2. KMK FK USU 2011-sekarang - Skrining Enterobactericeae Penghasil Extended Spectrum Beta-Lactamase dengan Metode Uji Double Disk Synergy Pada Sampel Urin Pasien Suspek Infeksi Saluran Kemih di RSUP. H. Adam Malik Medan
Lampiran 1
Data Pribadi
Nama Lengkap Jenis Kelamin Tempat Tanggal Lahir Warga Negara Status Agama Alamat Mobile E-mail
: NATALIA RASTA MALEM
: Perempuan : Jakarta, 26 Desember 1992 : Indonesia : Belum Menikah : Kristen Protestan : Jl. Dr. Sumarsono No. 8 Medan, 20154 : 0817110823 : barus.natalia@ymail.com Latar Belakang Pendidikan1999- 2005 2005 - 2008 2008 - 2011 2011 - Sekarang
: SD Santo Markus II Jakarta : SMP N 115 Jakarta : SMA N 8 Jakarta
: Fakultas Kedokteran Universitas Sumatera Utara
Pengalaman Organisasi :
1. PEMA FK USU 2012-2013
2. KMK FK USU 2011-sekarang
Pengalaman Kepanitiaan :
1. Panitia Natal FK USU 2011-2013
2. Panitia Manajemen Mahasiswa Baru 2012
3. Panitia Paskah FK USU 2012-2013
4. Panitia Porseni FK USU 2013
5. Panitia Bakti Sosial Mahasiswa Kristen Fakultas Kedokteran USU 2013-2014 Pengalaman Seminar dan Pelatihan:
1. Seminar dan Workshop Basic Life Support dan Traumatology TBM FK USU 2012
Lampiran 2 Hasil Skrining Enterobacteriaceae Penghasil ESBL dengan Metode Uji Double Disk Synergy No Nama Bakteri Hasil SkriningESBL Umur Jenis Kelamin
58 L
45 P
19 K. Pneumoniae +
74 L
20 E. Coli -
14 L
21 E. Coli +
51 P
22 Enterobacter sp. +
40 P
23 K. Pneumoniae -
72 L
24 E. Coli -
51 P
25 E. Coli -
26 E. Coli +
60 L
50 L
27 E. Coli -
14 L
28 E. Coli +
41 L
29 K. Pneumoniae +
61 L
30 Enterobacter sp. -
66 L
31 Enterobacter sp. -
54 L
32 K. Pneumoniae +
46 P
33 E. Coli +
18 Enterobacter sp. +
17 E. Coli -
1 E. Coli -
22 L
42 P
2 K. Pneumoniae -
44 L
3 E. Coli -
17 L
4 E. Coli -
14 L
5 E. Coli -
44 L
6 E. Coli -
69 L
7 K. Pneumoniae -
88 L
8 E. Coli -
9 K. Pneumoniae -
45 L
45 P
10 E. Coli +
55 L
11 E. Coli -
56 P
12 E. Coli -
46 L
13 E. Coli +
78 L
14 E. Coli +
47 L
15 K. Pneumoniae -
44 L
16 Enterobacter sp. -
79 L
34 E. Coli -
54 L
45 E. Coli -
14 L
44 E. Coli -
64 L
43 K. Pneumoniae +
36 L
42 E. Coli -
53 P
41 E. Coli -
40 K. Pneumoniae -
51 L
72 L
39 E. Coli -
48 L
38 K. Pneumoniae +
63 L
37 E. Coli -
47 L
36 K. Pneumoniae +
51 L
35 E. Coli -
49 P
Tabel Pola Kepekaan Enterobacteriaceae Penghasil ESBL terhadap Antibiotika Keterangan: TZP : Tazobactam PRL : Piperacilllin TE : Tetracyclin MEM : Meropenem OFL: Ofloxacin CXM : Cefuroxime AMP : Ampicillin CAZ : Ceftazidime CTX : Cefotaxime
9 E. coli S R R
I R R S R R R R S R R R S R R R R
15 K. pneumoniae
I R R S R R R R
I S R
14 K. pneumoniae S R R S R R
13 K. pneumoniae R R R R R R R R S R R R S R R R R
I R S R R R R R S R R R R
12 E. coli S R R S
I S
I S S R R S S R S
11 K. pneumoniae S R R S R R
I R R S R R R R R R R R S R R R R
10 K. pneumoniae
I R R R R R R R R S R R R R
8 E. coli S R R S R R S S S S R R S R R R R
FEP : Cefepim K : Kanamicin CRO : Ceftriaxone CIP : Ciprofloxacin AK : Amikacin C : Chloramphenicol
4 Enterobacter sp S R R S R R
No Nama Bakteri TZP CXM FEP AK PRL AMP K C TE CAZ CRO SXT MEM CTX CIP NOR OFL
1 E. coli S R R S R R R S R R R R S R R R R
2 E. coli S R R S R R R S S R R
I R R R R R
3 E. coli S R
I S R R S S S R R R S R R S S
I I S R R R R R S S S
I R S R S R R R R R R R R R R R
5 K. pneumoniae S R R S
I I
I R S R R S S R R R R
6 Enterobacter sp R R R
I R R R R R R R R S R R R R
7 E. coli S
SXT : Cotrimoxazole NOR : Norfloxacin
Lampiran 3 Data SPSS Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Tazobactam
Enterobacter sp Count
Cefuroxime Total
I R spesies bakteri E. coli
