Effectiveness of the Use of Reverse Osmosis Water and Aquabidest in Minimizing Germ Growth in Humidifiers on Oxygen Therapy Measures
Published 2019-11-01
Keywords
- Bacteria Colonies,
- Humidifier
Copyright (c) 2019 Jaringan Laboratorium Medis

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
How to Cite
CrossMark
Dimensions
If it doesn't Appear, click here
Impact Factor
Abstract
Oxygen is a basic human need that cannot be delayed. In patients who experience hypoxia management that must be done immediately is oxygen therapy. Oxygen tubes tend to be dry so they can cause irritation along the respiratory tract. Efforts to minimize these problems are by using a humidifier, but the use of a humidifier can be a place for bacterial growth. The study aimed to find out which is more effective more effective between the use of reverse osmosis water compared to the use of aquabidest in minimizing germ growth in the humidifier. This type of research is research (true experiment) with the design of posttest control group design. To find out the effectiveness of the two groups, the Mann-Whitney test was conducted. There was a significant difference between the bacteria colonies at the 8th, 16th and hourly observations, 24 in the aquabidest group with a p value of 0.018 and the Reverse osmosis water group with a p value of 0.007. There was no significant difference in bacterial colonies in the aquabidest group with Reverse Osmosis at the 8th, 16th and 24th hours observations with p values respectively 1.00, 1.00 and 0.74. There was no difference in effectiveness between the use of aquabidest compared to the use of Reverse Osmosis Water. Aquabidest and / or Reverse Osmosis Water can be used in a humidifier by using aquabidest and reverse osmosis water in a humidifier on oxygen therapy.
Downloads
References
- Behnia M, Logan SC, Falen L, Catalano P. (2014). Nosocomial and ventilator-associated pneumonia in a community hospital intensive care unit: a retrospective review and analysis. BMC Res Notes. 11;7:232
- Campbell, E.J., Baker, M.D., Crites, S.P. (2012). Subjective effects of humidification of oxygen for delivery by nasal cannula. A prospective study. Chest. 93(2). 298-93.
- Culloch, J.M.C. (2000). Infection control: Science, management and practice. Philadelphia: Whurr publishers.
- Fauci, G.B. Costa, A. Facciolà, A. Conti, R. Riso, and R. Squeri. (2017). Humidifiers for oxygen therapy: what risk for reusable and disposable devices? J Prev Med Hyg. 58(2): 161–165.
- Gibson, J.M. (1990). Modern microbiology and pathology for nurses.Oxford: Blackwell scientific publications.
- Gould, D. & Brooker, C. (2000). Applied microbiology for nurses, Basingstoke: Macmillan Press LTD.
- Harahap, I.A. (2004). Terapi oksigen dalam asuhan keperawatan, http://library.usu.ac.id/download/fk_keperawatan-ikhsanuddin2.pdf diunduh 13 Agustus 2018.
- Haitham S. Al Ashry and Ariel M. Modrykamien. (2014). Humidification during Mechanical Ventilation in the Adult Patient. Biomed Res Int. 2014- 715434
- Handiyani, H. (2001). Hubungan antara waktu membersihkan ruangan dengan peningkatan jumlah mikroorganisme melalui aliran udara. Jurnal Keperawatan Indonesia. 5(2) 44-49.
- Hilton, P.A. (2014). Breathing dalam Hilton, P.A. Fundamental Nursing Skills, hlm 14 Philadelphia: Whurr Publishers.
- Hudak, C.M. & Galo, B.M. (2012). Critical care nursing: A Holistik approach. Philadelphia: Lippincott Company.
- Jadhav.S, Tushar Sahasrabudhe,Vipul Kaley, and Nageswari Gandham. (2013). The Microbial Colonization Profile of Respiratory Devices and the Significance of the Role of Disinfection: A Blinded Study. J Clin Diagn Res. 7(6): 1021–1026
- Kalstrom, TJ. (2002). AARC clinical practice guideline: Oxygen therapy for adults in the acute care facility. Journal Respiratory Care. 47(6) 717-720. http://www.rcjournal.com/cpgs/pdf/06.02.717.pdf/ diunduh 17 Februari 2009.
