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"Latar Belakang: Surgical Site Infection (SSI) adalah infeksi sekitar luka operasi dalam kurun waktu 30 hari pascabedah. SSI merupakan 23,6% dari total infeksi nosokomial pascabedah abdomen di RSCM tahun 2009 – 2011. Tingginya angka morbiditas dan mortalitas dikarenakan SSI menyebabkan biaya penangganan SSI, sehingga pencegahan SSI akan mengurangi biaya pengobatan. Aquadest diketahui cairan yang efektif untuk irigasi luka, mudah didapatkan, murah dan aman untuk irigasi luka.Tujuan: Mengetahui pencucian luka dengan aquadest dibanding perawatan luka Standar.Metode: Penelitian ini merupakan penelitian eksperimental terandomisasi tersamar tunggal, yang dilakukan di departemen bedah, Fakultas kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Mei – Juni 2018. Subyek berjumlah 80 orang setelah laparatomi mediana, dibagi menjadi grup kontrol (n=40) yang menerima perawatan standar dengan tulle setiap 2 hari dan grup eksperimental (n=40) yang menerima pencucian luka dengan aquadest setiap hari, dimulai hari kedua pascabedah. Pada hari ketujuh, dilakukan kultur mikrobiologi yang diambil dari benang jahitan. Parameter yang dievaluasi adalah pertumbuhan kuman, tanda infeksi, dan biaya per subyek antara 2 grup untuk mengetahui efisiensi dan efektivitas keduanya.Hasil: Positif kultur mikrobiologi 57,5% (n=23) pada grup kontrol dan 55% (n=22) pada grup eksperimental. Tidak ada perbedaan bermakna antara kolonisasi kuman di grup kontrol dan grup eksperimental (p=0,820) maupun insiden SSI (p=1,00). Selisih biaya Rp 27.500,00 (Rp 19.400,00 – Rp 40.990,00) lebih rendah pada grup eksperimental (Rp 385.500,00 (Rp 379.500,00 – Rp 385.960,00)) dibanding grup kontrol (Rp 413.000,00 (Rp 398.900,00–Rp 426.950,00))Kesimpulan: Pencucian luka dengan aquadest lebih efisien dibandingkan perawatan luka dengan teknik standar.

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Background: Surgical Site Infection (SSI) is infection at or around the incision site within 30 days postoperative. SSI accounts for 23.6% of total nosocomial infections after abdominal surgery in Cipto Mangunkusumo General Hospital during 2009 – 2011. The high morbidity and mortality due to SSI causes high cost burden for SSI management, hence prevention of SSI will reduced the cost of treatment. Aquadest has known as an effective substance for wound irrigation, easy to obtain, low-cost and safe for wound irrigation.

Aim: The study objective was to know the efficiency of aquadest wound irrigation compared to standard wound care.

Methods: This was a single-blinded randomized experimental study, conducted at the Department of Medical Surgery, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo General Hospital during May-June 2018. Subjects were eighty patients after median laparotomy, randomized into control group (n=40) which received standard wound care with tulle every other day and experimental group (n=40) which received aquadest wound irrigation every day, started on the second post operation day. On the seventh day, microbiological culture taken from surgical suture materials. Parameters evaluated were the bacterial growth, signs of infection and cost per subject between two groups to know the efficiency and efficacy of both treatment.

Result: The positive microbiological culture were 57,5% (n=23) in control group and 55% (n=22) in experimental group. There was no significant difference of bacterial colonization in the control and experimental group (p = 0,820) neither in SSI incidence (p = 1,00). The cost difference was Rp 27.500,00 (Rp 19.400,00 – Rp 40.990,00) lower for subject in experimental group (Rp 385.500,00 (Rp 379.500,00 – Rp 385.960,00)) compared with control group (Rp 413.000,00 (Rp 398.900,00–Rp 426.950,00)).

Conclusion: Surgical wound irrigation with aquadest was more efficient compared with standar surgical wound care."

