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All Journal Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Kedokteran Brawijaya Majalah Kedokteran Bandung Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Biomedika Sari Pediatri Chimica et Natura Acta Jurnal Respirologi Indonesia Jurnal Respirasi (JR) Abdi: Jurnal Pengabdian dan Pemberdayaan Masyarakat Narra J

Dewi Anggraini

1) Arifin Achmad General Hospital, Riau Province, Pekanbaru, Indonesia 2) Eka Hospital Pekanbaru, Pekanbaru, Indonesia 3) Department Of Microbiology, Faculty Of Medicine, Universitas Riau, Pekanbaru, Indonesia

Author-ID : 2741696

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Public Health

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GAMBARAN EFEKTIFITAS PETIDIN 25 MG INTRAVENA UNTUK MENGURANGI REAKSI MENGGIGIL PADA PASIEN SEKSIO SESAREA PASCA ANESTESI SPINAL DI RSUD ARIFIN ACHMAD PROVINSI RIAU Masyitah, Sri Utari; ", Sony; Anggraini, Dewi
Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Vol 1, No 2 (2014): Wisuda Oktober Tahun 2014
Publisher : Jurnal Online Mahasiswa (JOM) Bidang Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Shivering is a common complication in patient who received general dan regional anesthesia. In caesarean section, anesthesia technique that usually used is spinal anesthesia. The Incidence of post spinal anesthesia shivering in caesarean section was 85%. This condition wasn't comfortable for patient and would affect the ECG, blood pressure and oxygen saturation. Increasing of oxygen saturation on shivering would make hypoxemia for both mother and fetus. This research is a descriptive prospective study with consecutive sampling methods to discover the effectiveness of pethidine 25 mg intravenouse to reduce post spinal anesthesia shivering in caesarean section in general hospital of Riau province. This study used 30 patients of caesarean section who had post spinal anesteshia shivering in operation room in general hospital of Riau province. The results of this research were petidhine 25 mg intravenous is effective in amongst 30 samples, 16 shivering has decrease in pethidine 10 mg and 14 patient with 25 mg pethidine intravenous. After the surgery, 2 samples had recurrent shivering. The Onset of pethidine amongst 30 patients were ceased in 5 minutes in 28 patients and 10 minutes in 2 patients.Keywords: shivering, effectiveness pethidine, caesarean section, spinal anesthesia

POLA BAKTERI DAN ANTIBIOGRAM PENYEBAB ULKUS DIABETIKUM DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE 2015 â€“ 2018 Anggraini, Dewi; Yovi, Indra; Yefri, Riza; Christianto, Erwin; Syahputri, Eka Zulya
Biomedika Vol 12, No 1 (2020): Biomedika Februari 2020
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v12i1.9316

ABSTRAKUlkus diabetikum adalah salah satu komplikasi dari diabetes mellitus. Ulkus ini terjadi akibat kerusakan sistem saraf dan pembuluh darah akibat dari hiperglikemia yang tidak terkontrol. Kurangnya nutrisi dari pembuluh darah serta penurunan sensasi akibat kerusakan jaringan saraf memudahkan terjadinya ulserasi infeksi. Pola bakteri ulkus diabetikum dan resistensi antibiotik perlu diketahui untuk meningkatkan kesembuhan bagi pasien. Penelitian ini dilakukan di RS X Riau periode tahun 2015-2018. Data penelitian didapatkan dari Laboratorium Mikrobiologi RS X Riau. Hasil penelitian menunjukkan bahwa Klebsiella pneumonia adalah bakteri yang paling banyak menginfeksi penderita ulkus diabetikum di Rumah Sakit ini yaitu sebesar 17,9%. Bakteri lain yang menjadi penyebab adalah Escherichia coli (16,5%), Staphylococcus aureus (16,5%), Acinetobacter baumanii (14,7%) dan Pseudomonas aeruginosa (8,7%). Uji sensitivitas antibiotik menunjukkan bahwa Klebsiella pneumonia dan Escherichia coli paling sensitif terhadap antibiotik ertapenem, meropenem, amikacin dan tigecycline. Staphylococcus aureus ditemukan sangat resisten terhadap cefoxitine. Acinetobacter baumanii sensitif terhadap amikacin dan tigecycline, sedangkan Pseudomonas aeruginosa 100% resisten terhadap ampicillin, sefazolin, seftriakson, tygecycline, dan kotrimoksazol.Kata Kunci: Ulkus Diabetikum, Pola Bakteri, Pola Resistensi, Sensitifitas, Antibiotik ABSTRACTDiabetic ulcer is a condition of diabetes?s complication. These ulcers occur due to damage of nerve tissues and blood vessels caused by uncontrolled hyperglycemia. Lack of nutrition from blood vessels and decreased sensation due to nerve tissue damage facilitates ulceration of the infection. It is important to know how the pattern of bacteria and antibiotic?s resistance to improve disease?s prognosis. This research was conducted at X Hospital Riau in the 2015-2018 periods. The research data was obtained from the Microbiology Laboratory of X Hospital Riau. The results showed that Klebsiella pneumonia was the most infecting bacterium with diabetic ulcer patients at this hospital, which was 17.9%. Other bacteria that cause are Escherichia coli (16.5%), Staphylococcus aureus (16.5%), Acinetobacter baumanii (14.7%) and Pseudomonas aeruginosa (8.7%). Antibiotic sensitivity tests show that Klebsiella pneumonia and Escherichia coli are most sensitive to ertapenem, meropenem, amikacin and tigecycline antibiotics. Staphylococcus aureus was found to be very resistant to cefoxitine. Acinetobacter baumanii sensitive to amikacin and tigecycline and Pseudomonas aeruginosa 100% resistant to ampicillin, cefazolin, ceftriaxone, tygecycline, and cotrimoxazole.Keywords: Diabetic Ulcer, Bacterial Pattern, Resistance Pattern, Sensitivity, Antibiotics

