Peta Kuman 2012 Semester 1

BAB IPETA BAKTERI DAN KEPEKAANNYA TERHADAP BERBAGAI ANTIBIOTIKADI INSTALASI RAWAT JALAN RSUP DR HASAN SADIKIN BANDUNGSEMESTER I TAHUN 2012

Instalasi rawat jalan yang dimaksud dalam bab ini adalah semua Poliklinik Rawat Jalan dan Poliklinik Spesialis di RSHS termasuk Instalasi Gawat Darurat.

1. Jenis SpesimenJenis spesimen yang berasal dari Instalasi Rawat Jalan yang diperiksa di laboratorium Mikrobiologi Patologi Klinik RSHS selama semester pertama tahun 2012 adalah sebagai berikut:

NoJenis spesimenJumlah%

1Darah252639.99

2Urin113017.89

3Feses1221.93

4Sputum109517.33

5Cairan tubuh144422.86

JUMLAH6317100

Keterangan : Yang termasuk specimen cairan tubuh adalah : Likuor serebrospinalis, pus, transudat/eksudat, apus tenggorok, Cairan sendi, dll

2. Jumlah sampel dengan pertumbuhan bakteriJumlah sampel dengan pertumbuhan bakteri berdasarkan spesimen yang berasal dari Instalasi Rawat Jalan adalah sebagai berikut:

NoJenis SpesimenJumlah spesimenPertumbuhan Bakteri

Jumlah%

1Darah 252636114.29

2Urin113019517.25

3Feses1224738.5

4Sputum1095100691.87


J U M L A H6317226635.8

3. Bakteri yang dapat diisolasi dari Instalasi Rawat Jalan berdasarkan spesimenSecara terperinci bakteri yang dapat diisolasi dari Instalasi Rawat Jalan berdasarkan spesimen tersaji dalam halaman berikutnya. 4. Kepekaan bakteri terhadap berbagai antibiotika Bakteri yang ditampilkan tingkat kepekaannya dalam bab ini dan bab selanjutnya adalah sepuluh bakteri terbanyak yang ditemukan pada tiap-tiap spesimen. Antibiotika yang ditampilkan adalah antibiotika yang diujikan untuk spesimen tersebut. n adalah jumlah cakram antibiotika tertentu yang diujikan terhadap satu spesies yang ditemukan. % S adalah persentase antibiotika yang masih sensitif untuk spesies bakteri tertentu dari jumlah cakram antibiotika yang diujikan.

DARI BERBAGAI SPESIMEN PASIEN DI INSTALASI RAWAT JALANDARAH

NoBakteriJumlah %

1Staphylococcus hominis8822.34

2Staphylococcus haemolyticus6215.74

3Staphylococcus epidermidis5714.47

4Salmonella typhi317.87

5Klebsiella pneumonia215.33

6Escherichia coli205.08

7Serratia marcescens194.82

8Staphylococcus aureus174.31

9Burkholderia cepacia133.33

10Acinetobacter baumannii92.28

11Micrococcus71.78

12Candida non albicans61.52

13Achromobacter xylosoxidans51.27

14Pseudomonas aeruginosa51.27

15Lain-lain338.37

394100

URINE

NoBakteriJumlah%


2Klebsiella pneumoniae7812.07


4Enterobacter aerogenes314.8




8Morganella morganii162.48

9Enterobacter cloacae152.32

10Citrobacter freundii121.86


12Proteus mirabilis71.08

13Candida albicans60.93

14Providencia rettgeri60.93

15Lain-lain548.35

646100

SPUTUM

NoBakteriJumlah%

1Streptococcus viridians17929.73

2Klebsiella pneumonia16527.41

3Streptococcus pneumonia325.32












15Lain-lain518.47

602100

Cairan Tubuh

NoBakteriJumlah%



3Klebsiella pneumoniae4410.5



6Streptococcus viridans235.49




10Proteus mirabilis133.1


12Streptococcus pyogenes81.91

13Salmonella spp61.43

14Citrobacter freundii61.43

15Lain-lain5914.08

419100

FESES

NoBakteriJumlah %

1Escherichia coli non pathogen1655.17

2Escherichia coli pathogen1137.93

3Klebsiella spp13.45


29100

PETA BAKTERI DAN KEPEKAANNYA TERHADAP BERBAGAI ANTIBIOTIKA DI RUMAH SAKIT DR HASAN SADIKIN BANDUNG SEMESTER I TAHUN 2012 | 16 KEPEKAAN BAKTERI TERBANYAK DI INSTALASI RAWAT JALAN DARI SPESIMEN URINE TERHADAP ANTIBIOTIKANoBakteriNnAKnAMCNANnCnCAZnCFMnCFPnCFRnCFS

1Escherichia coli29614796.616052.51888.8954016956.211442.86728.57

2Klebsiella pneumoniae783494.12425081004452.27333.331100

3Staphylococcus haemolyticus671291.6711004027.53828.952133.332020

4Enterobacter aerogenes311794.1221001952.63


6Staphylococcus epidermidis17410025010502501060771.43333.33



9Enterobacter cloacae15785.712100944.44

10Citrobacter freundii12988.89977.78

NoBakterinCFXnCIPnCNnCROnCTXnCXMnEnFEPnFOSn

1Escherichia coli16832.71578016657.2316857.7161601100157


3Staphylococcus haemolyticus1931.63933.339793925.642231.83426.474073392637

4Enterobacter aerogenes1822.219531936.841838.91100195819

5Pseudomonas aeruginosa1040105025010609

6Staphylococcus epidermidis560966.761001060955.6366.678506674

7Acinetobacter baumannii837.5875837.58758


9Enterobacter cloacae944.4863955.56955.671008

10Citrobacter freundii922.2967887.5977.89899

NoBakteriIMPnKZnLVXNLZDnMEMnMERnNETnSAMnSCFnSXTnTGCnTZPnVA

1Escherichia coli99.454015732.482501021006797.01108042516333.7416298.1516081.25

2Klebsiella pneumoniae1004240.483010014100366.74440.914269.054362.79


4Enterobacter aerogenes1001931.581310061001926.321978.951947.37


6Staphylococcus epidermidis7521004100683.33366.7666.672100683.33966.67683.33475771.43

7Acinetobacter baumannii100837.561002100862.5862.5875

8Morganella morganii100728.576100210011001100714.29714.29771.43


10Citrobacter freundii100922.2231006100933.33977.78955.56

KEPEKAAN BAKTERI TERBANYAK DI INSTALASI RAWAT JALAN DARI SPESIMEN FESES TERHADAP ANTIBIOTIKANoBakteriN nAKnAMCnANnCAZnCIPnCNnCROnCTXnFEP

1Escherichia coli non pathogen16111001369.221001376.91353.8513851376.921376.921376.92

2Escherichia coli patogen11683.3771.41100887.5771.4361008758757100

3Klebsiella spp11100110011001100110011001100

4Burkholderia cepacia1

NoBakterinIMPnLVXnMEMnMERnSCFnSXTnTEnTGCnTZP

1Escherichia coli non pathogen131001250910041001330.77131001392.31

2Escherichia coli patogen6100683710011001100862.52507100785.71

3Klebsiella spp11001100110011001100


KEPEKAAN BAKTERI TERBANYAK DI INSTALASI RAWAT JALAN DARI SPESIMEN DARAH TERHADAP ANTIBIOTIKA

NoOrganismeAntibiotik

NnAKnAMCnANnCnCAZnCFMnCFP

1Staphylococcus hominis8831003594.29366.678537.6525128344.58

2Staphylococcus haemolyticus625801973.6861215722.81

3Staphylococcus epidermidis5761003284.3821002505451.851526.675364.15


5Klebsiella pneumoniae211894.44205021002138.1

6Escherichia coli20151001968.4241001968.42


8Staphylococcus aureus17141001788.244751687.5580

9Burkholderia cepacia131136.36933.3311001241.67520837.5

10Acinetobacter baumannii9887.5911.111100944.44

NoOrganismenCFRnCFSnCFXnCIPnCNnCROnCTXnCXNnEnFEPnFOSn

1Staphylococcus hominis4647.83303045477383.567393.158538.825145.160388551.767741.5671

2Staphylococcus haemolyticus2330.432817.8624215149.025759.655922.032924.14472660456023.3325054

3Staphylococcus epidermidis3369.71963.1631654170.733378.795461.114568.8924584447.734967.35333.3332

4Salmonella typhi25024100311003110030100


6Escherichia coli1952.631984.211968.421872.2211001872.2219

7Serratia marcescens141001910020100201002010019

8Staphylococcus aureus1100110014861687.51782.351788.24683.33148615801687.516

9Burkholderia cepacia450944.44837.51136.361172.73

10Acinetobacter baumannii977.78955.56933.33944.449

NoOrganismenIMPnKZnLVXNLZDnMEMnMERnMXF

1Staphylococcus hominis7139.444257185811005743.862948.283100



4Salmonella typhi3010017100141009100

5Klebsiella pneumoniae19100188911001010011100

6Escherichia coli191001953151004100


8Staphylococcus aureus1687.541001788161001283.3331001100



NoOrganismenSAMnSCFnSXTnTECnTGCnTZPnVA

1Staphylococcus hominis3296.88887.5744221007698.684165.858494.05




5Klebsiella pneumoniae25019581989.471973.68

6Escherichia coli1957.89191001978.95


8Staphylococcus aureus14100177617100510017100

9Burkholderia cepacia475425875862.5771.43

10Acinetobacter baumannii944988.89944.44

KEPEKAAN BAKTERI TERBANYAK DI INSTALASI RAWAT JALAN DARI SPESIMEN SPUTUM TERHADAP ANTIBIOTIKANoBakteriDataAKAMCANCCAZCFMCFPCFRCFSCFXCIP

1Streptococcus viridans1793213377871435438346714864867318622


3Streptococcus pneumoniae3296791004251580157310701464

4Staphylococcus epidermidis2447511001100108011646503676831155


6Enterobacter cloacae208100210010802501080

7Acinetobacter baumannii197100944978



10Pseudomonas aeruginosa1024754100295911003672832

NoBakteriDataCNCROCTXCXMEFEPFOSIMPKZLVXLZD











NoBakteriDataMEMMERMXFSAMSCFSXTTGCTZPVA











BAB IIPETA BAKTERI DAN KEPEKAANNYA TERHADAP BERBAGAI ANTIBIOTIKA DI INSTALASI RAWAT INAP RSUP DR HASAN SADIKIN BANDUNGSEMESTER I TAHUN 2012

Instalasi rawat inap yang dimaksud dalam bab ini adalah semua ruang perawatan inap dan perawatan intensif.

