Kajian literatur: perbandingan efektifitas perawatan tali pusat yang menggunakan chlorhexidine dengan dry care pada bayi baru lahir = literatur review: the effectiveness of umbilical cord care using chlorhexidine compare to dry cord care on neonates.

Hendarto, Rianda Alvalina (2018) Kajian literatur: perbandingan efektifitas perawatan tali pusat yang menggunakan chlorhexidine dengan dry care pada bayi baru lahir = literatur review: the effectiveness of umbilical cord care using chlorhexidine compare to dry cord care on neonates. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Bayi baru lahir sangat rentan mengalami infeksi. Infeksi dapat bersumber dari tali pusat, yang mengarah ke sepsis. Hal ini dapat dicegah dengan perawatan tali pusat yang tepat. WHO (2016) merekomendasikan perawatan tali pusat dengan menggunakan metode dry care dan chlorhexidine (CHX). Kajian literatur ini bertujuan untuk menganalisis perbandingan keefektifan perawatan tali pusat yang menggunakan chlorhexidine dan dry cord care pada bayi baru lahir. Metode yang digunakan dalam kajian literatur ini adalah simplified approach. Hasil artikel yang telah diseleksi, dianalisis menggunakan metode analisis tematik, dan menggunakan Critical Appraisal Skills Programme (CASP) dalam menguji kelayakan artikel. Hasil dari keseluruhan artikel mendapatkan bahwa adanya perbandingan yang signifikan antara kelompok intervensi CHX dan dry cord care, dilihat dari angka tingkat koloni bakteri dan tanda infeksi, waktu pemutusan tali pusat, dan tingkat kematian bayi. Ketujuh artikel yang telah dikaji, menyebutkan bahwa chlorhexidine lebih efektif dalam mencegah infeksi tali pusat dan menurunkan tingkat mortalitas bayi, sedangkan dalam waktu pemutusan tali pusat, pengaruh chlorhexidine atau dry cord care, bergantung kepada kondisi kesehatan bayi. Hasil dari kajian literatur ini diharapkan dapat menjadi pedoman dalam penelitian selanjutnya atau praktik perawatan tali pusat baik di tatanan rumah sakit atau komunitas, sebagai metode pencegahan omphalitis atau sepsis, dan menurunkan mortalitas bayi / Infection on neonates are vulnerable. The infection occurred because bacterial colonization on umbilicus called omphalitis, and leading to sepsis. It can be prevented with proper umbilical cord care. WHO (2016) recommends umbilical cord care using dry cord care andchlorhexidine (CHX). This literature review aimed to analyze the effectiveness of umbilcal cord care using chlorhexidine compare to dry cord care in neonates. This literatur review using a simplified approach as method. The selected articles were analyzed by thematic analysis, and used CASP to do critical appraise for those articles. Those articles show that there are mean differences of CHX group and dry cord care group, on bacterial colonization number and sign of infection, cord separation time, and neonates mortality rate. Seven articles that had been review, shows that chlorhexidine use on umbilical cord care is more effective than dry cord care, the result seen from lower rate on infection risk and mortality. Meanwhile, on cord separation time, the effect of chlorhexidine and dry cord care are depending on the health status. The result of this literatur review consider as a guidance to develop the next research or umbilical cord care practice in the hospital or communities to prevent omphalitis or sepsis, and reduce neonatal mortality.

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