Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin

  • Bahtiar Yusuf Akademi Keperawatan Makassar Sulawesi Selatan Indonesia
  • Takdir Tahir Fakultas Keperawatan Universitas Hasanuddin Indonesia
  • Kadek Ayu Erika Fakultas Keperawatan Universitas Hasanuddin Indonesia
  • Yuliati Yuliati Akademi Kebidanan Yapma Makassar


The use of old modern dressings cost a lot, so wound practitioners use alternative dressings (sanitary napkins). Identify the use of alternative dressings for chlorine residues and the process of healing diabetic foot injury (LKD). Quasi experimental research design with one group pre and post approach, 10 samples were intervened with alternative pads in the form of sanitary napkins used after wound care. Sanitary pads are used on one wound for a type of dressing based on the area of ​​the wound. Intervention for 12 days with dressing changes per 2 days. Examination of residual chlorine (Spectrophotometry UV-Vis) based on the wound with swab techniques on days 1, 6 and 12, while the healing process with a standard instrument that is Diabetis Foot Ulcer Assessment Scale (DFUAS). Chlorine residues of days 1, 6 and 12 were 0.6837, 2.4477 and 2.7927 ppm with p = 0.001. The average DFUAS scores of days 1, 6 and 12 are 29.6, 27.7 and 24.6 with p = 0.005. Thus a significant increase in residual chlorine at the wound bed but DFUAS scores continued to decline. An increase in chlorine residue on days 6 and 12 of treatment using alternative dressings of sanitary napkins and DFUAS scores decreased. It is recommended for wound practitioners to evaluate Diabetic Foot Injuries when using alternative dressings (sanitary napkins).


