Microbial Pattern and Antibiotic Susceptibility in Pediatric Intensive Care Unit Dr. Soetomo Hospital, Surabaya

I Wayan Putra and Arina Setyaningtyas, NIDN. 0022027608 and Dwiyanti Puspitasari and Irwanto, NIDN. 8809700016 and Agung Dwi Wahyu and Ira Dharmawati, NIDN. 8878800016 and Abdul Latief Azis and Kuntaman, NIDN. 0007075106 (2019) Microbial Pattern and Antibiotic Susceptibility in Pediatric Intensive Care Unit Dr. Soetomo Hospital, Surabaya. Indonesian Journal of Tropical and Infectious Disease, 7 (5). pp. 122-130. ISSN 2085-1103

[img] Text (Artikel)
Microbial Pattern And Antibiotic Susceptibility In Pediatric Intensive Care Unit Dr Soetomo Hospital Surabaya.pdf
Available under License Creative Commons Attribution Non-commercial.

Download (520kB)
[img] Text (Peer Review)
Microbial Pattern And Antibiotic Susceptibility in Pediatric.pdf

Download (1MB)
[img] Text (Similarity)
Microbial Pattern And Antibiotic Susceptibility In Pediatric Intensive Care Unit Dr Soetomo Hospital Surabaya. (1)_compressed.pdf

Download (1MB)
Official URL: https://e-journal.unair.ac.id/IJTID/article/view/5...

Abstract

Gram-negative bacterial are known as common pathogen caused infection in Pediatric Intensive Care Unit (PICU). Microbial Pattern and Antibiotic Susceptibility are needed as clinical data for selected appropriate antibiotic therapy. In PICU Dr. Soetomo hospital until now still lacking of Microbial Pattern and Antibiotic Susceptibility data. This descriptive study is to recognized Microbial Pattern and Antibiotic Susceptibility in PICU patients from blood, urine, sputum, stool, cerebrospinal fluid, endotracheal tube, pus swab and pleural fluid culture specimens. Patients whose admitted into PICU without signs of infections were excluded from the study. The inclusion criteria are patients with sign infection as follows: fever < 36,5°C or > 37.5°C, leukocyte < 4000/mm3 or > 10000/mm3, marker infections CRP >10 mg/L or PCT >0,3 ng/mL, bradycardia or tachycardia, tachypnea, infiltrates on chest X-ray, turbid urine, dysuria, thrombophlebitis, abdominal pain or tenderness, and mucous or skin lesion. Medical record data from 2011 to 2016, revealed 1138 patients had positive microbial culture result, wherein positive result came from blood 44.46%, urine 19.15%, sputum 11.59%, stool 8.96%, cerebrospinal fluid 7.50%, endotracheal tube 4.04%, pus swab 2.89%, and pleural fluid 1.41%. The microorganisms found in PICU Dr. Soetomo was dominated with gram negative bacteria. Commonest bacterial that recognized from blood was B. cepacea, urine was E. coli, sputum was P. aeruginosa, Stool was E. coli, Cerebrospinal fluid was S. cohnii, endotracheal tube was K. pneumoniae ESBL, pus swab was S. aureus, and pleural fluid was S. maltophilia. Both gram-negative bacteria and gram-positive bacteria isolates revealed multiple drug resistance to commonly used antibiotic, but still had good susceptibility for antibiotic such as; amikacin, cefoperazone-sulbactam, linezolid, vancomycin and carbapenem group.

Item Type: Article
Uncontrolled Keywords: PICU, Microbial Paterrn, Dr. Soetomo Hospital, Bacteria, Antibiotic
Subjects: R Medicine > R Medicine (General)
R Medicine > RJ Pediatrics
Divisions: 01. Fakultas Kedokteran > Ilmu Kesehatan Anak
Creators:
CreatorsNIM/NIDN
I Wayan PutraUNSPECIFIED
Arina Setyaningtyas, NIDN. 0022027608UNSPECIFIED
Dwiyanti PuspitasariUNSPECIFIED
Irwanto, NIDN. 8809700016irwanto@fk.unair.ac.id
Agung Dwi WahyuUNSPECIFIED
Ira Dharmawati, NIDN. 8878800016UNSPECIFIED
Abdul Latief AzisUNSPECIFIED
Kuntaman, NIDN. 0007075106UNSPECIFIED
Depositing User: hanif kurniawan
Date Deposited: 12 Nov 2019 06:07
Last Modified: 12 Nov 2019 06:07
URI: http://repository.unair.ac.id/id/eprint/89201
Sosial Share:

Actions (login required)

View Item View Item