{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T02:13:35Z","timestamp":1788315215295,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["106680\/Z\/14\/Z"],"award-info":[{"award-number":["106680\/Z\/14\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the aetiology and antibiotic susceptibility patterns of common bacterial infections in hospitalised patients in Jakarta, Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a hospital\u2010wide 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\u2010antibiotic combinations for\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Escherichia coli<\/jats:italic>\n                      <\/jats:styled-content>\n                      and the ESKAPE group of pathogens.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 562 patients (52% women, median age 46\u2009years) were diagnosed with 587 infections, comprising 414 community\u2010acquired and 173 hospital\u2010acquired infections, with pneumonia most frequent (258, 44%). From 615 samples collected, 279 (45%) bacterial isolates were identified, of which 213 (76%) gram\u2010negative, including\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Klebsiella pneumoniae<\/jats:italic>\n                      <\/jats:styled-content>\n                      (68, 24%),\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Escherichia coli<\/jats:italic>\n                      <\/jats:styled-content>\n                      (37, 13%) and\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                      <\/jats:styled-content>\n                      (35, 13%) among others, and 66 (24%) gram\u2010positive, including\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Enterococcus faecalis<\/jats:italic>\n                      <\/jats:styled-content>\n                      (17, 6%) and\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      <\/jats:styled-content>\n                      (11, 4%) among others. Proportions of bacteria resistant to third\u2010generation cephalosporins (3GC) were 75% (47\/63) for\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Klebsiella pneumoniae<\/jats:italic>\n                      <\/jats:styled-content>\n                      , and 69\n                      <jats:italic>%<\/jats:italic>\n                      (22\/32) for\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>E. coli<\/jats:italic>\n                      <\/jats:styled-content>\n                      , and to carbapenems 64% (7\/11) for\n                      <jats:italic>Acinetobacter<\/jats:italic>\n                      spp., 60% (3\/5) for\n                      <jats:italic>Enterobacter<\/jats:italic>\n                      spp., 43% (3\/7) for\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">E. coli<\/jats:styled-content>\n                        ,\n                      <\/jats:italic>\n                      30% (7\/23) for\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>P. aeruginosa<\/jats:italic>\n                      <\/jats:styled-content>\n                      and 29% (9\/31) for\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>K. pneumoniae<\/jats:italic>\n                      <\/jats:styled-content>\n                      . Four of 11\u2009\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>S.\u2009aureus<\/jats:italic>\n                      <\/jats:styled-content>\n                      isolates were methicillin\u2010resistant. 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\u2009days.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This survey identified that a high proportion of common gram\u2010negative bacteria exhibited reduced susceptibility to first\u2010choice antibiotics and considerable underuse of bacterial cultures. These findings warrant enhanced infection prevention and control and antimicrobial stewardship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tmi.70162","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:49:01Z","timestamp":1780058941000},"page":"1231-1237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Aetiology and Antibiotic Susceptibility of Common Bacterial Infections in Hospitalised Patients: A 2019 Multisite Cross\u2010Sectional Survey in Jakarta, Indonesia"],"prefix":"10.1111","volume":"31","author":[{"given":"Justin","family":"de Brabander","sequence":"first","affiliation":[{"name":"Faculty of Medicine Oxford University Clinical Research Unit Indonesia, Universitas Indonesia  Jakarta Indonesia"},{"name":"Department of Internal Medicine, Division of Infectious Diseases Amsterdam UMC, University of Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erni J.","family":"Nelwan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Universitas Indonesia  Jakarta Indonesia"},{"name":"Department of Internal Medicine, Division of Infectious Diseases Cipto Mangunkusumo National General Hospital  Jakarta Indonesia"},{"name":"Infectious Disease and Immunology Research Cluster, Indonesian Medical Education and Research Institute  Jakarta Indonesia"},{"name":"Metropolitan Medical Centre Hospital  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralalicia","family":"Limato","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Oxford University Clinical Research Unit Indonesia, Universitas Indonesia  Jakarta Indonesia"},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monik","family":"Alamanda","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Oxford University Clinical Research Unit Indonesia, Universitas Indonesia  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manzilina","family":"Mudia","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Oxford University Clinical Research Unit Indonesia, Universitas Indonesia  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enty","family":"Tjoa","sequence":"additional","affiliation":[{"name":"Royal Taruma Hospital  Jakarta Indonesia"},{"name":"School of Medicine and Health Sciences, Atma Jaya Catholic University  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifael Y.","family":"Mauleti","sequence":"additional","affiliation":[{"name":"Fatmawati General Hospital  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Mayasari","sequence":"additional","affiliation":[{"name":"St. Carolus Hospital  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iman","family":"Firmansyah","sequence":"additional","affiliation":[{"name":"Prof. Dr. Sulianti Saroso Infectious Disease Hospital  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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