POLA KUMAN PASIEN YANG DIRAWAT DI RUANG RAWAT INTENSIF RSUP Dr. KARIADI SEMARANG

Abstract

Background: Bacterial antimicrobial drug resistance is a worldwide problem in both developing and developed countries, in hospital as well as in the community. Infections with resistant bacteria adversely affect treatment outcome, treatment costs, disease spread, and duration of illness. To control the infection, it is necessary to supervise the resistant bacteria and required to supervise antimicrobial use at the hospital. Method: The study design was a descriptive study with data collected retrospectively, using the period of ICU patients from July to December 2009 as a sample. Sixty-nine (100 sheets of bacteria culture results) ICU patients have fulfilled the inclusion and exclusion’s criteria then being listed of the types of bacteria, antibiotic resistance, patient age, gender and source of funding. The data described in the form of tables and figures. Results: Among 100 pieces of patient’s bacterial culture results in the intensive care unit Kariadi hospital at the period July to December 2009, which showed positive results can be known that most bacteria causing the infection shown by Enterobacter aerogenes (34%), Staphylococcus epidirmidis (17%), Escherichia coli (15%), Pseudomonas aeruginosa (10%), Candida spp . (9%) and Acinobacter spp. (8%). Resistance pattern showed that the bacteria have the highest resistance against ampicillin, cefotaxime, tetracycline, chloramphenicol and ciprofloxacin. Conclusion: The most common distribution of bacteria causing the infection on ICU patients is Enterobacter aerogenes then followed by Staphylococcus epidirmidis, Escherichia coli, Pseudomonas aeruginosa, Candida spp. and Acinobacter spp. Resistance pattern showed that the bacteria have the highest resistance against ampicillin, cefotaxime, tetracycline, chloramphenicol and ciprofloxacin. Key words: antibiotics, resistance pattern, intensive care unit, Kariadi hospital Semarang