VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS: BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH
PDF

Keywords

chlorhexidine
CPIS
Piper betle Linn
mouthwash
oral hygiene

How to Cite

Hamid, I. N., Pujiastuti, R. S. E., Widigdo, D. A., & Saha, D. (2018). VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS: BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH. Belitung Nursing Journal, 4(1), 76–82. https://doi.org/10.33546/bnj.350
Crossref
Scopus
Google Scholar

Link to Google Scholar

Accepted for publication: 2018-02-24
Peer reviewed: Yes

Related articles in


Search Relations - Article by Author(s)

Share this article on:

Abstract

Background: One of the complications of ventilator use in patients in Intensive Care Unit (ICU) is Ventilator-Associated Pneumonia (VAP). Oral hygiene is one of the methods to prevent VAP.

Objective: The objective of this study was to compare the value of clinical infection score (CPIS) in critically ill patients after given oral hygiene using chlorhexidine and Piper betle Linn mouthwash.

Methods: This was an observational study with cross-sectional study design, which consisted of two intervention groups. Thirty respondents were selected using total sampling, with 15 respondents randomly assigned in each group. Independent t-test was used for data analysis.

Results: Findings showed that  the mean of CPIS in the Piper betle Linn group was 3.80 and the mean of CPIS in the chlorhexidine group was 4.07.

Conclusion: CPIS in the treatment group using Piper betle Linn mouthwash was lower than the mean of CPIS in the treatment group using chlorhexidine.

https://doi.org/10.33546/bnj.350
PDF

Supporting Agencies

Program Pascasarjana Magister Terapan Kesehatan Keperawatan, Poltekkes Kemenkes Semarang, Indonesia

Copyright

Copyright (c) 2018 Irfany Nurul Hamid, Rr Sri Endang Pujiastuti, Dwi Ari Widigdo, Djenta Saha

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Article Metrics

Total views 1543 [Abstract: 939 | PDF: 604 ]

Downloads

Download data is not yet available.

PlumX Metrics


References

Azis, A. (2013). Cuci tangan sebagai faktor risiko kejadian ventilator associated pneumonia di RSUP Sanglah Denpasar tahun 2012 [Handwashing as a risk factor of ventilator associated pneumonia at Sanglah Hospital Denpasar in 2012]. Public Health and Preventive Medicine Archive, 1(2), 120-125.

Bhalerao, S. A., Verma, D. R., Gavankar, R. V., Teli, N. C., Rane, Y. Y., Didwana, V. S., & Trikannad, A. (2013). Phytochemistry, pharmacological profile and therapeutic uses of Piper betle Linn-An overview. Research & Reviews: Journal of Pharmacognosy and Phytochemistry, 1, 10-19.

DeRiso, A. J., Ladowski, J. S., Dillon, T. A., Justice, J. W., & Peterson, A. C. (1996). Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest, 109(6), 1556-1561.

Esteban, A., Anzueto, A., Alia, I., Gordo, F., Apezteguia, C., Palizas, F., . . . Bugedo, G. (2000). How is mechanical ventilation employed in the intensive care unit? An international utilization review. American Journal of Respiratory and Critical Care Medicine, 161(5), 1450-1458.

Fartoukh, M., Maître, B., Honoré, S., Cerf, C., Zahar, J.-R., & Brun-Buisson, C. (2003). Diagnosing pneumonia during mechanical ventilation: the clinical pulmonary infection score revisited. American Journal of Respiratory and Critical Care Medicine, 168(2), 173-179.

Forbes, J. M. (2007). Voluntary food intake and diet selection in farm animals. UK: CABI.

Fourrier, F., Cau-Pottier, E., Boutigny, H., Roussel-Delvallez, M., Jourdain, M., & Chopin, C. (2000). Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients. Intensive Care Medicine, 26(9), 1239-1247.

Heyne, K. (1987). Tumbuhan berguna Indonesia [Indonesian useful plants]. Jakarta: Badan Penelitian dan Pengembangan Kehutanan, Departemen Kehutanan.

Hidayaningtias, P. (2008). Perbandingan efek antibakteri air seduhan daun sirih (Piper betle Linn) terhadap streptococcus mutans pada waktu kontak dan konsentrasi yang berbeda [Comparison of the antibacterial effects on betel leaf brewing water (Piper betle Linn) on streptococcus mutans at different contact times and concentrations]. Semarang, Indonesia: Faculty of Medicine, Universitas Diponegoro.

Hidayat, T. (2013). Sirih merah budidaya dan pemanfaatan untuk obat [Betel red cultivation and utilization for medicine]. Yogyakarta: Penerbit Pustaka Baru Press.

Ibrahim, E. H., Ward, S., Sherman, G., & Kollef, M. H. (2000). A comparative analysis of patients with early-onset vs late-onset nosocomial pneumonia in the ICU setting. Chest, 117(5), 1434-1442.

