Effect of Red Fruit Oil Soap (Pandanus Conoideus Lam.) as Wound Cleansing on Wound Healing and the Number of Bacterial Colonies among Grade II Diabetic Ulcer Patients at Griya Wound Care Clinic Kudus, Indonesia

Hevny Kartika Dewi, Mardiyono Mardiyono, Diyah Fatmasari, Sudirman Sudirman, Djenta Saha

Abstract

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process.

Aims: This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patients

Methods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.

Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.

Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer.

Keywords

Red fruit oil soap; Wound cleansing; Wound healing; Diabetic ulcer

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References

Boulton AJ, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers. New England Journal of Medicine. 2004;351(1):48-55.

Maiorana A, O'Driscoll G, Goodman C, Taylor R, Green D. Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes. Diabetes research and clinical practice. 2002;56(2):115-23.

Kujath P, Michelsen A. Wounds–From physiology to wound dressing. Deutsches Ärzteblatt International. 2008;105(13):239-48.

Aulia NF. Pola Kuman Aerob Dan Sensitifitas Pada Gangren Diabetik (Patern and sentivity of aerobic bacteria in diabetic gangrene). Medan: Universitas Sumatera Utara; 2008.

Rohman A, Sugeng R, Man YC. Characterizaton of red fruit (Pandanus conoideus Lam) oil. International Food Research Journal. 2012;19(2): 563-7.

Sarungallo ZL, Hariyadi P, Andarwulan N, Purnomo EH, Wada M. Analysis of α-cryptoxanthin, β-cryptoxanthin, α-carotene, and β-carotene of Pandanus conoideus oil by high-performance liquid chromatography (HPLC). Procedia Food Science. 2015;3:231-43.

Little RC. Some physical properties of soap/solvent systems and their relation to the solubility parameter of the solvent. Journal of colloid and interface science. 1966;21(3):266-72.

Bhat R, Prajna P, Menezez VP, Shetty P. Antimicrobial activities of soap and detergents. Adv Biores. 2011;2(2):52-62.

Gardner SE, Frantz RA. Wound bioburden and infection-related complications in diabetic foot ulcers. Biological research for nursing. 2008;10(1):44-53.

Noor S, Zubair M, Ahmad J. Diabetic foot ulcer—a review on pathophysiology, classification and microbial etiology. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2015;9(3):192-9.

Indrawati I, editor Sensitivity of pathogenic bacteria to buah merah (Pandanus conoideus Lam.). AIP Conference Proceedings; 2016: AIP Publishing.

Timsina B, Shukla M, Nadumane VK. A review of few essential oils and their anticancer property. International Journal of Shoulder Surgery. 2012;6(2).

Rohman A, Riyanto S, Yuniarti N, Saputra W, Utami R, Mulatsih W. Antioxidant activity, total phenolic, and total flavaonoid of extracts and fractions of red fruit (Pandanus conoideus Lam). International Food Research Journal. 2010;17(1):97-106.

Crowe T, Brockbank C. Nutrition therapy in the prevention and treatment of pressure ulcers. Wound practice and research. 2009;17(2):90-9.

Gitarja WS, Jamaluddin A, Hasyim A, Wibisono V, Megawati N, Fajar K. Wound care management in Indonesia: issues and challenges in diabetic foot ulceration. Wounds Asia. 2018;1(2):13-7.

Velander P, Theopold C, Hirsch T, Bleiziffer O, Zuhaili B, Fossum M, et al. Impaired wound healing in an acute diabetic pig model and the effects of local hyperglycemia. Wound Repair and Regeneration. 2008;16(2):288-93.

Velnar T, Bailey T, Smrkolj V. The wound healing process: an overview of the cellular and molecular mechanisms. Journal of International Medical Research. 2009;37(5):1528-42.

Dumville JC, O'Meara S, Deshpande S, Speak K. Alginate dressings for healing diabetic foot ulcers (Review). Cochrane database of systematic reviews. 2012(2).

Julianto E, Sudiarto S. Hidrogel ekstrak bonggol pisang, rumput laut dan daun sirih untuk luka bakar (Hydrogel from the extract of banana hump, seaweed and betel leaf for burn wound). Mahakam Nursing Journal (MNJ). 2018;2(4):151-8.

Pradika J, Astuti Y, Sari NK. Efektivitas cleansing luka menggunakan Infussa daun Jambu biji 20% dengan teknik showering tekanan 15 Psi terhadap penyembuhan ulkus kaki penderita diabetik di Klinik Kitamura Pontianak (The effectiveness of wound cleansing using guava-leaf Infusion 20% with showering technique of 15 PSI pressure towards healing of diabetic foot ulcer in Kitamura Pontianak Clinic) [Thesis]. Yogyakarta: UNY Yogyakarta; 2016.

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