1. Jenis SpesimenJenis spesimen yang berasal dari ruang rawat inap yang diperiksa di laboratorium Mikrobiologi Patologi Klinik RSHS selama semester I tahun 2012 adalah sebagai berikut :

NoJenis SpesimenJumlah%

1Darah139746.47

2Urine2598.62

3Feces561.86

4Sputum66822.22


Jumlah3006100

Keterangan : Yang termasuk specimen cairan tubuh adalah : Likuor serebrospinalis, pus, transudat/eksudat, apus tenggorok, Cairan sendi, dll

2. Jumlah sampel dengan pertumbuhan bakteriJumlah sampel dengan pertumbuhan bakteri berdasarkan spesimen yang berasal dari ruang rawat inap adalah sebagai berikut :

NoJenis SpesimenJumlah sampelPertumbuhan Bakteri

Jumlah%

1Darah139742930.71

2Urine25919675.68

3Feses565598.1

4Sputum66865598.05

5CairanTubuh62641466.13

Jumlah3006174958.18

3. Bakteri yang dapat diisolasi dari Instalasi Rawat Jalan berdasarkan spesimenSecara terperinci bakteri yang dapat diisolasi dari Instalasi Rawat Inap berdasarkan spesimen tersaji dalam halaman berikutnya.

4. Kepekaan bakteri terhadap berbagai antibiotikaBakteri yang ditampilkan tingkat kepekaannya dalam bab ini dan bab selanjutnya adalah sepuluh bakteri terbanyak yang ditemukan pada tiap-tiap spesimen. Antibiotika yang ditampilkan adalah antibiotika yang diujikan untuk spesimen tersebut.n adalah jumlah cakram antibiotika tertentu yang diujikan terhadap satu spesies yang ditemukan. % S adalah persentase antibiotika yang masih sensitif untuk spesies bakteri tertentu dari jumlah cakram antibiotika yang diujikan.

BAKTERI TERBANYAK YANG DAPAT DIISOLASI DARI BERBAGAI SPESIMEN PASIEN RAWAT INAP

DARAH SPUTUMNOBAKTERIJUMLAH%

1Candida non albicans5310,60

2Klebsiella pneumoniae4110,20

3Staphylococcus haemolyticus5010

4Staphylococcus hominis469,20

5Burkholderia cepacia448,80

6Pseudomonas aeruginosa346,80

7Acinetobacter baumannii316,20


9Enterobacter aerogenes244,80

10Enterobacter cloacae234,60

11Lain-lain11422,8

CAIRAN TUBUH URINEJUMLAH500100

NOBAKTERIJUMLAH%


2Streptococcus viridans21717,67



5Escherichia coli554,48



8Staphylococcus haemolyticus282,28

9Serratia marcescens262,12

10Staphylococcus aureus211,71

11Lain-lain41924,5

JUMLAH1228100

NOBAKTERIJUMLAH%



3Candida albicans164,41


5Candida non albicans133,58


7Acinobacter baumanii123,31


9Burkholderia cepacia92,48

10Citrobacter freundii82,2

11lain-lain6016,53

JUMLAH363100

NOBAKTERIJUMLAH%




4Staphylococcus aureus498,96




8Staphylococcus epidermidis244,39



11Lain-lain11020,48

JUMLAH545100

NOBAKTERIJUMLAH%

1Escherichia coli non patogen2644,07

2Escherichia coli pathogen2542,37

3Klebsiella spp610,17

4Lain-lain23,39

JUMLAH59100

FESES

KEPEKAAN BAKTERI TERBANYAK DI RUANG RAWAT INAPDARI SPESIMEN DARAH TERHADAP ANTIBIOTIKA

BAKTERI TERBANYAKAntibiotika

AminoglikosidaPenisilinCephalosporin

NOBAKTERInAKFOSCNAMPAMXOXCTXCFXCAZCFMCFP

n%Sn%Sn%SN%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Klebsiella pneumoniae5118941947.....2040.2138..

2Staphylococcus haemolyticus505802505760...............

3Staphylococcus hominis463100..7393.....51454547853825128345

4Burkholderia cepacia441136.........1136.1242520838

5Pseudomonas aeruginosa34475..580........5100..

6Acinetobacter baumannii31887.956......933.944..

7Staphylococcus epidermidis3061003333379......45693165545215275364

8Enterobacter aerogenes241100...............

9Enterobacter cloacae231100.2100......250.250...

10Serratia marcescens1819100..19100......20100..20951100367


NOBAKTERInCEPHALOSPORINPENICILIN + INHIBITOR -LAKTAMASECARBAPENEMS

CXMCFRCROFEPKZAMCSAMSCFTZPMEMMERIMP

n%SN%Sn%SN%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Klebsiella pneumoniae51..21382040.2050..1974101001110019100


3Staphylococcus hominis466038464885397742425359432978884166574429487139

4Burkholderia cepacia44.5408381173.933475425771875475.

5Pseudomonas aeruginosa34..11005100....5100410011005100

6Acinetobacter baumannii31..956944.911..944580450967


8Enterobacter aerogenes24........11001100.1100

9Enterobacter cloacae23..250250.......21002100..2100

10Serratia marcescens18....2010020100........209513100710019100

Keterangan : N=Jumlah Bakteri, n=jumlah disk antibiotika, %S=Persen antibiotika yang masih sensitive, DBK=Dibekasin, AK=Amikasin, NET= Netilmisin, FOS=Fosmisin, AMC=Amosisilin-clavulanat, OX=Oksasilin, AMX=Amoksisilin, TZP=Piperazin-Tazobactam, SAM=Ampisilin-Sulbactam, CAZ=Ceftazidime, CFP=Cefprirome, CRO=Cefriaxone, FEP=Cefepime, SCF=Cefoperazone-Sulbactam, IMP=Imipenem, MER=Meronem, MEM=Meropenem, CIP=Ciprofloxacin, LEV/LVX=Levoflocaxin, MXF=Moxifloxacin, C=Chloramphenicol, E=Eritromisin, SXT=Sulfametoksazol-Trimetroprim, TE=Tetrasiklin, LZD=Linezolide, TGC=Tigecycline, VA=Vancomycin


NOBAKTERInMONO BACTAMFLUOROQUINOLONELAIN-LAIN

ATMCIPLVXMXFNORCESXTVATGCLZD

N%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Klebsiella pneumoniae51..16691889....1958197419901100

2Staphylococcus haemolyticus50..514957511100..60455953589354985496

3Staphylococcus hominis46..738471853100.367855274428494769981100

4Burkholderia cepacia44..9443100....875771863.

5Pseudomonas aeruginosa34..580580.........

6Acinetobacter baumannii31..978978....944.989.

7Staphylococcus epidermidis30..417133883100.25044483563488844934894

8Enterobacter aerogenes24........110011001100.

9Enterobacter cloacae23..21002100.......2100..2100..

10Serratia marcescens18..1410018100....4100..19100..1894..


KEPEKAAN BAKTERI TERBANYAK DI RUANG RAWAT INAP DARI SPESIMEN URINE TERHADAP ANTIBIOTIKA


NOBAKTERInAMINOGLIKOSIDAPENICILINCEPHALOSPORIN

AKFOSCNNETAMPAMXOXCTXCFXCAZCFMCFP

n%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Escherichia coli171147971100157801080......16858......1443

2Klebsiella pneumoniae353494..4269367......4455..4452..333

3Pseudomonas aeruginosa15978..10501100..........1070..1100

4Streptococcus viridans13.............520..560..540

5Acinobacter baumanii128100..875........838..838....

6Staphylococcus haemolyticus11....3980........2232..4028..3829

7Burkholderia cepacia 9......11000......367..367..250


NOBAKTERInCEPHALOSPORINPENICILIN + INHIBITOR -LAKTAMASECARBAPENEMS

CXMCFRCROFEPKZAMCSAMSCFTZPMEMMERIMP

n%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Escherichia coli171..729166571616054016053425..16081102100609715799

2Klebsiella pneumoniae35..110043564255..4250....4363301001410042100

3Pseudomonas aeruginosa16....2501060......11001070475580978

4Streptococcus viridans15..560..11002100....367..1100475..

5Acinobacter baumanii13......875........875610021008100

6Staphylococcus haemolyticus113427213339263926250129210100..1250273312173727

7Burkholderia cepacia 9....2502100..250....25021001100..



