Pola Kuman Penyebab Bakteremia Pada Neonatus Dan Sensitivitasnya Terhadap Antibiotik Di RSUP H. Adam Malik Medan Periode 1 Juli 2009 Sampai Dengan 30 Juni 2010

Main Author: Nur Liyana Binti Zakaria
Other Authors: Samosir, Nelly Elfrida
Format: Student Papers
Bahasa: ind
Subjects:
Online Access: http://repository.usu.ac.id/handle/123456789/23263
Daftar Isi:
  • Introduction: Neonates are vulnerable to infections especially in early day of their life that could be influences by multifactor. Despite advances in supportive care and use of antibiotics, infections and bacteraemia preserves its importance due to its high mortality and morbidity among neonates. Objective: The purposes of this study is to determine the bacterial and sensitivity pattern for bacteraemia in neonates who were admitted to Haji Adam Malik Primary Hospital, Medan Indonesia within the period of 1st July 2009 until 30th June 2010. In Addition, the number of neonates that undergo the blood culture procedure according to the range of age and gender were also studied. Methode: This is a descriptive with retrospective approach study. All the culture reports are collected from the Department of Clinical Pathology, Haji Adam Malik Primary Hospital in Medan, Indonesia Results: Of the 149 samples of bacteraemia, most positive results of the blood cultures were found in 130 girls (87.2%). Most positive results were found in the neonates of 0-10 day’s age group, which are 102 patients (68.5%). The most isolated bacteria from the blood culture were Staphylococcus epidermidis (19.5%), which is sensitive towards amikacin (83.3%), meropenem (61.9%), and amoxyclav (53.3 %) while resistant to penicillin (68, 4%), sulfametoxazole (66.7%), and ampisilin (58.3%). It was followed by Pseudomonas sp.(17.4%) where meropenem ( 85.0 % ), amikacin (70,0 %) and erythromycin (58,3 %) were founmd sensitive, while penicillin (93.8 %), cefuroxime (73.7%) and ampisilin (66.7 %) were resistance. Conclusion: Based on the results, it can be concluded that prevalance of bacteremia was higher in girls than in boys. The range of age with highest frequency of blood culture test was 0-10 days of life. Since the bacterial and sensitivity pattern is always varied, it is important to improve the knowledge as a guideline for accurate antibiotics therapy selections and avoiding resistance.
  • 070100274