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Setiagung Ambari Bowo Almahita Cintami Putri

Abstract

Background : Infection is the common cause of death following burn injury. Antibiotic resistance is a major wide problem in burn unit. We evaluated the pattern of bacterial pathogens isolated from burn wound and sensitivity of antibiotics in burn unit of RSHS.


Method : A retrospective descriptive study has been done in Burn Unit RSHS by collecting data from burn unit patient’s medical records over 4 years (2012-2015). Data of demography, characteristic of patients, wound isolates bacteria and sensitivity was collected.


Result : A total of 205 patients were admitted to burn unit of RSHS and 164 patients fulfilled the requirements to be analyzed. 114 (69.5%) patients were male and the most commonly affected age groups were young adults 15-40 years old. The mortality rate in burn unit was 71 patients (43.3%) and Acute Respiratory Distress Syndrome (ARDS) was commonly the primary cause of death (53.5%) and followed by sepsis (42.3%). Microorganism from burn wound isolates were P. aeruginosa  (30.1%), A. baumanii (19.9%), K. pneumonia (19.3%), E. cloacae (9.1%), E. coli (4%), P. stuartii (2.8%). Meropenem was the most sensitive antibiotic against to P. aeruginosa and K. pneumonia.  Amikasin was shown to be sensitive to A. baumanii, E. cloacae and E. coliP. stuartii was 100% sensitive to meropenem, amikasin, piperacillin-tazobactam and cotrimoxazole. Cefoperazon, ceftriaxone and ceftazidime showed very low sensitivity (0-14.3%).


Conclusion : Dominant bacteria isolated was  P. aeruginosa which was sensitive to meropenem and commonly resistant to the third generation of cephalosporin antibiotics, which becomes multi drug resistant bacteria.

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Section
Burns