Perbandingan Kejadian Infeksi Saluran Kemih setelah Pemasangan Kateter antara 24-36 Jam dan 36-48 Jam pada Pasien Pascaoperasi Ginekologi

Windy Puspa Kusumah, Benny Hasan Purwara, Eppy Darmadi Achmad

Abstract


Abstrak
Tujuan: Penggunaan kateter pada saat dilakukan operasi merupakan prosedur rutin termasuk  operasi ginekologi sehingga kandung kemih tetap kosong pada saat operasi serta mencegah jejas.
Metode: Penelitian analitik komparatif dibagi menjadi 2 kelompok, pelepasan  24-36 jam dan  36-48 jam. Hasil dipstik leukosit diambil pre-operasi dan 24-36 jam dan 36-48 jam pasca-operasi.
Hasil: Total terdapat 48 pasien dengan umur  antara 31-40 tahun  29.2% serta  umur 41-50 tahun 29.2%. Lama operasi  antara 1 sampai 2 jam sebanyak 54.2%. Kelompok 36-48 jam, hasil leukosit urine terbanyak (+) ada 62.5%. Pemasangan Kateter 24-36 jam yang awalnya (-) kelompok 36-48 jam menjadi (+) sebanyak 60.0%. Diskusi:Penelitian ini mengikutsertakan 63 subjek yang memenuhi kriteria inklusi sebanyak 48 orang yang dibagi menjadi dua kelompok. Pasien pascaoperasi dengan peningkatan leukosit urine ditemukan pada 57% subjek di kelompok pelepasan kateter 36-48 jam pasca operasi, sedangkan hanya 15% pada kelompok pelepasan kateter 24-36 jam pasca operasi.
Kesimpulan: Pelepasan kateter pascaoperasi 36-48 jam, lebih banyak terjadi insidensi peningkatan leukosit urine dibandingkan kelompok 24-36 jam.

Kata kunci: Infeksi saluran kemih, kateter pra-operasi, kateter pasca-operasi

Comparison of Urinary Tract Infections after the Insertion of Catheter
between 24–36 Hours and 36–48 Hours on Post Gynecologic
Surgery Patients

Abstract
Objective: Use of catheter during surgery is a routine procedure in every surgery, also gynecological surgery so the bladder remains empty during surgery. Catheter may prevent iatrogenic injury of the bladder caused by over-distention and atony due to anesthesia.
Method: Unpaired categorical comparative analytic study with subjects were categorized into 2 groups, groups of patients in 24-36 hours catheters and patients in 36-48 hours post-surgery catheters. Urine leukocyte dipstick taken pre-surgery, 24-36 hours and 36-48 hours post-surgery.
Result: A total of 48 patients were selected for data use for this study. For the longest operation time between 1 to 2 hours as much as 54.2%. For 24-36 hours urine leukocyte with negative results as much as 75%. While in the 36-48 hours catheter insertion there were 62.5%. Increasing of urine leukocyte result at 24-36 hours catheter insertion in 36-48 hours catheter insertion group.
Discussion: The study included 63 subjects divided into two groups. Post-surgery patients with elevated urinary leukocytes were found in 57% of subjects in the 36-48 hours post-surgery catheter release group, while only 15% in the 24-36 hours catheter release group.
Conclusion: Post-surgery catheters 36-48 hours, there was a greater incidence of urinary leukocyte increment than the group of patients with 24-36 hours post-surgery catheters.

Keywords: Urinary tract infection, pre-surgery catheter, post-surgery catheter.


Keywords


Infeksi saluran kemih; kateter; pasca-operasi; dipstick urine

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References


Ghoreishi J. Indwelling urinary catheters in Cesarean delivery. Int J Gynecol Obstet 2003;83:267–70.

Chai J, Pun TC. A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy. Acta Obstet Gynecol Scand 2011;90:478–82.

M.R. Ahmed et al. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial. European Journal of Obstetrics & Gynecology and Reproductive Biology 2014;176:60–63

Marlina, Roni A Samad. Hubungan Pemasangan Kateter Dengan Kejadian Infeksi Saluran Kemih Pada Pasien Di Ruang Rawat Inap 2012:1-13

Liang CC et al. Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy—a randomized controlled trial

S. Vahr, H. Cobussen-Boekhorst, J. Eikenboom et al. Evidence-based Guidelines for Best Practice in Urological Health Care, Catheterisation Urethral intermittent in adults Dilatation, urethral intermittent in adults. European Association of Urology Nurses. 2013:1-98

Aslam N, Moran PA. Catheter use in gynaecological practice. The Obstetrician & Gynaecologist 2014;16:161–8.

Guyton AC, Hall JE. Textbook of Medical Physiology. 12th edition. Philadephia: Mansfield Stage College. 2011

Sherwood L. Human Physiology: From Cells to Systems. 8th ed. Belmont: West Pusblishing Company, 2013.

Ganong WF. Review of Medical Physiology. 24th ed. Stamford: Appleton and Lange, 2012




DOI: http://dx.doi.org/10.24198/obgynia.v1n1.9

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