Yusmein Uyun, Sp.An, KAO INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title | INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title_full | INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title_fullStr | INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title_full_unstemmed | INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title_short | INSIDENSI KULTUR APUSAN KULIT POSITIF SETELAH DISINFEKSI DENGAN ISOPROPIL ALKOHOL 70% DIIKUTI POVIDON IODIN 10% DIBANDINGKAN DENGAN POVIDON IODIN 10% SEBELUM ANESTESIA SPINAL |
| title_sort | insidensi kultur apusan kulit positif setelah disinfeksi dengan isopropil alkohol 70 diikuti povidon iodin 10 dibandingkan dengan povidon iodin 10 sebelum anestesia spinal |
| topic | ETD |
| work_keys_str_mv | AT rizqiadhelia insidensikulturapusankulitpositifsetelahdisinfeksidenganisopropilalkohol70diikutipovidoniodin10dibandingkandenganpovidoniodin10sebelumanestesiaspinal AT dryusmeinuyunspankao insidensikulturapusankulitpositifsetelahdisinfeksidenganisopropilalkohol70diikutipovidoniodin10dibandingkandenganpovidoniodin10sebelumanestesiaspinal |