NOBAKTERINMONOBACTAMFLUOROQUINOLONELAIN-LAIN

ATMCIPLVXNORCESXTVATGCLZD

n%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%Sn%S

1Escherichia coli171..1663315732..540..16334..16298250

2Klebsiella pneumoniae35..44394241......4441..4269..

3Pseudomonas aeruginosa15..10401040............

4Streptococcus viridans13..425....333367333..1100..

5Acinobacter baumanii12..838838.....863...863..

6Staphylococcus haemolyticus11..39333832..11004073407838983110036100

7Burkholderia cepacia 9........250..250..250..


KEPEKAAN BAKTERI TERBANYAK DI RUANG RAWAT INAP DARI SPESIMEN SPUTUM TERHADAP ANTIBIOTIKA


NOBAKTERInAminoglikosidaPENISILINE

AKFOSANAMCAMPAMXTZPSAM

N%SN%SN%SN%SN%SN%SN%SN%S

1Klebsiella pneumoniae2277396..71007994....7896..

2Streptococcus viridans2173213..7143778....22592871

3Acinetobacter baumannii1687100.........8751100

4Pseudomonas aeruginosa118580..1100......580..

5Escherichia coli558100..21001060....1090.

6Enterobacter cloacae398100..2100......989250

7Enterobacter aerogenes294100.........4100..

8Staphylococcus haemolyticus28................

9Serratia marcescens267100....714....683..

10Staphylococcus aureus211100...7100...51005100


CephalosporinOuinolon

NOBAKTERInCAZCROFEPSCFCFMCFPCFRCTXCXMCFXCIPLVX

N%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%S

1Klebsiella pneumoniae227809180917894250....11008093....80937795

2Streptococcus viridans21783468121423853577148648673180151100..86221100

3Acinetobacter baumannii168944..9781100......933...978978

4Pseudomonas aeruginosa118683..4831100..1100.......667580

5Escherichia coli55107010801080........1080...10401040

6Enterobacter cloacae39108010801080250..250..1080...1080989

7Enterobacter aerogenes2941041004100........4100...41004100

8Staphylococcus haemolyticus28...................425..

9Serratia marcescens267867867100..1100250..786...71005100

10Staphylococcus aureus21888888888..25088851008884757868888100


BAKTER TERBANYAKAntibiotika

CarbapenemLain-lain

NOBAKTERInMEMMERECIMPKZLZDNITNOROXSXTTGCVA

%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SNN%SN%S

1Klebsiella pneumoniae227.451003497....7999..........79957994..

2Streptococcus viridans217.5188348587473543..8631354.....40133566..

3Acinetobacter baumannii168..41005100....9100.........978875..

4Pseudomonas aeruginosa118.4752100....5100...............

5Escherichia coli55.81001100....10100.........10409100..

6Enterobacter cloacae39.610041001100.9100.........9781090..

7Enterobacter aerogenes29..21002100....4100.........41004100..

8Staphylococcus haemolyticus28.....425......3100.....33331003100

9Serratia marcescens26.21004100....5100..........5100667

10Staphylococcus aureus21.58031007100..888..8100......810071007100

..


KEPEKAAN BAKTERI TERBANYAK DI RUANG RAWAT INAP DARI SPESIMEN FESES TERHADAP ANTIBIOTIKA


NOBAKTERI nAminoglikosidaPENISILINE

AKCANAMCAMPAMXOXSAMTZP

N%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli non patogen2611100..21001369........1392

2Escherichia coli pathogen25683..1100771........786

3Klebsiella spp61100....1100........1100


CEPHALOSPORINCARBAPENEMQUINOLON

NOBAKTERINCAZCFPCROFEPSCFMEMMERCIPLVX

N%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli non patogen261377..13771377..9100410013541250

2Escherichia coli pathogen25888..8757100110071001100771683

3Klebsiella spp61100..11001100....1100....


Lain-lain

ATMCCFRCTXEFOSIMPKZSXTTETGC

NOBAKTERInN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli non patogen26......1377....13100..1331..13100

2Escherichia coli pathogen25......875....6100..8632507100

3Klebsiella spp6......1100....1100..1100..1100


KEPEKAAN BAKTERI TERBANYAK DI RUANG RAWAT INAP DARI SPESIMEN CAIRAN TUBUH TERHADAP ANTIBIOTIKA


AminoglikosidaPenisiline

NoBAKTERInAKANNITFOSCNAMCOXTZPSAMAMPAMX

N%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli126341006100....39696100..4090......

2Klebsiella pneumoniae69291003100....30633256..3165......

3Pseudomonas aeruginosa5024754100....2861....2770......

4Staphylococcus aureus471100....110048854998..25964397....

5Enterobacter cloacae3281003100....1191....11824398....

6Acinetobacter baumannii2813851100....1242....14431100....

7Staphylococcus haemolyticus25........1421367..838475....

8Staphylococcus epidermidis24......11008888100..683989....

9Enterobacter aerogenes1721001100....3100....367......

10Streptococcus viridans15540........475..560580....

.


CephalosporinQuinolon

NoBAKTERInCAZCFMCFPCFRCFSCFXCROCTXFEPCXMCIPLVX

N%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli1264063..1100.....396740683967..39463946

2Klebsiella pneumoniae6929100..........325032503250..31453060

3Pseudomonas aeruginosa5029591100367......11002932850..28322733

4Staphylococcus aureus47945068349942492475..499428965194269646804986

5Enterobacter cloacae32250..........118211821191..1110011100

6Acinetobacter baumannii281242..250........14211346..13461443

7Staphylococcus haemolyticus25202591115201421922..182216191712..1711156.7

8Staphylococcus epidermidis24156754014641155956..1567126713698751377683

9Enterobacter aerogenes17250..........3673672100..31003100

10Streptococcus viridans151354..15531136....12251421633..1315..


BAKTERI TERBANYAK

Antibiotika

CarbapenemLain-lain

NoBAKTERInMEMMERIMPNORSCFSXTTEKZLZDCETGCATMVA

N%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%SN%S

1Escherichia coli12623100171003967....4033..........38100....

2Klebsiella pneumoniae691794141003250....3142..11001100....3187...

3Pseudomonas aeruginosa501610013852889..1100293,4..............1100

4Staphylococcus aureus47229127935094..2505092..810043100..469447100..4887

5Enterobacter cloacae329100210011100....1173..........1191....

6Acinetobacter baumannii289894251369....1464..........1369....

7Staphylococcus haemolyticus2513237291513..5601856..2501889..19421182..1776

8Staphylococcus epidermidis24683785978..3671182..11001090..116410100..1393

9Enterobacter aerogenes171100..5094....3100...1100....3100....

10Streptococcus viridans151191367....933633....333..933633....


BAB IIIPETA BAKTERI DI BEBERAPA RUANG PERAWATAN RSUP DR HASAN SADIKIN BANDUNGSEMESTER I TAHUN 2012

Dalam bab ini akan diuraikan keadaan bakteri yang dapat diisolasi dari beberapa ruang perawatan di Rumah Sakit Umum Pusat Dr. Hasan Sadikin.

Bab ini menggambarkan pula bakteri yang tersering menimbulkan penyakit infeksi di beberapa ruang perawatan. Pada bab ini diuraikan keadaan bakteri yang ditemukan dari jumlah terbanyak sampai paling sedikit berdasarkan spesimen dari ruangan perawatan yang dimaksud.

Ruangan perawatan yang dimaksud dikelompokkan menjadi sebagai berikut :

A. PETA BAKTERI DAN KEPEKAANNYA TERHADAP BERBAGAI ANTIBIOTIKA DI RUMAH SAKIT DR HASAN SADIKIN BANDUNG SEMESTER I TAHUN 2010 | 66 B. RUANG PERAWATAN PENYAKIT DALAM1. Ruang Fresia I2. Ruang Fresia II3. Ruang Fresia III4. Ruang HemodialisisC. RUANG PERAWATAN PENYAKIT ANAK1. RA12. RA23. R17 PerinatologiD. RUANG PERAWATAN PENYAKIT BEDAH1. RBA2. RBB3. Ruang Bedah Plastik4. Ruang Bedah Urologi5. Ruang Bedah AnakE. RUANG PERAWATAN PENYAKIT KEBIDANAN DAN KANDUNGAN1. Ruang 17 VK2. Ruang 17 A,B,C3. Ruang 17 KelasF. RUANG INSTALASI GAWAT DARURAT1. Emergensi Umum2. Emergensi Bedah3. Emergensi Obgyn4. Emergensi Anak5. Emergensi Peri lantai II6. Emergensi Resusitasi7. Emergensi SWG. RUANG ICUH. RUANG MICI. RUANG PERAWATAN INTENSIF LAINNYA1. HCU2. HCCU3. CICU4. NCCU5. NICU6. PICUJ. RUANG PERAWATAN VIPK. RUANG PERAWATAN LAINNYA1. Ruang Flamboyan2. Ruang 153. Ruang 184. Ruang 195. RR COT lantai III dan IVL. Ruang Kemuning IM. Ruang Kemuning IIN. Ruang Kemuning IIIO. Ruang Kemuning IVP. Ruang Kemuning V