Prevalensi dan Pola Sensitivitas Enterobacteriaceae Penghasil ESBL di RSUD Arifin Achmad Pekanbaru Anggraini, Dewi; Sholihin, Uswathun Hasanah; Savira, Maya; Djojosugito, Fauzia Andrini; Irawan, Dino; Rustam, Ruza Prima
Jurnal Kedokteran Brawijaya Vol 30, No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.01.9

Resistensi antibiotik merupakan masalah besar baik di rumah sakit maupun di masyarakat, resistensi menyebabkan pilihan terapi infeksi menjadi terbatas. Prevalensi resistensi antibiotik cenderung makin meningkat, salah satu diantaranya adalah bakteri ESBL (extended spectrum beta lactamases), suatu kelompok bakteri penghasil enzim yang dapat menghidrolisis antibiotik beta laktam yang mengandung grup oxyimino seperti sefalosporin generasi satu sampai ketiga dan aztreonam. Penelitian iniÂ dilakukan secara deskriptif retrospektif yang bertujuan untuk mengetahui prevalensi ESBL pada Klebsiella pneumoniae dan Escherichia coli, serta pola sensitivitasnya di RSUD Arifin Achmad Pekanbaru. Data diambil dari hasil kultur bakteri dan uji resistensi antibiotik dari berbagai spesimen klinik yang diperiksa di Laboratorium Mikrobiologi RSUD Arifin Achmad selama tahun 2015. Uji ESBL dilakukan dengan alat VITEK 2 compact yang membandingkan antara proporsi penurunan pertumbuhan bakteri terhadap antibiotik sefalosporin saja dengan antibiotik kombinasi sefalosporin ditambah asam klavulanat. Hasil penelitian menunjukkan ESBL-K. pneumoniae sebesar 66,2%, dan ESBL-E. coli 62,2%, dan total rata-rata pada kedua bakteri 65,2%. Prevalensi ESBL-K. pneumoniae dan ESBL-E. coli paling tinggi berasal dari ruangan Instalasi Perawatan Intensif Anak dan berasal dari spesimen sputum dan pus, namun secara statistik tidak didapatkan perbedaan bermakna proporsi ESBL positif dan negatif berdasarkan asal ruangan dan jenis spesimen. Sensitivitas ESBL-K. pneumoniae dan ESBL-E. coli paling baik dengan antibiotik golongan karbapenem, amikasin dan tigesiklin. Penelitian ini menunjukkan tingginya prevalensi K. pneumoniae dan E. coli penghasil ESBL di RSUD Arifin Achmad dibanding beberapa rumah sakit rujukan nasional dii Indonesia. Saran untuk menurunkan angka ESBL dengan cara mencegah transmisi melalui penerapan kewaspadaan kontak dan kewaspadaan berbasis transmisi, aspek pencegahan dan pengendalian infeksi dan peningkatkan rasionalisasi penggunaan antimikroba harus dilakukan.

