Journal Of Nursing Practice
Vol. 10 No. 1 (2026): October

Bacterial Profiles and Their Associations with SOFA Scores and Procalcitonin Levels in Patients with Culture-Positive Pneumonia: A Retrospective Study in an Internal Medicine High Care Unit

Pratiwi Yuliansari (Pamenang College of Health Sciences, Kediri, Indonesia)
Agit Pratama Putra (Dr. Soetomo Regional General Hospital, Surabaya, Indonesia)
Zauhani Kusnul (Pamenang College of Health Sciences, Kediri, Indonesia)
Muhammad Vitanata Arfijanto (Dr. Soetomo Regional General Hospital, Surabaya, Indonesia)



Article Info

Publish Date
22 Oct 2026

Abstract

Background: Pneumonia is a leading cause of morbidity and mortality in hospitalized patients. Identifying the bacterial etiology is crucial for effective management. The Sequential Organ Failure Assessment (SOFA) score is a valuable tool in evaluating the severity of organ dysfunction in these patients. Elevated levels of procalcitonin can indicate bacterial infection and assist in guiding antibiotic therapy.Purpose: This study aims to explore the relationship between the bacterial profile of sputum cultures, SOFA scores, and procalcitonin levels in hospitalized pneumonia patients.Methods: This research used a retrospective design with a total sampling of 68 pneumonia patients who were hospitalized in internal medicine High Care Unit from January to June 2024. Data was obtained by Electronic Medical Record.Results: The results showed that the highest number of sputum culture results were gram-negative bacteria (80.88%), which was dominated by Acinetobacter Baumannii (25%), followed by Klebsiella P. (17.6%), E. Coli (13.2%), and Pseudomonas aeruginosa (13.2%). On the examination of antibiotic sensitivity, it was found that Sulfamethoxazole-trimethoprime has a high sensitivity (76.5%) for Acinetobacter Baumanii, and Amikacin high sensitivity (100%) for Klebsiella P, and E.Coli. The correlation between the bacterial profile and the SOFA score was not significant p= 0.942, while the correlation between the bacterial profile and procalcitonin levels showed a significant relationship with p= 0.001.Conclusion: Procalcitonin levels are significantly associated with bacterial pneumonia but cannot specifically identify the type of bacteria.

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Journal Info

Abbrev

jnp

Publisher

Subject

Nursing

Description

The Journal Of Nursing Practice focuses its article in the field of nursing, which is the branch of health sciences. The scope of this journal articles are: • Medical and Surgical Nursing • Emergency • Maternity And Pediatric Nursing • Psychiatric • Family and Community Nursing • ...