Pencegahan Penularan Multi-Resisten Organisme (MRO) Melalui Manset Tekanan Darah
Abstract
This study aims to explore interventions to prevent the occurrence of multi-resistant organisms (MRO) in patients with blood pressure cuff placement in special care rooms. This research method uses the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines with the Scopus, PubMed, CINAHL, and SAGE databases. The results of the study found five types of interventions namely disinfection and decontamination with alcohol, addition of hydrogen peroxide in the sterilization process, cuff design with a barrier between the skin and the cuff, education and training programs for medical personnel, and development of standard procedure protocols. In conclusion, interventions to prevent the occurrence of multi-organism resistance in patients with blood pressure cuff placement do not only focus on equipment, but the knowledge and standard of cleaning procedures owned by health workers need to be improved and developed.
Keywords: Blood Pressure Cuff, Prevention of Transmission, Multi-Organism Resistance (MRO)
References
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Asnawati, R., Syukur, S. B., Yunus, H., Abas, F. F., Tabrani, S., & Yahya, M. (2022).kothePengendalian Infeksi di Ruangan Interna RSUD Aloei Saboe Kota Gorontalo. J-Abdi: Jurnal Pengabdian kepada Masyarakat, 1(11), 3211-3216. https://doi.org/10.53625/jabdi.v1i11.1927
Dadi, N. C. T., Radochová, B., Vargová, J., & Bujdáková, H. (2021). Impact of Healthcare-Associated Infections Connected to Medical Devices—An Update. Microorganisms, 9(11), 2332. doi: 10.3390/microorganisms9112332.
Dwinata, R. T., Kusumapradja, R., Hilm, M. R., & Handriyanto, N. T. (2023). Analisis Rancangan Model Pengembangan Pengelolaan Program Pencegahan dan Pengendalian Infeksi di Instalasi Gawat Darurat Rumah Sakit pada Masa Pandemi Covid-19. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 13(4), 1253-1264. https://doi.org/10.32583/pskm.v13i4.1230
Eldor, J. (2018). Reusable Blood Pressure Cuff-A Real Infectious Danger during Surgery. Is it Time for Disposable Blood Pressure Cuff?. Journal of Health Science and Development J Health Sci Dev, (102). Available at: www.innovationinfo.org.
Fernando, S. A., Gray, T. J., & Gottlieb, T. (2017). Healthcareâ€acquired infections: prevention strategies. Internal medicine journal, 47(12), 1341-1351. https://doi.org/10.1111/1742-6723.12076
Garrido-Molina, J. M., Márquez-Hernández, V. V., GarcÃa-Viola, A., RodrÃguez-Maresca, M. Ã., Del Ãguila, J. G., & Gutiérrez-Puertas, L. (2023). What is essential remains invisible to the eyes? Blood pressure cuffs colonized by bacterial diversity. International Microbiology, 26(2), 389-396. https://doi.org/10.1007/s10123-022-00308-y
Kothekar, A. T. and Kulkarni, A. P. (2020). Basic Principles of Disinfection and Sterilization in Intensive Care and Anaesthesia and Their Applications during Covid-19 Pandemic. Indian Journal of Critical Care Medicine, 24(11), 1114–1124. doi: 10.5005/jp-journals-10071-23562.
Lee, R., Choi, S. M., Jo, S. J., Han, S., Park, Y. J., Choi, M. A., & Kong, B. K. (2021). A Quasi-Experimental Study on Stethoscopes Contamination with Multidrug-Resistant Bacteria: Its Role as a Vehicle of Transmission. PLoS One, 16(4), e0250455.doi: 10.1371/journal.pone.0250455.
Okaekwu, A. E., Usifoh, S. F. and Babaiwa, U. F. (2021). Knowledge of Microbial Contamination of Sphygmomanometers in Healthcare Facilities in Benin City. African Journal of Health, Safety and Environment, 2(2), 183–195. doi: 10.52417/ajhse.v2i2.177.
Rao, D. A., Aman, A., Muhammad Mubeen, S., & Shah, A. (2017). Bacterial Contamination and Stethoscope Disinfection Practices: q Cross-Sectional Survey of Healthcare Workers in Karachi, Pakistan. Tropical doctor, 47(3), 226-230.doi: 10.1177/0049475516686543.
Risteen, R., Cohen, S., Mooney, L., Giovanniello, E., Miley, G. B., & Hollenbeck, B. L. (2018). Disinfection of Blood Pressure Cuffs and Electrocardiographic Telemetry Leads with 0.5% Hydrogen Peroxide Wipes. American Journal of Critical Care, 27(4), 322-327.322–327. doi: 10.4037/ajcc2018743.
Sahan, S. and Günay Ismailoğlu, E. (2021). Nurse Attıtudes Towards Cleanıng Blood Pressure Cuffs: Profile in Turkey. Progress in Health Sciences, 83–87. doi: 10.5604/01.3001.0014.9284.
Strait, B. (2022) . Environmental Cleaning Evaluation Project for Rural Tribal Health Center. UNMC University of Nebraska Medical Center.
Weldegebreal, F. et al. (2019). Non-Critical Healthcare Tools As A Potential Source Of Healthcare-Acquired Bacterial Infections In Eastern Ethiopia: A Hospital-Based Cross-Sectional Study. SAGE Open Medicine, 7. doi: 10.1177/2050312118822627.
World Health Organization (2020). Pembersihan dan Disinfeksi Permukaan Lingkungan dalam Konteks COVID-19, 1–9. Available at: who.int.
Zimmerman, P. A., Browne, M. and Rowland, D. (2018). Instilling A Culture of Cleaning: Effectiveness of Decontamination Practices on Non-Disposable Sphygmomanometer Cuffs. Journal of Infection Prevention, 19(6), 294–299. doi: 10.1177/1757177418780997.
