Pola Kuman pada Pasien Penyakit Paru Obstruktif Kronik Eksaserbasi Berat di RSUP H Adam Malik Medan

Abstract

Background : COPD is a major cause of morbidity and mortality worldwide. The purpose of this study was to determine the pattern of germs in COPD patients with severe exacerbations in RSUP patients. H. Adam Malik Medan and antibiotics which are still sensitive according to the results of the sensitivity test. Method : The design of this study was a descriptive study based on secondary data on medical records of COPD exacerbations at RSUP H Adam Malik for a period of 3 years (1 January 2020 to 1 December 2022). Results : Out of a total of 49 COPD patients who experienced exacerbations during the study period, 25 types of bacteria were found, consisting of 3 types of bacteria, which were most common in patients with Severe Exacerbations of COPD, which were often found, including Klebsiella pneumoniae as much as 40%, then Pseudomonas aeruginosa as much as 32% and Escherichia coli as many as 12%. Then the antibiotics that are still sensitive to the 3 most germs are meropenem and amikacin Conclusion : The most common bacteria in COPD exacerbation patients are Klebsiella pneumoniae and Pseudomonas aeruginosa. Then the antibiotics that are still sensitive to the most germs are meropenem and amikacin. While Empirical Antibiotics that are often used such as Ceftriaxone and Ciprofloxacine have a low level of sensitivity.