Page 268 - Abstract Book KONIKA 18

Infection & Tropical Disease

P-ITD-027
A Rare Case of Sigmoid Perforation due to Typhoid Fever

Yusriwanti K, Ninny Meutia Pelupessy
Department of Child Health, Faculty of Medicine, Universitas Hasanuddin, Makassar, South Sulawesi, Indonesia

Abstract
Background Typhoid Fever (TF) is a major public health problem in developing countries leading to
intestinal perforation as one of a serious complication. Objective To report a case of sigmoid perforation
due to thyphoid fever. Case A 17-year-old boy was referred to the hospital due to TF and having been
treated during 5 days at the previous hospital with intravenous ceftriaxone, omeprazole, metronidazole,
packed red cell transfusion, and oral zinc. On admission, he looked pale and malnourished with evidence
of fever 38.8 C, gum bleeding, abdominal pain, and hematochezia. There were piano ribs and wasting.
o
Laboratory examination showed pancytopenia, elevated transaminase enzymes, electrolyte imbalance,
and hypoalbuminemia. Intravenous antibiotic for typhoid fever was given accompanied by supportive and
nutritional therapy. Since strongly suspected of perforation, we performed abdominal imaging in the three
positions with the result of pneumoperitoneum. The patient, therefore, was consulted for surgical laparotomy
and zigmoid perforation was found and corrected directly during the abdominal operation. After operation,
fortunately the patient had been recovered without any complaints at all. Conclusion We reported a case
of an adolescent boy suffered from general peritonitis and sigmoid perforation due to TF. The diagnosis
was based on history taking, physical examination, and supported relevant investigations. Recovery was
promptly achieved after surgical intervention performed accompanied by causative antibiotic for TF.
The prognosis wass bonam.
Keywords: typhoid fever; peritonitis; perforation; child

P-ITD-028
The Correlation Between Hand Hygiene Compliance and The Incidence of
Acinetobacter baumannii Infection in Neonatal Intensive Care Unit

Marcella Trixie Kartika Novianingrum, MMDEAH Hapsari, Helmia Farida
Department of Child Health, Faculty of Medicine, Universitas Diponegoro, Kariadi Hospital, Central Java, Indonesia

Abstract
Background The incidence of Acinetobacter baumannii infection in hospitals has been raising significantly,
in particular in neonatal intensive care units (NICU). This species is resistant to many antibiotics and hard to
control. Objective To analyze correlation of A.baumannii incidence with hand hygiene compliance in NICU of
Kariadi Hospital. Methods Data on the hand hygiene compliance were collected from the Infection-Prevention
Team Kariadi Hospital. Data of A.baumannii infection were taken from Microbiology Laboratory Kariadi
Hospital. The correlation between variables were performed using Pearson correlation test SPSS version
26.0. Results Thirty-one A.baumannii infection were documented during 2018-2020 from blood, sputum,
and wound culture samples. The hand hygiene compliance ranged 68% to 100%. The highest compliances
(100%) were documented in October 2018, and during April-December 2020, while the lowest compliance
were during March-May 2019 (68%). The highest incidence of A.baumannii infection was recorded in
November 2019 and the lowest was in December 2018. The coefficient correlation between hand hygiene
compliance and the incidence of A.baumannii was -0.197 (P=0.249). Conclusion There is negative and
weak correlation between hand hygiene compliance and A.baumannii incidence in NICU. Other factors need
to be evaluated to reveal the cause of the increasing number of A.baumannii infection.
Keywords: hand hygiene compliance; Acinetobacter baumannii incidence; NICU

220 KONIKA XVIII Abstract Book