Effectiveness of Double Lumen Catheter Wound Care Using 0.9% Nacl, 7.5% Chlorhexidine, 15% Cetrimide on Double Lumen Catheter Infection in Regular Hemodialysis Patients

Abstract

The high incidence of double lumen catheter infections in Hemodialysis patients requires a solution including wound care using the antiseptic chlorhexidine 7.5% and cetrimide 15%. Objectives: The aim of this study was to identify the effect of double lumen catheter wound care using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15% on double lumen catheter infection in regular hemodialysis patients at Bhayangkara Lumajang Hospital. Methods: The research design used was quantitative research with PreExperimental One-Group Pretest-Posttest Design approach. The population in this study was hemodialysis patients with double lumen access who meet the inclusion and exclusion criteria, with a sample of 31 respondents. The sampling technique uses accidental sampling. Results: The research results were obtained before wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 12 (38.7%) respondents experienced infection and after wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 7 (22.6%) respondents experienced infection. After statistical tests were carried out using the Willcoxon test, the result was P = (0.025 < α 0.05), which means that there is a significant effect between treating double lumen catheter wounds using Nacl 0.9%, chlorhexidine 7.5 %, and cetrimide 15% against double lumen catheter infections in regular hemodialysis patients. Conclusion: The results of this study are expected to be a useful source of reference or reference for learning media or research on double lumen catheter wound care using 0.9% NaCl, 7.5% chlorhexidine, 15% cetrimide as a therapy that can be done to reduce the incidence of double lumen catheter infection in hemodialysis patients with Double lumen access.