PENGARUH PEMBERIAN POVIDONE IODINE 1% SEBAGAI ORAL HYGIENE TERHADAP JUMLAH BAKTERI OROFARING PADA PENDERITA DENGAN VENTILATOR MEKANIK

Abstract

Background: The use of mechanical ventilation in intensive care unit in patients potentially occurrence of complications of Ventilator Associated Pneumonia (VAP). VAP can be prevented by using the antibiotic and antiseptic as oral decontamination. One of the prevention with oral decontamination was using povidone iodine. The purpose of this study was to discover the effect of povidone iodine as oral hygiene on the number of oropharyngeal bacteria in patients with mechanical ventilator. Aim : This study aimed to find out the effect of giving Povidone iodine as oral hygiene on the number of oropharyngeal bacteria in patients with mechanical ventilator. Method: The sample consisted of 15 patients using the mechanical ventilator in the ICU RSUP Dr. Kariadi Semarang that meet the inclusion and exclusion criteria then each was given povidone iodine 1% as much as 25 ml every 12 hours for 48 hours. Every sample was taken secretions from oropharynx before and after treatment, for later examination in counting the number and types of oropharyngeal bacteria. Results: The result of statistical analysis test with Wilcoxon signed rank test showed significant difference (p<0,05) in the number of oropharyngeal bacteria.before and after treatment. From the analysis of the data can be seen that there was a decrease the number of oropharyngeal bacteria of 100.80 ± 97.209 (p = 0.008). Conclusion: There was a decrease in the number of bacteria in the oropharynx significantly in the use of povidone iodine. Keywords: povidone iodine, a mechanical ventilator, the number of oropharyngeal bacteria