Published date: Mar 12 2019

Journal Title: KnE Life Sciences

Issue title: The 1st Payung Negeri International Health Conference

Pages: 120–127

DOI: 10.18502/kls.v4i10.3836

S Fathonahninazahro@yahoo.com

M Putri

One way to prevent infection in PIVC insertion is by dressing. Transparent polyurethane is one type of dressing that is often used in hospitals. Colonization of germs around the PIVC insertion area can cause infection. The objective of this study was to determine the difference in the number of germs in the PIVC insertion area with transparent polyurethane dressings in PKU Muhammadiyah Yogyakarta Hospital and to assess the effectiveness of dressing protection. The design of this study was quasi-experimental with a pretest-posttest design. The samples used are 11 patients and they are collected using purposive sampling. Calculation of the number of germs is carried out using the cup count method. The average number of germs before and after dressing using transparent polyurethane is decreasing in the average amount of 5.09. Analysis of the data using the Wilcoxon test is to determine the difference in the number of germs before and after the dressing. Statistical test results show that changes in the number of germs produced a p value of 0.027 (p value <0.05). The results shows that there is a significant change in the number of germs in PIVC area before and after dressing using transparent polyurethane. The average number of germs after dressing with transparent polyurethane is lower. A subsequent research can be done with a stronger method of Rondomized Control Trial (RCT) with a larger number of samples.

Keywords: PIVC insertion area, transparent polyurethane dressing

[1] Gonzales Lopez, JL, Arribi Vilela A, Fernandez del Palacio E, Olivares Corral J, Complications and cost of open vs close safety peripheral intravenous catheters: a randomized study. J Hosp Infect. 2014;86(2):117-26.doi:10.106/j.jhin.2013.10.008. (PubMed:24373830).


[2] Pasalioglu KB, Kaya H. Catheter indwell time and phlebitis development during peripheral intravenous catheter administration. Pak J Med Si..2014;30(4):725- 30.(PubMed:25097505)


[3] Lynn Hadaway, Short peripheral intravenous catheters and infections. Journal of Infusion Nursing. 2012; Vol 35; Number 4. doi:10.1097/NAN/0b013e31825sf099


[4] Baird, M.S. & Bethel, S. 2011. Manual of Critical Care Nursing Nursing Interventions and Collaborative Management. St Louis Missouri: Elsevier Mosby


[5] Polit, D.F. & Beck, C.T. 2004. Nursing Research Principles and Methods Seventh Edition. United State of America: Lippincott Williams and Wilkins.


[6] Arikunto, S. 2010. Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Rineka Cipta.


[7] Gillespie, S. & Bamford, K. 2009. At a Glance Mikrobiologi Medis dan Infeksi. Terjemahan Stella Tinia. Jakarta: Penerbit Erlangga.


[8] Mosby’s Dental Dictionary (2nd ed.). Elsevier. 2008. Diakses tanggal 13 Februari 2014.


[9] Waluyo, L. 2010. Teknik dan Metode Dasar dalam Mikrobiologi. Malang: UMM Press.


[10] Soifer, N. E., Borzak, S., Edlin, B. R., & Weinstein, R. A. (1998). Prevention of peripheral venous catheter complications with an intravenous therapy team: a randomized controlled trial. Archives of Internal Medicine, 158(5), 473-477.


[11] M.Pujol, A.Hornero, M.Saballs, et al. Clinical epidemiology and outcomes of peripheral venous catheter-related bloodstream infection at a university-affiliated hospital. J Hosp Infect, 67. 2007, pp 22-29.


[12] M.Madeo, C. Martin, A. Nobbs. A randomized study comparing IV 3000 (transparent polyurethae dressing) to a dry gauze dressing for peripheral intravenouse catheter site. J Intraven Nurs, 20 (5). 1997, pp 253-256.


[13] Kergon, E. & Obasi C. 2010. Guidelines for the Management of Central Venous Catheters in Adults. Bradford and Airedale Community Health Services.


[14] H.Wisplinghoff, T. Bischoff, S.M. Tallent, et al. Nosocomial bloodstream infection in US hospitals: analysis of 24, 179 cases from a prospective nationwide surveillance study. Clin Infect Dis, 39(3);2004, pp 309-317.