Murdani Abdullah
Division Of Gastroenterology Department Of Internal Medicine Faculty Of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital Jakarta

Published : 118 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search
Journal : journal medical informatics technology

Risk Factors for Multidrug-Resistant Bacterial Infections in Hospital-Acquired Pneumonia at Cipto Mangunkusumo Hospital Murwaningrum, Artati; Kamelia, Telly; Chen, Khie; Loho, Tonny; Abdullah, Murdani
Journal Medical Informatics Technology Volume 2 No. 4, December 2024
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v2i4.94

Abstract

Multidrug-resistant (MDR) hospital-acquired pneumonia (HAP) is linked to high mortality, extended hospital stays, and increased healthcare costs. Identifying risk factors for MDR HAP is essential to formulate effective management strategies. This study analyzed the proportion of risk factors associated with MDR bacterial infections in HAP patients treated at Cipto Mangunkusumo General Hospital. Using a retrospective cohort design, data were collected from medical records of HAP patients hospitalized between 2015 and 2016. A total of 68 patients met the inclusion criteria, while 10 were excluded due to fungal or non-pathogenic bacterial growth in sputum cultures. Patients were categorized as infected with MDR or non-MDR bacteria based on the resistance profile of their initial sputum cultures. Descriptive analysis was conducted using Microsoft Excel to calculate proportions of risk factors, without applying inferential statistical tests due to the limited sample size. The incidence of HAP was 6.12 per 1000 admissions in 2015 and 6.15 in 2016. MDR bacterial infections were observed in 95% of cases in 2015 and 82.1% in 2016. Key risk factors for MDR infections included prior antibiotic use within 90 days (100%), albumin levels <2.5 g/dL (100%), Charlson Comorbidity Index ≥3 (95.9%), age >60 years (95.2%), hospitalization >5 days (92.5%), nasogastric tube (NGT) insertion (92.1%), prior ICU/HCU admission within 90 days (81.8%), and steroid use >10 mg/day for >14 days (28.6%). These results emphasize that most HAP cases were caused by MDR bacteria, with prior antibiotic use and low albumin as predominant risk factors, necessitating targeted interventions for at-risk populations.
Co-Authors A.A. Ketut Agung Cahyawan W Aan Santi Aan Santi Aan Santi Aan Santi Abdul A. Rani Abdul Aziz Rani Abdul Aziz Rani Abdul Aziz Rani Abdul Aziz Rani Abdullah, Arman Adel Achmad Fauzi ACHMAD FAUZI Achmad Fauzi Achmad, Ibrahim Adang Bachtiar Adang Sabarudin Adeputri Tanesha Idhayu Adeputri Tanesha Idhayu Adiningsih Srilestari Adiningsih Srilestari Aditya Rachman Aditya Rachman Aditya Rachman, Aditya Adityo Susilo, Adityo Adli, Mizanul Afifah Is Afistianto, Muhammad Fikri Agus Sudiro Waspodo Ahmad Fauzi Ahmad Hazim Ahmad Soefyani Ahmar Abyadh Aida Lydia Akmal Taher Alexander, Reinaldo Ali Djumhana Ali Imron Yusuf Amanda P Utari, Amanda P Amanda Pitarini Utari Anastasia Yoveline Anastasia Yoveline Andri Sanityoso Andri Sanityoso Angraeni, Sri Anthony Eka Wijaya Anthony Eka Wijaya Ari F Syam Ari F Syam Ari F. Syam Ari Fahrial Syam Ari Fahrial Syam Ari Wijayanti Ariadi