Neglected Surgical Site Infection due to Multi-Drug Resistant Acinetobacter baumannii and Klebsiella pneumoniae

Surgical Site Infection Acinetobacter baumannii Klebsiella pneumoniae

Authors

  • Kevin Kevin Faculty of Medicine, Universitas Sumatra Utara, Medan, Indonesia
  • Lenni Evalena Sihotang Division of Tropical and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatra Utara, Medan, Indonesia
  • Restuti Hidayani Saragih
    Restuti@usu.ac.id
    Division of Tropical and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatra Utara, Medan, Indonesia

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Background: Surgical Site Infections (SSI) are post-operative infections often caused by ESKAPE pathogens. These multidrug-resistant bacteria, identified by the WHO as a critical threat, typically result in severe wound infections and extended hospital stays.

Case Presentation: A case of a 26-year-old male with an incisional surgical site infection (SSI) in the suprapubic area that worsened due to various management errors, prolonging the patient's wound healing, but was successfully managed with a holistic approach by a multidisciplinary team, including nutritional improvement, wound care, and rational antibiotic use, which were crucial for the success of the therapy.

Conclucion:  Effective management of ESKAPE-related SSIs requires targeted diagnostics, a holistic multidisciplinary strategy, and robust antimicrobial stewardship programs to improve outcomes.