Peningkatan Rasionalitas Penggunaan Antibiotik Pasca Implementasi Kebijakan Penggunaan Antimikroba di RSUD Arifin Achmad Pekanbaru Rosdiana, Dani; Anggraini, Dewi; Balmas, Mukhyarjon; Effendi, Dasril; Bet, Anwar
Jurnal Kedokteran Brawijaya Vol 30, No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.01.7

Ancaman global permasalahan resistensi antibiotik membutuhkan strategi pencegahan yang mencakup penggunaan antibiotik secara bijak melalui pengawasan penggunaan antimikroba. Penggunaan antibiotik harus memenuhi beberapa kriteria seperti indikasi, dosis, lama pemakaian, jarak pemberian yang tepat, serta aman dan terjangkau bagi masyarakat, dan juga memenuhi pola mikroba dan kultur. Pada penelitian ini dilakukan analisis rasionalitas penggunaan antibiotik di Bangsal Kenanga RSUD Arifin Achmad Pekanbaru setelah implementasi kebijakan penggunaan antimikroba pada periode Maret hingga Agustus 2016. Terdapat 252 penggunaan antibiotik yang terbagi menjadi dua kelompok, yaitu pre-implementasi sebanyak 92 dan pasca-implementasi sebanyak 160 penggunaan antibiotik. Rasionalitas penggunaan antibiotik dinilai dengan metode Gyssens yang dilakukan oleh tim pengkaji. Penggunaan antibiotik rasional meningkat sebanyak 15,1%, penggunaan antibiotik tanpa indikasi menurun sebanyak 10,9% dan terdapat peningkatan pemeriksaan kultur sebanyak 57,7%. Berdasarkan uji statistik, terdapat peningkatan bermakna rasionalitas penggunaan antibiotik setelah implementasi pedoman penggunaan antibiotik (33,7% vs 48,8%, p=0,020), dan penurunan penggunaan antibiotik tanpa indikasi (27,2% vs 16,3%, p=0,038). Penerapan kebijakan penggunaan antimikroba efektif meningkatkan rasionalitas penggunaan antibiotik. Program ini dapat diperluas di bangsal lain sehingga rasionalitas penggunaan antibiotik merata di seluruh rumah sakit.

