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Olivia Waworuntu
Universitas Sam Ratulangi
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Physics Public Health Social Sciences Other

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 1 
POLA KUMAN DAN UJI KEPEKAANNYA TERHADAP ANTIBIOTIKA PADA PENDERITA OTITIS EKSTERNA DI POLIKLINIK THT-KL BLU RSU PROF. DR. R. D. KANDOU MANADO Suwu, Pingkan; Kountul, Constantyn; Waworuntu, Olivia
e-CliniC Vol 1, No 1 (2013)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.1.1.2013.1181

Abstract

Abstract: Otitis externa is an outer ear canal infection divided into acute and chronic forms based on the course of illness. In a study at Polyclinic ENT-TOS at Prof. dr. R. D. Kandou General Hospital Manado in 2011 it was found that from 5297 there were 440 (8.33%) cases of otitis externa. This study aimed to determine the pattern of bacteria and antibiotic sensitivity in patients with otitis externa in the Polyclinic ENT-TOS, Prof. Dr. R.D. Kandou Hospital Manado during the period December 2012 - January 2013. This study was a descriptive prospective through a sampling technique of patients. Of the 20 samples tested, 18 (90%) showed the growth of bacteria, and two samples (10%) had no growth of bacteria. There were seven types of bacteria found consisting of  two samples (10%) of Branhamella catarrhalis, four samples (20%) of Staphylococcus epidermidis, two samples (10%) of Staphylococcus aureus, two samples (10%) of Acinetobacter anitratus, two samples (10%) of Enterobacter aerogenes, four samples (20%) of Alcaligenes faecalis, two samples (10%) of Proteus mirabilis, and two samples (10%) of no bacterial growth. The highest sensitivity antibiotic was levofloxacin in 14 samples (77.78%), while the highest resistant to antibiotics was ever getting clindamycin in 16 samples (88.89%). Conclusion: nearly all of the samples obtained from otitis externa patients in Polyclinic ENT-TOS, Prof. Dr. R.D. Kandou Hospital Manado during the period December 2012 - January 2013 showed bacterial growth. Levofloxacin was the highest sensitive antibiotic while clindamycin and erythromycin were the highest resistant antibiotic among otitis externa patients in ENT-TOS Clinic of Prof. Dr. R.D. Kandou Hospital, Manado Keywords: otitis externa, pattern of bacteria, sensitivity test.     Abstrak: Otitis eksterna adalah infeksi liang telinga luar yang menurut perjalanan penyakit terbagi atas bentuk akut dan kronis. Pada penelitian di Poliklinik THT-KL RSU Prof. Dr. R.D. Kandou Manado pada tahun 2011 diperoleh dari 5.297 pengunjung terdapat 440 (8,33%) kasus otitis eksterna. Penelitian ini bertujuan untuk mengetahui pola kuman dan uji kepekaannya terhadap antibiotika pada penderita otitis eksterna di Poliklinik THT-KL BLU RSU Prof. Dr. R.D. Kandou Manado periode Desember 2012 - Januari 2013. Penelitian ini bersifat prospektif deskriptif dan sampel diambil dari pasien Poliklinik THT-KL. Dari 20 sampel yang diuji, didapatkan 18 sampel (90%) menunjukkan pertumbuhan bakteri dan dua sampel (10%) tidak memperlihatkan pertumbuhan bakteri. Bakteri yang ditemukan tujuh jenis, terdiri dari Branhamella catarrhalis dua sampel (10%), Staphylococcus epidermidis empat sampel (20%), Staphylococcus aureus dua sampel (10%), Acinetobacter anitratus dua sampel (10%), Enterobacter aerogenes dua sampel (10%), Alcaligenes faecalis empat sampel (20%), Proteus mirabilis dua sampel (10%), dan tidak ada pertumbuhan bakteri sebanyak dua sampel (10%). Simpulan: hampir semua sampel yang diperoleh dari pasien otitis eksterna di Poliklinik THT-KL RSU Prof. Dr. R.D. Kandou Manado periode Desember 2012 - Januari 2013 memperlihatkan pertumbuhan bakteri. Antibiotika yang kepekaannya paling tinggi ialah levofloxacin, sedangkan antibiotika yang resistensinya paling tinggi ialah clindamycin an erythromycin. Kata kunci: otitis eksterna, pola kuman, uji kepekaan.
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Poli Infeksi dan Imunologi Rumah Sakit Mata Provinsi Sulawesi Utara Matandung, Lewis F.; Rares, Fredine E. S.; Waworuntu, Olivia A.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53539