Count
1
6
7 % within spesies bakteri 14.3% 85.7% 100.0%
2
15 % within spesies bakteri 13.3% 13.3% 73.3% 100.0%
2 % within spesies bakteri 0.0% 100.0% 100.0%
K. pneumoniae Count
6
6 % within spesies bakteri 0.0% 100.0% 100.0%
Total Count
1
14
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Cefuroxime
11
Tazobactam Total
1
I R S spesies bakteri E. coli
Count
7
7 % within spesies bakteri 0.0% 0.0% 100.0% 100.0%
Enterobacter sp Count
1
2 % within spesies bakteri 0.0% 50.0% 50.0% 100.0%
2
K. pneumoniae Count
2
1
3
6 % within spesies bakteri 33.3% 16.7% 50.0% 100.0%
Total Count
2
15 % within spesies bakteri 6.7% 93.3% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Amikacin Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Piperacillin
2 % within spesies bakteri 50.0% 0.0% 50.0% 100.0%
1
6
7 % within spesies bakteri 14.3% 0.0% 85.7% 100.0%
Enterobacter sp Count
1
1
K. pneumoniae Count
I R S spesies bakteri E. coli
1
5
6 % within spesies bakteri 0.0% 16.7% 83.3% 100.0%
Total Count
2
1
12
Count
Amikacin Total
Piperacillin Total
2
I R spesies bakteri E. coli
Count
1
6
7 % within spesies bakteri 14.3% 85.7% 100.0%
Enterobacter sp Count
2 % within spesies bakteri 0.0% 100.0% 100.0%
15 % within spesies bakteri 13.3% 86.7% 100.0%
K. pneumoniae Count
1
5
6 % within spesies bakteri 16.7% 83.3% 100.0%
Total Count
2
13
15 % within spesies bakteri 13.3% 6.7% 80.0% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Ampicillin
2 % within spesies bakteri 50.0% 50.0% 0.0% 100.0%
Count
4
3
7 % within spesies bakteri 0.0% 57.1% 42.9% 100.0%
Enterobacter sp Count
1
1
K. pneumoniae Count
Kanamicin Total
3
3
6 % within spesies bakteri 50.0% 50.0% 0.0% 100.0%
Total Count
4
8
3
I R S spesies bakteri E. coli
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Kanamicin
Ampicillin Total
2 % within spesies bakteri 0.0% 100.0% 0.0% 100.0%
I R S spesies bakteri E. coli
Count
6
1
7 % within spesies bakteri 0.0% 85.7% 14.3% 100.0%
Enterobacter sp Count
2
K. pneumoniae Count
15 % within spesies bakteri 6.7% 86.7% 6.7% 100.0%
1
5
6 % within spesies bakteri 16.7% 83.3% 0.0% 100.0%
Total Count
1
13
1
15 % within spesies bakteri 26.7% 53.3% 20.0% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Tetracyclin Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Chloramphenicol
1
E. coli Count
4
3
7 % within spesies bakteri 57.1% 42.9% 100.0%
Enterobacter sp Count
1
2 % within spesies bakteri 50.0% 50.0% 100.0%
15 % within spesies bakteri 6.7% 53.3% 40.0% 100.0%
K. pneumoniae Count
2
4
6 % within spesies bakteri 33.3% 66.7% 100.0%
Total Count
7
8
Tetracyclin Total R S spesies bakteri
6
Chlorampenicol Total
1
I R S spesies bakteri E. coli
Count
3
4
7 % within spesies bakteri 0.0% 42.9% 57.1% 100.0%
Enterobacter sp Count
1
8
2 % within spesies bakteri 50.0% 50.0% 0.0% 100.0%
K. pneumoniae Count
4
2
6 % within spesies bakteri 0.0% 66.7% 33.3% 100.0%
Total Count
1
15 % within spesies bakteri 46.7% 53.3% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Ceftriaxone
Count
1
13
1
Total Count
6 % within spesies bakteri 16.7% 83.3% 0.0% 100.0%
5
1
K. pneumoniae Count
2 % within spesies bakteri 0.0% 100.0% 0.0% 100.0%
2
Enterobacter sp Count
7 % within spesies bakteri 0.0% 85.7% 14.3% 100.0%
1
6
I R S spesies bakteri E. coli
Ceftriaxone Total R spesies bakteri
Ceftazidime Total
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Ceftazidime
15 % within spesies bakteri 100.0% 100.0%
15
Total Count
6 % within spesies bakteri 100.0% 100.0%
6
K. pneumoniae Count
2 % within spesies bakteri 100.0% 100.0%
