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. Marwoto
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Perbandingan Efektivitas Handrub Softa-Man Dan Formula Handrub Moewardi Terhadap Angka Kuman Di RSUD Dr. Moewardi Henrikus Jeffrey F .L; Leli Saptawati; . Marwoto
Nexus Biomedika Vol 2, No 1 (2013): Nexus Biomedika
Publisher : Nexus Biomedika

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Abstract

Background: Nosocomial infections are important clinical problem, indicated by many cases on the incidence of nosocomial infections. To overcome this incident, a lot of researchers have conducted variety of ways, one of them is hand hygiene. Two different kinds of hand hygiene alcohol-based products were used in this study, handrub Softa-man and Moewardis handrub formula. The effectiveness of both handrub in reducing the number of bacteria was compared on health-care workers. Methods: This study was a quasi-experimental study. The study was conducted at hospital wards in Dr. Moewardi Hospital. Respondents were taken by consecutive sampling. There were two groups in this study, the group that received handrub Softa-man and the group that received Moewardis handrub formula. Each group was observed for the effectiveness in reducing the number of bacteria. The data that had been collected then were analyzed using the Mann-Whitney test and followed by Wilcoxon test. Results: The results of this study showed that both groups managed to reduce the number of bacteria. Wilcoxon test result showed a difference in the number of bacteria before and after hand washing where the number of bacteria after hand washing was fewer than before hand washing. The result of Mann-Whitney test showed that there was no statistical difference in the decreased number of bacteria when both handrub were compared. Conclusions: There was no significant difference in the decreased number of bacteria between the Softa-man handrub and Moewardis handrub formula usage. Keywords: Handrubs effectiveness, Alcohol-based handrub, Softa-man, Moewardis formula, Number of bacteria.
Uji Efektivitas Prosedur Disinfeksi Tingkat Tinggi Endoskopi Saluran Cerna RSUD Dr. Moewardi Aviaddina Ramadhani; . Marwoto; Leli Saptawati
Nexus Biomedika Vol 2, No 1 (2013): Nexus Biomedika
Publisher : Nexus Biomedika

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13.862 KB)

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Background: The risk of infection associated with gastrointestinal endoscope remains a topic of interest. This vexation may be related to reliability of the disinfecting techniques or the compliances with the guideline laid down for high-level disinfection. Gastrointestinal endoscope disinfecting techniques may vary from site to site. This study was to examine the effectiveness of gastrointestinal endoscope high-level disinfection at Rumah Sakit Umum Daerah (RSUD) Dr. Moewardi. Methods: An observational study using cross sectional design was conducted at RSUD Dr. Moewardi. Thirty samples from gastrointestinal endoscope swab after high-level disinfection process with 24 hours storage and without storage was sampled with convenience sampling technique. Data from this research were analyzed descriptively and tested using Chi square test. Results: Microorganism were detected in 11/14 samples of gastrointestinal endoscope after 24 hours storage and 3/16 samples of gastrointestinal endoscope without storage process. The microorganisms were Bacillus sp, Staphylococcus aureus, Staphylococcus non-aureus, and Clostridium sp. Significant relationship was detected between storage processes after gastrointestinal endoscope high-level disinfection with microorganism contamination. Conclusions: High-level disinfection of gastrointestinal endoscopes RSUD Dr. Moewardi was not yet effective. There was a significant relationship between gastrointestinal endoscopy storage for 24 hours with the effectiveness of high-level disinfection of gastrointestinal endoscopes. Keywords: high-level disinfection, gastrointestinal endoscope, 24 hours storage, without 24 hours storage.