- Kozier, B., Erb, G., Berman, A., & Snyder, S.J. (2004). Fundamentals ofnursing: concepts, process, and practice, 7th ed. New Jersey: Person education
- Kenji, M. (2004). Is it necessary to humidify inhaled low-flow oxygen or low concentration oxygen?. Journal of the japanese respiratory society. 42(2). 138-144.
- Nafisah, S. (2017). pengaruh lama penggantian air humidifier lebih dari 24 jam terhadap pertumbuhan bakteri pada terapi oksigen system low flow low concentration di ruang rawat inap interna RSUD dr. Soebandi Jember. Skripsi untuk meraih sarjana keperawatan, Universitas Airlangga, Surabaya.
- Notoatmodjo. S. (2005). Metodologi Penelitian Kesehatan.(cetakan ketiga). Jakarta: Rineka Cipta. Hal 88-89.
- Otter JA, Yezli S, French GL (2011). The role played by contaminated surfaces in the transmission of nosocomial pathogens Infect Control Hosp Epidemiol. 32(7):687-99.
- Pavlovic. (2000). Inhalation therapy- products for humidification and nebulisation, http://www.tycohealth-ece.com, diunduh 23 Agustus 2018.
- Perry, A.G. & Potter, P.A. (2010). Clinical nursing skills techniques. vol 2, 6thed. Australia: Elsevier-Mosby.
- Perry, A.G. & Potter, P.A. (2010). Fundamentals of nursing: Concepts, process, and practice. St. Louis: CV Mosby Company.
- Rita, A.S. (2001). Terapi Oksigen dan Fisoterapi Napas Simposium Critical Care Nursing. Surabaya : Lab/ UPF Anestesiologi FK Unair- RSUD dr. Soetomo. Hal 1-10.
- Sharah.A, Rahman Karnila, Desmelati. (2015). Pembuatan Kurva Pertumbuhan Bakteri Asam Laktat yang di Isolasi dari Ikan peda Kembung (rastrelliger sp.) JOM
- Sastroasmoro, S. & Ismail, S. (2008). Dasar-Dasar Metodologi Penelitian Klinis. (edisi 2). Jakarta: CV. Sagung Seto. Hal: 79, 220.
- Scaffer, S.D., Burnett, C.B., Crowford, P.E., Duffy, J.R., Fontaine, D.K., dkk. (1996). Pocket guide to infection prevention and safe practice. Virginia: Mosby Year Book Inc.
- Smeltzer, S.C. & Bare, B.G. (2010). Brunner & suddart’s text book of medical- surgical nursing. Volume 1, ed 11th. Philladelpia: Lippincott.
- Taylor, C., Cillis, C., & LeMone, P. (2013). Fundamental of Nursing: The art and sience of nursing care. volume 2. (3th ed). Philadelphia: Lippincott.
- Tucker, S.M., Canobbio, M.M., Paquette, E.V., & Wells, M.F. (2000). Patient care standards; Collaborative planning & nursing interventions. 7th. St. Louis: Mosby.
- Uyainah, A. (2006). Terapi oksigen, dalam Sudoyo, A.W., Setiyohadi, B., Alwi, I., Simadibrata, M., Setiati, S., (edisi IV) Buku Ajar Ilmu Penyakit Dalam. (hlm. 125-127). Jakarta: PusatPenerbitan Deaprtemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia.
- Waugh J.B & Granger W.M. (1998). An evaluation of 2 new devices for nasal high- flow gas therapy. Journal Respiratory care. 49(8):902-906.
- Weber M.W., Palmer A., Jaffar S. & Mulholland E.K. (2012). Diagnostic and Therapeutic Method Humidification of oxygen with unheated humidifiers in tropical climates. Journal Pediatric pulmonology. 22(2): 125-128.
- Wenten. (2013). Teknologi Membran untuk pengolahan air [online]. http://www.igwenten.com/2013/02/teknologi-membran-untuk-pengelolaan-air.html diakses 12 September 2018
- Yamashita, K., Nishivama, T., Yokoyama, T., Abe, H., Manabe, M. (2005). A comparison of the rate of bacterial contamination for prefilled disposable and reusable oxygenhumidifiers. J Crit Care. 20(2):172-5