Gambaran Jenis Bakteri pada Sampel Urin Pasien ISK di RSUD Dr. Mohamad Soewandhie Surabaya

Infeksi Saluran Kemih (ISK) merupakan infeksi yang sering terjadi dan dapat dialami oleh semua kelompok usia. Identifikasi bakteri penyebab ISK penting dilakukan untuk membantu menentukan terapi antibiotik yang tepat dan mencegah terjadinya resistensi antibiotik. Penelitian ini bertujuan untuk mengetahui gambaran Jenis Bakteri pada sampel urin pasien ISK di RSUD dr. Mohamad Soewandhie Surabaya. Penelitian ini menggunakan desain deskriptif dengan pendekatan retrospektif. Data diperoleh dari rekam medis dan hasil kultur urin pasien ISK di Laboratorium Patologi Klinik RSUD dr. Mohamad Soewandhie Surabaya periode Januari–Desember 2025. Sampel penelitian berjumlah 39 pasien yang dipilih menggunakan teknik total sampling. Data dianalisis secara deskriptif dalam bentuk frekuensi dan persentase. Hasil penelitian menunjukkan bahwa sebagian besar pasien ISK adalah perempuan (62%) dan kelompok usia lansia (56,4%). Bakteri yang paling banyak ditemukan adalah Escherichia coli penghasil Extended Spectrum Beta-Lactamase (ESBL) sebanyak 35,9%, diikuti Escherichia coli (25,6%), Enterococcus faecalis (10,3%), Klebsiella pneumoniae dan Pseudomonas aeruginosa (masing-masing 7,7%), Enterococcus faecium dan Acinetobacter baumannii (masing-masing 5,1%), serta Staphylococcus epidermidis (2,6%). Hasil penelitian menunjukkan bahwa Escherichia coli penghasil Extended Spectrum Beta Lactamase (ESBL) merupakan Jenis Bakteri yang paling dominan ditemukan pada kultur urin pasien ISK di RSUD dr. Mohamad Soewandhie Surabaya.. Kesimpulan, kultur urin dan identifikasi bakteri diperlukan untuk mengidentifikasi bakteri penyebab sehingga dapat mendukung pemilihan antibiotik yang lebih tepat dan meningkatkan keberhasilan pengobatan.

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Urinary tract infection (UTI) is a common infection that can occur in all age groups. Identification of UTI-causing bacteria is important to help determine appropriate antibiotic therapy and prevent antibiotic resistance. This study aimed to describe the bacterial species found in urine samples from patients with UTIs at Dr. Mohamad Soewandhie Regional General Hospital, Surabaya. This study employed a descriptive design with a retrospective approach. Data were obtained from medical records and urine culture results of patients with UTIs at the Clinical Pathology Laboratory of Dr. Mohamad Soewandhie Regional General Hospital, Surabaya, from January to December 2025. The study sample consisted of 39 patients selected using total sampling. Data were analyzed descriptively and presented as frequencies and percentages. The results showed that most patients with UTIs were female (62%) and were in the older adult age group (56.4%). The most frequently identified bacterium was Extended-Spectrum Beta-Lactamase (ESBL)-producing Escherichia coli (35.9%), followed by Escherichia coli (25.6%), Enterococcus faecalis (10.3%), Klebsiella pneumoniae and Pseudomonas aeruginosa (7.7% each), Enterococcus faecium and Acinetobacter baumannii (5.1% each), and Staphylococcus epidermidis (2.6%). The results showed that ESBL-producing Escherichia coli was the most dominant bacterial species identified in the urine cultures of patients with UTIs at Dr. Mohamad Soewandhie Regional General Hospital, Surabaya. In conclusion, urine culture and bacterial identification are necessary to identify the causative bacteria, thereby supporting more appropriate antibiotic selection and improving treatment success.