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Antibiotic sensitivity pattern of bacterial pathogens in the intensive care unit of Fatmawati Hospital,Indonesia

查看全文 作  者:Maksum [1]Radji;Siti [1]Fauziah;Nurgani [2]Aribinuko 高影响力作者 机构地区:[1]Laboratory of Microbiology and Biotechnology,Department of Pharmacy,Faculty of Mathematics and Science,University of Indonesia;[2]Department of Intensive Care Unit,Fatmawati Hospital高影响力机构 出  处:《Asian Pacific Journal of Tropical Biomedicine》索引2011年第1卷第1期,共4页高影响力期刊 摘  要:Objective:To evaluate the sensitivity pattern of bacterial pathogens in the intensive care unit(ICU) of a tertiary care of Falmawati Hospital Jakarta Indonesia.Methods:A cross sectional retrospective study of bacterial pathogen was carried out on a total of 722 patients that were admitted to the ICU of Fatmawati Hospital Jakarta Indonesia during January 2009 to March 2010. All bacteria were identified by standard microbiologic methods,and(heir antibiotic susceptibility testing was performed using disk diffusion method.Results:Specimens were collected from 385 patients who were given antimicrobial treatment,of which 249(64.68%) were cultured positive and 136(35.32%) were negative.The most predominant isolate was Pseudomonas aeruginosa(P.aeruginosa)(26.5%) followed by Klebsiella pneumoniae(K.pneumoniae)(15.3%) and Staphylococcus epidermidis(14.9%).P.aeruginosa isolates showed high rate of resistance to cephalexin(95.3%),cefotaxime(64.1%),and ceftriaxone(60.9%).Amikacin was the most effective(84.4%) antibiotic against P.aeruginosa followed by imipenem(81.2%),and meropenem(75.0%).K.pneumoniae showed resistance to cephalexin(86.5%),ceftriaxone(75.7%),ceftazidime(73.0%),cefpirome(73.0%) and cefotaxime(67.9%),respectively.Conclusions:Most bacteria isolated from ICU of Fatmawati Hospital Jakarta Indonesia were resistant to the third generation of cephalosporins,and quinolone antibiotics.Regular surveillance of antibiotic susceptibility pallerns is very important for setting orders to guide the clinician in choosing empirical or directed therapy of infected patients. 关 键 词:Antibiotic susceptibility Intensive care unit BACTERIAL RESISTANCE BACTERIAL pathogen Sensitivity PATTERN Antimicrobial RESISTANCE Pseudomonas AERUGINOSA KLEBSIELLA PNEUMONIAE Isolate Specimen
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