Abstract

Abstract: Infections that occur in hospitals can be caused by bacteria, viruses, and fungi. Infections that occur in hospitals in less than 48-72 hours after the patient is admitted to the hospital are called Healthcare Associated Infections (HAIs) or commonly known as nosocomial infections. Transmission of nosocomial infections is usually through direct contact, droplets, and through health workers in the hospital, as well as through tools or media in the hospital. This study aimed to determine bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. This was an observational and descriptive study with a cross-sectional design to identify bacterial patterns and sensitivity tests in the infection and immunology poly of the North Sulawesi Provincial Eye Hospital. The collection of 10 samples was carried out in the poly infection and immunology. The results obtained four types of bacteria, namely: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, and Streptococcus sp. In conclusion, the four types of bacteria are sensitive to meropenem and resistant to erythromycin. Keywords: nosocomial infection; bacterial identification; sensitivity test   Abstrak: Infeksi yang terjadi di rumah sakit dapat disebabkan oleh bakteri, virus, dan jamur. Infeksi yang terjadi di rumah sakit dalam waktu kurang dari 48-72 jam setelah pasien dirawat ke rumah sakit disebut Healthcare Associated Infection (HAIs) atau biasa dikenal dengan sebutan infeksi nosokomial. Penularan infeksi nosokomial biasanya melalui kontak langsung, droplet, dan melalui tenaga Kesehatan yang ada di rumah sakit, serta melalui alat-alat atau media di rumah sakit. Penelitian ini bertujuan untuk mengetahui pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Penelitian ini menggunakan metode deskriptif observasional dengan desain potong lintang untuk mengidentifikasi pola bakteri dan uji sensitivitas di poli infeksi dan imunologi Rumah Sakit Mata Provinsi Sulawesi Utara. Pengambilan 10 sampel dilakukan di poli infeksi dan imunologi. Hasil penelitian mendapatkan empat jenis bakteri yaitu: Staphylococcus sp, Staphylococcus aureus, Bacillus sp, dan Streptococcus sp. Simpulan penelitian ini ialah keempat bakteri ini sensitif dengan meropenem dan resisten dengan erythromycin. Kata kunci:  infeksi nosokomial; identifikasi bakteri; uji sensitivitas
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Kamar Bedah Mata Rumah Sakit Mata Provinsi Sulawesi Utara Benjamin, Estelina I.; Homenta, Heriyannis; Waworuntu, Olivia A.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53622