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN PENYAKIT DALAM

RUANG FRESIA I

Biakan DarahCairan Tubuh

NoBakteriJumlahPersenNoBakteriJumlahPersen

1Escherichia coli660%1Escherichia coli770%

2Klebsiella pneumoniae220%2Pseudomonas aeruginosa220%

3Salmonella typhi110%3Klebsiella pneumoniae110%

4Serratia marcescens110%Total10

Total10

Faeces

NoBakteriJumlahPersen

Sputum1Escherichia coli patogen555.56%

NoBakteriJumlahPersen2Klebsiella spp222.22%

1Streptococcus viridans2128.77%3Escherichia coli non pathogen222.22%

2Candida albicans1013.70%Total9

3Klebsiella pneumoniae912.33%

4Acinetobacter baumannii68.22%Urine

5Escherichia coli56.85%NoBakteriJumlahPersen

6Enterobacter cloacae45.48%1Escherichia coli535.71%

7Aeromonas hydrophila34.11%2Acinetobacter baumannii214.29%

8Pseudomonas aeruginosa34.11%3Citrobacter freundii214.29%

9Serratia marcescens22.74%4Klebsiella pneumoniae214.29%

10Klebsiella oxytoca22.74%5Pseudomonas putida214.29%

11Lain-lain810,96%6Burkholderia cepacia17.14%

Total73Total14

Keterangan :Staphylococcus koagulase negative (CoNS) adalah kelompok bakteri Staphylococcus non aureusKlebsiella spp, adalah kelompok bakteri Klebsiella selain Klebsiella pneumonia


