Resistance Testing of Escherichia Coli Bacteria Producing Extended Spectrum Beta-Lactamase (ESBL) in Urinary Tract Infection (UTI) Patients at Indramayu Regional General Hospital

Fitri Zakia*, Bambang Karsidin, Ade Hasan Basri

Abstract



Urinary Tract Infection (UTI) is an infection caused by the growth of microorganisms in the human urinary tract. The bacteria Escherichia coli can cause UTIs. Escherichia coli is a bacterium that can become resistant to antibiotics in UTIs because it produces the Extended-Spectrum β-lactamase (ESBL) enzyme. ESBL causes high morbidity and mortality because it can make it challenging to manage infectious diseases. Research on ESBL-producing bacteria has been carried out in several hospitals in Indonesia. The difference in place and time of research causes the pattern of resistance of UTI-causing bacteria to antibiotics to be different. The samples in this study were urine specimens from patients with UTI diagnoses who were examined for culture at the microbiology laboratory of Indramayu Hospital. The sampling technique in this study is the total sampling method. The research method used is Quantitative Descriptive. Bacteria identification and Resistance tests were carried out using the Vitec 2 Compact tool. The data obtained from the research results are then collected in tables and used as a reference in the preparation of data analysis. Escherechia coli is the most common type of bacterial species, at 41%. Ampicillin is 100% resistant to all isolates, and Meropenem and Ertapenem are 100% sensitive. Penicillin MIC value for Sensitive outcomes ≤ 4; Intermediate 16; and Resistant ≥ 32. Cephalosporin group MIC value for Sensitive results ≤ 4; Intermediates 8; and Resistant ≥ 64. Carbapenem group MIC value for Sensitive ≤ 0.5; Intermediates 8; and Resistant ≥ 64. Identification of ESBL Escherichia coli bacteria is 89% ESBL positive and 11% ESBL negative.


Keywords


ESBL, Escherichia coli, Resistensi

Full Text:

PDF

References


Biutifasari, V. (2018). Extended Spectrum Beta-Lactamase ( ESBL ). Oceana Biomedicina Journal, 1(1), 1. https://doi.org/10.30649/obj.v1i1.3

Darsono, P. V., Mahdiyah, D., & Sari, M. (2016). Gambaran Karakteristik Ibu Hamil Yang Mengalami Infeksi Saluran Kemih (Isk) Di Wilayah Kerja Puskesmas Pekauman Banjarmasin. Dinamika Kesehatan, 1, 162–170.

Dumaru, R., Baral, R., & Shrestha, L. B. (2019). Study of biofilm formation and antibiotic resistance pattern of gram-negative Bacilli among the clinical isolates at BPKIHS, Dharan. BMC Research Notes, 12(1), 1–6. https://doi.org/10.1186/s13104-019-4084-8

Erlinawati, Jumadewi, A., & Fitriana. (2024). Identifikasi bakteri gram negatif batang pada urine suspek infeksi saluran kemih mahasiswi di Poltekkes Kemenkes Aceh Identification of gram-negative rod bacteria in urine suspected of urinary tract infection female students at Poltekkes Kemenkes Aceh.

Fahirah Arsal, A. S. (2019). Deteksi dan Pola Kepekaan Antibiotik pada Extended Spectrum Beta Lactamase (Esbl) Eschericia Coli dari Sampel Urin Petugas Kesehatan di Rumah Sakit Ibnu Sina Makassar Tahun 2018. UMI Medical Journal, 3(2), 1–13. https://doi.org/10.33096/umj.v3i2.38

Fauzan, R., Harsono, K., Meisandy, R. P., Barokah, M., & Muhaimin, M. I. (2024). Optimising Human Resource Management as an Effort to Improve Employee Performance through Digital Attendance. Riwayat: Educational Journal of History and Humanities, 7(1), 16-25.

Flores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2015). Urinary tract infections: epidemiology, mechanisms of infection and treatment options. HHS Public Access, 13(March), 269–284. https://doi.org/10.1038/nrmicro3432.Urinary

Imaniah, B. A. (2015). Peta Kuman Dan Resistensinya Terhadap Antibiotika Pada Penderita Infeksi Saluran Kemih (ISK) Di RSUD Dr. Moewardi. Universitas Muhammadiyah Surakarta.