Prevalensi dan Pola Sensitivitas Antimikroba Multidrug Resistant Pseudomonas aeruginosa di RSUD Arifin Achmad Anggraini, Dewi; Gusti Yulindra, Utari; Savira, Maya; Djojosugito, Fauzia Andrini; Hidayat, Nopian
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Resistensi antimikrob merupakan salah satu masalah kesehatan masyarakat yang besar yang dihadapi manusia sejak era ditemukan antimikrob. Angka multidrug resistant P. aeruginosa salah satunya semakin meningkat di berbagai belahan dunia yang berdampak pada kesulitan penanganan infeksi oleh bakteri ini. Penelitian deskriptif retrospektif ini bertujuan mengetahui prevalensi MDR P.aeruginosa dan pola sensitivitasnya. Data diambil dari hasil kultur bakteri dan uji resistensi antibiotik dari berbagai spesimen klinis pasien di RSUD Arifin Achmad sepanjang tahun 2015. Uji resistensi dilakukan dengan menggunakan alat Vitek 2 compact. MDR P. aeruginosa didefinisikan sebagai P. aeruginosa yang tidak sensitif terhadap tiga atau lebih golongan antibiotik berikut: meropenem atau imipenem, siprofloksasin, gentamisin atau amikasin, seftazidim atau sefepim, dan piperasilin/tazobaktam. Prevalensi MDR P. aeruginosa adalah 45,5%. Isolat MDR P. aeruginosa serta paling banyak berasal dari instalasi perawatan surgikal dan instalasi perawatan intensif, dan paling banyak berasal dari spesimen pus dan sputum. Sensitivitas P. aeruginosa paling baik dengan amikasin (76,9%), piperasilin/tazobaktam (57,2%), meropenem (57,0%), gentamisin (54,5%), sefepim (53,7%), seftazidim (49,6%), ciprofloksasin (48,8%) dan aztreonam (35,5%). Sensitivitas MDR P.aeruginosa terhadap antibiotik jauh lebih rendah dibanding dengan P. aeruginosa. Penelitian ini menunjukkan angka MDR P. aeruginosa tinggi khususnya di Pekanbaru. Pola sensitifas P. aeruginosa dapat menjadi pedoman dalam memilih antibiotik yang sesuai untuk infeksi karena P. aeruginosa.Kata kunci: Multidrug resistant, Pekanbaru, pseudomonas aeruginosa, sensitivitas antibiotikÂ Prevalence and Antimicrobial Susceptibility Profile of Multidrug Resistant Pseudomonas aeruginosa in Arifin Achmad General HospitalAntimicrobial resistance is one of major public health problems since the era of antimicrobial discovery, inclusing multidrug resistant (MDR) P. aeruginosa. The prevalence of this resistance Â is increasing in different parts of the world, leading to the difficulties in dealing with this bacteria. The aim of this descriptive retrospective study was to determine the prevalence of MDR P. aeruginosa and its susceptibility profile. Data were collected from the bacteria cultures and antibiotic susceptibility test results from various clinical specimens in Arifin Achmad General Hospital throughout 2015. The test was performed in VITEK 2 Compact. MDR P. aeruginosa is defined as P. aeruginosa which is not sensitive to three or more following antibiotics: meropenem or imipenem, ciprofloxacin, gentamicin or amikacin, ceftazidime or cefepime, and piperacilin/tazobactam. The prevalence of MDR P. aeruginosa was 45.5%. The isolates of MDR P. aeruginosa was mostly derived from pus and sputum specimens from the surgical ward and intensive care unit. . Â The most sensitive antibiotics was amikacin (76.9%) followed by piperacilin/tazobactam (57.2%), meropenem (57.0%), gentamicin (54.5%), cefepime (53.7%), ceftazidime (49.6%), ciprofloxacin (48.8%), and aztreonam (35.5%). Antibiotic sensitivity in MDR P. aeruginosa was much lower than in P. aeruginosa. This study shows a high prevalence of MDR P. aeruginosa, especially in Pekanbaru. This susceptibility profile can serve as a guideline for the selection of appropriate antibiotics for infections caused by P. aeruginosa.Key words: Antibiotic susceptibility, multidrug resistant, Pekanbaru, pseudomonas aeruginosa

Cotrimoxasole-Resistant Stenotropomonas maltophilia Infection : Case Report Dani Rosdiana; Dewi Anggraini
Jurnal Ilmu Kedokteran Vol 12, No 1 (2018): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Stenotrophomonas maltophilia is an important multidrug-resistant nosocomial pathogen associated with high mortality. This infection did not elucide clearly in Riau. We reported two Cotrimoxaxole Resistant Stenotrophomonas maltophilia in patient of Arifin Achmad Hospital which refered from peripheral hospital in another region. They had similar clinical appereance such as long stay hospitalization, bad clinical appearance and had a history of meropenem exposure before. We performed urin culture to make appropriate diagnostic and treatment also. Stenotrophomonas maltophilia bacteria was found in urine isolate. The sensitivity test showed that this bacteria had Cotrimoxasole resistant that standard antibiotic of this bacteria. The management of these cases become complicated due to decrease of renal function in one patient. We had to make dose adjustment of parenteral levofloxacin, giving good nutrition, counted fluid balance and repaired others clinical conditions.Beside of its high mortality and morbidity, the outcomes of both these patients were good.

Pola Sensitivitas Isolat Klinis Bakteri Gram Negatif Multiresisten Obat Terhadap Fosfomisin dari Beberapa Rumah Sakit Kota Pekanbaru Dewi Anggraini; Atya Nasmah; Fauzia Andrini
Jurnal Ilmu Kedokteran Vol 13, No 1 (2019): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Over the last few years, there has been a decrease in amount of effective antibiotics, coincide with the lack of new antibiotics relevant for the treatment of Gram negative multi-drug resistant organisms infections. This problem can be overcome by the assessment and re-introduction of old antibiotics such as fosfomycin. Fosfomycin is a broad spectrum antibiotic that is bactericidal. This study aimed to find out the sensitivity pattern of clinical isolate multi-drug resistant Gram negative bacteria to fosfomycin with descriptive cross sectional method. The sample used in this study was clinical isolates collection of Microbiology Laboratory Faculty of Medicine, University of Riau from Hospitals in Pekanbaru. The result showedsensitivity to fosfomycin Escherichia coli producing ESBL (88%), Klebsiella pneumoniae producing ESBL (95%), Acinotobacter baumannii resistant meropenem (27%), Pseudomonas aeruginosa resistant meropenem (36%) and K.pneumoniae resistant meropenem (70%). Fosfomycin can be used as alternative therapy for infections caused by Gram-negative Multi-drug resistant organisms.

