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All Journal Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya CoMPHI Journal : Community Medicine and Public Health of Indonesia Journal
Kurniati, Neneng Dewi
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Health Professions Medicine & Pharmacology Nursing Public Health

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The Prevalence and Cost Implications of Bloodstream Infection Producing Extended-Spectrum Beta-Lactamase (ESBL) in Adult Patients at Dr. Soetomo General Academic Hospital Kurniati, Neneng Dewi; Syahrir, Irwan; Musa Ghufron
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 9 No 02 (2025): Qanun Medika Vol 09 No 02 July 2025
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v9i02.25735

Abstract

Bloodstream infections (BSIs) caused by extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae represent a growing concern in healthcare settings, particularly in tertiary hospitals. These infections are associated with limited therapeutic options, increased mortality, and rising healthcare costs. This study aimed to describe the clinical, microbiological, and economic characteristics of adult inpatients diagnosed with hospital-acquired (HA) BSIs due to ESBL-producing Enterobacteriaceae at Dr. Soetomo General Academic Hospital from January 1 to December 31, 2024. A cross-sectional study was conducted using retrospective data from adult inpatients (≥18 years) with confirmed HA-BSIs caused by ESBL-producing Escherichia coli, Klebsiella pneumoniae, or Proteus mirabilis. Only the first positive blood culture per patient was analyzed. Community-acquired infections and non-Enterobacteriaceae organisms were excluded. The most frequent pathogen was Escherichia coli ESBL, especially among patients from medical wards. BSIs occurred predominantly in medical and intensive care units. Notably, microbiological confirmation of ESBL-producing organisms led to higher claim reimbursements through the national health insurance system, yielding a positive cost margin despite longer hospital stays and expensive treatment regimens. In conclusion, ESBL-producing Enterobacteriaceae remain a major challenge in managing HA-BSIs at Dr. Soetomo General Academic Hospital. While clinically burdensome, accurate microbiological diagnosis also supports optimal resource utilization and insurance claim efficiency in the hospital setting.
Comparison of Germ Count Levels Based on Zone at Central Operating Theatre Facility Dr. Soetomo General and Academic Hospital Ismawati, Nining Dwi Suti; Kurniati, Neneng Dewi; Nugraha, Andreas Pratama; Baehaqi, Ronny; Taufiqurrahman, Irham; Nurrahman, Tri
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 2 (2025): October
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

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Abstract

Central of Disease Control state that Healthcare-Assoxiated Infections (HAI’s) prevalence on Surgical Site Infection (SSI) reach up 121.800 in patient surgery cases and increase mortality risk up to 12-times. Surgical site infection (SSI) are one of the causes of morbidity, mortality, increased length of stay, costs, and patient complaints, including in orbital surgery. This study was conducted at Central Operating Theatre Facility Dr. Soetomo General and Academic Hospital as surgical service facility includes 22 operating room and supporting facilities. Therefore, the Central Operating Theater Facility is higher risk of nosocomial infection. The purpose of this study was to compare the floor germs and air germs based on zones in the Central Operating Theater Facility. This study was done from September 2023 to December 2024 with cross-sectional quantitative and observational method. Total population are 43 rooms with sample size of  26 rooms were calculated using Lemeshow formula and the locations are determined randomly. Data analysis used Kruskal-Wallis test to compare the variable and descriptive analysis used frequency distribution. The results show significant difference in the counts of germ floor based on zones (p-value 0.047) and there is significant difference in the counts of germ air based on zones (p-value 0.047) at Central Operating Theater Facility. The most common germ found on floors is Staphylococcus haemolyticus, while the most common germ found in the air is Staphylococcus epidermidis.
Co-Authors Baehaqi, Ronny Ismawati, Nining Dwi Suti Musa Ghufron Nugraha, Andreas Pratama Nurrahman, Tri Syahrir, Irwan