KUMAN DAN KEPEKAAN ANTIMIKROBA DI KASUS PATAH TULANG TERBUKA

Abstract

About 70% of all nosocomial infections occur in surgical patients. In open fracture, there is contact with the environment or unsterile
body compartment, so that bacterial contamination may occur and cause infection. Besides debridement, prophylactic antibiotics have
been used as a standard procedure in the open fracture management. This procedure may cause antibiotics resistance leading to increase
the number of infections. The aim of this retrospective study was to know the characteristics, microbial pattern, and sensitivity of 35
cultures and sensitivity test of open fracture patients in Orthopaedics Department of Wahidin Sudirohusodo Hospital during the period of
June 2009–June 2010. The most common bacteria found were Proteus mirabilis (26%), Klebsiella pneumonia (14. 8%), and Providencia
alcalifaciens (14%). The sensitivity test for antimicrobials showed that most of the 19 antimicrobials, were resistant. The sensitive
antimicrobial is Meropenem.