Humardani Arief Pattiiha Arif Mansjoer Arleni Bustami Arman A Abdullah Arman Adel Abdullah Arnelis Arnelis Artati Murwaningrum Artati Murwaningrum, Artati Ascobat, Purwantyastuti Asysyifa, Nisrina Aziz Rani Azzaki Abubakar Azzaki Abubakar, Azzaki Batara Bisuk Birry Karim Bisuk, Batara Bona Adhista Budhi Setianto Budi Tan Oto Budiman Budiman Bela Budiman Budiman Budimutiar, Felix C Martin Rumende C Martin Rumende C Martin Rumende Ceva W. Pitoyo Chairul R Nasution Chatarina Umbul Wahyuni Chudahman Manan Chudahman Manan Chudahman Manan Chyntia Olivia Maurine Jasirwan, Chyntia Olivia Maurine Chyntia Olivia MJ Cleopas Martin Rumende Cosphiadi Irawan Czeresna Heriawan Soejono Dadang Makmun Dadang Makmun Dadang Makmun Dadang Makmun Daldiyono Daldiyono Daldiyono Daldiyono Daldiyono Hardjodisasto Daldiyono Hardjodisastro Daniel Martin Simadibrata Daniel Martin Simadibrata Dante Saksono Dante Saksono Harbuwono Dasril Nizam Debby Desmarini Deddy Gunawanjati Dewantoro, Okto Dharmeizar Dharmeizar Dharmeizar Dharmeizar Dharmika Djojoningrat Diah Rini Handjari Diah Rini Handjari Diani Kartini Diany N Taher Diding Heri Prasetyo Diding Heri Prasetyo Djumhana A Dolly Dolven Kansera Donnie Lumban Gaol Dono Antono Dwi Retna Lestari Dyah Purnamasari E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri E. Mujaddid Edy Rizal Wahyudi Ekowati Rahajeng Ekowati Rahajeng Ellen Susanti Elli Arsita Elli Arsita Em Yunir Em Yunir, Em Ening Krisnuhoni Eric Daniel Tenda Evy Yunihastuti Fadilah Fadilah Fahmi Razi Darkuthni Fauzi Ahmad Muda Fiastuti Witjaksono Firsyada, Fajar Fransiska Hardi Fumiaki Kitahara Gaol, Donnie Lumban Giri Aji Giri Aji, Giri Guntur Darmawan Haloho, Raja Mangatur Harini Oktadiana Harini Oktadiana, Harini Harmani Kalim Harry Isbagio Harry Isbagio Harry Isbagio Haryana, Sofia M Haryanto Surya Hasan Maulahela Hasan Mihardja Hasan Mihardja Hasan Mihardja Hayatun Nufus Hazim, Ahmad Herdiman T Pohan Herdiman T. Pohan Herdiman T. Pohan Heri Wibowo Hilda Nurmalihah Hiroyuki Otsuka Hotmen Sijabat I. D.N. Wibawa Ibrahim Basir Ibrahim Basir Ibrahim Basyir Ibrahim, Febiansyah Idrus Alwi Idrus Alwi Idrus Alwi Idrus Alwi Ifransyah Fuadi Ifransyah Fuadi, Ifransyah Ika Prasetya Wijaya Ikhwan Rinaldi Ilum Anam Ilum Anam, Ilum Ilyas, Mohammad Imelda Maria Loho, Imelda Maria Indira Kemalasari Indra Marki Indra Marki Inge Sutanto Ingrid S Surono Ingrid S Surono Ingrid S. Surono Irfan Maulani Iris Rengganis Irsan Hasan Irwin Tedja Irwin Tedja Iskandar, Rizka Puteri Ivo Novita Sah Bandar Jacobus Albertus Jaffray DP Rambak Jamhari Jamhari Jane Estherina Jeanne Adiwinata Pawitan Jeffri Gunawan Jeffry Beta Tenggara Jimmy Posangi Joko Rilo Pambudi Jonlean, Reganedgary Joseph JY Sung Judo Prihartono Julwan Pribadi Jumhana Atmakusuma Jusman, Sri W Kahar Kusumawidjaja Kahar Kusumawidjaja, Kahar Kaka Renaldi Katharina Setyawati Kemalasari, Indira Kemalasari, Indira Khie Chen Khomimah Khomimah Khomimah Khomimah, Khomimah Kuntjoro Harimurti Laras Budiyani, Laras Lianda Siregar Liem, Isabella Kurna Liem, Isabella Kurnia Lies Luthariana Lili Indrawati Lili Indrawati Lili Indrawati Luluk Yunaini Lusiani Lusiani Lusiani Lusiani, Lusiani Lutfiah, Evah M Purnomo Isnaeni M Usman SM Maharani, Shabrina