Evidence map›Paper›PMID 42212751›Full record

ArticleTropical medicine & international health : TM & IH2026

Aetiology and Antibiotic Susceptibility of Common Bacterial Infections in Hospitalised Patients: A 2019 Multisite Cross-Sectional Survey in Jakarta, Indonesia.

Justin de Brabander, Erni J Nelwan, Ralalicia Limato, Monik Alamanda, Manzilina Mudia, Enty Tjoa, Ifael Y Mauleti, Maria Mayasari, Iman Firmansyah, T Mannaria Jayati and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Justin de BrabanderFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.
Erni J NelwanFaculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Ralalicia LimatoFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.
Monik AlamandaFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.
Manzilina MudiaFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.
Enty TjoaRoyal Taruma Hospital, Jakarta, Indonesia.
Ifael Y MauletiFatmawati General Hospital, Jakarta, Indonesia.
Maria MayasariSt. Carolus Hospital, Jakarta, Indonesia.
Iman FirmansyahProf. Dr. Sulianti Saroso Infectious Disease Hospital, Jakarta, Indonesia.
T Mannaria JayatiMetropolitan Medical Centre Hospital, Jakarta, Indonesia.
Michèle van VugtDepartment of Internal Medicine, Division of Infectious Diseases, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
H Rogier van DoornCentre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Raph L HamersFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.ORCID https://orcid.org/0000-0002-5007-7896

Funding

Wellcome TrustWellcome Trust 106680/Z/14/Z
6 · The paper itself

Abstract

objectivesTo describe the aetiology and antibiotic susceptibility patterns of common bacterial infections in hospitalised patients in Jakarta, Indonesia.

methodsWe conducted a hospital-wide point prevalence survey in six hospitals in 2019, capturing data from routinely ordered bacterial cultures taken before the start of antibiotic treatment. We report relevant bacteria-antibiotic combinations for Escherichia coli and the ESKAPE group of pathogens.

resultsA total of 562 patients (52% women, median age 46 years) were diagnosed with 587 infections, comprising 414 community-acquired and 173 hospital-acquired infections, with pneumonia most frequent (258, 44%). From 615 samples collected, 279 (45%) bacterial isolates were identified, of which 213 (76%) gram-negative, including Klebsiella pneumoniae (68, 24%), Escherichia coli (37, 13%) and Pseudomonas aeruginosa (35, 13%) among others, and 66 (24%) gram-positive, including Enterococcus faecalis (17, 6%) and Staphylococcus aureus (11, 4%) among others. Proportions of bacteria resistant to third-generation cephalosporins (3GC) were 75% (47/63) for Klebsiella pneumoniae , and 69% (22/32) for E. coli , and to carbapenems 64% (7/11) for Acinetobacter spp., 60% (3/5) for Enterobacter spp., 43% (3/7) for E. coli, 30% (7/23) for P. aeruginosa and 29% (9/31) for K. pneumoniae . Four of 11  S. aureus isolates were methicillin-resistant. A blood culture was done in only 52% (16/31) of sepsis patients, and the results of positive blood cultures were reported after a median of 4 days.

conclusionsThis survey identified that a high proportion of common gram-negative bacteria exhibited reduced susceptibility to first-choice antibiotics and considerable underuse of bacterial cultures. These findings warrant enhanced infection prevention and control and antimicrobial stewardship.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsCross InfectionAdolescentAdultAgedChildChild, PreschoolCommunity-Acquired InfectionsCross-Sectional StudiesDrug Resistance, BacterialFemaleGram-Negative BacteriaHospitalizationHumansIndonesiaAnti-Bacterial AgentsThird Generation Cephalosporinsantimicrobial resistancebacterial pathogenscommunity‐acquired infectionhospital‐acquired infectionhospitalsIndonesiapoint prevalence survey

Identifiers

PMID42212751
PMCPMC13533636

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.