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The Risk Factors of Multidrug-Resistant Organisms in Hospitalized Patients with Community-Acquired Pneumonia in Dr. Soetomo Hospital Surabaya, Indonesia

ACTA MEDICA INDONESIANA · Vol. 53 No. 2 (2021)

ISSN
2338-2732, 0125-9326
Published
2021-07-11
Publisher
The Indonesian Society of Internal Medicine
Language
eng

Abstract

Background: multidrug-resistant organisms (MDRO) caused pneumonia has become a crucial case. MDRO infection has been a problem concern to community-acquired pneumonia (CAP). A lot of factors play roles in CAP with MDRO infection. This study aimed to analyze MDRO as the etiology of hospitalized patients with CAP along with its risk factors in Dr. Soetomo Hospital as one of the top referral hospitals in east Indonesia. Methods: this retrospective cohort study was conducted from January 2016 to December 2018. Data were collected from patients’ medical records. Automatic Rapid Diagnosis (Phoenix TM) was used as a standard method for culture and susceptibility test. Various risk factors were analyzed for MDRO infection. Results: five most common pathogens in hospitalized patients with CAP were Acinetobacter baumannii 244/1364 (17.9%), Klebsiella pneumoniae 134/1364 (9.8%), Pseudomonas aeruginosa 91/1364 (6.7%), Escherichia coli 58/1364 (4.3%), and Enterobacter cloacae 45/1364 (3.3%). There were 294/1364 (21.5%) MDROs isolated from patients with CAP. MDRO infection was linked to previous hospitalization, malignancy, cardiovascular disease, and structural lung disease with p values of 0.002, <0.001, 0.024, and <0.001, respectively. Conclusion: the incidence of MDRO in CAP is high (21.5%). The risk factors related were previous hospitalization, malignancy, cardiovascular disease, and structural lung disease.

Keywords

Collaboration network of the authors

22 authors · 68 co-authorship links

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  • Muhammadiyah University of Makassar
  • Affiliation unknown
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  • Same organisation
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Co-authorOrganisationJoint articles
Tutik KusmiatiAffiliation unknown2
Johanes Nugroho Eko PutrantoAffiliation unknown2
Budi SupraptiAffiliation unknown2
Nadya LuthfahAffiliation unknown2
Winariani KoesoemoprodjoAffiliation unknown2
Aryani Prawita SariAffiliation unknown2
Muhamad Frendy SetyawanAffiliation unknown2
Cholichul HadiAffiliation unknown2
Ni Njoman JuliasihAffiliation unknown2
Reny Mareta SariAffiliation unknown2
Ilham Nur AlfianAffiliation unknown2
Tiffany Tiara PakasiAffiliation unknown2
Nadir NadirMuhammadiyah University of Makassar1
Jazim HamidiAffiliation unknown1
Muchamad Ali SyafaatAffiliation unknown1
Bagus SoebadiAffiliation unknown1
Diah Savitri ErnawatiAffiliation unknown1
Priyo HadiAffiliation unknown1
Reiska Kumala BaktiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en-US">The Risk Factors of Multidrug-Resistant Organisms  in Hospitalized Patients with Community-Acquired Pneumonia in Dr. Soetomo Hospital Surabaya, Indonesia</dc:title>
	<dc:creator>Soedarsono, Soedarsono</dc:creator>
	<dc:creator>Widyaningsih, Putu Dyah</dc:creator>
	<dc:creator>Mertaniasih, Ni Made</dc:creator>
	<dc:subject xml:lang="en-US">Risk Factors</dc:subject>
	<dc:subject xml:lang="en-US">Multidrug-Resistant Organisms</dc:subject>
	<dc:subject xml:lang="en-US">Community-Acquired Pneumonia</dc:subject>
	<dc:description xml:lang="en-US">Background: multidrug-resistant organisms (MDRO) caused pneumonia has become a crucial case. MDRO infection has been a problem concern to community-acquired pneumonia (CAP). A lot of factors play roles in CAP with MDRO infection. This study aimed to analyze MDRO as the etiology of hospitalized patients with CAP along with its risk factors in Dr. Soetomo Hospital as one of the top referral hospitals in east Indonesia. Methods: this retrospective cohort study was conducted from January 2016 to December 2018. Data were collected from patients’ medical records. Automatic Rapid Diagnosis (Phoenix TM) was used as a standard method for culture and susceptibility test. Various risk factors were analyzed for MDRO infection. Results: five most common pathogens in hospitalized patients with CAP were Acinetobacter baumannii 244/1364 (17.9%), Klebsiella pneumoniae 134/1364 (9.8%), Pseudomonas aeruginosa 91/1364 (6.7%), Escherichia coli 58/1364 (4.3%), and Enterobacter cloacae 45/1364 (3.3%). There were 294/1364 (21.5%) MDROs isolated from patients with CAP. MDRO infection was linked to previous hospitalization, malignancy, cardiovascular disease, and structural lung disease with p values of 0.002, &amp;lt;0.001, 0.024, and &amp;lt;0.001, respectively. Conclusion: the incidence of MDRO in CAP is high (21.5%). The risk factors related were previous hospitalization, malignancy, cardiovascular disease, and structural lung disease.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2021-07-11</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1649</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 53 No. 2 (2021): Acta Medica Indonesiana; 169</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1649/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2021 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>