Effectiveness of periurethral cleaning solution to bacteria colonization count at periurethral area prior to urinary catheterization.
<div align='justify> Introduction :Patient safety is an important element that must be notice when providing care to patients, including nurse. The incidence of catheterized patient increasingly 25 % from total patients that hospitalized can lead urinary tract infection. The purpose of this study was to compare the effectiveness of cleaning periurethral with povidone iodine 10 %, povidone iodine 2 % and normal saline to bacteria colonization prior to catetherization. Methods : This study used quasi-experimental, pre and post intervention design with control group. Result : Periurethral swabs were obtained from a total 60 patients ( povidone iodine 10 % as control group , 20; povidone iodine 2 %, 20; normal saline, 20). Through paired t-test ,there was significant decreased (p value : .00; p < .05) in bacteria colonization count using povidone iodine 2% and normal saline ; using povidone iodine 10 % , there was no significant decreased (p value : .55; p >.05) in bacteria colonization count. While, a simple linear regression result that povidone iodine 2% is the most effective solution on reducing bacteria colonization in periurethral area rather than other solution. In addition, recommendation needed to test bacteria colonization in urine culture using those periuretral cleaning solutions. Keyword: periurethral cleaning, patient safety, povidone iodine 2%, povidone iodine 10%, normal saline