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All Journal Universa Medicina The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Jurnal Penyakit Dalam Indonesia Journal Medical Informatics Technology
Khie Chen
Divisi Infeksi Dan Penyakit Tropis, Departemen Ilmu Penyakit Dalam, Rumah Sakit Umum Pusat Nasional Cipto Mangunkusumo, Jakarta
Computer Science & IT Dentistry Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Journal : Journal Medical Informatics Technology

 1 
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 Adeputri Tanesha Idhayu Adeputri Tanesha Idhayu Adityo Susilo, Adityo Alvina Widhani, Alvina Andree Kurniawan Anis Karuniawati Anna Ariane, Anna Annisa, Firda Ari F Syam Ari Fahrial Syam Artati Murwaningrum, Artati Bramantya Wicaksana C Martin Rumende C Martin Rumende C. Martin Rumende, C. Martin Ceva W. Pitoyo Cleopas Martin Rumende Cleopas Martin Rumende Cleopas Martin Rumende Cleopas Martin Rumende Cleopas Martin Rumende Cynthia Olivia Maurine Jasirwan Dana Dharaniyadewi Dana Dharaniyadewi, Dana Danasasmita, Gantira Diana Aulia Diana Aulia Diany N Taher Djoko Widodo Djumhana A Edwin Wijaya Edwin Wijaya, Edwin Erni J Nelwan, Erni J Erni Juwita Nelwan, Erni Juwita Erwin Christian Susanto Esthika Dewiasty Esthika Dewiasty, Esthika Evy Yunihastuti Falasiva, Rezyta Firda Annisa Gantira Wijayakusumah Danasasmita Gurmeet Singh Gurmeet Singh Herdiman T Pohan Herdiman T Pohan Herdiman T. Pohan Herikurniawan Herikurniawan Herikurniawan, Herikurniawan Ina Sutanto Timan Inge Sutanto Jasirwan, Chyntia OM Joko Widodo Joyce Bratanata Joyce Bratanata, Joyce Jumhana Atmakusuma Kemal Fariz Kalista, Kemal Fariz Leonard Nainggolan M Usman SM Maksum, Maradewi Maradewi Maksum Marcellus Simadibrata Marcellus Simadibrata Mira Yulianti Mira Yulianti, Mira Mohammad, Nurhidayat Murdani Abdullah Murdani Abdullah Murdani Abdullah Murdani Abdullah Muzellina, Virly Nanda Nata Pratama Nathanael, Jason Nully Juariah M Pasaribu, Adeline Prima Yuriandro Pringgodigdo Nugroho, Pringgodigdo Resti Mulya Sari Retno Wahyuningsih Retno Wahyuningsih Rezyta Falasiva Robert Sinto Robert Sinto Robert Sinto Ronald Irwanto Rumondor, Bayu B Shakinah, Sharifah Sitorus, Truly Panca Soroy Lardo Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suhendro Suwarto Suhendro Suwarto, Suhendro Susanto, Erwin Christian Telly Kamelia Timan, Ina Sutanto Tonny Loho Truely Panca Sitorus Vera Yuwono Wicaksana, Bramantya Widayat Djoko Santoso Widayat Djoko Santoso Widayat Djoko Santoso, Widayat Djoko Wirawan Hambali Wirawan Hambali, Wirawan Wulyo Rajabto