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Journal : Jurnal NERS

Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit Waluyo Waluyo; Yulia Indah Permata; Ulfa Nur Rohmah; Saskiyanti Ari Andini
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (347.974 KB) | DOI: 10.20473/jn.v14i3.17010

Abstract

Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using “AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.
Lactobacillus sp as a Probiotic for the Prevention of Clostridium difficile Associated Diarrhea Ulfa Nur Rohmah; Saskiyanti Ari Andini; Hendrik Prayitno Luawo; Waluyo Waluyo; Yulia Indah Permata Sari
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i3.17015

Abstract

Background: Antibiotic treatment can disturb the resistance of the gastrointestinal flora to colonization. This may result in complications, the most serious of which is Clostridium difficile associated diarrhea (CDAD). The aim of this study was to determine the effectiveness of probiotics for the prevention of CDAD.Method: The databases used were Scopus, Proquest, CINAHL, Medline, Pubmed and ScienceDirect, limited to having been published in the last 5 years. A literature review followed the keyword search. The keywords used were probiotics, Clostridium difficile, associated, diarrhea, randomized, control and trial using "AND" and “OR”. Twelve trials with 5102 participants were included. Eight trials reported a preventive effect for CDAD using a mixture of 2 strains of lactobacillus, a mixture of 4 combination strains, a mixture of lactobacillus and Saccharomyces or a mixture of Bifidobacterium, Lactobacillus and Saccharomyces.Result: Our findings indicate that probiotics may prevent CDAD. Most probiotics contain a singular strain. The combination with lactobacillus sp was the most effective at preventing CDAD.Conclusion: In addition, 6 out of 8 trials had an in relation to preventing CDAD containing lactobacillus sp. Four studies said that there were some factors that meant that the probiotic could not reduce or prevent the CDAD.
Co-Authors Adinda Adinda Adinda Adinda Afriani, Shelly Agustina, Rati Elvi Amalia, Mita Ambarwati Ambarwati Ambarwati Andi Subandi Andika Rahmad Siregar Andika Sulistiawan Andrisa Devitasari Anggraini, Citra Julia Anggun Meiliani Aulia Apri Yani Sitompul Ariani, Dhea Aulia, Esa Surya Azizi, Putri Dwi Bagas Setiawan, Bagas Chloranyta, Shanty Dewi Damayanti Ditatri Utami Elvira Monalisa Erwan Efendi Fadliyana Ekawati Fadliyana Ekawaty Fariska Rian Elfandes Febri Adriati Fitri Yuliastuti Harnum, Assyafiah Hendrik Prayitno Luawo Hikmawati Hikmawati Juniana, Maolia Kamariyah Khoiru Ulfah Kirana, Febiyora Chandra Komala, Rossie Intan Lisa Anita Sari Lukman, Muhammad Nasril Luri Mekeama Maghfirawati, Okti Martawinarti, RTS Netisa Martawinarti, Rts. Netisa Maruhawa, Tamara Khaisya Mawarti, Indah Meinarisa, Meinarisa Muhammad Fahri, Muhammad Muhammad Taqwa Mutia Salsa Billa Mutmainnah, Muthia Nadia Br. Pasaribu Nanda Poniar Nurhusna OKTARIA, RINA RINA Pratama, Oky Agung Aditya Putri Irwanti Sari Putri, Rizky Amanda Rakhman, Sitti Riska Amalya Nasution Ritonga, Rohani Rohmah, Ulfa Nur Rts. Netisa Martawinarti Rudini, Dini Rudini, Dini Santhi, Fera Afri Santi, Lala Delva Sapti Ayubana Sari, Elliza Puspika Sary, Elsa Volinda Saskiyanti Ari Andini Satria Saputra Septidianti, Chantika Sholihin Sholihin Sinta WIjayanti Sitompul, Qory Amalia Az-Zahra Sri Mulyani Sri Mulyani Sri Mulyani Suryadi Imran, Suryadi Suryati Syafitri, Zakia Ulifa Syafruddin Syam Teguh, Saeful Hadi Tria Anisa Firmanti Ujang Sumarwan Ummami, Ellysha Azzahra Veni Misriyani Visabilillah, Ananda Putri Wahyuni Dazura Waluyo Waluyo Wijayanti, Sinta Wirda Hayani Syahputri Wulandari, Elsa Yosi Oktarina Yuliana Yuliana Yurni yurni Yusprisan, Ajeng Ananda