FAKTOR RISIKO BAKTEREMIA PADA PASIEN BANGSAL INFEKSI PENYAKIT DALAM DISERTAI POLA KUMAN DAN POLA KEPEKAAN

Abstract

Background: Bacteremia is a systemic infection potentially causing high mortality rate unless a rapid and decisive antibiotic treatment is done. In adult, risk factor of bacteremia include prolonged hospitalization, severity of illness at admission, comorbidities, exposure to invasive procedures, inappropiate antimicrobial therapy, immunosuppressive therapy, and use of steroids. The purposes of this study were describe bacteria pattern, antibiotic resistant pattern and analize risk factor of bacteremia Methode: This study is analitic retrospective observational. Data was taken from medical record in Interne infection ward Dr.Kariadi Hospital in 2004. Analysis statistic were used X2 and logistic regresion test. Result : The majority of etiological bacteria which caused bacteremia were gram positive bacteria. As to antibiotic susceptibility profile, the result indicate that relatively high proportion of bacterial isolate had been resistant to ampicillin (>50%), tetracyclin (>50%), and cotrimoxazole (>40%). Prolonged hospitalization was a risk factor of bacteremia especially Gram negative bacteremia.(p=0,036) Conclusions: Most of bacteria which caused bacteremia resistant to ampicillin, tetracyclin, and cotrimoxazole. Prolonged hospitalization was a risk factor of bacteremia especially Gram negative bacteremia. Key words: bacteremia, antibiotic resistance