Abstract

Abstract: Healthcare-associated infections (HAIs) are infections of pathogenic microorganisms into the human body within 48-72 hours after a patient's hospital admission. These infections are commonly attributed to ventilator-associated pneumonia (VAP), surgical site infections (SSI), central line-associated bloodstream infections (CLABSI), and catheter-associated urinary tract infections (CAUTI). Increased HAI cases is also associated with an increase in Multiple Drug-Resistant (MDR) strains due to inappropriate antibiotic selection for treating diseases resulting from HAIs. This study aimed to identify bacterial patterns and sensitivity tests at the ophthalmic surgical room of Rumah Sakit Mata Provinsi Sulawesi Utara. Thus was an observational and descriptive study with a cross-sectional design. The results showed seven Bacillus sp., four Staphylococcus sp., and one Staphylococcus aureus. Sensitivity tests using 18 types of antibiotics revealed antibiotic resistance patterns of the identified bacteria: seven strains of XDR in Bacillus sp., four strains of MDR in Staphylococcus sp., and the presence of Methicillin-Resistant Staphylococcus aureus (MRSA). In conclusion, Bacillus sp. is the most abundant bacteria found. Bacillus sp. is sensitive to the antibiotic meropenem, while it is resistant to ceftriaxone and sulfamethoxazole/trimethoprim. Keywords: healthcare-associated infections; identification of bacteria; antibiotic sensitivity test    Abstrak: Healthcare-associated infections (HAIs) adalah infeksi mikroorganisme patogen ke dalam tubuh manusia yang terjadi 48-72 jam setelah pasien masuk rumah sakit, umumnya disebabkan oleh ventilator-related pneumonia (VAP), surgical site infections (SSI), central line associated blood stream infections (CLABSI), dan catheter-associated urinary tract infections (CAUTI). Peningkatan kasus HAIs sejalan dengan peningkatan multiple drug-resistant (MDR) karena ketidaktepatan pemilihan antibiotik dalam mengobati HAIs. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri dan uji sensitivitas antibiotik di kamar bedah mata Rumah Sakit Mata Provinsi Sulawesi Utara. Jenis penelitian ialah observasional deskriptif dengan desain potong lintang. Hasil penelitian mendapatkan Bacillus sp. tujuh bakteri, Staphylococcus sp. empat bakteri, dan Staphylococcus aureus satu bakteri. Uji sensitivitas terhadap 18 antibiotik menunjukkan gambaran resistensi, yaitu: Bacillus sp. terdapat tujuh bakteri Extensively Drug-Resistant (XDR), Staphylococcus sp. terdapat empat bakteri MDR, dan Methicillin-Resistant Staphylococcus aureus (MRSA). Simpulan penelitian ini, yaitu: Bacillus sp., merupakan bakteri terbanyak yang ditemukan. Bacillus sp. sensitif terhadap antibiotik meropenem namun resisten terhadap antibiotik ceftriaxone, dan sulfamethoxazole/trimethoprim. Kata kunci: healthcare-associated infections; identifikasi bakteri; uji sensitivitas antibiotik
Identifikasi Pola Bakteri dan Uji Sensitivitas Antibiotik di Ruangan Instalasi Gawat Darurat RSU GMIM Pancaran Kasih Manado Sandjaya, Sulaiman F.; Waworuntu, Olivia A.; Homenta, Heriyannis
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.54050

