PERBANDINGANEFEKTIFITAS ANTISEPTIK CHLORHEXIDINE0,5%DALAM ALKOHOL 70%(w/v)DANPOVIDONE IODINE10% (w/v) PADAKULTURBAKTERIJARUMSPINALPASCASUBARACHNOIDBLOCK(SAB)

• Main Authors: , Ressi Bhakti Wiratnolo, , dr. Yunita W, SpA.KAP.Ph.d
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2014
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/133211/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=73771
• Institution: Universitas Gadjah Mada

Background: One of thecomplications ofspinal anesthesiaisan infectiondue to contaminationofthe subarachnoidspaceneedleorinjectionfluids, orfromorganismsthatspreadfromthe skin. The source of infection could derived from colonization through hematogenous spread or local infection. In Indonesia,, there were no studies regarding colonization of spinal needle. The purpose of this study was to determine the incidence of bacterial colonization on the bacterial culture of the spinal needle after subarachnoid block (SAB) on the provision of 0.5 % chlorhexidine in 70% alcohol and 10% povidone iodine, as well as the factors that may influence it. Methods: The study design was single blind randomized controlled trial(RCT).Blinding conducted on microbiological officers. The total sample is 164 spinal needles that were divided into two groups: the antiseptic chlorhexidine 0.5 % in alcohol 70% and 10% povidone iodine antiseptic. Results: The incidence of bacterial colonization spinal needle group Povidone iodine 18/82 needles (22.0%), while in the group Chlorhexidene 16/82 needles (19.5%). Incidence of bacterial colonization in the spinal needle in the Povidone iodine group were more than incidence in Chlorhexidine group, but these difference of 2.5 % was notsignificant (p > 0.05). Risk factors for incidence of bacterial colonization of the spinal needle that included age, sex, history of diabetes, were not significance as well as number of the incidence of irritation and complications (p > 0.05) in both study groups (Povidone iodine and chlorhexidine). Conclusion:Effectivity antiseptic chlorhexidine 0.5 % in alcohol 70% is same as povidone iodine 10% in reducing the level of bacterial colonization on the culture of spinal needle after subarachnoid block.