Etiologi dan sensitivitas terhadap antibiotik pada pasien pneumonia didapat di masyarakat  

Oleh:

Kristiyanto, Yusuf ; Sianipar, Osman ; Hisyam, Barmawi

Jenis: Article from Journal - ilmiah nasional
Dalam koleksi: Berkala Kesehatan Klinik vol. 11 no. 02 (Dec. 2005), page 77.
Topik: cause of CAP-susceptibility to antibiotic

Ketersediaan

Perpustakaan FK Nomor Panggil: B25.K.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Background: Community Acquired Pneumonia (CAP) is a common infection disease that is associated with significant morbidity and mortality due to pneumonia. Early antibiotic treatment, however could improve the outcome of the disease and reduces the associated mortality and morbidity. The antibiotic treatment for CAP empirically relies on epidemiologic data regarding the causative pathogens in a particular geographic area. Objective: to determine microbial agents causing CAP and sensitivity to empirical antibiotic for hospitalized CAP patients. Methods: cross sectional study is carried out and data are collected from the medical records of the department of internal medicine from January 1 2004 to December 31 2004. Results: 178 CAP patients are hospitalized, their mean of age (±SD) is 57±17 years, with men to women ratio of 1,5:1. The organisms are identified in 167 patients. Mixed infection (2 or 3 organisms) are identified in 133(79,6%) culture sputum specimens. The most frequent cause of CAP is Streptococcus a haemoliticus (67%), Pseudomonas aureginosa (37,1%), Klebsiella pneumonia (29,9%), Neisseria catharalis (22,1%), and Staphylococcus epidermidis (19,7%). Streptococcus a haemoliticus is susceptible to ampicillin -sulbactam (85,5%) and eritromisin (79,8%), P aueroginosa is susceptible to imipenem (91,5%) and amikasin(91 ,6%), K. pneumo-nia is susceptible to imipenem (98,2%) and amikasin (80,7%), Neisseria catharalis is suscep-tible to ampicillin -sulbactam(95%) and imipenem (94,1 %), and Staphylococcus epidermidis is susceptible to ceftazidim (75%) and ciprofloxacin(83,3%). Conclusion: the most frequent organisms identified in hospitalized CAP patients are Strepto-coccus a haemoliticus, Pseudomonas aureginosa, Klebsiella pneumonia, Neisseria catharalis, and Staphylococcus epidermidis. Most of the organisms are still susceptible to ampicilin¬ sulbactam, eritromisin, ciprofloksasin, ceftazidim, amikasin and imipenem.

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