Abstract

Abstract: Incidents of infection originating from hospitals can be referred to as Healthcare-Associated Infections (HAIs). Generally, hospitals have implemented policies and clinical practices in control of HAIs and the appropriate use of antibiotics to reduce the risk of infection spread and the development of antibiotic resistance. However, antibiotic administration in the Emergency Room (ER) significantly contributes to the excessive use of antibiotics, which may pose a problem of antibiotic resistance. This study aieds to determine the bacterial pattern and antibiotic sensitivity in the ER of RSU GMIM Pancaran Kasih Manado. This was an observational and descriptive study with a cross-sectional design. Identification of bacterial pattern and antibiotic sensitivity test on bacteria in the ER of RSU GMIM Pancaran Kasih Manado used the standard procedure in Microbiology Laboratory of Faculty of Medicine, Universitas Sam Ratulangi. The antibiotic sensitivity test for Bacillus sp. (53.84%), Staphylococcus sp. (38,46%), and Streptococcus sp. (7,69%) revealed the highest sensitivity to the antibiotics meropenem and gentamicin, while the antibiotics ampicillin/sulbactam and vancomycin showed the highest resistance levels. In conclusion, Gram-positive bacteria dominates the bacteria in the emerfency room of RSU GMIM Pancaran Kasih Manado, with Bacillus sp. being the most prevalent. Keywords: bacterial pattern; antibiotic sensitivity test; emergency room   Abstrak: Kejadian infeksi yang berasal dari rumah sakit termasuk dalam Healthcare-Associated Infections (HAIs). Rumah sakit telah menerapkan kebijakan dan praktik klinis dalam pengendalian HAIs dan penggunaan antibiotik yang tepat untuk mengurangi risiko penyebaran infeksi dan perkembangan resistansi antibiotik. Namun, ditemukan bahwa pemberian antibiotik di Instalasi Gawat Darurat (IGD) secara signifikan berkontribusi terhadap penggunaan berlebihan dari obat antibiotik yang kemungkinan menimbulkan masalah resistansi. Penelitian ini bertujuan untuk mengidentifikasi pola bakteri dan sensitivitas antibiotik di ruangan IGD RSU GMIM Pancaran Kasih Manado. Jenis penelitian ialah deskriptif observational dengan desain potong lintang. Identifikasi pola bakteri dan uji sensitivitas pada bakteri di ruangan IGD RSU GMIM Pancaran Kasih Manado menggunakan prosedur standar di Laboratorium FK Unsrat. Hasil identifikasi diperoleh bakteri Bacillus sp., Staphylococcus sp., dan Streptococcus sp. Uji sensitivitas antibiotik dari bakteri Bacillus sp. (53,84%), Staphylococcus sp. (38,46%), serta Streptococcus sp. (7,69%), mendapatkan tingkat sensitivitas tertinggi ditunjukkan terhadap antibiotik meropenem dan gentamicin, sedangkan hasil antibiotik ampicillin/sulbactam dan vancomycin memiliki tingkat resistensi tertinggi. Simpulan penelitian ini ialah bakteri Gram positif mendominasi bakteri di ruangan IGD RSU GMIM Pancaran Kasih Manado, dengan ditemukannya Bacillus sp. terbanyak. Kata kunci: pola bakteri; uji sensitivitas antibiotik; Instalasi Gawat Darurat
Identifikasi Pola Bakteri Aerob dan Uji Sensitivitas Antibiotik di Ruang UGD dan Kamar Operasi RSIA Kirana Manado Hompas, Sania G. H.; Homenta, Heriyannis; Waworuntu, Olivia A.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65796

