Pola Bakteri Penyebab Infeksi Nosokomial Pada Ruang Perawatan Intensif Anak Di Blu Rsup Prof. Dr. R. D. Kandou Manado

Baharutan, Anastashia; Rares, Fredine E. S.; Soeliongan, Standy

doi:10.35790/ebm.3.1.2015.7417

Cited by 14 publications

(14 citation statements)

References 4 publications

(5 reference statements)

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“…The incidence of candida infections accounted for 8% of the overall causes of nosocomial infection in hospital setting. 2 In the last 20 years, there was an increase in nosocomial infections caused by fungus of the genus candida and mainly infect the urinary tract. 3 This candida infection leads to prolonged antibiotic therapy, increasing length and cost of hospitalization, increasing morbidity, and mortality.…”

Section: Introductionmentioning

confidence: 99%

Predicting Candida Infection in Pediatric Intensive Care Unit using Candida Score in a Low-Resource Setting

Risandy

Rusmawatiningtyas

Makrufardi

et al. 2021

Global Pediatric Health

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Candida infection was previously thought to be rare in intensive care. With the increased use of broad-spectrum antibiotics, the incidence of candida infection increased significantly. Case-control study was done in patients ≤18 years of age treated for 3 days or more in Pediatric Intensive Care Unit (PICU) Dr. Sardjito General Hospital, Yogyakarta from January 2014 to December 2016. Overall, 43 children were included in this study as a case group with positive candida culture and 43 children as a control group with no candida culture. Cut off point of candida score is ≥3 from our subjects. The area under curve (AUC) value for cut off ≥3 was moderate (0,72). Candida score ≥3 has an odd ratio (OR) 6.8 (95% CI 2.4-18.6) with P < .05. All of confounding factors in candida infection have no association with P > .05. Candida score can be used as predictor of candida infection in PICU.

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Section: Introductionmentioning

confidence: 99%

Predicting Candida Infection in Pediatric Intensive Care Unit using Candida Score in a Low-Resource Setting

Risandy

Rusmawatiningtyas

Makrufardi

et al. 2021

Global Pediatric Health

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“…Infeksi yang didapat dirumah sakit yang ditularkan oleh petugas sangat merugikan baik pasien, maupun pihak rumah sakit. Salah satu penularan kuman dapat terjadi melalui tangan yang umumnya berasal dari kavum nasi; 27 hal ini selaras dengan tujuan penelitian ini yaitu mendapatkan profil resistensi penularan yang berasal dari kavum nasi.…”

Section: Bahasanunclassified

Profil Resistensi Antimikroba dari Flora Normal dalam Kavum Nasi Petugas Kamar Operasi Bedah Jantung dan Petugas Pasca Operasi Intensive Coronary Care Unit RSUP H. Adam Malik Medan

Irma¹,

Loesnihari²,

Akbar³

2019

eBM

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Nosocomial infection often occurs in hospitalized patients due to microbial contamination. This study was aimed to obtain the profile of microbes in nasal cavities of hospital personnel by identification the microbial pattern, therefore, the microbial resistance to several antimicrobial groups could be determined. This was an observational analytical study with a cross sectional design. Subjects were hospital personnel at the Cardiac Surgery room and at the Intensive Coronary Care Unit (ICCU) room of H. Adam Malik General Hospital, Medan. Specimens of nasal cavity swabs were taken from all subjects, and then were cultured and tested for antimicrobial sensitivity. From 37 subjects, the most common bacteria found were S. epidermidis (40%), S. saprophyticus (21%), and S. aureus (12%). The antimicrobial susceptibility test showed that sufamethoxsazole had the highest resistance while erythomycin still had good sensitivity. At the ICCU room, amikacin showed better sensitivity than doxycyclin. Amoxiclav had the highest sensitivity, meanwhile from the floroquinolone class, norfloxacin had better sensitivity than ciprofloxacin. The microbes were still sensitive to cephalosporin class but were resistant to vancomycin. Conclusion: S. epidermidis, S. saprothyticus, and S. aureus were the most commonly found microbes in the nasal cavities of hospital personnel. The nasal cavity microbes were still sensitive to erythromycin, amikacin, amoxiclav, norfloxacin, and cephalosporin group.Keywords: nosocomial infection, nasal cavity, antimicrobial resistance, antimicrobial sensitivity Abstrak: Infeksi nosokomial sering terjadi pada saat pasien dirawat di rumah sakit akibat adanya kontaminasi mikroba yang berada di rumah sakit. Penelitian ini bertujuan untuk mendapatkan pola mikroba kavum nasi dari petugas rumah sakit melalui identifikasi mikroba sehingga dapat ditentukan pola resistensi mikroba terhadap berbagai macam golongan antimikroba. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Subyek penelitian ialah petugas di kamar operasi bedah jantung dan ruang pasca operasi ICCU di RSUP H. Adam Malik Medan. Pengambilan spesimen swab kavum nasi dilakukan pada semua subyek, dilanjutkan dengan pembiakan serta uji resistensi antimikroba. Dari 37 subyek didapatkan bakteri terbanyak yaitu S. epidermidis (40%), diikuti oleh S. saprothyticus (21%), dan S. aureus (12%). Uji sensitivitas terhadap antimikroba lini pertama mendapatkan sulfametoksasol merupakan antimikroba yang paling tinggi resistensinya sedangkan eritromisin merupakan antimikroba yang masih baik sensitivitasnya. Untuk ruang ICCU, sensitivitas terhadap amikasin masih lebih baik dibandingkan doksisiklin. Amoksiklav merupakan antimikroba yang sensitivitasnya sangat baik, sedangkan dari golongan florokuinolon, norfloksasin memiliki sensitivitas yang lebih baik dibanding siprofloksasin. Golongan sefalosporin masih memiliki sensitifitas yang baik, sedangkan vankomisin sudah resisten. Simpulan: Bakteri terbanyak didapatkan dalam kavum nasi ialah S. epidermidis, S. saprothyticus, dan S. aureus. Antimikroba yang masih sensitif yaitu eritromisin, amikasin, amoksiklav, norfloksasin, dan golongan sefalosporin.Kata kunci: infeksi nosokomial, kavum nasi, resistensi antimikroba, sensitivitas antimikroba