Bakteri dan Multiresisten Obat (Multi Drugresistance) pada Pasien dengan Kateter Urin di RSUD Petala Bumi Pekanbaru Rita Endriani; Dewi Anggraini; Rachmaliza Rachmaliza; Rika Wandari
Jurnal Ilmu Kedokteran Vol 10, No 2 (2016): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Patients with urinary catheter have an increased risk to get bacteriuria that could be develop to urinary tract infection(UTI). The aim of this study was to know sensitivity pattern and detection of ESBL in bacteria that isolated from urinof patient with urinary catheter more than 48 hours at Petala Bumi Hospital Pekanbaru. Thirty urin spesiments wasgrowthed in blood agar and MacConkey, incubated for 18 – 24 hours. Identification bacteria was done by some ofbiochemical test, sensitivity test was done by Kirby Bauer method, and ESBL detection done by double disc method.Predominantly bacteria isolated was Gram negative (90%). Gram-negative bacteria was 77.7% sensitive tochloramphenicol and fosfomycin. Gram-positive bacteria was 100% sensitive almost all antibiotic tested. Based onscreening test, this study found E. coli (40%) and Klebsiella sp, Acinetobacter sp and Pseudomonas sp (20%) werepossible produce ESBL, but ESBL was not found based on confirmatory test.

Tingkat Akseptabilitas dan Tolerabilitas Cairan Pencuci Tangan Formula World Health Organization (WHO) yang Digunakan Mahasiswa Kepaniteraan Klinik Senior di RSUD Arifin Achmad Provinsi Riau Dewi Anggraini; Insan Fitriyani; Tuti Restuastuti
Jurnal Ilmu Kedokteran Vol 9, No 1 (2015): Jurnal Ilmu Kedokteran
Publisher : Fakultas Kedokteran Universitas Riau

Health Care Associated Infection (HCAI) is one of the leading cause of mortality and morbidity in hospital and otherhealth care facilitiy. Hand hygiene is the main way to reduce incidence of HCAI. World Health Organization (WHO)recommends alcohol-based handrub because it is more acceptable and tolerable than other hand hygiene products.WHO has identified formulations for the local preparation. This was a descriptive study aimed to determine theacceptability and tolerability of WHO recommended handrub formulation. The subjects of the study were 40 seniorclerkships in Arifin Achmad Hospital, Riau Province, from Surgery, Obstetrics and Gynecology, and Internal MedicineDepartment. Each respondent was given WHO-recommended handrub formulation used for three days. On the firstday, the observer distributed handrubs being tested. After 3 days of consecutive use of the product, participantscompleted the questionnaire and the observer evaluate the condition of participants’ hands. We used WHO’squestionnaire to evaluate acceptability and tolerability level. The results of this study showed that WHO-recommendedhandrub formulation had good acceptability for its application, colour, smell, irritation, ease of use, speed of drying,and overall evaluation but had a less rate of acceptability for its textures and drying effect. WHO-recommendedhandrub formulation had good tolerability.

POLA BAKTERI DAN ANTIBIOGRAM PENYEBAB ULKUS DIABETIKUM DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE 2015 – 2018 Dewi Anggraini; Indra Yovi; Riza Yefri; Erwin Christianto; Eka Zulya Syahputri
Biomedika Vol 12, No 1 (2020): Biomedika Februari 2020
Publisher : Universitas Muhamadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v12i1.9316

