Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011

Aim: the goal of this study is to understand the phenotype characteristic of beta-lactamase enzymes producing Enterobacteriaceae, such as ESBL, AmpC, and carbapenemase. Methods: three different methods are performed to confirm those phenotypic characteristics, namely double disk diffusion method to...

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Main Authors: Yulia R Saharman, Delly C Lestari
Format: Article
Language:English
Published: Interna Publishing 2016-05-01
Series:Acta Medica Indonesiana
Online Access:https://actamedindones.org/index.php/ijim/article/view/115
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author Yulia R Saharman
Delly C Lestari
author_facet Yulia R Saharman
Delly C Lestari
author_sort Yulia R Saharman
collection DOAJ
description Aim: the goal of this study is to understand the phenotype characteristic of beta-lactamase enzymes producing Enterobacteriaceae, such as ESBL, AmpC, and carbapenemase. Methods: three different methods are performed to confirm those phenotypic characteristics, namely double disk diffusion method to confirm ESBL, AmpC disk test (cefoxitin-based) to confirm AmpC, and modified Hodge test to confirm carbapenemase. Results: using double disk diffusion method, we found 58.42% isolates are ESBL-producing, whereas the outcomes of AmpC disk test shows 1.98% are AmpC-producing. By conducting modified Hodge test (MHT), 27.59% isolates are confirmed as carbapenemase-producing bacteria. Conclusion: this study confirmed the prevalence of beta-lactamase producing Klebsiella pneumoniae is very high. Nevertheless, AmpC and carbapenemase should not be ignored despite their low prevalence. Key words: Enterobacteriaceae, antibiotic resistance, ESBL, AmpC, carbapenemase.
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spelling doaj-art-6d93b307e6b5445d9d6ebe1a0269d23c2025-07-24T07:02:57ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322016-05-01451Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011Yulia R Saharman0Delly C Lestari1Department of Microbiology, Faculty of Medicine, University of Indonesia – Cipto Mangunkusumo HospitalDepartment of Microbiology, Faculty of Medicine, University of Indonesia – Cipto Mangunkusumo Hospital Aim: the goal of this study is to understand the phenotype characteristic of beta-lactamase enzymes producing Enterobacteriaceae, such as ESBL, AmpC, and carbapenemase. Methods: three different methods are performed to confirm those phenotypic characteristics, namely double disk diffusion method to confirm ESBL, AmpC disk test (cefoxitin-based) to confirm AmpC, and modified Hodge test to confirm carbapenemase. Results: using double disk diffusion method, we found 58.42% isolates are ESBL-producing, whereas the outcomes of AmpC disk test shows 1.98% are AmpC-producing. By conducting modified Hodge test (MHT), 27.59% isolates are confirmed as carbapenemase-producing bacteria. Conclusion: this study confirmed the prevalence of beta-lactamase producing Klebsiella pneumoniae is very high. Nevertheless, AmpC and carbapenemase should not be ignored despite their low prevalence. Key words: Enterobacteriaceae, antibiotic resistance, ESBL, AmpC, carbapenemase. https://actamedindones.org/index.php/ijim/article/view/115
spellingShingle Yulia R Saharman
Delly C Lestari
Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
Acta Medica Indonesiana
title Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
title_full Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
title_fullStr Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
title_full_unstemmed Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
title_short Phenotype Characterization of Beta-Lactamase Producing Enterobacteriaceae in the Intensive Care Unit (ICU) of Cipto Mangunkusumo Hospital in 2011
title_sort phenotype characterization of beta lactamase producing enterobacteriaceae in the intensive care unit icu of cipto mangunkusumo hospital in 2011
url https://actamedindones.org/index.php/ijim/article/view/115
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AT dellyclestari phenotypecharacterizationofbetalactamaseproducingenterobacteriaceaeintheintensivecareuniticuofciptomangunkusumohospitalin2011