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“…14 Kuman ini dapat menyebabkan bakteremia, endokarditis sampai pada syok, gagal napas dan kegagalan multi-organ apalagi pada saat kegiatan pembedahan yang berhubungan dengan saluran napas, saluran cerna dan saluran kemih. 18 Ditemukannya kuman Streptococcus sp pada sampel lantai dan udara kamar operasi mungkin berasal dari droplet saluran napas setiap tenaga kesehatan yang berada dalam kamar operasi. Selain kegiatan sterilisasi berkala dan peningkatan kebersihan di kamar operasi, perlu adanya perbedaan antara kamar operasi yang digunakan untuk operasi cito (urgent) dan elektif atau yang telah direncanakan.…”

Section: Hasil Penelitianunclassified

Pola bakteri aerob yang berpotensi menyebabkan infeksi nosokomial di kamar operasi RSAD Robert Wolter Mongisidi Manado

Tindas¹,

Homenta²,

Porotu’o³

2016

eBM

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Operating room of a hospital is a place to do both elective and acute surgery. Operating room condition is associated with the risk of disease transmission such as infections. Nosocomial infections are infections that arise in a period of more than 48 hours after being treated in hospital. This research aims to determine the pattern of aerobic bacteria that could potentially cause nosocomial infections in Operating Room of RSAD. Robert Wolter Mongisidi Manado. This research uses descriptive prospective study where samples were taken by acquiring swabs from the walls, floor, bed and also air sample as much as 25 samples. This research found 6 species of bacteria, 3 Gram positive bacterias and 3 Gram negative bacterias. Gram-positive bacteria consisting of Staphylococcus sp (40.3%), Streptococcus sp (3.5%) and Bacillus sp (35.08%), whereas Gram-negative bacteria consisting of Enterobacter agglomerans (5.3%), Proteus sp (12.3 %) and Neisseria sp (3.5%). The most bacteria that could potentially cause nosocomial infections were Staphylococcus sp (40.3%).Keywords: nosocomial infection, operating room, aerobic bacteria. Abstrak: Kamar operasi suatu rumah sakit merupakan tempat untuk melakukan tindakan pembedahan baik secara elektif maupun cito. Kondisi kamar operasi berhubungan dengan resiko penularan penyakit salah satunya melalui infeksi. Infeksi nosokomial adalah infeksi yang timbul dalam kurun waktu lebih dari 48 jam setelah dirawat di rumah sakit. Penelitian ini bertujuan untuk mengetahui pola bakteri aerob yang berpotensi menyebabkan infeksi nosokomial di kamar operasi CITO RSAD Robert Wolter Mongisidi Manado. Penelitian ini menggunakan metode penelitian deskriptif dengan pendekatan prospektif dimana sampel diambil melalui usapan pada dinding, lantai, dan tempat tidur serta pengambilan sampel udara sebanyak 25 sampel. Hasil penelitian ditemukan 6 jenis bakteri, 3 bakteri Gram positif dan 3 bakteri Gram negatif. Bakteri Gram positif terdiri dari Staphylococcus sp (40.3%), Streptococcus sp (3.5%) dan Bacillus sp (35.08%), sedangkan bakteri Gram negatif yaitu Enterobacter agglomerans (5.3%), Proteus sp (12.3%) dan Neisseria sp (3.5%). Bakteri yang berpotensi menyebabkan infeksi nosokomial terbanyak yang ditemukan adalah Staphylococcus sp (40.3%). Kata kunci: infeksi nosokomial, kamar operasi, bakteri aerob.

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Pola Bakteri Penyebab Infeksi Nosokomial Pada Ruang Perawatan Intensif Anak Di Blu Rsup Prof. Dr. R. D. Kandou Manado

Cited by 14 publications

References 4 publications

Predicting Candida Infection in Pediatric Intensive Care Unit using Candida Score in a Low-Resource Setting

Predicting Candida Infection in Pediatric Intensive Care Unit using Candida Score in a Low-Resource Setting

Profil Resistensi Antimikroba dari Flora Normal dalam Kavum Nasi Petugas Kamar Operasi Bedah Jantung dan Petugas Pasca Operasi Intensive Coronary Care Unit RSUP H. Adam Malik Medan

Pola bakteri aerob yang berpotensi menyebabkan infeksi nosokomial di kamar operasi RSAD Robert Wolter Mongisidi Manado

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