PENGARUH OPEN SUCTION SYSTEM TERHADAP KOLONISASI STAPHYLOCOCCUS AUREUS PADA PASIEN DENGAN VENTILATOR MEKANIK DI RUANG INTENSIVE CARE UNIT RSD dr. SOEBANDI JEMBER

Abstract

Patients who are treated using mechanical ventilation is more prone to pnumonia nosocomial infection. It is the highest contributing symptoms to mortality found at the Intensive Care Unit (ICU). The bacteria which accounts for the infection is Staphylococcus aureus. One of the avaliable treatments for preventing the incidence of pneumonia nosocomial infection is using the Open Suction System (OSS). The objective of this research was to identify the effect of OSS on the colonization of Staphylococcus aureus to the patient with mechanical ventilation at the ICU of RSD dr. Soebandi. This research used pre-experiment design and was set using the one group pretest-posttest design. The sampling collection technique used in this research was consecutive sampling which was performed during 20 August – 20 September 2014. Data was obtained from the bacteria culture using the MSA media. The statistical testing employed by this research was the dependent t-test parametric testing with the value of significance (α) of 5%. The result showed that the p value = 0,025 < α, indicating that there was significant effect of OSS on the colonization of Staphylococcus aureus in patients with mechanical ventilation at intensive care unit RSD dr. Soebandi Jember. OSS could increase the colonization of Staphylococcus aureus with an average 33,33 CFU/ml. The result of this research helps to provide consideration in fixing the Standard Operating Procedure of OSS in patients with mechanical ventilation at ICU because OSS has better capability to prevent pneumonia nosocomial than closed suction system if applied with appropriate procedure.