THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON
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Keywords

0.2% chlorhexidine
CPIS
honey
oral hygiene
VAP
ventilator

How to Cite

Adini, S., Santoso, B., Sarkum, S., & Sudirman, S. (2018). THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON. Belitung Nursing Journal, 4(2), 161–167. https://doi.org/10.33546/bnj.355
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Abstract

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.

Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.

Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.

Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.

Conclusion: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.

https://doi.org/10.33546/bnj.355
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Supporting Agencies

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

Copyright

Copyright (c) 2018 Syaukia Adini, Bedjo Santoso, Sarkum, Sudirman

Creative Commons License

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

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References

Fatmawati R. (2014). Laporan indikator mutu dan keselamatan pasien di RSUP Fatmawati [Report of indicator of quality and patient safety in fatmawati Hospital]. Jakarta: RSUP Fatmawati.

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.

Hunter, J. D. (2006). Ventilator associated pneumonia. Postgraduate Medical Journal, 82(965), 172-178.

Huraini, E. (2011). Pengaruh mobilisasi dan fisioterapi dada terhadap kejadian ventilator associated pneumonia di unit perawatan intensif [Effect of mobilization and chest physiotherapy on ventialtor associated pneumonia in the intensive care unit]. NERS Jurnal Keperawatan, 7(2), 121-129.

Krishnasree, V., & Ukkuru, P. M. (2015). Antibacterial activity of honeys produced by five major bee species in Kerala. International Journal of Applied and Pure Science and Agriculture, 1(3), 39-45.

Lorente, L., Lecuona, M., Jiménez, A., Mora, M. L., & Sierra, A. (2007). Influence of an endotracheal tube with polyurethane cuff and subglottic secretion drainage on pneumonia. American Journal of Respiratory and Critical Care Medicine, 176(11), 1079-1083.

Mandell, L. A., Wunderink, R. G., Anzueto, A., Bartlett, J. G., Campbell, G. D., Dean, N. C., . . . Niederman, M. S. (2007). Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clinical Infectious Diseases, 44(Supplement_2), S27-S72.

Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2013). Keperawatan kritis: Pendekatan asuhan holistik [Critical nursing: Holistic care approach] (8th ed.). Jakarta: EGC.

Nurhidayatun, Allenidekania, & E, S. (2016). Oral hygiene menggunakan larutan madu mengurangi stomatitis [Pral hygiene using honey to reduce stomatitis]. Fatmawati Hospital Journal. 1, 1-7.

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

Rosyida, N. I. P. (2011). Hubungan metode suction pada pasien terpasang ventilator terkait kejadian infeksi nosokomial ventilator-associated pneumonia (VAP) tahun 2007 sampai tahun 2010 (Studi di Rumah Sakit X Surabaya) [Correlation of suction method in patients on ventilator with ventilator-associated pneumonia from 2007 to 2010 (Case study in X hospital Surabaya]. Surabaya: Universitas Airlangga.

RSUD Margono. (2015). Laporan infeksi pneumonia [Pneumonia infection report]. Purwokerto: Rumah Sakit Umum Daerah Margono.

Saragih, R. J., Amin, Z., Sedono, R., Pitoyo, C. W., & Rumende, C. M. (2014). Prediktor mortalitas pasien dengan ventilator-associated pneumonia di RS Cipto Mangunkusumo [Predictors of patient mortality with ventilator-associated pneumonia at RS Cipto Mangunkusumo. eJournal Kedokteran Indonesia.

Sundana, K. (2014). Ventilator: Pendekatan praktis di unit perawatan kritis [Ventilator: Practical approach in the critical nursing unit]. (Vol. 1). Bandung: Cicu Publisher.

Tan, J., Banzon, A., Ayuyao, F., & de Guia, T. (2007). Comparison of CPIS (clinical pulmonary infection score) and clinical criteria in the diagnosis of ventilator associated pneumonia in ICU complex patients. Respirology, 12, A232.

Vanhems, P., Bénet, T., Voirin, N., Januel, J.-M., Lepape, A., Allaouchiche, B., . . . Guérin, C. (2011). Early-onset ventilator-associated pneumonia incidence in intensive care units: a surveillance-based study. BMC Infectious Diseases, 11(1), 236.