2
Enterobacter sp Count
7 % within spesies bakteri 100.0% 100.0%
7
E. coli Count
15 % within spesies bakteri 6.7% 86.7% 6.7% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Meropenem
K. pneumoniae Count
1
6
7 % within spesies bakteri 14.3% 85.7% 0.0% 100.0%
Enterobacter sp Count
2
2 % within spesies bakteri 0.0% 100.0% 0.0% 100.0%
4
I R S spesies bakteri E. coli
2
6 % within spesies bakteri 0.0% 66.7% 33.3% 100.0%
Total Count
1
12
2
Count
Cotrimoxazole Total
Meropenem Total R S spesies bakteri
1
E. coli Count
2
5
7 % within spesies bakteri 28.6% 71.4% 100.0%
Enterobacter sp Count
1
2 % within spesies bakteri 50.0% 50.0% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Cotrimoxazole
K. pneumoniae Count
6
6 % within spesies bakteri 0.0% 100.0% 100.0%
Total Count
3
12
15 % within spesies bakteri 20.0% 80.0% 100.0%
15 % within spesies bakteri 6.7% 80.0% 13.3% 100.0%
Enterobacteriaceae Penghasil ESBL Terhadap Cefotaxime Crosstabulation Uji Kepekaan
Cefotaxime Total R
Count
7
7 E. coli % within spesies bakteri 100.0% 100.0% Count
2
2 spesies bakteri Enterobacter sp % within spesies bakteri 100.0% 100.0% Count
6
6 K. pneumoniae % within spesies bakteri 100.0% 100.0% Count
15
15 Total % within spesies bakteri 100.0% 100.0%
Crosstabulation Uji Kepekaan Enterobacteriaceae Penghasil ESBL Terhadap Cefepime
Cefepime Total
I R Count
1
6
7 E. coli % within spesies bakteri 14.3% 85.7% 100.0% Count
2
2 spesies bakteri Enterobacter sp % within spesies bakteri 0.0% 100.0% 100.0% Count
6
6 K. pneumoniae % within spesies bakteri 0.0% 100.0% 100.0% Count
1
14
15 Total % within spesies bakteri 6.7% 93.3% 100.0%
Cross tabukation Pola Kepekaan Enterobacteriaceae terhadap Ciprofloxacin
Ciprofloxacin Total R S
Count
7
7 E. coli % within spesies bakteri 100.0% 0.0% 100.0% Count
1
1
2 spesies bakteri Enterobacter sp % within spesies bakteri 50.0% 50.0% 100.0% Count
5
1
6 K. pneumoniae % within spesies bakteri 83.3% 16.7% 100.0% Count
13
2
15 Total % within spesies bakteri 86.7% 13.3% 100.0%
Cross tabukation Pola Kepekaan Enterobacteriaceae terhadapNorfloxacin
Norfloxacin Total
I R S Count
6
1
7 E. coli % within spesies bakteri 0.0% 85.7% 14.3% 100.0% Count
1
1
2 spesies bakteri Enterobacter sp % within spesies bakteri 0.0% 50.0% 50.0% 100.0% Count
1
5
6 K. pneumoniae % within spesies bakteri 16.7% 83.3% 0.0% 100.0% Count
1
12
2
15 Total % within spesies bakteri 6.7% 80.0% 13.3% 100.0%
45 % within NamaBakteri 33.3% 66.7% 100.0%
5 % within NamaBakteri 40.0% 60.0% 100.0%
E. Coli Count
7
21
28 % within NamaBakteri 25.0% 75.0% 100.0% Enterobacter sp. Count
2
3
K. Pneumoniae Count
Hasil skirining Enterobacteriaceae Penghasil ESBL dengan Metode Uji Double Disk Synergy
6
6
12 % within NamaBakteri 50.0% 50.0% 100.0%
Total Count
15
30
hasilskrining Total
15 % within spesies bakteri 80.0% 20.0% 100.0%
Cross tabukation Pola Kepekaan Enterobacteriaceae terhadap Ofloxacin
1
Ofloxacin Total R S spesies bakteri
E. coli Count
6
1
7 % within spesies bakteri 85.7% 14.3% 100.0%
Enterobacter sp Count
1
3
2 % within spesies bakteri 50.0% 50.0% 100.0%
K. pneumoniae Count
5
1
6 % within spesies bakteri 83.3% 16.7% 100.0%
Total Count
12
- NamaBakteri
Lampiran 4 Dokumentasi penelitian Beberapa foto hasil positif skrining Enterobacteriace penghasil ESBL dengan metode uji Double Disk Synergy
Beberapa foto hasil negatif skrining Enterobacteriace penghasil ESBL dengan metode uji Double Disk Synergy
Beberapa foto uji kepekaan Enterobacteriaceae penghasil ESBL terhadap berbagai golongan antibiotika
Lampiran 5
Lampiran 6