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All Journal Folia Medica Indonesiana Indonesian Journal of Tropical and Infectious Disease Dentino: Jurnal Kedokteran Gigi Indonesian Journal of Cardiology Manuju : Malahayati Nursing Journal Jurnal Farmasi Higea Journal of Telenursing (JOTING) Majalah Biomorfologi (Biomorphology Journal) CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL Indian Journal of Forensic Medicine & Toxicology International Islamic Medical Journal
Asmarawati, Tri Pudy
Department Of Internal Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Indonesian Society Of Internal Medicine
Religion Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Risk Factors of Catheter-Associated Urinary Tract Infections in Hospitalized Patients in Internal Medicine Ward of Tertiary Referral Hospital in Indonesia Hana; Asmarawati, Tri Pudy; Juniastuti
Jurnal Medis Islam Internasional Vol 7 No 1 (2025): June
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/iimj.v7i1.6974

Abstract

Introduction: Urinary Tract Infection (UTI) is the most common type of nosocomial infection. An increase of 80% of nosocomial urinary tract infections is caused by the usage of urinary catheters. Previous studies have found that inpatients are more susceptible to UTI than outpatients. Objective: The Objective of this study is to assess the prevalence and risk factors for internal medicine patients at tertiary referral hospitals in Surabaya with Catheter Associated Urinary Tract Infections (CAUTI). These findings may aid in strategies to minimize CAUTI occurrences. Methods: This study was a single-center cross-sectional study that obtained data from medical records. Data samples were tested using Chi-Square to find a correlation between UTI and age, gender, length of stay, and underlying disease or comorbidities with a p-value of p<0,05. Results: The proportion of patients who experienced CAUTI during May 2020-May 2021 was 32.8%. The characteristics of the sample in this study were in the age range of 28 to 78 years with an average of 54 years. There were four male patients and 17 female patients in the CAUTI group. The p-values for age, gender, duration of hospitalization, and underlying disease or comorbidities were 0.465 (p>0.05); 0.064 (p>0.05); 0.146 (p>0.05); and 0.064 (p>0.05). Conclusions: There was a reduction in the prevalence of CAUTI from 2018 compared to 2020-2021. There were no variables that were significantly associated as risk factors for CAUTI.
Fungemia in Tertiary Hospitals; An Overview Fungal Profile, Antifungal Resistance, and Antifungal Therapy Monita, Syafira Putri; Endraswari , Pepy Dwi; Bramantono; Asmarawati , Tri Pudy; Khanfar, Sarah Amjad Abdel-Raouf
Indonesian Journal of Tropical and Infectious Disease Vol. 13 No. 1 (2025)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v13i1.66500

Abstract

Fungemia is a bloodstream infection caused by fungal pathogen and commonly occurs in hospitalized patients with certain risk factors. Indonesia itself is a tropical country with middle income that makes the incidence rate of fungemia tend to be higher, namely10/1 0,000 people. A recent study about candidemia conducted in Dr. Soetomo General Academic Hospital stated that the most common species that caused candidemia is Candida albicans (33.96%) and the blood sample mostly collected from patients from high care unit and patient with diabetes. We conducted this study to provide a new overview of data on the profile of the causes of fungal infections, patterns of fungal resistance to antifungals, and antifungal therapy in patients with fungemia in hospitalized patients at Dr. Soetomo General Academic Hospital, Surabaya, for the period of January December 2023. This research is a descriptive study using the patient’s medical records. Variables observed in this study include; gender, age, care unit, risk factor, species distribution, resistance pattern, type of antifungal therapy, and duration of antifungal therapy. Mostly the blood cultures are collected from female patients aged 0-9 years old. This study also found that most blood cultures are collected from patients in intensive care unit with use of CVC. Most of the patients did not receive antifungal therapy The most frequent found species is Candida parapsilosis with highest resistance rate found in Amphotericin-B. The most common antifungal that is used is Fluconazole which is mostly given within the range of 8-14 days .
Bloodstream Infections Leading to Sepsis: Clinical and Microbiological Profiling of Bacteremia among Hospitalized Patients in Surabaya, Indonesia Marwasyifa, Nuritsna; Asmarawati, Tri Pudy; Setiawan, Firman; Endraswari, Pepy Dwi
Current Internal Medicine Research and Practice Surabaya Journal Vol. 6 No. 2 (2025): CURRENT INTERNAL MEDICINE RESEARCH AND PRACTICE SURABAYA JOURNAL
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cimrj.v6i2.66675

