Sajuni, Sajuni and HY, Jefman Efendi Marzuki and Harjiono, Pandu and Hariadi, Anton and Sugiarto, Ariella Maisie and P, Indra (2024) Infection Control Strategy for CRAB Outbreak in ICU at Ubaya Hospital. In: Annual Scientific Meeting Pamki 2025, 23 Agustus 2025, Semarang. (Unpublished)
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Abstract
Healthcare-Associated Infections (HAIs) remain a critical global health challenge, particularly in ICUs, where multidrug-resistant organisms such as Carbapenem-Resistant Acinetobacter baumannii (CRAB) are frequently encountered. In mid-2024, a CRAB outbreak was identified in ICU of Ubaya Hospital (by Hermina). Objective To describe the infection control strategies implemented during CRAB outbreak, evaluate impacts & antibiotic usage. Methods Case study: Apr to Aug 2024. Data: ICU patients who underwent microbiological cultures & antibiotic susceptibility testing. Meropenem usage was quantified using Defined Daily Dose (DDD) measurements. Interventions included antibiotic rotation, enhanced hand hygiene monitoring, ICU environmental disinfection, patient cohorting, & strengthened collaboration between the Antimicrobial Stewardship Program (PPRA) & the Infection Prevention & Control team (PPI). Results During the outbreak peak in June 2024, seven CRAB isolates were identified, primarily from sputum samples. Following intervention, a notable decline in both CRAB isolation rates & meropenem usage was observed in July & August. The findings support the effectiveness of multifaceted strategies in curbing nosocomial CRAB infections. Conclusion A coordinated infection control response, integrating antimicrobial stewardship and environmental hygiene measures, contributed to the successful containment of a CRAB outbreak in a resource-limited ICU setting. Continued collaboration between PPRA and PPI teams is essential to sustain infection prevention efforts and reduce antimicrobial resistance in hospital environments.
| Item Type: | Conference or Workshop Item (Poster) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medical |
| Depositing User: | BAMBANG SEPTIAWAN |
| Date Deposited: | 22 Jan 2026 04:50 |
| Last Modified: | 30 Jan 2026 03:32 |
| URI: | http://repository.ubaya.ac.id/id/eprint/50176 |
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