RUANG FRESIA II

DARAHSPUTUM


1Staphylococcus hominis618.18%1Klebsiella pneumoniae5127.13%

2Escherichia coli515.15%2Streptococcus viridans4725%

3Staphylococcus aureus515.15%3Candida albicans2312.23%

4Staphylococcus haemolyticus412.12%4Acinetobacter baumannii2111.17%

5Acinetobacter baumannii26.06%5Escherichia coli84.26%

6Serratia marcescens26.06%6Candida non albicans63.19%

7Klebsiella pneumoniae26.06%7Klebsiella oxytoca42.13%

8Burkholderia cepacia26.06%8Streptococcus pneumoniae42.13%

9Candida non albicans13.03%9Staphylococcus haemolyticus42.13%

10Salmonella typhi13.03%10Enterobacter aerogenes31.60%

11Proteus mirabilis13.03%11Staphylococcus epidermidis31.60%

12Pseudomonas aeruginosa13.03%12Lain-lain147.42%

13Streptococcus viridans13.03%Total188

Total33

CAIRAN TUBUHURINE


1Escherichia coli1218.75%1Escherichia coli6463.37%

2Klebsiella pneumoniae710.94%2Klebsiella pneumoniae1211.88%

3Pseudomonas aeruginosa710.94%3Enterobacter aerogenes65.94%

4Enterobacter cloacae69.38%4Pseudomonas aeruginosa65.94%


6Acinetobacter baumannii57.81%6Citrobacter koseri21.98%

7Staphylococcus haemolyticus57.81%7Citrobacter freundii21.98%

8Acinetobacter ursingii34.69%8Proteus mirabilis21.98%

9Enterobacter aerogenes34.69%9Providencia rettgeri21.98%

10Staphylococcus sciuri23.13%10Staphylococcus haemolyticus21.98%

11Lain-lain812.51%11Lain-lain10.99%

Total64Total101

FACES


1Escherichia coli non pathogen646.15%

2Escherichia coli patogen538.46%

3Klebsiella spp215.38%

Total13



RUANG FRESIA III

DARAHSPUTUM


1Pseudomonas aeruginosa150%1Streptococcus viridans3429.31%

2Staphylococcus hominis150%2Acinetobacter baumannii2218.97%

Total23Klebsiella pneumoniae1412.07%

4Candida albicans1210.34%

5Pseudomonas aeruginosa119.48%

CAIRAN TUBUH6Candida non albicans54.31%

NoBakteriJumlahPersen7Escherichia coli54.31%

1Klebsiella pneumoniae430.77%8Staphylococcus epidermidis43.45%

2Escherichia coli323.08%9Staphylococcus haemolyticus32.59%

3Acinetobacter baumannii17.69%10Enterobacter cloacae21.72%

4Morganella morganii17.69%11Lain-lain43.44%

5Proteus vulgaris17.69%Total116

6Proteus mirabilis17.69%

7Staphylococcus aureus17.69%URINE

8Staphylococcus epidermidis17.69%NoBakteriJumlahPersen

Total131Escherichia coli1448.28%

2Streptococcus viridans620.69%

FAECES3Citrobacter freundii26.90%

NoBakteriJumlahPersen4Klebsiella pneumoniae26.90%

1Escherichia coli patogen450%5Staphylococcus haemolyticus26.90%

2Escherichia coli non pathogen450%6Burkholderia cepacia26.90%

3Total87Acinetobacter baumannii13.45%

Total29



RUANG HEMODIALISA

SPUTUM


1Klebsiella pneumoniae350%

2Staphylococcus haemolyticus350%

Total6


BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN PENYAKIT ANAK

RUANG 17 PERINATOLOGI

DARAHCAIRAN TUBUH


1Candida non albicans1224.49%1Enterobacter aerogenes327.27%

2Enterobacter aerogenes816.33%2Klebsiella pneumoniae218.18%

3Staphylococcus haemolyticus714.29%3Escherichia coli218.18%

4Klebsiella pneumoniae612.24%4Staphylococcus aureus218.18%

5Acinetobacter baumannii36.12%5Candida albicans19.09%

6Pseudomonas aeruginosa36.12%6Enterococcus faecalis19.09%

7Serratia marcescens24.08%Total11

8Enterobacter asburiae24.08%

9Staphylococcus hominis24.08%SPUTUM

10Staphylococcus epidermidis24.08%NoBakteriJumlah

11Lain-lain24.08%1Enterococcus faecalis375%

Total492Candida albicans125%

Total4


RUANG A1

DARAHURINE


1Enterobacter cloacae1520%1Escherichia coli1443.75%

2Enterobacter aerogenes1418.67%2Candida albicans618.75%

3Klebsiella pneumoniae810.67%3Streptococcus viridans39.38%

4Salmonella typhi79.33%4Acinetobacter ursingii26.25%

5Staphylococcus hominis68%5Enterobacter faecium26.25%

6Burkholderia cepacia56.67%6Stenotrophomonas maltophilia26.25%

7Staphylococcus haemolyticus45.33%7Klebsiella pneumoniae13.13%

8Pseudomonas aeruginosa34%8Enterobacter cloacae13.13%

9Candida non albicans22.67%9Staphylococcus epidermidis13.13%

10Acinetobacter baumannii22.67%Total32

11Escherichia coli22.67%


13Lain-lain56.66%CAIRAN TUBUH

Total75NoBakteriJumlahPersen


SPUTUM2Staphylococcus haemolyticus816%

NoBakteriJumlahPersen3Enterobacter cloacae714%

1Candida albicans722.58%4Staphylococcus aureus510%

2Klebsiella pneumoniae722.58%5Acinetobacter baumannii48%

3Enterobacter cloacae619.35%6Pseudomonas aeruginosa36%

4Serratia marcescens39.68%7Micrococcus24%

5Enterobacter aerogenes39.68%8Proteus vulgaris24%

6Staphylococcus aureus39.68%9Escherichia coli24%

7Streptococcus viridans26.45%10Lain-lain918%

Total3111Streptococcus viridans24%

12Staphylococcus epidermidis24%

FAECES13Citrobacter freundii12%

NoBakteriJumlah14Enterobacter aerogenes12%

1Escherichia coli non pathogen763.64%15Burkholderia cepacia12%

2Escherichia coli patogen327.27%Total50


Total11


RUANG A2

DARAHSPUTUM


1Staphylococcus hominis623,08%1Candida non albicans466,67%

2Burkholderia cepacia623,08%2Streptococcus viridans233,33%

3Candida non albicans415,38%Total6

4Staphylococcus haemolyticus311,54%

5Salmonella typhi27,69%URINE

6Serratia marcescens27,69%NoBakteriJumlahPersen

7Acinetobacter baumannii13,85%1Acinetobacter iwoffii233,33%

8Enterobacter cloacae13,85%2Micrococcus233,33%

9Staphylococcus epidermidis13,85%3Escherichia coli233,33%

Total26Total6

CAIRAN TUBUHFAECES


1Staphylococcus aureus375%1Escherichia coli patogen1100%

2Enterobacter aerogenes125%Total1

Total4

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN PENYAKIT BEDAH

RUANG BEDAH ANAK

CAIRAN TUBUH


1Escherichia coli342.86%

2Enterococcus faecalis114.29%

3Morganella morganii114.29%


5Staphylococcus aureus114.29%

Total7

RUANG BEDAH DIGESTIF

CAIRAN TUBUHURINE


1Escherichia coli3100%1Staphylococcus haemolyticus2100%

Total3Total2

RUANG BEDAH PLASTIK

CAIRAN TUBUHSPUTUM


1Pseudomonas aeruginosa133,33%1Streptococcus viridans2100%

2Staphylococcus aureus133,33%Total2

3Staphylococcus epidermidis133,33%

Total3

RUANG BEDAH UROLOGI

URINECAIRAN TUBUH



2Staphylococcus haemolyticus4217.65%2Klebsiella pneumoniae225%

3Klebsiella pneumoniae229.24%3Citrobacter freundii112.50%

4Enterobacter aerogenes156.30%4Proteus mirabilis112.50%

5Citrobacter freundii125.04%5Pseudomonas aeruginosa112.50%

6Morganella morganii114.62%Total8

7Acinetobacter baumannii104.20%



10Enterobacter cloacae41.68%


12Staphylococcus epidermidis41.68%

13Candida non albicans31.26%

14Staphylococcus saprophyticus31.26%

15Candida albicans20.84%

16Lain-lain156.30%

Total238

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN PENYAKIT BEDAH

RUANG RBA

DARAHSPUTUM


1Burkholderia cepacia240%1Klebsiella pneumoniae535,71%

2Candida non albicans120%2Streptococcus viridans428,57%

3Enterococcus faecium120%3Klebsiella oxytoca214,29%

4Staphylococcus haemolyticus120%4Staphylococcus epidermidis214,29%

Total55Staphylococcus haemolyticus17,14%

Total14

CAIRAN TUBUH


1Pseudomonas aeruginosa321,43%

2Enterobacter aerogenes214,29%URINE

3Escherichia coli214,29%NoBakteriJumlahPersen

4Streptococcus viridans214,29%1Escherichia coli637,50%

5Acinetobacter baumannii17,14%2Klebsiella pneumoniae425%

6Citrobacter freundii17,14%3Enterobacter cloacae212,50%

7Klebsiella pneumoniae17,14%4Pseudomonas aeruginosa212,50%

8Proteus mirabilis17,14%5Staphylococcus epidermidis212,50%

9Burkholderia cepacia17,14%Total16

Total14

RUANG RBB

DARAHSPUTUM


1Staphylococcus hominis266,67%1Candida non albicans333,33%

2Candida albicans133,33%2Acinetobacter baumannii333,33%

Total33Staphylococcus haemolyticus222,22%


CAIRAN TUBUHTotal9


1Acinetobacter baumannii215,38%

2Klebsiella oxytoca215,38%

3Klebsiella pneumoniae215,38%URINE


5Enterobacter aerogenes17,69%1Escherichia coli666,67%

6Morganella morganii17,69%2Pseudomonas putida222,22%

7Pseudomonas aeruginosa17,69%3Enterobacter aerogenes111,11%

8Streptococcus viridans17,69%Total9

9Streptococcus pneumoniae17,69%

Total13

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN KEBIDANAN DAN KANDUNGAN RUANG 17 KELAS

