Pattern of Bacteria and Its Susceptibility of Ventilator-Associated Pneumonia Patients in ICU at Dr. Hasan Sadikin General Hospital, Bandung
Abstract: Incidence of
ventilator-associated pneumonia (VAP) is common in intensive care unit (ICU).
This pneumonia, becomes important due to its association to increased length of
hospital stay, increased costs, and increased mortality. Irrational administration
of antibiotics can lead to development of bacterial resistance. The objective
of this study was to describe the pattern of bacteria and the susceptibility of
VAP patients.
Methods: A descriptive study was carried out to 10 medical records of VAP
patients in the ICU at Dr. Hasan Sadikin General Hospital, Bandung in
January–June 2014. Microbiological culture results and antibiotics
susceptibility testing of patients’ sputum were identified and the collected
data were analyzed in form of tables and percentages by using a computer
program.
Results: Out of 44 cultures taken from 10 patients with VAP, 43 cultures
had microbiological findings. Gram negative bacteria were found in 90.6%
cultures, the rests were Gram positive bacteria and fungi. The majority of
findings were: Acinetobacter baumannii (41.9%), Pseudomonas aeruginosa (18.6%),
and
Klebsiella pneumoniae (16.9%). The laboratory test result showed varied
degrees of antimicrobial resistance to antibiotics.
Conclusions: Bacteria found in sputum cultures of ICU patient with VAP
are mostly of Gram negative. The result of susceptibility testing of bacteria
shows many of the bacteria have resistance to antibiotics in ICU at Dr. Hasan
Sadikin General Hospital.
Keywords: Bacteria pattern,
Intensive Care Unit, Susceptibility, Ventilator-Associated Pneumonia
Author: Achmad Faisal Jundi,
Nurita Dian KSS, Yanti Mulyana
Journal Code: jpkedokterangg160229