Koenig, S. M., & Truwit, J. D. (2006). Ventilator-associated pneumonia: diagnosis, treatment, and prevention. Clinical Microbiology Reviews, 19(4), 637-657.

Lestari, M. I. (2014). Relationship between chlorhexidine 0.2% and povidon iodine 1% with ventilator associated pneumonia: Cohort study. Paper presented at the Pertemuan Ilmiah Berkala PERDATIN, Makasar, Indonesia.

Lim, K.-P., Kuo, S.-W., Ko, W.-J., Sheng, W.-H., Chang, Y.-Y., Hong, M.-C., . . . Chang, S.-C. (2015). Efficacy of ventilator-associated pneumonia care bundle for prevention of ventilator-associated pneumonia in the surgical intensive care units of a medical center. Journal of Microbiology, Immunology and Infection, 48(3), 316-321.

Luna, C. M., Blanzaco, D., Niederman, M. S., Matarucco, W., Baredes, N. C., Desmery, P., . . . Apezteguia, C. (2003). Resolution of ventilator-associated pneumonia: prospective evaluation of the clinical pulmonary infection score as an early clinical predictor of outcome. Critical Care Medicine, 31(3), 676-682.

Mangunrejo, H., Widjaja, A., Kusumo, D., & Sutoyo, Y. F. (2004). Pedoman Diagnosis dan penatalaksanaan di Indonesia: Asma [Diagnosis guideline and implementation in Indonesia]. Jakarta: Perhimpunan Dokter Paru Indonesia.

Moeljanto, R. D. (2003). Khasiat & manfaat daun sirih: obat mujarab dari masa ke semasa [Benefits of betel leaf: A medicine from time to time]. Jakarta, Indonesia: AgroMedia.

Nalina, T., & Rahim, Z. H. A. (2007). The crude aqueous extract of Piper betle L. and its antibacterial effect towards Streptococcus mutans. American Journal of Biochemistry and Biotechnology, 3(1), 10-15.

Nuniek, N., & Antara, F. E. T. O. H. (2012). Povidone iodine 1% dan air rebusan daun sirih di Pekalongan [Povidone iodine 1% and betel leaf boiled water in Pekalongan]. Jurnal Ilmiah Kesehatan, 4(1), 62-64.

Özçaka, Ö., Başoğlu, Ö., Buduneli, N., Taşbakan, M. S., Bacakoğlu, F., & Kinane, D. F. (2012). Chlorhexidine decreases the risk of ventilator‐associated pneumonia in intensive care unit patients: A randomized clinical trial. Journal of Periodontal Research, 47(5), 584-592.

Patabnag, W. A. (2016). Perbedaan jumlah pertumbuhan koloni bakteri rongga mulut sebelum dan sesudah menggunakan obat kumur yang mengandung chlorheksidine [Difference in the number of cavital bacterial colony before and after using mouthwash containing chlorhexidine]. Pharmacon, 5(1), 26-31.

Sebayang, K. (2010). Perbedaan efektivitas oral hygiene antara povidone iodine dengan chlorhexidine terhadap clinical pulmonary infection score pada penderita dengan ventilator mekanik [Difference in effectiveness of oral hygiene using povidone iodine and chlorhexidine on clinical pulmonary infection score in patients with mechanic ventilator]. Semarang, Indonesia: Diponegoro University.

Singh, N., Rogers, P., Atwood, C. W., Wagener, M. M., & Yu, V. L. (2000). Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care unit: A proposed solution for indiscriminate antibiotic prescription. American Journal of Respiratory and Critical Care Medicine, 162(2), 505-511.

Teanpaisan, R., Kawsud, P., Pahumunto, N., & Puripattanavong, J. (2017). Screening for antibacterial and antibiofilm activity in Thai medicinal plant extracts against oral microorganisms. Journal of traditional and complementary medicine, 7(2), 172-177.

Weinstein, R. A., Bonten, M. J. M., Kollef, M. H., & Hall, J. B. (2004). Risk factors for ventilator-associated pneumonia: from epidemiology to patient management. Clinical Infectious Diseases, 38(8), 1141-1149.

Wiryana, M. (2007). Ventilator associated pneumonia. Jurnal Penyakit Dalam, 8(3), 1-15.

Zand, F., Zahed, L., Mansouri, P., Dehghanrad, F., Bahrani, M., & Ghorbani, M. (2017). The effects of oral rinse with 0.2% and 2% chlorhexidine on oropharyngeal colonization and ventilator associated pneumonia in adults' intensive care units. Journal of Critical Care, 40, 318-322.


Readers are able to give us their valuable feedbacks here. The comments will be reviewed by the editors and then published here. Important Note: The "Comments" related to the Galley Proof PDF must NOT be submitted via this form. Authors should submit their comments on their galley proofs only via system