CAIRAN TUBUHURINE


1Escherichia coli2100%1Escherichia coli333.33%

Total22Citrobacter freundii222.22%

3Pseudomonas putida222.22%

SPUTUM4Burkholderia cepacia222.22%

NoBakteriJumlahPersenTotal9

1Acinetobacter baumannii3100%

Total3

RUANG 17 VKDARAHSPUTUM


1Salmonella typhi1100%1Streptococcus viridans3100%

Total1Total3

FAECESURINE


1Escherichia coli patogen1100%1Klebsiella pneumoniae2100%

Total1Total2

RUANG 17 ABC

CAIRAN TUBUHSPUTUM


1Staphylococcus aureus150%1Streptococcus viridans2100%

2Staphylococcus haemolyticus150%Total2

Total2

URINE

FAECESNoBakteriJumlahPersen

NoBakteriJumlahPersen1Escherichia coli1100%

1Klebsiella spp1100%Total1

Total1

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG INSTALASI GAWAT DARURAT

EMERGENSI UMUM

DARAHSPUTUM



2Staphylococcus haemolyticus2420.87%2Streptococcus viridans7829.10%

3Escherichia coli1210.43%3Streptococcus pneumoniae155.60%

4Staphylococcus epidermidis108.70%4Escherichia coli145.22%


6Klebsiella pneumoniae76.09%6Pseudomonas aeruginosa103.73%

7Salmonella typhi43.48%7Staphylococcus epidermidis103.73%

8Pseudomonas aeruginosa32.61%8Candida non albicans93.36%

9Staphylococcus saprophyticus32.61%9Staphylococcus aureus82.99%

10Salmonella spp21.74%10Burkholderia cepacia62.24%

11Acinetobacter baumannii21.74%11Enterobacter cloacae51.87%

12Streptococcus pneumoniae21.74%12Serratia marcescens41.49%


Total115Total268

URINECAIRAN



2Klebsiella pneumoniae1818%2Staphylococcus aureus1216.22%

3Staphylococcus haemolyticus55%3Klebsiella pneumoniae1013.51%

4Enterobacter aerogenes44%4Staphylococcus haemolyticus68.11%

5Staphylococcus epidermidis44%5Acinetobacter baumannii56.76%

6Acinetobacter baumannii22%6Citrobacter freundii45.41%

7Aeromonas hydrophila22%7Enterobacter aerogenes45.41%

8Leclercia adecarboxylata22%8Proteus mirabilis34.05%

9Proteus mirabilis22%9Pseudomonas aeruginosa34.05%

10Lain-lain1010%10Staphylococcus epidermidis34.05%

Total10011Lain-lain1216.20%

Total74

FAECES





Total7


EMERGENSI BEDAH

DARAHSPUTUM



2Staphylococcus epidermidis228.57%2Klebsiella pneumoniae628.57%

3Escherichia coli114.29%3Enterobacter aerogenes29.52%

4Staphylococcus hominis114.29%4Moraxella spp29.52%

5Staphylococcus haemolyticus114.29%5Streptococcus pneumoniae29.52%

Total7Total21

CAIRANURINE



2Acinetobacter baumannii59.62%2Klebsiella pneumoniae1017.86%

3Staphylococcus aureus59.62%3Enterobacter aerogenes712.50%

4Streptococcus viridans59.62%4Pseudomonas aeruginosa610.71%

5Klebsiella pneumoniae47.69%5Enterobacter cloacae23.57%

6Enterobacter cloacae47.69%6Enterococcus faecalis23.57%

7Streptococcus pyogenes35.77%7Proteus mirabilis23.57%

8Staphylococcus epidermidis23.85%8Providencia rettgeri23.57%

9Staphylococcus haemolyticus23.85%9Serratia marcescens11.79%

10Lain-lain59.60%10Morganella morganii11.79%

Total5211Staphylococcus epidermidis11.79%

12Staphylococcus haemolyticus11.79%

Total56


EMERGENSI OBGYN

DARAH


1Serratia marcescens1100%

Total1

SPUTUM



Total1

URINE


1Acinetobacter baumannii2100%

Total2


EMERGENSI ANAK

DARAHCAIRAN TUBUH


1Staphylococcus hominis4621.10%1Staphylococcus aureus1619.05%

2Staphylococcus epidermidis3716.97%2Staphylococcus haemolyticus1619.05%


4Salmonella typhi2310.55%4Streptococcus viridans78.33%

5Serratia marcescens177.80%5Enterobacter cloacae67.14%


7Staphylococcus aureus83.67%7Staphylococcus hominis44.76%

8Micrococcus62.75%8Staphylococcus saprophyticus44.76%

9Burkholderia cepacia62.75%9Salmonella spp33.57%

10Acinetobacter baumannii52.29%10Acinetobacter baumannii33.57%

11Escherichia coli41.83%11Pseudomonas aeruginosa33.57%

12Achromobacter xylosoxidans211.38%12Streptococcus pneumoniae33.57%

13Acinetobacter Iwoffii20.92%13Staphylococcus epidermidis33.57%

14Streptococcus pneumoniae10.46%14Proteus mirabilis22.38%

15Lain-lain29.66%15Burkholderia cepacia11.19%

Total218Total84

URINE


1Escherichia coli375%


Total4



EMERGENSI PERI LT II


1Achromobacter xylosoxidans120%

2Serratia marcescens120%

3Streptococcus agalactiae120%


5Burkholderia cepacia120%

Total5


EMERGENSI RESUSITASI

DARAHSPUTUM


1Staphylococcus epidermidis240%1Streptococcus viridans480%

2Acinetobacter baumannii120%2Klebsiella pneumoniae120%

3Pseudomonas aeruginosa120%Total5

4Staphylococcus hominis120%

Total5

CAIRANURINE


1Salmonella spp3100%1Escherichia coli2100%

Total3Total2


EMERGENSI SW

DARAHSPUTUM


1Staphylococcus hominis844,44%1Streptococcus viridans3330,28%

2Salmonella typhi422,22%2Klebsiella pneumoniae2018,35%

3Staphylococcus epidermidis211,11%3Acinetobacter baumannii87,34%

4Salmonella paratyphi A15,56%4Staphylococcus epidermidis87,34%

5Escherichia coli15,56%5Enterobacter cloacae76,42%

6Streptococcus dysagalactiae15,56%6Staphylococcus aureus54,59%

7Staphylococcus haemolyticus15,56%7Staphylococcus haemolyticus43,67%

Total188Acinetobacter Iwoffii32,75%

9Streptococcus pneumoniae32,75%

CAIRAN10Candida albicans21,83%

NoBakteriJumlahPersen11Citrobacter freundii21,83%

1Klebsiella pneumoniae853,33%12Micrococcus21,83%

2Pseudomonas aeruginosa213,33%13Klebsiella ozaenae21,83%

3Staphylococcus aureus213,33%14Klebsiella oxytoca21,83%

4Proteus mirabilis16,67%15Enterobacter asburiae21,83%

5Escherichia coli16,67%16Proteus mirabilis21,83%

6Streptococcus viridans16,67%17Escherichia coli21,83%

Total1518Burkholderia cepacia21,83%

Total109

URINE


1Escherichia coli1037,04%

2Klebsiella pneumoniae414,81%FAECES

3Enterobacter aerogenes414,81%NoBakteriJumlahPersen

4Candida non albicans311,11%1Escherichia coli non pathogen763,64%

5Providencia stuartii27,41%2Escherichia coli patogen327,27%

6Streptococcus agalactiae27,41%3Burkholderia cepacia19,09%

7Staphylococcus epidermidis27,41%Total11

Total27

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN KEMUNING

KEMUNING I

DARAHSPUTUM




3Burkholderia cepacia133.33%3Candida albicans1313.40%

Total34Acinetobacter baumannii99.28%


CAIRAN TUBUH6Escherichia coli55.15%

NoBakteriJumlahPersen7Staphylococcus haemolyticus55.15%

1Klebsiella pneumoniae541.67%8Enterobacter cloacae44.12%

2Escherichia coli325%9Staphylococcus aureus44.12%

3Burkholderia cepacia216.67%10Serratia marcescens33.09%

4Acinetobacter baumannii18.33%11Lain-lain1717.51%

5Pseudomonas aeruginosa18.33%Total97

Total12

URINE

FAECESNoBakteriJumlahPersen


1Escherichia coli non pathogen1450%2Salmonella spp29.52%

2Escherichia coli patogen932.14%3Citrobacter freundii29.52%

3Klebsiella spp310.71%4Klebsiella pneumoniae29.52%

4Shigella spp13.57%Total21


Total28


KEMUNING II

DARAHFAECES


1Burkholderia cepacia750%1Escherichia coli patogen1100%

2Staphylococcus haemolyticus321.43%Total1


4Candida non albicans17.14%SPUTUM

5Staphylococcus hominis17.14%NoBakteriJumlahPersen



CAIRAN TUBUH3Streptococcus viridans222.22%



2Pseudomonas aeruginosa620%URINE

3Enterobacter aerogenes310%NoBakteriJumlahPersen

4Staphylococcus aureus310%1Pseudomonas aeruginosa642.86%

5Acinetobacter baumannii26.67%2Candida non albicans214.29%

6Proteus vulgaris26.67%3Micrococcus214.29%

7Escherichia coli26.67%4Klebsiella pneumoniae214.29%

8Staphylococcus lentus26.67%5Proteus mirabilis17.14%

9Serratia marcescens13.33%6Escherichia coli17.14%

10Enterobacter cloacae13.33%Total14

11Morganella morganii13.33%

12Proteus mirabilis13.33%

Total30


KEMUNING III

DARAHSPUTUM


1Staphylococcus haemolyticus228.57%1Enterobacter aerogenes426.67%

2Acinetobacter baumannii114.29%2Streptococcus viridans426.67%

3Escherichia coli114.29%3Candida albicans320%


5Staphylococcus epidermidis114.29%5Stenotrophomonas maltophilia213.33%

6Burkholderia cepacia114.29%Total15

Total7

URINE

CAIRAN TUBUHNoBakteriJumlahPersen



2Escherichia coli917.65%3Burkholderia cepacia48.51%

3Staphylococcus haemolyticus713.73%4Micrococcus36.38%

4Pseudomonas aeruginosa59.80%5Enterobacter aerogenes36.38%

5Streptococcus viridans47.84%6Candida non albicans24.26%

6Staphylococcus epidermidis35.88%7Citrobacter freundii24.26%

7Burkholderia cepacia35.88%8Acinetobacter baumannii12.13%

8Enterobacter aerogenes23.92%9Pseudomonas putida12.13%

9Acinetobacter baumannii11.96%Total47

10Lain-lain611.76%

Total51


KEMUNING IV

DARAHSPUTUM



2Enterococcus faecalis125%2Acinetobacter baumannii418.18%

Total43Candida albicans313.64%



6Streptococcus pneumoniae29.09%

URINE7Staphylococcus haemolyticus29.09%

NoBakteriJumlahPersen8Stenotrophomonas maltophilia29.09%

1Escherichia coli8637.39%Total22


3Citrobacter freundii2410.43%CAIRAN TUBUH

4Enterobacter cloacae104.35%NoBakteriJumlahPersen

5Enterobacter aerogenes104.35%1Escherichia coli1120.75%

6Providencia rettgeri104.35%2Pseudomonas aeruginosa815.09%

7Streptococcus viridans83.48%3Klebsiella pneumoniae713.21%

8Morganella morganii62.61%4Staphylococcus aureus59.43%

9Burkholderia cepacia52.17%5Enterobacter cloacae47.55%

10Acinetobacter baumannii41.74%6Enterobacter aerogenes47.55%

11Lain-lain2812.18%7Morganella morganii47.55%


9Lain-lain713.22%

Total53

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN KEMUNINGKEMUNING VDARAHSPUTUM


