Title : Comparative evaluation of pathogens in Saiful Anwar Hospital's CVCU vs. Indonesian ICUs: A focus on hospital-acquired Infections
Abstract:
This study investigates the patterns of hospital-acquired infections, specifically analyzing bacterial isolates from a variety of clinical samples collected in the Intensive Cardiovascular Care Unit (CVCU) at Saiful Anwar Hospital in Malang, Indonesia, during the year 2022. This analysis is then compared to the bacterial occurrences in Intensive Care Units (ICUs) throughout Indonesia in the same period.
In Saiful Anwar Hospital's CVCU, a significant presence of Acinetobacter baumannii was noted in blood cultures, displaying a remarkable resistance to carbapenem antibiotics. This was alongside noted cases of Escherichia coli and Klebsiella pneumoniae infections. In sputum samples, Klebsiella pneumoniae, known for its resistance to beta-lactam antibiotics, was most frequently identified, along with Acinetobacter baumannii and Escherichia coli. The urine samples predominantly featured Escherichia coli, Enterococcus faecalis, and Acinetobacter baumannii. When compared with nationwide ICU data, similar patterns emerged. Blood cultures were most often found with Klebsiella pneumoniae, Escherichia coli, and Staphylococcus aureus, while urine cultures were dominated by Escherichia coli, Klebsiella pneumonia, and Enterococcus faecalis.
Additionally, the study examines the effectiveness of various infection control strategies implemented in these settings. These strategies include conducting routine cultures for patients with suspected infections, adhering to stringent cleaning protocols, and applying antibiotics based on culture results. The analysis delves into the efficacy and challenges of these methods in mitigating the incidence of hospital-acquired infections.
The comparative analysis of bacterial occurrences in Saiful Anwar Hospital's CVCU and other ICUs across Indonesia highlights the critical need for continuous monitoring and specific prevention tactics to combat nosocomial infections. The study also calls for the development of comprehensive healthcare policies focused on tackling antibiotic resistance and strengthening infection control measures.
