Bacteriological Profile and Antibiotic Sensitivity Pattern of Surgical Site Infection Following Gynecologic Oncology Surgery at Hasan Sadikin General Hospital

Authors

  • Kemala Isnainiasih Mantilidewi Department of Obstetrics dan Gynaecology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
  • Ali Budi Harsono Department of Obstetrics dan Gynaecology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
  • Jessica Kireina Department of Obstetrics dan Gynaecology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
  • Jaeni Pringgowibowo Department of Obstetrics dan Gynaecology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
  • Windy Natasya Al Baihaqi Department of Obstetrics dan Gynaecology, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia

DOI:

https://doi.org/10.25077/aoj.6.2.122-129.2022

Keywords:

bacteriological profile, antibiotic sensitivity, surgical site infection, gynecologic oncology

Abstract

Introduction: Surgical site infection (SSI) is the most common complication of gynecologic oncology surgeries. Understanding the characteristics, bacteriological profile, and antibiotic sensitivity pattern of SSI patients can help guide patient’s management and reduce morbidity, mortality, and economic burden caused by SSI. The aim of this study is to describe the characteristics, bacteriological profile, and antibiotic sensitivity pattern of SSI patients following gynecologic oncology surgery at Hasan Sadikin General Hospital Bandung in 2021. Methods: This is a descriptive study that analyzed medical records of patients undergoing gynecologic oncology surgery at Hasan Sadikin Hospital Bandung from January to December 2021. Results: Out of 157 gynecologic oncology surgeries in 2021 that met the criteria, there were 11 incidences of SSI (7%). All SSI patients received postoperative antibiotics, with the most common type of antibiotic given being a combination of ceftriaxone and metronidazole. Ten out of the 11 specimens from SSI patients showed bacterial growth and a total of 17 bacterial isolates were found. Most specimens showed polymicrobial infection with the most common isolate being Escherichia coli Extended-Spectrum Beta-Lactamase (ESBL). Gram-positive bacteria in this study were most sensitive to Vancomycin, Tigecycline, and Gentamicin. Meanwhile, gram-negative bacteria were most sensitive to Ertapenem and Meropenem. Conclusion: Incidence of SSI following gynecologic oncology surgery at Hasan Sadikin General Hospital in 2021 is 7%. The most frequently found isolate was Escherichia coli ESBL. Gram-positive bacteria were most sensitive Vancomycin, Tigecycline, and Gentamicin; while gram-negative bacteria were most sensitive to Ertapenem and Meropenem.

Downloads

Published

2022-08-15

Issue

Vol. 6 No. 2 (2022)

Section

RESEARCH ARTICLE

License

Copyright (c) 2022 Kemala Isnainiasih Mantilidewi, Ali Budi Harsono, Jessica Kireina, Jaeni Pringgowibowo, Windy Natasya Al Baihaqi

Creative Commons License

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

Copyright

Authors who publish with this journal agree to the following terms:

  1. Authors retain the copyright of published articles and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

License:

Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.