ANTIBIOTIC SUSCEPTIBILITY OF BACTERIA ISOLATED FROM OPEN FRACTURE GRADE III PRESENTING TO DR. SOETOMO GENERAL HOSPITAL SURABAYA

Abstract

Background: Open fracture is a typical case in the orthopedics field. Infection in the open fracture can cause osteomyelitis. Antibiotic susceptibility test of patient specimen bacteria with open fracture aims to obtain the suitable antibiotic agents to treat infectious diseases caused by these bacteria. Methods: This research is a descriptive study to assess Antibiotic susceptibility in the case of open fracture grade III in Dr. Soetomo General Hospital Surabaya. A total sampling was performed from microbiological culture results of patients diagnosed with open fracture grade III after debridement from October 2018 to September 2019. The identification of the microbes was based on Gram-positive and Gram-negative categories and the classification based on susceptibility to antibiotics classified into sensitive, intermediate, and resistant. Results: Data from microbiological culture results of patients with a diagnosis of open fracture grade III after debridement in October 2018 to September 2019 in Dr. Soetomo General Hospital Surabaya showed 56 research subjects who met the criteria. Acinetobacter baumannii is the most common bacterial species found in the microbiological examination of patients with open fractures, 15.84%. Cefazoline and ceftriaxone showed low susceptibility. Meanwhile, levofloxacin showed a relatively good value of susceptibility in both Gram-positive and negative bacterial groups. Conclusion: The antibiotic susceptibility pattern of bacteria from specimens in open fracture grade III patients in Dr. Soetomo General Hospital Surabaya varies between each species of bacteria isolate.