Peranan Pencucian Luka Terhadap Penurunan Kolonisasi Bakteri Pada Luka Kaki Diabetes

Abstract

Background: Diabetic ulcer is a major complication of diabetes and is the main cause of infection. One of the efforts or interventions to reduce infection by doing wound cleansing, but research on the effects of wound cleansing on bacterial colonization is still limited. The purpose of this literature study was to determine the effectiveness of using a type of wound cleansing on changes in bacterial colonization in DM wounds. Methods: The data base used in making this review literature is Pubmed, Science Direct, Google Scholar and Cochrane. there are 144 articles identified and published from 2010-2018. Of the 144 articles 8 articles that met the inclusion criteria. Results: Various wound cleansing solutions are used to optimize the wound healing process and the effect is quite good in decreasing bacterial colonies in DM wounds. Conclusion: wound cleansing type ESWA has a bactericidal effect, is effective in reducing bacterial colonization, and economically it is expected to be a concern in the treatment process injury, research is needed as to whether ESWA washing types can be used to reduce bacterial colonization in DM wounds.

Irrigation Of Wounds with Red betel 20% And 40% to Bacterial Numbers In Diabetic Foot Infection (DFI) Patients

“…Irrigation using betel leaf extract is one method to reduce the number of bacteria (Saputri, 2014). Wound washing is essential in reducing bacterial numbers (Pramesti et al, 2017b) Figure 5.1 bacterial number samples…”

“…From table 5.2 shows the most significant decrease in bacterial numbers was on C2 respondents from 79622 CFU to 1000 CFU with a difference of 69622 CFU reduction. Washing wounds using NaCl can reduce bacterial numbers (Pramesti et al, 2017b) (Pramesti et al, 2017a). Wound washing is an essential step in a series of wound care that can control infection and accelerate wound healing.…”

“…This type of washing of electrolyzed strong water acid wounds has a bactericidal effect. It is useful in reducing bacterial colonization (Pramesti, Andiyanti, & Effendi, 2017b). Superoxidised (oxum), propyl betaine-polihexanide, povidone-iodine, 2% hydrogen peroxide, chlorine dioxide are bactericidal, whereas NaCl 0.9% and TAP water do not have them (Pramesti, Andiyanti, & Effendi, 2017a).…”

Penerapan pencucian luka menggunakan air rebusan daun jambu biji terhadap tingkat malodor pasien luka kaki diabetik

“…Pencucian luka menggunakan bahan yang aman dan tepat akan mendukung proses penyembuhan luka dan pencegahan infeksi secara adekuat. Bahan yang dapat digunakan untuk pencucian luka antara lain dengan air rebusan daun jambu biji (Nurbaya, 2018), Hasil evaluasi pada kedua responden menunjukkan perkembangan luka yang lebih baik setelah dilakukan perwatan luka menggunakan air rebusan daun jambu biji. Luka pada kedua subyek studi yang semula memiliki exudat purulent menjadi tidak berexudat.…”

Effect of Hydrogel as Autolysis Debridement Media on Wound Healing in Diabetic Ulcer Patients in Holistic Homecare

“…7,8,9 Because of this, it is necessary to carry out nursing care for patients with impaired skin integrity caused by chronic wounds by applying hydrogel as a topical dressing in modern wound care which will help the autolysis debridement process, so that patients feel comfortable in the wound care process. 10,11,12…”