Imran, M. F. (2024). Criminological Examination of Physical and Psychological Violence Committed Against Children in the School Environment. Riwayat: Educational Journal of History and Humanities, 7(1), 41-47.

Kemenkes. (2015). PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 8 TAHUN 2015.

Lia Yunita, S., Novia Atmadani, R., & Titani, M. (2021). PHARMACEUTICAL JOURNAL OF INDONESIA Faktor-faktor Yang Mempengaruhi Pengetahuan Dan Perilaku Penggunaan Antibiotika Pada Mahasiswa Farmasi Universitas Muhammadiyah Malang. Pharmaceutical Journal Of Indonesi, 2021(2), 188.

Masruroh, C. A., Sudarwanto, M. B., & Latif, H. (2017). Tingkat Kejadian Escherichia coli Penghasil Extended Spectrum Β-Lactamase yang Diisolasi dari Feses Broiler di Kota Bogor. Jurnal Sain Veteriner, 34(1), 42. https://doi.org/10.22146/jsv.22813

Prasetya, Y. A., Nisya, K., & Amanda, E. R. (2019). Aktivitas Nanoemulsi Minyak Lengkuas ( Alpinia galanga [ L ] Willd ) Dalam Menghambat Bakteri Escherichia coli Penghasil Extended Spectrum Beta Lactamases ( ESBLs ). Seminar Nasional Pendidikan Biologi Dan Saintek (SNPBS), 4, 301–309.

Prihatini, Aryati, & Hetty. (2018). IDENTIFIKASI CEPAT MIKROORGANISME MENGGUNAKAN ALAT Vitek-2. Indonesian Journal of Clinical Pathology and Medical Laboratory, 13(3), 129–132. https://doi.org/10.24293/ijcpml.v13i3.915

Romulo, C. S., & Dalimunthe, Z. (2024). Effect of related party transaction and tax haven utilization on tax avoidance moderated by Country-by-Country reporting. Riwayat: Educational Journal of History and Humanities, 7(1), 26-40.

Sari, R. P. (2019). Pengaruh Penggunaan Antibiotik Sefalosforin Generasi III Terhadap Munculnya ESBL (Extended-Spectrum Beta-Lactamase) Pada Persahbatan Jakarta Periode Januari-Desember 2017. UHAMKA JAKARTA.

Shah, C., Baral, R., Bartaula, B., & Shrestha, L. B. (2019). Virulence factors of uropathogenic Escherichia coli (UPEC) and correlation with antimicrobial resistance. BMC Microbiology, 19(1), 1–6. https://doi.org/10.1186/s12866-019-1587-3

Siregar, M. L., Nelwan, E. J., . E., Haryanto, B., Puspandari, N., Sinto, R., Nainggolan, L., Bonar, M., & Shatri, H. (2022). Risk factors and mortality outcomes of extended-spectrum beta-lactamase producing Escherichia coli bacteremia: A retrospective cohort study from two Indonesian referral hospitals. F1000Research, 11, 1449. https://doi.org/10.12688/f1000research.126345.1

Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta.

Terlizzi, M. E., Gribaudo, G., & Maffei, M. E. (2017). UroPathogenic Escherichia coli (UPEC) infections: Virulence factors, bladder responses, antibiotic, and non-antibiotic antimicrobial strategies. Frontiers in Microbiology, 8(1566), 1–23. https://doi.org/10.3389/fmicb.2017.01566




DOI: https://doi.org/10.24815/jr.v7i3.40564

Article Metrics

Abstract view : 0 times
PDF - 0 times

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

__________________________________________________________

Riwayat: Educatioanl Journal of History and Humanities


Published: Departemen of History Education, Faculty of Teacher Training and Education, Universitas Syiah Kuala, Provinsi Aceh. Indonesia

Situs web: https://jurnal.usk.ac.id/riwayat
Email: riwayat@usk.ac.id

Lisensi Creative Commons
Karya ini dilisensikan di bawah Lisensi Internasional Creative Commons Atribusi-BerbagiSerupa 4.0.