Abstract:
Currently, the incidence of urinary tract infection in patients with indwelling urinary catheter
ranges between 10-80%. They are at risk for other problems that can cause death. Appropriate
action is required to decrease the risk of urinary tract infection by periurethral area cleaning. The
aim of this study was to analyze the differences of the effectiveness of the use of normal saline
and 10% povidone iodine for periurethral area cleaning in decreasing the risk of urinary tract
infection. Research method was true experimental design with the population of patients who used
indwelling urinary catheter in one of the hospitals in West Java. Samples size were obtained by
consecutive and allocated by block randomization which were divided into 2 groups, each group
were 17 respondents. In the treatment group, periurethral area was cleaned with normal saline and
in the control group with 10% povidone iodine. Urinary tract infection risk assessment was carried
out by the leukocyte esterase dipstick test at 8 hours after insertion. The results indicated that the
incidence of urinary tract infections risk in the group using normal saline was smaller than 10%
povidone iodine with a comparison of 1:1.3. Number need to treat in this study was 6. The
conclusion of this study is normal saline is more effective in reducing the risk of urinary tract
infection.