1Burkholderia cepacia423.53%1Klebsiella pneumoniae729.17%

2Klebsiella pneumoniae317.65%2Acinetobacter baumannii312.50%

3Staphylococcus haemolyticus317.65%3Achromobacter xylosoxidans312.50%

4Staphylococcus epidermidis211.76%4Citrobacter freundii28.33%

5Acinetobacter Iwoffii15.88%5Kocuria rosea28.33%

6Acinetobacter baumannii15.88%6Staphylococcus aureus28.33%

7Enterobacter aerogenes15.88%7Stenotrophomonas maltophilia28.33%

8Pseudomonas mendocina15.88%8Rhizobium radiobacter14.17%

9Staphylococcus aureus15.88%9Klebsiella oxytoca14.17%

Total1710Pseudomonas aeruginosa14.17%

Total24

CAIRAN TUBUH

NoBakteriJumlahPersenURINE

1Staphylococcus aureus1930.65%NoBakteriJumlahPersen

2Pseudomonas aeruginosa1016.13%1Acinetobacter baumannii821.62%



5Acinetobacter baumannii34.84%4Staphylococcus haemolyticus513.51%

6Micrococcus34.84%5Enterobacter aerogenes25.41%

7Enterobacter cloacae34.84%6Morganella morganii25.41%

8Klebsiella pneumoniae23.23%7Proteus mirabilis25.41%

9Escherichia coli23.23%8Pseudomonas aeruginosa25.41%

10Streptococcus pyogenes23.23%9Streptococcus viridans25.41%

11Lain-lain58.05%10Citrobacter freundii12.70%

Total62Total37

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN RIVIPDARAHSPUTUM



2Staphylococcus hominis513.16%2Candida albicans3415.04%

3Staphylococcus haemolyticus513.16%3Klebsiella pneumoniae3314.60%

4Staphylococcus epidermidis410.53%4Acinetobacter baumannii219.29%

5Candida non albicans37.89%5Pseudomonas aeruginosa208.85%

6Pseudomonas aeruginosa37.89%6Candida non albicans104.42%

7Staphylococcus aureus37.89%7Enterobacter aerogenes83.54%

8Burkholderia cepacia37.89%8Escherichia coli83.54%

9Escherichia coli25.26%9Stenotrophomonas maltophilia83.54%

10Salmonella typhi12.63%10Staphylococcus aureus73.10%


Total38Total226

CAIRAN TUBUH

NoBakteriJumlahPersenURINE

1Klebsiella pneumoniae921.43%NoBakteriJumlahPersen


3Staphylococcus haemolyticus511.90%2Pseudomonas aeruginosa510.42%

4Enterobacter cloacae49.52%3Candida non albicans48.33%

5Escherichia coli49.52%4Klebsiella pneumoniae48.33%

6Staphylococcus aureus37.14%5Enterococcus faecalis36.25%

7Candida albicans24.76%6Citrobacter freundii24.17%

8Acinetobacter baumannii24.76%7Morganella morganii24.17%

9Providencia stuartii24.76%8Streptococcus viridans24.17%


11Lain-lain49.52%10Acinetobacter baumannii12.08%

Total4211Lain-lain510.40%

Total48

FAECES


1Escherichia coli non pathogen3100%

Total3

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG ICU

DARAHSPUTUM


1Pseudomonas aeruginosa2113,29%1Acinetobacter baumannii6526,53%

2Burkholderia cepacia2012,66%2Pseudomonas aeruginosa6225,31%

3Klebsiella pneumoniae1811,39%3Klebsiella pneumoniae4217,14%

4Candida non albicans1710,76%4Serratia marcescens156,12%

5Acinetobacter baumannii148,86%5Escherichia coli114,49%

6Staphylococcus haemolyticus127,59%6Stenotrophomonas maltophilia83,27%

7Serratia marcescens95,70%7Streptococcus viridans62,45%

8Staphylococcus epidermidis85,06%8Candida albicans52,04%

9Enterobacter cloacae63,80%9Citrobacter freundii41,63%

10Staphylococcus hominis63,80%10Staphylococcus aureus41,63%

11Micrococcus53,16%11Staphylococcus hominis41,63%

12Enterococcus faecalis42,53%12Burkholderia cepacia41,63%

13Pseudomonas putida42,53%13Enterobacter cloacae31,22%

14Candida albicans31,90%14Candida non albicans20,82%

15Acinetobacter junii31,90%15Chryseobacterium indologenes20,82%

16Acinetobacter Iwoffii31,90%16Enterobacter aerogenes20,82%

17Erysipelothrix rhusiopathiae21,27%17Staphylococcus haemolyticus20,82%

18Ochrobactrum anthropi10,63%18Klebsiella oxytoca10,41%

19Citrobacter freundii10,63%19Enterobacter gergoviae10,41%

20Staphylococcus aureus10,63%20Sphingomonas paucimobilis10,41%

Total15821Pseudomonas putida10,41%

Total245

CAIRAN



2Acinetobacter baumannii313,04%URINE

3Klebsiella pneumoniae313,04%NoBakteriJumlahPersen

4Escherichia coli313,04%1Candida albicans250%

5Serratia marcescens28,70%2Candida non albicans250%

6Citrobacter freundii14,35%Total4

7Micrococcus14,35%

8Pseudomonas aeruginosa14,35%

9Burkholderia cepacia14,35%

Total23


BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG MIC

DARAHSPUTUM


1Acinetobacter baumannii321,43%1Klebsiella pneumoniae1728,33%

2Klebsiella pneumoniae321,43%2Escherichia coli813,33%

3Streptococcus viridans214,29%3Candida albicans610%

4Staphylococcus epidermidis214,29%4Acinetobacter baumannii610%

5Enterobacter agglomerans17,14%5Pseudomonas aeruginosa610%

6Staphylococcus cohnii17,14%6Streptococcus viridans58,33%

7Staphylococcus aureus17,14%7Staphylococcus haemolyticus46,67%

8Staphylococcus haemolyticus17,14%8Candida non albicans35%

Total149Enterobacter aerogenes35%

10Burkholderia cepacia23,33%

URINETotal60


1Candida albicans527,78%CAIRAN TUBUH


3Candida non albicans211,11%1Klebsiella pneumoniae521,74%

4Acinetobacter baumannii211,11%2Aeromonas hydrophila313,04%

5Klebsiella pneumoniae211,11%3Escherichia coli313,04%

6Burkholderia cepacia211,11%4Pseudomonas aeruginosa313,04%

Total185Micrococcus28,70%

6Providencia rettgeri28,70%

7Stenotrophomonas maltophilia28,70%

FAECES8Candida non albicans14,35%

NoBakteriJumlahPersen9Citrobacter freundii14,35%

1Escherichia coli patogen1100%10Enterobacter cloacae14,35%

Total1Total23

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG INTENSIF LAIN

RUANG HCCU

SPUTUMCAIRAN TUBUH


1Candida non albicans725,93%1Enterobacter cloacae240%

2Klebsiella pneumoniae622,22%2Pseudomonas aeruginosa240%

3Candida albicans27,41%3Proteus vulgaris120%

4Acinetobacter baumannii27,41%Total5

5Micrococcus27,41%

6Enterobacter cloacae27,41%URINE


8Streptococcus viridans27,41%1Escherichia coli450%

9Acinetobacter junii13,70%2Klebsiella pneumoniae225%

10Staphylococcus epidermidis13,70%3Burkholderia cepacia225%

Total27Total8

RUANG CICU

DARAHCAIRAN TUBUH


1Salmonella spp120%1Salmonella spp480%

2Staphylococcus hominis120%2Acinetobacter baumannii120%


4Stenotrophomonas maltophilia120%

5Burkholderia cepacia120%SPUTUM

Total5NoBakteriJumlahPersen

1Candida albicans1338,24%

2Klebsiella pneumoniae411,76%

3Enterobacter aerogenes411,76%

URINE4Acinetobacter baumannii38,82%

NoBakteriJumlahPersen5Staphylococcus epidermidis38,82%

1Escherichia coli753,85%6Enterobacter cloacae25,88%

2Acinetobacter baumannii215,38%7Escherichia coli25,88%

3Staphylococcus epidermidis215,38%8Pseudomonas aeruginosa25,88%

4Burkholderia cepacia215,38%9Streptococcus viridans12,94%

Total13Total34


RUANG NCCU

DARAHFAECES


1Staphylococcus epidermidis923.08%1Escherichia coli patogen1100%

2Staphylococcus hominis717.95%Total1

3Staphylococcus haemolyticus717.95%

4Acinetobacter baumannii410.26%SPUTUM

5Burkholderia cepacia37.69%NoBakteriJumlahPersen

6Candida albicans25.13%1Klebsiella pneumoniae1354.17%

7Klebsiella pneumoniae25.13%2Acinetobacter baumannii416.67%

8Lain-lain512.80%3Escherichia coli416.67%

Total394Enterobacter cloacae28.33%


CAIRAN TUBUHTotal24


1Pseudomonas aeruginosa240%URINE

2Acinetobacter baumannii120%NoBakteriJumlahPersen

3Klebsiella pneumoniae120%1Candida non albicans2100%

4Escherichia coli120%Total2

Total5

RUANG HCU KEMUNING

DARAHCAIRAN TUBUH


1Acinetobacter baumannii211.11%1Acinetobacter baumannii233.33%

2Enterobacter cloacae211.11%2Candida albicans116.67%

3Pseudomonas aeruginosa211.11%3Klebsiella pneumoniae116.67%


5Candida albicans15.56%5Pseudomonas aeruginosa116.67%

6Pantoea spp15.56%Total6

7Aeromonas hydrophila15.56%

8Serratia marcescens15.56%

9Klebsiella pneumoniae15.56%SPUTUM

10Lain-lain527,80%NoBakteriJumlahPersen



URINE3Aeromonas hydrophila215.38%

NoBakteriJumlahPersen4Rhizobium radiobacter215.38%

1Klebsiella pneumoniae240%5Escherichia coli215.38%

2Candida albicans120%6Sphingomonas paucimobilis17.69%

3Enterobacter cloacae120%Total13


Total5

RUANG PICU

DARAHSPUTUM


1Candida non albicans250%1Staphylococcus haemolyticus1100%


3Burkholderia cepacia125%

Total4URINE


1Candida non albicans1100%

CAIRAN TUBUHTotal1


1Pseudomonas aeruginosa150%FAECES

2Staphylococcus haemolyticus150%NoBakteriJumlahPersen

Total21Escherichia coli patogen1100%

Total1

RUANG NICU

DARAHCAIRAN TUBUH


1Candida non albicans1157.89%1Pseudomonas aeruginosa637.50%

2Klebsiella pneumoniae315.79%2Escherichia coli318.75%

3Enterobacter aerogenes210.53%3Staphylococcus haemolyticus212.50%

4Escherichia coli15.26%4Acinetobacter baumannii16.25%

5Pseudomonas aeruginosa15.26%5Klebsiella pneumoniae16.25%

6Staphylococcus epidermidis15.26%6Staphylococcus aureus16.25%

Total197Staphylococcus hominis16.25%


FAECESTotal16


1Escherichia coli non pathogen250%URINE

2Staphylococcus haemolyticus250%NoBakteriJumlahPersen

Total41Morganella morganii1100%

Total1

BAKTERI TERBANYAK YANG DAPAT DIISOLASIDARI BERBAGAI SPESIMEN DI RUANG PERAWATAN LAIN

RUANG 15

DARAHFAECES


1Pseudomonas oryzihabitans150%1Klebsiella spp1100%


Total2

SPUTUM

CAIRAN TUBUHNoBakteriJumlahPersen

NoBakteriJumlahPersen1Streptococcus viridans1164.71%

1Staphylococcus aureus736.84%2Klebsiella pneumoniae211.76%

2Enterococcus faecalis210.53%3Enterobacter aerogenes211.76%

3Enterobacter aerogenes210.53%4Streptococcus pneumoniae211.76%

4Streptococcus pyogenes210.53%Total17

5Stenotrophomonas maltophilia210.53%

