TY - JOUR AU - Moehario, Lucky H AU - Esterita, Tasia AU - Shirleen, Valencia AU - Robertus, Thomas AU - Angelina, Yohanna PY - 2020/12/31 Y2 - 2024/03/29 TI - Association of Acinetobacter Baumannii with invasive procedures in hospitalized patients in Jakarta JF - The Journal of Infection in Developing Countries JA - J Infect Dev Ctries VL - 14 IS - 12 SE - Brief Original Articles DO - 10.3855/jidc.12525 UR - https://jidc.org/index.php/journal/article/view/33378290 SP - 1455-1460 AB - <p>Introduction: <em>Acinetobacter baumannii, </em>a multidrug-resistant Gram-negative opportunist has been known among the cause of nosocomial infection. Risk factors of infection related to <em>A. baumannii </em>have been reported elsewhere<em>.</em> This study aimed to find the association of <em>A. baumannii</em> positive culture and invasive procedures in patients hospitalized in the Intensive Care Unit and Hospital ward in Jakarta.</p><p>Methodology: This study was a retrospective, 1:1 matched case-control study with total sampling method from in-patients in the ICU and the Internal Medicine Wards (IMW) of a Private Hospital, North Jakarta in 2015 - 2018. Data retrieved were positive culture of <em>A. baumannii. </em>Positive cultures of multi-sensitive bacteria were included as a control group. Antibiotic susceptibility test was carried out as recommended by Clinical and Laboratory Standards Institute.</p><p>Results: A total of 88 in-patients were studied, and <em>A. baumannii</em> isolates were identified from 44 patients. Most of <em>A. baumannii</em> showed resistant to almost all antibiotics tested, except for colistin. Bivariate analysis showed a significant association of <em>A. baumannii</em> positive culture and the use of ventilator in the ICU (<em>p</em> = 0,039), and with urinary catheters in the IMW (p = 0,022). Multivariate analysis showed that length of stay also has a significant association to <em>A. baumannii </em>positive culture in the ICU.</p><p>Conclusions: The use of ventilators and urinary catheters showed a significant association with <em>Acinetobacter baumannii </em>positive culture in patients in the ICU and in the IMW respectively. All of the <em>A. baumannii </em>isolates were susceptible to colistin.</p> ER -