| Penulis/Author |
Prof. Dr. Ika Puspita Sari, S.Si., M.Si., Apt. (1); Prof. dr. Titik Nuryastuti, M.Si., Ph.D., Sp.MK(K). (2); Prof. Dr. apt. Djoko Wahyono, SU. (3) |
| Abstrak/Abstract |
Objective: Multidrug-resistance (MDR) is defined as an acquired non-susceptibility to at least one agent in three or more antimicrobial categories. MDR can be caused by several factors, including the misuse of antibiotics. Resistance to antibiotics still poses a global challenge, especially in Indonesia. This study aimed to identify patterns of MDR in neonatal intensive care unit (NICU) at the Central Java Hospital, during the period of January 2014 to December 2015. Methods: The study was conducted using a descriptive retrospective design. The research population comprised 225 patients. The patient inclusion criteria were neonatal patients treated in NICU ward with infection diagnosis. All patients had culture and sensitivity examinations on their bloods. The culture and sensitivity examinations were performed by microbiology clinicians. Results: The most common infection type was sepsis (60%). The most common bacteria found in the blood specimen of patients in the NICU ward was Gram-negative bacteria with a 72% rate; the other was Gram-positive bacteria. Bacteria which infected patients include Klebsiella pneumoniae ssp. pneumoniae, Pseudomonas aeruginosa, Burkholderia cepacia, Acinetobacter baumannii, Enterobacter cloacae ssp. cloacae, Serratia marcescens, Staphylococcus haemolyticus, and Staphylococcus epidermidis. The research result showed that 97.8% MDR cases were reported in the NICU ward. Antibiotics which were still potent for all bacteria found in NICU patients were tigecycline, meropenem and ciprofloxacin (for Gram-negative bacteria) and tigecycline, linezolid, nitrofurantoin, moxifloksacin, and vancomycin (for Gram-positive bacteria). Conclusion: A high percentage of MDR occurred in NICU patients. Sepsis is the most common diagnosis in NICU patients. The usage of third generation antibiotics should be limited and regulated systematically. © 2017 The Authors.
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