ABSTRAKUlkus diabetikum adalah salah satu komplikasi dari diabetes mellitus. Ulkus ini terjadi akibat kerusakan sistem saraf dan pembuluh darah akibat dari hiperglikemia yang tidak terkontrol. Kurangnya nutrisi dari pembuluh darah serta penurunan sensasi akibat kerusakan jaringan saraf memudahkan terjadinya ulserasi infeksi. Pola bakteri ulkus diabetikum dan resistensi antibiotik perlu diketahui untuk meningkatkan kesembuhan bagi pasien. Penelitian ini dilakukan di RS X Riau periode tahun 2015-2018. Data penelitian didapatkan dari Laboratorium Mikrobiologi RS X Riau. Hasil penelitian menunjukkan bahwa Klebsiella pneumonia adalah bakteri yang paling banyak menginfeksi penderita ulkus diabetikum di Rumah Sakit ini yaitu sebesar 17,9%. Bakteri lain yang menjadi penyebab adalah Escherichia coli (16,5%), Staphylococcus aureus (16,5%), Acinetobacter baumanii (14,7%) dan Pseudomonas aeruginosa (8,7%). Uji sensitivitas antibiotik menunjukkan bahwa Klebsiella pneumonia dan Escherichia coli paling sensitif terhadap antibiotik ertapenem, meropenem, amikacin dan tigecycline. Staphylococcus aureus ditemukan sangat resisten terhadap cefoxitine. Acinetobacter baumanii sensitif terhadap amikacin dan tigecycline, sedangkan Pseudomonas aeruginosa 100% resisten terhadap ampicillin, sefazolin, seftriakson, tygecycline, dan kotrimoksazol.Kata Kunci: Ulkus Diabetikum, Pola Bakteri, Pola Resistensi, Sensitifitas, Antibiotik ABSTRACTDiabetic ulcer is a condition of diabetes’s complication. These ulcers occur due to damage of nerve tissues and blood vessels caused by uncontrolled hyperglycemia. Lack of nutrition from blood vessels and decreased sensation due to nerve tissue damage facilitates ulceration of the infection. It is important to know how the pattern of bacteria and antibiotic’s resistance to improve disease’s prognosis. This research was conducted at X Hospital Riau in the 2015-2018 periods. The research data was obtained from the Microbiology Laboratory of X Hospital Riau. The results showed that Klebsiella pneumonia was the most infecting bacterium with diabetic ulcer patients at this hospital, which was 17.9%. Other bacteria that cause are Escherichia coli (16.5%), Staphylococcus aureus (16.5%), Acinetobacter baumanii (14.7%) and Pseudomonas aeruginosa (8.7%). Antibiotic sensitivity tests show that Klebsiella pneumonia and Escherichia coli are most sensitive to ertapenem, meropenem, amikacin and tigecycline antibiotics. Staphylococcus aureus was found to be very resistant to cefoxitine. Acinetobacter baumanii sensitive to amikacin and tigecycline and Pseudomonas aeruginosa 100% resistant to ampicillin, cefazolin, ceftriaxone, tygecycline, and cotrimoxazole.Keywords: Diabetic Ulcer, Bacterial Pattern, Resistance Pattern, Sensitivity, Antibiotics

Co-Authors Afladhanti, Putri M. Aisyah Elliyanti Amalia, Aisyah Sabrina Atya Nasmah Bet, Anwar Citra Ayu Anggreli Daenansya, Raehan Dani Rosdiana Dedi Satriya Putra Dina Fauzia Dino Irawan Effendi, Dasril Eka Zulya Syahputri Ekky Wibisono Erwin Christianto Erwin Christianto Farah Mardhiyah Fauzia Andrini Galuh Tiara Akbar Gusti Yulindra, Utari Hanifah, Zulfa N. hanifah, zulfa nur Hidayat, Nopian INDRA YOVI Insan Fitriyani Jazil Karimi Karina " Karina Karina Kasih, Rani Rindang Marlina Tasril Maya Savira Muhammad Ihsan Mukhyarjon Nazardi Oyong Nazardi Oyong Nori Purnama Nur Afrainin Syah Pratiwi, Adelia Putri, Yolanda Julia Perel Rachmaliza Rachmaliza Rika Wandari Rita Endriani Riza Yefri Riza Yefri, Riza Ruza Prima Rustam, Ruza Prima Sabella Gustika Vernanda Safari, Dodi Shapira, Vanesya Zahrani Sholihin, Uswathun Hasanah Simanjuntak, Arya M. Simatupang, Elvando Tunggul Mauliate Sony " Sri Indah Indriani Sri Utari Masyitah Suyanto Suyanto Syah, Nur A. Syahputri, Eka Zulya Syam, Shaogi Triani, Zhana Daisya Tuti Restuastuti Venty Rahman Wardana, Rexi Dwi Wijaya, Dewi Yuana Nurulita

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