Abstract

Introduction: Bacteremia poses a significant health risk due to its frequently atypical presentation and potential progression to sepsis. Understanding its clinical profiles and causative pathogens is essential for timely diagnosis and effective management. This study examined the characteristics of bacteremia cases in 2022 at Universitas Airlangga Hospital, Surabaya, Indonesia. Methods: A retrospective, descriptive observational study was conducted utilizing hospitalized bacteremia patients' medical records. A total of 107 patients met the inclusion criteria, which required positive blood cultures along with complete data on age (≥19 years), sex, comorbidities, clinical manifestations, bacterial infection diagnosis, outcomes, and pathogen characteristics. Medical records failing to meet these criteria were excluded. The data were categorized and analyzed by variables. Results: Bacteremia predominantly affected patients aged >65 years (36.4%), males (50.5%), and those with diabetes (54.2%) and with pneumonia (79.4%). Key symptoms included tachycardia (55.1%), tachypnea (55.1%), anemia (65.4%), and leukocytosis (71.0%), despite normal vitals observed in numerous cases. Gram-positive bacteria were most prevalent (69.7%), mainly Staphylococcus hominis (18.7%). Escherichia coli (9.3%) was the leading Gram-negative isolate, while extended-spectrum beta-lactamase (ESBL) strains (4.2%) were the primary multidrug-resistant organisms (MDRO). Sepsis and septic shock were equally prevalent (35.5%). Mortality (64.5%) occurred primarily due to septic shock (49.3%). Conclusion: Sepsis and septic shock frequently occur in older males with diabetes and pneumonia. Key symptoms include frequent tachycardia, tachypnea, anemia, and leukocytosis. Septic shock, the leading cause of death in bacteremia patients, frequently occurs alongside infections by Staphylococcus hominis and ESBL-producing Escherichia coli.   Highlights: 1. This study offers fresh perspectives on the clinical profiles of hospitalized bacteremia patients and the characteristics of causative bacteria at Universitas Airlangga Hospital, a topic that has been minimally explored in the Indonesian medical community. 2. It highlights the prevalence of bacteremia, its clinical manifestations, and outcomes to determine the mortality rate of hospitalized bacteremia patients. 3. This study provides valuable data that can help inform future infection control strategies to manage and prevent bloodstream infections, hence enhancing healthcare outcomes by emphasizing the importance of improving clinical data collection and monitoring.
ESKAPE Pathogens in Hospitalized Patients: A Comprehensive Profiling of Infections and Characteristics at Universitas Airlangga Hospital, Surabaya, Indonesia Dinda Rachma Harlisa; Tri Pudy Asmarawati; Firman Setiawan; Pepy Dwi Endraswari
Majalah Biomorfologi Vol. 35 No. 2 (2025): Majalah Biomorfologi
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v35i2.2025.103-112

Abstract

Highlights This study found that ESKAPE pathogenic infections at Universitas Airlangga Hospital were dominated by Gram-negative bacteria, particularly Klebsiella pneumoniae, with sputum as the most commonly collected specimen providing valuable data for infection control strategies. Most patients exhibited significant clinical manifestations involving neurological disorders, with the respiratory system being the most affected information that may enhance the effectiveness of patient management in the hospital.   ABSTRACT Background: Infections pose a significant threat in Indonesia, particularly in healthcare settings where healthcare-associated infections (HAIs) are prevalent. At a hospital in Jakarta, the prevalence of ESKAPE pathogens was reported to be 69.8%. However, detailed data on the infection profiles of these pathogens remain scarce. This underscores the importance of studying ESKAPE pathogenic bacteria to better understand their characteristics. Objective: This study aimed to determine the infection profile of ESKAPE pathogens in hospitalized patients at Universitas Airlangga Hospital, Surabaya, Indonesia in 2022. Material and Method: This descriptive observational study employed a retrospective design using secondary data from non-ICU inpatients at Universitas Airlangga Hospital infected with ESKAPE pathogens in 2022. Total sampling was applied to eligible medical records. Result: The study included 119 specimens from inpatients infected with ESKAPE pathogens that met the inclusion and exclusion criteria. Of these, 78% were Gram-negative bacterial infections, with Klebsiella pneumoniae being the most prevalent (29%). Sputum was the most commonly collected specimen (49%). Most patients were male (57%), aged 56–65 years (29%), and had no comorbidities (46%). Additionally, 63% of patients had used invasive devices during hospitalization. The majority were admitted to low-care inpatient wards. The primary clinical features were neurological complaints (29%) and respiratory disorders (37%), predominantly associated with Klebsiella pneumoniae. Conclusion: ESKAPE infections were primarily caused by Klebsiella pneumoniae, a Gram-negative bacterium, most frequently identified in sputum samples. The predominant clinical manifestations were decreased consciousness and respiratory disorders. Affected patients were mainly male, aged ≥56 years, hospitalized in low-care wards, with a history of invasive device use and no comorbidities.
Co-Authors Agung Dwi Wahyu Widodo Ahmad Veri Erianto Alsagaff, Mochamad Yusuf Anudya Kartika Ratri Ardhena Ekasari Bakhtiar, Arief Bramanton Bramantono Bramantono, Bramantono Dahlia Riyanto Desiana Radithia, Desiana Dewi Setyowati Dinda Monika Nusantara Ratri Dinda Rachma Harlisa Hana Hanunnisa, Nadhifa Heri Krisnata Ginting Hermina Novida, Hermina Isnin Anang Marhana Juniastuti Juniastuti Khanfar, Sarah Amjad Abdel-Raouf Lestari, Kristanti Mareta Rindang Andarsari Marwasyifa, Nuritsna Mochamad Yusuf Alsagaff Monita, Syafira Putri Muhammad Vitanata Arfijanto, Muhammad Vitanata Musofa Rusli Nasronudin Nasronudin Nursalam, Nursalam Pepy Dwi Endraswari, Pepy Dwi Rachman, Brian Eka Ratri, Anudya Kartika Riani, Rista Elva Rindang Tanjungsari S. Ugroseno Yudho Bintoro Setiawan, Firman Sholichah, Aminatush Usman Hadi Wardani, Erlisa Pramodya Wardhana, Manggala Pasca