In:
Medicinus, Universitas Pelita Harapan, Vol. 4, No. 9 ( 2018-08-11)
Abstract:
〈 p 〉 〈 strong 〉 〈 em 〉 Background 〈 /em 〉 〈 /strong 〉 〈 em 〉 : Multi-Drug Resistance Organisms (MDROs) are defined as organisms that acquired non-susceptibility to more than one antimicrobial agent. Intensive care patients are immune-compromised patients, using catheter and are given broad-spectrum antibiotics. Hence, the chance to develop microbial resistance is high. The aim of this study is to see the etiology and the microbial susceptibility pattern of catheter-associated urinary tract infection patients treated in intensive care. 〈 /em 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 〈 em 〉 Materials and Methods 〈 /em 〉 〈 /strong 〉 〈 em 〉 : The urine samples were taken from catheterized patients admitted to intensive care in Siloam Lippo Village, Tangerang, Indonesia in a one year period from July 2013 until June 2014. We confirmed species identification with Vitex-2 Compact 〈 sup 〉 ® 〈 /sup 〉 from Biomérieux, France. The susceptibility of antibiotics is according to Clinical and Laboratory Standard Institute (CLSI). 〈 /em 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 〈 em 〉 Results 〈 /em 〉 〈 /strong 〉 〈 em 〉 : We managed to get 113 urine culture results with mean of age 57.03 ± 18.505 (years). There were 67 males (59.3%) and 46 females (40.70%) that were acquired in the sample. The result of species identification showed that Escherichia coli was the dominant isolate from the urine culture (40.63%), followed by Klebsiella pneumoniae (12.5%). The percentage of MDRO was found to be 71.9%. The antibiotics susceptibility of Escherichia coli for Amoxicilin, Ampicillin/Sulbactam, Ciprofloxacin and Levofloxacin are 50%, 58%, 76% and 75% respectively. Meanwhile the susceptibility against Amikacin and Meropenem are 100% for Escherichia coli and Klebsiella pneumoniae. 〈 /em 〉 〈 /p 〉 〈 p 〉 〈 strong 〉 〈 em 〉 Conclusion 〈 /em 〉 〈 /strong 〉 〈 em 〉 : The proportion of Escherichia coli was the highest among with susceptibility of Meropenem was still high susceptibility for both gram negative and gram positive bacteria. 〈 /em 〉 〈 /p 〉 〈 h2 〉 〈 /h2 〉
Type of Medium:
Online Resource
ISSN:
2622-6995
,
1978-3094
DOI:
10.19166/med.v4i9.1187
Language:
Unknown
Publisher:
Universitas Pelita Harapan
Publication Date:
2018
