Ecology, Environment and Conservation Paper

Vol 25, Issue 3 2019; Page No.(1412-1415)

THE ANTIMICROBIAL RESISTANCE PATTERN IN COMMUNITY ACQUIRED URINARY TRACT INFECTION: STUDY CASE IN INDONESIAN PRIMARY HEALTH CARE, WHAT IS THE LESSON LEARNT?

Erike A. Suwarsono, Siti Nur Asiyah Jauharoh, Nouval Shahab, Alfii Nur Sholihah, Fairuz Brilliani, Maya Damayanti and Aisyah

Abstract

Urinary tract infection (UTI) is one of the most prevalence infectious disease in community. In Indonesia, there are 90-100 cases per 100.000 in 2014. Within 25-40% of UTI are recurrent cases and recently the main problem of UTI is the high number of antimicrobial resistance (AMR). AMR could lead into untreatable infection, mistreatment and worsen prognosis. Many studies show that AMR easily found in hospital especially multidrug resistant organism (MDRO), however we still lack the data from primary care setting. The study was developed as preliminary study to assess the resistance pattern of AMR in community that had taken place in Primary Health Care of Ciputat district. We collected the midstream urine from patient with clinically suspected as UTI. The urine cultured in Sheep Blood and Mac Conkey agar within 18-24 hours, then identified and did susceptibility testing by using Vitex2ä. All the data were analysis using excel and SPSS 21. The total case during November 2017-Mei 2018 was 32 cases, and 26 cases were confirmed as UTI by culture. The result shown that Escherichia coli as the most prevalence pathogen (38%). The highest resistant antibiotic was ampicillin (43%), the second was trimetrophine-sulfametoxazole (31%), followed by cephazolin (26%), amoxicillin-clavulanat (18%), clindamycin (19%), ciprofloxacin (12%) and even levofloxacin (3%). There were also Multidrug Resistant Organism (MDRO) found in the community. We found 2 E. coli isolates were resistant to all cephalosporin, known as extended spectrum of beta-lactamase (ESBL) and 1 isolate of Staphylococci that resistant to all penicillin derivate. From those isolates more than 50% were resistant to more than one class antibiotics that can be defined as MDRO. The lesson learn from the result is the AMR has developed in community setting, it should be considered as an early warning alarm not only for the general physicians in the primary health care, but also for the ministry of health. The physicians should not to prescribe antibiotics easily and the minister should conduct a deep study in preventing the spreading of antimicrobial resistance in community.

Enter your contact information below to receive full paper.
Your Name :
Email:
Phone:
City:
Cost of Full Paper: Rs.75 for Indian Nationals or $20 (USD) for international subscribers.
By clicking on Request Paper you Agree to pay the above mentioned cost per paper.
  
Journal Issues
Vol 25, Issue 3 2019
Vol 25, Sept Suppl. Issue, 2019
Vol 25, Aug Suppl. Issue, 2019
Vol 25, July Suppl. Issue, 2019
Vol 25, Issue 2 2019
Vol 25, May Suppl. Issue, 2019
Vol 25, April Suppl. Issue, 2019
Vol 25, Issue 1 2019
Vol 24, Issue 4 2018
Vol 24, Issue 3 2018
Vol 24, Issue 2 2018
Vol 24, Issue 1 2018
Vol 24, March Suppl. Issue 2018
Vol 24, Feb. Suppl. Issue 2018
Vol 23, Issue 4, 2017
Vol 23, Nov. Suppl. Issue 2017
Vol 23, Sept. Suppl. Issue 2017
Vol 23, Issue 2, 2017
Vol 23, Issue 3, 2017
Vol 23, Issue 1, 2017
Vol 23, Feb 2017 Suppl. Issue
Vol 22, Dec 2016 Suppl. Issue
Vol 22, Issue 4, 2016
Vol 22, Sept. Suppl. Issue , 2016
Vol 22, Issue 3, 2016
Vol. 22, June Suppl. Issue 2016
Vol 22, Issue 2, 2016
Vol. 22, April Suppl. Issue 2016
Vol 22, Issue 1, 2016
Vol 21, Issue 4, 2015
Vol. 21 Dec. 2015 Suppl. Issue
Vol. 21 Nov. 2015 Suppl. Issue
Vol 21, Issue 3, 2015
Vol 21, Issue 2, 2015
Vol. 21 Suppl.Issue August 2015
Vol 21.Suppl.Issue June 2015
Vol 21, Issue 1, 2015
Supplement Issue, Dec. 2014
Special Issue-2014
Vol 20, Issue 4, 2014
Vol 20, Issue 3, 2014
Vol 20, Issue 2, 2014
Vol. 20 Issue 01, 2014
Vol. 19 Issue 04, 2013
Vol. 19 Issue 03, 2013
Vol. 19, Issue 02, 2013
Vol. 19, Issue 01, 2013
Vol.18, Issue 04, 2012
Vol.18, Issue 3, 2012
Vol.18, Issue 2, 2012
Vol.18, Issue 1, 2012
Vol.17, Issue 4, 2011
Vol.17, Issue 3, 2011
Vol.17, Issue 2, 2011
Vol.17, Issue 1, 2011
Vol.16, Issue 4, 2010
Vol.16, Issue 3, 2010
Vol.16, Issue 2, 2010
Vol.16, Issue 1, 2010
Vol.15, Issue 04, 2009
Vol.15, Issue 03, 2009
Vol.15, Issue 02, 2009
Vol.15, Issue 1, 2009
Vol.14, Issue 04, 2008
Vol.14, Issue 2-3, 2008
Vol.14, Issue 2-3, 2008
Vol.14, Issue 1, 2008
Vol.14, Issue 2-3, 2008
Vol.13, Issue 04, 2007
Vol.13, Issue 2, 2007
Vol.13, Issue 1, 2007
Vol.12, Issue 4, 2006
Vol.12, Issue 3, 2006
Vol.12, Issue 2, 2006
Vol.12, Issue 1, 2006
Vol.12, Issue 01, 2006
Vol.11, Issue 3,4, 2005
Vol.11, Issue 2, 2005
Vol.11, Issue 1, 2005
Vol.10, Issue 04, 2004
Vol.10, Issue 03, 2004
Vol.10, Issue 02, 2004
Vol.10, Issue 01, 2004
Vol.09, Issue 04, 2003
Vol.09, Issue 03, 2003
Vol.09, Issue 02, 2003
Vol.08, Issue 04, 2002
Vol.08, Issue 03, 2002
Vol.08, Issue 01, 2002
Vol.07, Issue 04, 2001
Vol.07, Issue 03, 2001
Vol.07, Issue 02, 2001
Vol.07, Issue 01, 2001
Vol.06, Issue 04, 2000
Vol.06, Issue 03, 2000
Vol.06, Issue 02, 2000
Vol.06, Issue 01, 2000
Vol.05, Issue 04, 1999
Vol.05, Issue 03, 1999
Vol.05, Issue 02, 1999
Vol.05, Issue 01, 1999
Vol.04, Issue 1,2, 1998
Vol.03, Issue 3,4, 1997
Vol.03, Issue 01, 1997
Vol.02, Issue 1,2, 1996
Vol.01, Issue 14, 1995
Looking for Past Issues? Click here to get them!!