Antibiogram Bakteri Penyebab Infeksi Saluran Kemih Kompleks Anak di RSUP DR M DJAMIL Padang Periode 2017-2022

Ivany, Maksum (2024) Antibiogram Bakteri Penyebab Infeksi Saluran Kemih Kompleks Anak di RSUP DR M DJAMIL Padang Periode 2017-2022. Diploma thesis, Universitas Andalas.

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Abstract

Complicated urinary tract infections (UTIs) are often associated with certain conditions that increase the risk of therapeutic failure because they often recur due to congenital abnormalities in the child's urinary tract or other causes. Organisms isolated from complicated urinary tract infections also tend to be more resistant to antibiotics. An antibiogram is needed to guide the clinician in choosing the best empiric antibiotic treatment. The aim of this study was to make an antibiogram for bacteria that cause complicated urinary tract infections in children at RSUP Dr. M. Djamil Padang in 2017-2022. The type of research used was descriptive with a cross sectional design using urine culture data from patients with complicated urinary tract infection. The variables studied were age, gender, type of urinary tract abnormality, urinalysis, sensitivity patterns, and antibiogram. The sampling technique used was total sampling with the number of samples that met the criteria was 51 samples. This study found that most cases of complicated UTI occurred in the 0-1 year age range and mostly occurred in boys. The most common urological disorder was hydronephrosis. The most common bacteria were Gram negative bacteria, namely Escherichia coli. The antibiotics that are most sensitive to Escherichia coli were amikacin, ertapenem, cefoperazone/sulbactam, tigecycline, cefpirome, and meropenem. This study concluded that the antibiotics with the higher sensitivity were amikacin and meropenem, while the most common resistant antibiotics were ampicillin, erythromycin and cefazolin. Studies with larger samples are needed so that the research is more reliable so that it can be used as a guide for health workers.

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