Identifikasi Pola Bakteri Aerob dan Uji Sensitivitas Antibiotik di Ruang Intensive Care Unit dan Intensive Cardiovascular Care Unit
DOI:
https://doi.org/10.35790/7e37g484Keywords:
identifikasi bakteri; uji sensitivitas antibiotik; ruang perawatan intensifAbstract
Abstract: Intensive Care Unit (ICU) and Intensive Cardiovascular Care Unit (ICCU) are high-risk areas for nosocomial infections. Identification of bacterial patterns and antibiotic sensitivity testing are essential for infection control and appropriate therapy selection. This descriptive study with a cross-sectional approach aimed to identify aerobic bacterial patterns and antibiotic sensitivity testing in the ICU and ICCU of Rumah Sakit Umum Daerah ODSK Provinsi Sulawesi Utara. The results showed that from 20 samples, 20 Gram-positive bacterial isolates (100%) were found. In the ICU, Bacillus sp. (44.4%), Staphylococcus sp. (44.4%), and Staphylococcus aureus (11.1%) were identified. In the ICCU, Staphylococcus sp. (54.5%), Bacillus sp. (27.3%), and Staphylococcus aureus (18.2%) were found. Sensitivity testing showed high sensitivity to chloramphenicol (84.2%), ciprofloxacin (74%), meropenem, and gentamicin (68.4%). High resistance was found to aztreonam (100%), ampicillin (79%), cefepime (63%) and amoxicillin/clavulanic acid (53%). In conclusion, Gram-positive bacteria dominate the ICU and ICCU environments, with high resistance patterns to beta-lactam antibiotics.
Keywords: bacterial identification; antibiotic sensitivity testing; intensive care room
Abstrak: Ruang Intensive Care Unit (ICU) dan Intensive Cardiovascular Care Unit (ICCU) merupakan area berisiko tinggi terjadinya infeksi nosokomial. Identifikasi pola bakteri dan uji sensitivitas antibiotik penting untuk pengendalian infeksi dan pemilihan terapi yang tepat. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri aerob dan melakukan uji sensitivitas antibiotik di ruang ICU dan ICCU RSUD ODSK Provinsi Sulawesi Utara. Jenis penelitian ialah deskriptif dengan desain potong lintang ini. Hasil penelitian mendapatkan dari 20 sampel, ditemukan 20 isolat bakteri Gram positif (100%). Di ruang ICU teridentifikasi Bacillus sp. (44,4%), Staphylococcus sp. (44,4%), dan Staphylococcus aureus (11,1%). Di ruang ICCU ditemukan Staphylococcus sp. (54,5%), Bacillus sp. (27,3%), dan Staphylococcus aureus (18,2%). Uji sensitivitas menunjukkan sensitivitas tinggi terhadap chloramphenicol (84,2%), ciprofloxacin (74%), meropenem dan gentamicin (68,4%). Resistensi tinggi ditemukan terhadap aztreonam (100%), ampicillin (79%), cefepime (63%) dan amoxicillin/clavulanic acid (53%). Simpulan penelitian ini ialah bakteri Gram positif mendominasi lingkungan ruang ICU dan ICCU, dengan pola resistensi tinggi terhadap antibiotik beta-laktam.
Kata kunci: identifikasi bakteri; uji sensitivitas antibiotik; ruang perawatan intensif
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