Mansur, M. Tasrif Marcellus Simadibrata K Margaluta, Ariansah Marthino Robinson Maruhum B.H. Marbun Masayuki A Fujino Masayuki A. Fujino Masdalina Pane Maulana Suryamin Maulana Suryamin, Maulana Meriza, Tanggo Minarma Siagian Moch Ikhsan Mokoagow Mochamad Iqbal Hassarief Putra Mochamad Iqbal Hassarief Putra, Mochamad Iqbal Hassarief Mohammad Adi Firmansyah Mondrowinduro, Prionggo Muhadi Muhadi Muhadi Muhadi, Muhadi Muhammad Artisto Adi Yussac Muhammad Artisto Adi Yussac MUHAMMAD SYAFIQ Muhammad Yamin Muhammad Yamin Muhammad Yamin Lubis Muhammad Yamin Lubis, Muhammad Yamin Mulia Mulia Mulia Mulia Mustikarani, Dewi Mutiara, Rizka Nababan, Saut Horas Hatoguan Nana Supriana Nana Supriana Nanda N. Muhammad Nanda N. Muhammad, Nanda N. Nata Pratama Hardjo Lugito Nikko Darnindro Novie Rahmawati Zirta Noza Hilbertina Nully Juariah M Nur Rasyid Nur Rasyid Nur Riviati, Nur Nurjati Chairani Siregar Nury Dyah Nury Dyah, Nury Oktarina, Caroline Okto Dewantoro Pambudi, Joko Rilo Pamela Abineno Pamela Abineno Damaledo Pangarapen Tarigan Pangestu Adi Parhusip, Santi Sumihar Rumondang Pattiiha, Arief Paulus Kusnanto Paulus Simadibrata Pradipta, Saraswati Primariadewi Rustamadji Prionggo Mondrowinduro Puji Sari Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwita W Laksmi, Purwita W Purwoko, Reza Yuridian Rabbinu Rangga Pribadi Raden Nur Ista Rahmad Mulyadi Raja Mangatur Haloho Raja Mangatur Haloho Ralph Girson Rambe, Dirga S. Ratu Ratih Kusumayanti Raymond R. Tjandrawinata Reinaldo Alexander Riahdo Saragih Rianto Setiabudy Rino A Gani Rio Zakaria Risa Ismadewi Risa Ismadewi, Risa Rizka Mutiara Rizka Puteri Iskandar Rizki Yaruntradhani Ronald Irwanto Roy Soetikno Rozaliyan, Anna Rudi Putranto Rumagesan, Djahalia Rumende, Cleopas M. Ryan Ranitya Sabarudin, Adang Saleha Sungkar Salius Silih Sally Aman Nasution Sari, Nina Kemala Sarwono Waspadji Sarwono Waspadji Saskia Aziza Nursyirwan Sedijono Sedijono Septelia I. Wanandi Seri Mei Maya Ulina Simadibrata, Daniel Martin Simanjuntak, Tiroy Sari Bumi Sirowanto Inneke Siti Setiati Sofy Meilaini Soleha, Winna Sonar Panigoro Sri Wahdini Sri Widia A.Jusman Starry H. Rampengan Steven Sumantri Sudirman Katu Sudirman Katu, Sudirman Sugita, Peter Suhardjono Suhardjono Suhardjono Suhardjono Suharko Soebardi Suharko Suharko Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suwarto Suhendro Suwarto Suhendro Suwarto, Suhendro Sukamto Koesnoe Sumariyono Sumariyono Sumariyono Sumariyono Surono, Ingrid S Suryantini Suryantini Suryantini Suryantini Susanto, Liana W SUWIJIYO PRAMONO Suzana Ndraha Suzanna Immanuel Syari, Lucky Novita Tadashi Sato Tanadi, Caroline Tandan, Manu Tandarto, Kevin Tanggo Meriza Telly Kamelia Tito Ardi Tjahjadi Robert Tedjasaputra Toman L Toruan Tonny Loho Tonny Loho TR Fitriyani TR Fitriyani, TR Tri Juli Edi T Ummi Ulfah Madina Ummi Ulfah Madina, Ummi Ulfah Ummu Habibah Ummu Habibah, Ummu Velma Herwanto Velma Herwanto Vera Yuwono Vesri Yoga Virly Nanda Muzellina Wijaya, Anthony Eka Wirasmi Marwoto Wirasmi Marwoto Wismandari Wisnu Wulyo Rajabto Yohana Sitompul Yohana Sitompul, Yohana Yohannessa Wulandari Yonathan, I Wayan Murna Yuichiro Kojima Yundari, Yundari Yustar Mulyadi Zubairi Djoerban Zubairi Djoerban