"Latar Belakang: Surgical Site Infection (SSI) adalah infeksi sekitar luka operasi dalam kurun waktu 30 hari pascabedah. SSI merupakan 23,6% dari total infeksi nosokomial pascabedah abdomen di RSCM tahun 2009-2011. Tingginya angka morbiditas dan mortalitas dikarenakan SSI menyebabkan biaya penangganan SSI, sehingga pencegahan SSI akan mengurangi biaya pengobatan. Aquadest diketahui cairan yang efektif untuk irigasi luka, mudah didapatkan, murah dan aman untuk irigasi luka. Tujuan: Mengetahui pencucian luka dengan aquadest dibanding perawatan luka Standar. Metode: Penelitian ini merupakan penelitian eksperimental terandomisasi tersamar tunggal, yang dilakukan di departemen bedah, Fakultas kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Mei-Juni 2018. Subyek berjumlah 80 orang setelah laparatomi mediana, dibagi menjadi grup kontrol (n=40) yang menerima perawatan standar dengan tulle setiap 2 hari dan grup eksperimental (n=40) yang menerima pencucian luka dengan aquadest setiap hari, dimulai hari kedua pascabedah. Pada hari ketujuh, dilakukan kultur mikrobiologi yang diambil dari benang jahitan. Parameter yang dievaluasi adalah pertumbuhan kuman, tanda infeksi, dan biaya per subyek antara 2 grup untuk mengetahui efisiensi dan efektivitas keduanya. Hasil: Penelitian ini dilakukan pada 80 subjek yang telah memenuhi kriteria inklusi dan eksklusi untuk menentukan efektivitas pencucian luka dibandingkan dengan teknik perawatan luka standar untuk mencegah infeksi daerah operasi setelah laparotomi mediana. Hasil analisis statistik antara kedua kelompok perlakuan terhadap pertumbuhan bakteri dalam hasil kultur menunjukkan tidak ada hubungan yang signifikan (p = 0,82). Dalam penelitian ini juga diamati adanya tanda-tanda infeksi berdasarkan CDC dalam waktu satu minggu perawatan luka. Tanda-tanda infeksi yang diamati dalam penelitian ini adalah tanda infeksi superfisial. Dari hasil analisis tidak ada perbedaan yang signifikan dalam tanda-tanda infeksi pada dua kelompok perlakuan (p = 1,00). Kesimpulan : Pencucian luka dengan aquadest sama efektifnya dengan perawatan luka standar dalam mencegah infeksi daerah operasi

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Background Surgical site infections (SSIs) still a global problem in the surgical field. The report of the Center for Disease Control and Prevention (CDC) in 1999 stated that SSIs reached 38% of all hospital-acquired infections (HAIs). Although this number can be reduced by 2%-5%, according to the CDC report in 2008, it requires global efforts that are not easy and expensive that involve all stakeholders (stakeholders) to achieve that number. In preventing SSIs, wound hygiene is one of the absolute factor. The majority of medical personnel apply the concept of using antiseptics containing various types of antibiotics accompanied by temporary topical antibiotics. However, The best cleanser is water, effective, easy to obtain, and does not require additional fee. Therefore we conducted a study aimed at demonstrating that wound washing is an efficient SSIs prevention measure eventhough it is done at RSCM. If the results of this study are meaningful then postoperative wound care at RSCM will be more economical because the materials needed for wound care are inexpensive.

Method This research is a randomized experimental study. Randomization will be done in a single blind manner. The patient will not know whether he is a control or experimental group. The research team will objectively evaluate germs according to each treatment group. This research was conducted in the Medical Department of Surgery, Faculty of Medicine, University of Indonesia-RSCM for the period January-July 2018. The target population in this study were all patients undergoing postoperative wound care.

Result This study was conducted on 80 subjects who had met the inclusion and exclusion criteria to determine the effectiveness of wound washing compared to standard wound care techniques for the rate of infection in the area of surgery after median laparotomy. The results of statistical analysis between the two treatment groups on bacterial growth in culture results showed no significant relationship (p = 0.82). In this study also observed the presence of signs of infection based on CDC within a week of wound care. Signs of infection observed in this study are a sign of superficial infection. From the results of the analysis there were no significant differences in signs of infection in the two treatment groups (p = 1.00). Conclusion Washing wounds with aquadest is as effective as standard wound care in preventing infection in the surgical site."