1. IDF. International Diabetes Federation-Facts & figures. 2019; Available from:
2. Tsang KK, Kwong EWY, To TSS, Chung JWY, Wong TKS. A Pilot Randomized, Controlled Study of Nanocrystalline Silver, Manuka Honey, and Conventional Dressing in Healing Diabetic Foot Ulcer. Evidence-based Complement Altern Med. 2017;20(1):7-14.
3. Yazdanpanah L, Nasiri M, Adarvishi S. Literature Review On The Management Of Diabetic Foot Ulcer. World J Diabetes. 2015;6(1):37–53.
4. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology Of Diabetic Foot Ulceration: A Systematic Review And Meta-Analysis. Ann Med. 2017;49(2):106–116.
5. Ghosh P, Valia R. Burden of Diabetic Foot Ulcers in India: Evidence Landscape from Published Literature. Value Heal. 2017;20(9):48-55.
6. Yusuf S, Okuwa M, Irwan M, Rassa S, Laitung B, Thalib A, et al. Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital, Eastern Indonesia. Open J Nurs. 2016;6(1):1–10.
7. Surahio AR, Khan AA, Farooq M FI. Role of Honey In Wound Dressing In Diabetic Foot Ulcer. J Ayub Med Coll Abbottabad JAMC Ayub Med Coll Abbottabad [Internet]. 2014;Jul-Sep;26(3):304-6. Available from:
8. Hilton JR, Williams DT, Beuker B, Miller DR, Harding KG. Wound Dressings in Diabetic Foot Disease. Clin Infect Dis. 2014 Aug;39(Supplement_2):100–103.
9. Jung JA, Yoo KH, Han SK, Dhong ES, Kim WK. Evaluation Of The Efficacy Of Highly Hydrophilic Polyurethane Foam Dressing In Treating A Diabetic Foot Ulcer. Adv Ski Wound Care. 2016;29(12):546–555.
10. Qu X, Liu H, Zhang C, Lei Y, Lei M, Xu M, et al. Electrofabrication Of Functional Materials: Chloramine-Based Antimicrobial Film For Infectious Wound Treatment. Acta Biomater. 2018;73(6):190–203.
11. Ahmed N, Shahzad MN, Qureshi KH, Saeed MB, Waheed F, Ali A. Effectiveness of 0.025% Dakin’s Solution Versus 1% Silver Sulphadiazine for Treatment of Partial Thickness Burns. Ann Pak Inst Med Sci. 2011;7(3):127–132.
12. Verma N, Sangwan P, Tewari S, Duhan J. Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial. J Endod [Internet]. 2019;45(4):357–363. Available from:
13. Levine JM. Dakin’s Solution: Past, Present, And Future. Adv Ski Wound Care. 2013;26(9):410–414.
14. Cardile AP, Sanchez CJ, Hardy SK, Romano DR, Hurtgen BJ, Wenke JC, et al. Dakin Solution Alters Macrophage Viability And Function. J Surg Res [Internet]. 2014;192(2):692–699. Available from:
15. Yazdanpanah L, Shahbazian H, Nazari I, Arti HR, Ahmadi F, Mohammadianinejad SE, et al. Prevalence and Related Risk Factors Of Diabetic Foot Ulcer In Ahvaz, South West of Iran. Diabetes Metab Syndr Clin Res Rev. 2018;12(4):519–524.
16. M. Monteiro‐Soares E. J. Boyko J. Ribeiro I. Ribeiro M. Dinis‐Ribeiro. Predictive Factors For Diabetic Foot Ulceration: A Systematic Review. Diabetes Metab Res Rev. 2012;28(9):3–12.
17. Mariam TG, Alemayehu A, Tesfaye E, Mequannt W, Temesgen K, Yetwale F, et al. Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study. J Diabetes Res [Internet]. 2017/07/16. 2017;2017:2879249. Available from:
18. Iwase M, Fujii H, Nakamura U, Ohkuma T, Ide H, Jodai-Kitamura T, et al. Incidence of Diabetic Foot Ulcer In Japanese Patients With Type 2 Diabetes Mellitus: The Fukuoka Diabetes Registry. Diabetes Res Clin Pract [Internet]. 2018;137:183–9. Available from:
19. Noor S, Zubair M, Ahmad J. Diabetic Foot Ulcer-A Review On Pathophysiology, Classification And Microbial Etiology. Diabetes Metab Syndr [Internet]. 2015/04/29. 2015;9(3):192–199. Available from:
20. Tang UH, Zügner R, Lisovskaja V, Karlsson J, Hagberg K, Tranberg R. Foot Deformities, Function In The Lower Extremities, And Plantar Pressure In Patients With Diabetes At High Risk To Develop Foot Ulcers. Diabet Foot Ankle [Internet]. 2015 Jun 17;6:27593. Available from:
21. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global Epidemiology Of Diabetic Foot Ulceration: A Systematic Review And Meta-Analysis. Ann Med [Internet]. 2016/11/03. 2017 Mar;49(2):106–116. Available from:
22. Shin JY, Roh S-G, Sharaf B, Lee N-H. Risk of Major Limb Amputation In Diabetic Foot Ulcer And Accompanying Disease: A Meta-Analysis. J Plast Reconstr Aesthet Surg [Internet]. 2017/08/05. 2017 Dec;70(12):1681–8. Available from:
23. Wang DD, Jamjoom RA, Alzahrani AH, Hu FB, Alzahrani HA. Prevalence and Correlates of Lower-Extremity Amputation in Patients With Diabetic Foot Ulcer in Jeddah, Saudi Arabia. Int J Low Extrem Wounds [Internet]. 2015/09/08. 2016 Mar;15(1):26–33. Available from:
24. Benkhadoura M, Alswehly M, Elbarsha A. Clinical Profile And Surgical Management Of Diabetic Foot in Benghazi, Libya. Foot Ankle Surg [Internet]. 2015/05/14. 2016 Mar;22(1):55–58. Available from:
25. Duarte B, Cabete J, Formiga A, Neves J. Dakin’s Solution: Is There A Place For It In The 21st Century? Int Wound J. 2017 Dec;14(6):918–920.
26. Georgiadis J, Nascimento VB, Donat C, Okereke I, Shoja MM. Dakin’s Solution: “One Of The Most Important And Far-Reaching Contributions To The Armamentarium Of The Surgeons.” Burns [Internet]. 2018;1–9. Available from:
27. Yingsakmongkol N. Clinical Outcomes of WF10 Adjunct To Standard Treatment Of Diabetic Foot Ulcers. J Wound Care. 2013;22(3):130–136.
28. Ungke D. Analysis of Wound Care Management in the Case of Diabetic Injury at Emergency Installation (IGD) Arifin Nu’mang Hospital of Sidrap Regency. Window of Health : Jurnal Kesehatan [Internet]. 25Apr.2018 [cited 23Jul.2020];:116-24. Available from:
29. Rasyid N, Yusuf S, Tahir T. Study Literatur: Pengkajian Luka Kaki Diabetes. 2018;4(1):16-26.
30. Rasyid N, Yusuf S, Tahir T. Interrater Reliability Dan Internal Consistency Pengkajian Luka Kaki Diabetik the New Diabetic Foot Ulcer Assessment Scale (Dfuas) Berbasis Foto. J Kesehat Manarang. 2019;5(1):19-29.
How to Cite
Yusuf, B., Tahir, T., Erika, K., & Yuliati, Y. (2020). Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin. Window of Health : Jurnal Kesehatan, 202-210.