6Klebsiella ornithinolytica15.26%URINE

7Escherichia coli15.26%NoBakteriJumlahPersen

8Streptococcus viridans15.26%1Acinetobacter baumannii2100%


Total19

RUANG 19

CAIRAN TUBUHSPUTUM


1Klebsiella pneumoniae150%1Acinetobacter baumannii436.36%

2Escherichia coli150%2Klebsiella pneumoniae327.27%

Total23Stenotrophomonas maltophilia218.18%


FAECES5Aeromonas hydrophila19.09%


1Escherichia coli patogen1100%

Total1

URINE


1Citrobacter freundii2100%

Total2

RUANG ISOLASI

DARAHSPUTUM


1Achromobacter anthropi125%1Streptococcus viridans726.92%

2Ochrobactrum anthropi125%2Klebsiella pneumoniae519.23%

3Klebsiella pneumoniae125%3Enterobacter cloacae519.23%

4Staphylococcus hominis125%4Candida albicans27.69%

Total45Candida non albicans27.69%


CAIRAN TUBUH7Enterobacter aerogenes13.85%

NoBakteriJumlahPersen8Staphylococcus aureus13.85%

1Acinetobacter baumannii250%9Streptococcus adiacens13.85%

2Enterobacter aerogenes250%Total26

Total4

URINE



Total2

RUANG RGB LANTAI IIDARAHSPUTUM





4Staphylococcus haemolyticus116.67%4Acinetobacter baumannii1512.61%

Total65Pseudomonas aeruginosa97.56%

6Klebsiella oxytoca43.36%

URINE7Enterobacter cloacae43.36%

NoBakteriJumlahPersen8Staphylococcus aureus43.36%

1Escherichia coli2343.40%9Staphylococcus haemolyticus43.36%

2Citrobacter koseri47.55%10Candida non albicans32.52%

3Klebsiella pneumoniae47.55%11Lain-lain119.24%



6Acinetobacter ursingii23.77%CAIRAN TUBUH

7Acinetobacter baumannii23.77%NoBakteriJumlahPersen

8Serratia rubidaea23.77%1Klebsiella pneumoniae330%

9Enterobacter cloacae23.77%2Staphylococcus aureus330%

10Morganella morganii23.77%3Escherichia coli220%

11Lain-lain611.31%4Candida albicans110%

Total535Burkholderia cepacia110%

Total10

FAECES




Total6

RR COT LANTAI III

CAIRAN TUBUHDARAH


1Escherichia coli7842.16%1Escherichia coli240%

2Klebsiella pneumoniae179.19%2Staphylococcus haemolyticus240%

3Staphylococcus aureus147.57%3Staphylococcus hominis120%

4Pseudomonas aeruginosa126.49%Total5


6Proteus mirabilis94.86%SPUTUM

7Candida albicans73.78%NoBakteriJumlahPersen

8Streptococcus viridans52.70%1Enterobacter cloacae342.86%

9Morganella morganii42.16%2Pseudomonas aeruginosa228.57%

10Staphylococcus epidermidis42.16%3Staphylococcus hominis228.57%

11Lain-lain2513.50%Total7

Total185

URINE




Total4

RR COT LANTAI IVCAIRAN TUBUH




3Acinetobacter iwoffii114.29%

Total7

SEPULUH BESAR BAKTERI TERBANYAK MENURUT RUANG PERAWATAN

A. BIAKAN DARAH

NOBakteriICUMICVIPEMGIPDANAKOBGYNBEDAHKMNG IKMNG IIKMNG IIIKMNG IVKMNG VRUANGAN LAINNYA

1Pseudomonas aeruginosa13.297.894.444.014.29

2Burkholderia cepacia12.667.892.184.447.3325.033.35014.2923.53

3Klebsiella pneumoniae11.3921.4313.165.458.899.3333.317.655.88

4Candida non albicans10.767.8912.012.57.14

5Acinetobacter baumannii8.8621.432.632.184.444.014.295.88

6Staphylococcus haemolyticus7.597.1413.1616.3515.567.3312.521.4328.5717.6523.53

7Serratia marcescens5.705.456.67

8Staphylococcus epidermidis5.0614.2910.5314.4414.2911.765.80


10Staphylococcus hominis3.8013.1622.6215.569.3325.07.1414.2923.53

11Enterococcus faecium12.5


13Acinetobacter Iwoffii5.88

14Staphylococcus aureus7.147.894.6311.115.88

15Streptococcus viridans14.29

16Enterobacter agglomerans7.14

17Staphylococcus cohnii7.14

18Escherichia coli5.264.9024.414.297511.76

19Salmonella typhi8.454.446.010033.3

20Enterobacter aerogenes14.675.88

21Enterococcus faecalis25

22Salmonella spp11.76

23Lain-lain17.0810.525.2613.3315.345.8817.40

B. CAIRAN TUBUH

NOBakteriICUMICRUANG INTENSIF LAINNYAVIPEMGIPDANAKOBGYNBEDAHKMNG IKMNG IIKMNG IIIKMNG IVKMNG VRUANG LAIN-LAIN

1Staphylococcus epidermidis34.7811.903.523.453.085.88

2Acinetobacter baumannii13.0412.824.765.736.906.156.258.336.671.965.664.842.22

3Klebsiella pneumoniae13.0421.747.6921.4311.8913.7915.386.2541.672021.5713.213.238.89

4Escherichia coli13.0413.0412.829.5216.7421.846.1550.027.08256.6717.6520.753.2336.00

5Serratia marcescens8.703.33

6Citrobacter freundii4.354.354.171.963.77

7Micrococcus4.358.703.084.84

8Pseudomonas aeruginosa4.3513.0430.773.9610.344.6114.588.33209.8015.0916.135.33

9Burkholderia cepacia4.3516.675.88

10Aeromonas hydrophila13.04


12Stenotrophomonas maltophilia8.70


14Enterobacter cloacae4.355.139.524.416.9010.773.337.554.844.44

15Staphylococcus haemolyticus7.6911.9010.575.7512.3125.013.7312.90

16Staphylococcus aureus2.567.1415.428.0515.3825.0109.4330.6512.44

17Candida albicans2.564.763.55

18Providencia stuartii4.76

19Staphylococcus hominis2.564.76

20Streptococcus viridans5.736.257.842.67

21Proteus mirabilis2.644.17

22Enterobacter aerogenes3.457.696.25103.927.552.67

23Acinetobacter ursingii3.45

24Morganella morgagni2.087.55

25Klebsiella oxytoca4.17

26Proteus vulgaris2.566.67

27Staphylococcus lentus6.67

28Acinetobacter junii1.89


30Streptococcus pyogenes3.23

31Proteus spp4.00

32Lain-lain12.849.5219.3816.0815.414.626.669.807.568.0517.79

C. FESES


1Escherichia coli patogen0100.0033.3327.7846.6733.3350.0032.1410000057.10

2Escherichia coli non pathogen33.33100%61.114058.3305028.71


4Klebsiella spp5.5613.338.3450.0010.7114.19

5Shigella spp3.57



D. SPUTUM


1Acinetobacter baumannii26.5310.0012.129.2912.7937.512.09.2844.4418.1812.509.49

2Pseudomonas aeruginosa25.3110.003.038.853.733.659.094.178.23

3Klebsiella pneumoniae17.1428.3326.2614.6041.4219.3217.0720.014.4333.3313.339.0929.1715.82

4Serratia marcescens6.127.313.09

5Escherichia coli4.4913.3310.103.545.223.395.1522.73

6Stenotrophomonas maltophilia3.273.5413.339.098.33

7Streptococcus viridans2.458.333.0320.3546.2726.639.7762.516.017.5322.2226.6722.78

8Candida albicans2.0410.003.0315.044.8511.7519.5213.402013.6412.66

9Citrobacter freundii1.638.33

10Staphylococcus aureus1.633.104.857.314.128.333.16

11Staphylococcus hominis


13Enterobacter cloacae4.044.481.8314.634.127.59

14Candida non albicans5.0020.204.423.362.879.7712.03.16



17Streptococcus pneumoniae7.469.09

18Staphylococcus epidermidis4.043.731.8312.06.19

19Enterococcus faecalis7.31

20Klebsiella oxytoca8.04.172.53

21Achromobacter xylosoxidans12.50

22Lain-lain5.3010.1113.6825.7314.118.017.5112.5011.42

E. URINE


1Candida albicans50.0027.783.332.081.3915.79

2Candida non albicans50.0011.1110.008.331.5514.294.263.28

3Escherichia coli27.7840.0039.5846.1159.0242.1038.4833.5871.437.1457.4537.3921.6240.98

4Acinetobacter baumannii11.116.662.082.073.772.131.7421.626.56

5Klebsiella pneumoniae11.1113.328.3316.5811.112.6315.389.819.5214.298.5116.9613.519.84

6Pseudomonas aeruginosa10.424.154.173.7742.86

7Enterococcus faecalis6.25

8Citrobacter freundii4.174.1715.384.539.524.2610.43

9Morganella morganii3.334.174.152.613.28

10Streptococcus viridans4.174.177.892.643.48


12Enterobacter cloacae3.331.042.632.644.353.28

13Proteus mirabilis2.071.397.14

14Staphylococcus epidermidis6.663.63

15Staphylococcus haemolyticus3.632.7816.6013.519.84

16Burkholderia cepacia13.322.0815.388.512.17

17Acinetobacter ursingii2.563.28

18Enterobacter faecium5.26

19Micrococcus5.2614.296.38

20Acinetobacter iwofii5.26

21Stenotrophomonas maltophilia5.26

22Pseudomonas putida15.382.13



25Lain-lain10.4011.395.552.6312.476.0916.38

BAB IVMETISILIN RESISTEN Staphylococcus aureus (MRSA)

Peta MRSA berdasarkan Jenis Spesimen

Selama semester I tahun 2012, berdasarkan jenis spesimen dari pasien instalasi rawat jalan diperoleh data MRSA sebagai berikut :

NoJenis SpesimenSAMRSA%MRSA

1Darah000

2Urin100

3Sputum100

4Feses000

5Cairan Tubuh1400

Jumlah1600

Selama semester I tahun 2012, berdasarkan jenis spesimen dari pasien instalasi rawat inap diperoleh data MRSA sebagai berikut :

NoJenis SpesimenSAMRSA%MRSA

1Darah28828.6

2Urin000

3Sputum20210

4Feses000

5Cairan Tubuh34411.8

Jumlah821414.6

Keterangan :SA: Jumlah isolate Staphylococcus aureus yang ditemukan.MRSA: Jumlah MRSA%MRSA:(MRSA/SA)x100%=persentase MRSA yang ditemukan dari isolate Staphylococcus aureus yang dilakukan uji resistensi

(*) Penentuan MRSA dilakukan dengan menggunakan cakram antibiotika Oksasilin.

BAB VExtended-spectrum -lactamase (ESBL)

Selama semester I tahun 2012, berdasarkan jenis spesimen dari pasien instalasi rawat inap dan instalasi rawat jalan diperoleh data ESBL sebagai berikut :

Biakan DarahBiakan Sputum

ESBLNon ESBLESBLNon ESBL

Escherichia coli1821Escherichia coli1721

Klebsiella pneumoniae5916Klebsiella pneumoniae99136

Klebsiella oxytoca00Klebsiella oxytoca010

Cairan TubuhUrine

ESBLNon ESBLESBLNon ESBL

Escherichia coli3856Escherichia coli136212

Klebsiella pneumoniae3025Klebsiella pneumoniae4349

Klebsiella oxytoca11Klebsiella oxytoca00

Feses

ESBLNon ESBL

Escherichia coli2364

Klebsiella pneumoniae010

Persentase ESBL dan non ESBL di RSUP Dr.Hasan Sadikin BandungDari Instalasi Rawat Jalan dan Instalasi Rawat Inap

JenisEscherichia coliKlebsiella pneumoniaeKlebsiella oxytoca

SpesimenESBL%Non-ESBL%ESBL%Non-ESBL%ESBL%Non-ESBL%

Biakan Darah187.7215.65925.5166.70000

Sputum177.3215.69942.913657.6001090.9

Urine13658.621256.74318.64920.80000

Cairan tubuh3816.45614.93012.92510.6110019.1

Feses239.96417.100104.20000

Jumlah232100374100231100236100110011100

Peta Kuman 2012 Semester 1

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