Abstract

Abstract: Healthcare-Associated Infections (HAIs) are infections acquired during healthcare delivery, primarily caused by aerobic bacteria. Emergency rooms and operating rooms pose high HAI risks due to vulnerable patients and invasive procedures. This study aimed to determine aerobic bacterial patterns and antibiotic sensitivity in the emergency room and operating room of RSIA Kirana Manado. This was an observational and cross-sectional. There were 24 samples collected from walls, floors, air, medical equipment and non-medical equipment (14 from emergency room, 10 from operating room). Bacterial identification utilized nutrient agar and MacConkey agar culture, Gram staining, catalase test, coagulase test, and biochemical tests. Antibiotic sensitivity testing employed disc diffusion method on Mueller-Hinton agar against 11 antibiotics. The results showed that emergency room samples yielded 14 colonies on nutrient agar with no MacConkey growth. All were Gram-positive: Bacillus sp. (78.6%), Staphylococcus sp. (14.3%), and Streptococcus sp. (7.1%). Operating room samples produced nine colonies: Bacillus sp. (55.6%) and Staphylococcus sp. (44.4%). High sensitivity was observed for sulphamethoxazole/trimethoprim (90.9-100%), ciprofloxacin (90.9-100%), and meropenem (80-90.9%), while high resistance occurred with aztreonam (100%) and cefepime (54.5-60%). In conclusion, three bacterial genera were identified: Bacillus sp., Staphylococcus sp., and Streptococcus sp., showing high sensitivity to sulphamethoxazole/trimethoprim, ciprofloxacin, and meropenem, but resistance to aztreonam and cefepime. Keywords: aerobic bacterial pattern identification; antibiotic sensitivity test; emergency room; operating room   Abstrak: Healthcare-Associated Infections (HAIs) merupakan infeksi yang didapat pasien selama perawatan di rumah sakit, terutama disebabkan bakteri aerob. Ruang UGD dan kamar operasi memiliki risiko tinggi HAIs karena pasien rentan dan prosedur invasif. Penelitian inin bertujuan untuk mengetahui pola bakteri aerob dan uji sensitivitas antibiotik di ruang UGD dan kamar operasi RSIA Kirana Manado. Jenis penelitian ialah observasional deskriptif dengan desain potong lintang. Sebanyak 24 sampel dikumpulkan dari dinding, lantai, udara, peralatan medis dan peralatan non-medis (14 dari UGD, 10 dari kamar operasi). Identifikasi bakteri menggunakan kultur Nutrient Agar dan MacConkey Agar, pewarnaan Gram, uji katalase, koagulase, dan biokimia. Uji sensitivitas antibiotik menggunakan metode difusi cakram pada Mueller-Hinton Agar terhadap 11 jenis antibiotik. Hasil penelitian memperlihatkan sampel UGD menghasilkan 14 koloni pada Nutrient Agar tanpa pertumbuhan pada MacConkey. Semua bakteri Gram positif: Bacillus sp. (78,6%), Staphylococcus sp. (14,3%), dan Streptococcus sp. (7,1%). Sampel kamar operasi menghasilkan sembilan koloni: Bacillus sp. (55,6%) dan Staphylococcus sp. (44,4%). Sensitivitas tinggi terhadap sulphamethoxazole/trimethoprim (90,9-100%), ciprofloxacin (90,9-100%), dan meropenem (80-90,9%), namun resistan terhadap aztreonam (100%) dan cefepime (54,5-60%). Simpulan penelitian ini ialah ditemukan tiga genus bakteri (Bacillus sp., Staphylococcus sp., dan Streptococcus sp.) dengan sensitivitas tinggi terhadap sulphamethoxazole/trimethoprim, ciprofloxacin, dan meropenem, namun resistan terhadap aztreonam dan cefepime. Kata kunci: identifikasi pola bakteri aerob; uji sensitivitas antibiotik; ruang UGD; kamar operasi
Co-Authors Beatrix A. Lumentut, Beatrix A. Benjamin, Estelina I. Bernadus, Janno Berty Bradly Billy V. Palawe, Billy V. Caroline Tombokan, Caroline Charlito J. R. Galag, Charlito J. R. Christy N. Mintjelungan Claudya Emma Sulistya Constantien Kountul, Constantien Constantyn Kountul Dennis Soeliongan Domu, Rizca J. Edward Nangoy, Edward Fredine Rares Hedison Polii Henry M. F. Palandeng Henry Malcom Frank Palandeng Heriyannis Homenta Hompas, Sania G. H. Indri Sumule, Indri Ireine S. Waworuntu, Ireine S. Jeffry Sony Junus Lengkong Jimmy Posangi Julian G. Komansilan, Julian G. Laihad, Mordekhai L. Lolongan, Raymond A. Makolit, Jecklin Mambo, Christi Diana Matandung, Lewis F. Matoka, Rizka Mayer F. Wowor Melisa P. Chandra Michael A. Leman Michael A. Tumiwa Nur Dinih Mamonto P. S. Anadita, P. S. P. S. Anindita Palandeng, Ora E.I Perisai P. Rumondor Pijoh, Pingkan M. Pingkan Suwu Pomandia, Natasha M. Porotu'o, John Porotu'o, John . Porotu’o, John PS Anindita PS Anindita, PS Putri, Tanya P. M. Rahmat Aridi Ramadhan, Raden MS. Regina Masengi, Angelina Stevany Rengkuan, Windy L. Ronald I. Ottay Sandjaya, Sulaiman F. Standy Soeliongan Stephen Suryani, Intan Indah Turalaki, Grace L.A Ume, Eka Julistri Velma Buntuan Wilar, Stephanie O. Windy Tjiali Windy Tjiali, Windy Yulya Margaretha Longadi, Yulya Margaretha