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Evaluasi Penggunaan Antibiotik pada Pasien Rawat Jalan di Puskesmas Pekan Heran dengan Metode Anatomical Theraupetic Chemical/ Defined Daily Dose and Drug Utilization Drug Ayu Dwi Utami; Lila Wahyuni; Futri Handayani; Jhoti Sumitra; Sri Sukria; Nova Marnovy
JURNAL FARMASI DAN MAKANAN Vol 7 No 2 (2024): Journal of Pharmacy and Science
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jops.v7i2.4694

Abstract

Antibiotics are one of the highest used drugs in the world. Relatively high use of antibiotics can increase the risk of antibiotic resistance. Based on several studies in Indonesia, the use of antibiotics in several Public health center shows the high use of antibiotics. This study aims to find out how antibiotics are used at the Pekan Heran health center in 2019-2022 using the ATC/DDD method and to see changes in the profile of antibiotic use based on the 90% DU profile which is calculated in units of DDD/1000 KPRJ. In this study, there were 8 drugs used at Pekan Heran Public Health Center, namelyamoxicillin, clindamyycin, erythromycin, cefixime, contrimoxazol, metronidazole, chloramphanicol and cefadroxil. Data collection was obtained from the Pekan Heran Public health center. The data processing uses the ATC / DDD method which is processed using Microsoft Excel. The results show that the quantity of antibiotic use has always fluctuating during the 2019-2022 period. The highest use of antibiotic drugs was in 2019 amounting to 708,233 DDD / 1000 KPRJ, and the smallest use was in 2021 amounting to 1,157 DDD / 1000 KPRJ. The profile of the use of antibiotic drugs at the Pekan Heran Public health centerfor the period 2019-2022 was based on DU90%, namely amoxicillin, erythromycin and metronidazole. Amoxicillin is the highest drug used with a percentage in 2019, namely 48,006%, in 2020 amounting to 58,054%, in 2021 it was 27,072%, in 2022 it was equal to 28,437%
Pengaruh Variasi Konsentrasi Ekstrak Etanol Beras Ketan Hitam (Oryza Sativa L. Var. Glutinosa) Terhadap Stabilitas Fisik Dan Efektivitas Hidrasi Sediaan Krim Tipe M/A Lila Wahyuni; Oktri Lestari; Ayu Dwi Utami; Muhammad Afif Rizieq
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i3.1013

Abstract

Dry skin is a common dermatological problem that can be addressed through the application of natural-based moisturizing cosmetics. Black glutinous rice (Oryza sativa L. var. glutinosa) contains phenolic and flavonoid compounds with the potential to increase skin hydration. This study aimed to formulate an oil-in-water (O/W) cream containing 10%, 15%, and 20% ethanolic extract of black glutinous rice, evaluate its physical stability, and test its effectiveness as a skin moisturizer. A laboratory experimental study was followed by an in vivo parallel-group repeated-measures trial over 4 weeks involving 28 volunteers (7 per group) who were voluntarily divided into four groups (F0% base, F10%, F15%, F20%). The extract was obtained by remaceration of the powdered simplicia with 96% ethanol. Phytochemical screening was performed for phenolic and flavonoid compounds. Physical evaluations included organoleptic properties, homogeneity, pH, viscosity (Brookfield viscometer), spreadability, and adhesion (n=3, on days 0 and 28). Skin moisture content was measured weekly using a Skin Moisture Analyzer. Irritation testing was performed using an open patch test. Data were analyzed using the Shapiro-Wilk normality test, Levene's homogeneity test, followed by One-Way ANOVA/Kruskal-Wallis and post-hoc Tukey HSD/Mann-Whitney tests (α=0.05). The extract yield was 2.99% (w/w). All formulations were homogeneous, had a pH of 6, and met the standard ranges for spreadability (5.3–6.5 cm) and adhesion (>4 seconds). Extract concentration significantly affected viscosity and adhesion (Kruskal-Wallis, p<0.05) as well as day-0 spreadability (One-Way ANOVA, p=0.002). The increases in skin hydration from week 1 to week 4 for F0%, F10%, F15%, and F20% were 2.05%, 3.04%, 3.71%, and 4.81%, respectively. One-Way ANOVA showed significant differences in hydration efficacy between groups (p<0.001), and the Tukey HSD post-hoc test revealed that F20% was significantly different from F0% (p<0.001) and F15% (p=0.040). All formulas did not cause irritation (erythema, edema, itching, or burning sensation) during the observation period. The ethanolic extract of black glutinous rice can be formulated into a physically stable O/W cream stored at room temperature for 28 days and is safe for skin application. The formulation with 20% extract demonstrated the highest hydration efficacy within the tested concentration range.