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All Journal Jurnal Pendidikan dan Pembelajaran Khatulistiwa (JPPK) Science Midwifery Buletin Jalanidhitah Sarva Jivitam Journal of Agritechnology and Food Processing Jurnal Didactical Mathematics Fish Scientiae : Jurnal Ilmu-Ilmu Perikanan dan Kelautan Journal of Multidisciplinary Inquiry in Science, Technology and Educational Research Jurnal Ilmiah Komunikasi dan Seni Desain Grafis Jurnal Justice Aswaja (JJA)
Agustiana, Agustiana
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Journal : Science Midwifery

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Evaluation of antibiotic use in pneumonia patients at bahteramas hospital using the gyssens method Agustiana, Agustiana; L, Adryan Fristiohady.; Arba, Muhammad; Jabbar, Asriullah; Suryani, Suryani; Akib, Nur Illiyyin
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.1994

Abstract

Pneumonia is one of the leading causes of morbidity and mortality due to lower respiratory tract infections, with treatment heavily reliant on antibiotic administration. However, irrational use of antibiotics significantly contributes to the rise of antimicrobial resistance. This study aimed to evaluate the rationality of antibiotic use in adult pneumonia patients at RSUD Bahteramas, Southeast Sulawesi Province, using the Gyssens method. A total of 100 hospitalized patients who met the inclusion criteria from January to December 2024 were included. Data were analyzed using the Gyssens method to assess the appropriateness of antibiotic therapy based on indication, dosage, duration, route, and timing of administration. The results showed that only 41% of antibiotic use was classified as rational (category 0), while 59% was deemed irrational (categories I–V). Levofloxacin was the most frequently used antibiotic (63%), although its use often did not align with clinical guidelines. Most patients required antibiotics for 3–4 days, consistent with recommendations for mild to moderate pneumonia. Nonetheless, inappropriate use was still observed, particularly in prolonged therapy durations and antibiotic combinations without clear indications. These findings underscore the importance of strengthening adherence to clinical guidelines and conducting regular evaluations to prevent resistance and improve treatment outcomes.
Co-Authors Ade Suherman Arba, Muhammad Arianto Arianto Bustaman, Bustaman Dewi Kartika Sari Dewi Kartikasari Dian Faris K , Muhammad Hafni Rahmawati Jabbar, Asriullah Jaki, Akhmad Komarudin Komarudin L, Adryan Fristiohady. Mastar Asran Maulana, Ripky Nur Illiyyin Akib Nurfadilah, Syifa Rahayu, Fuzi Astuti Rahmatullah, M. Rizki Reni Untarti Rifqotunnada, Eka Siti Halidjah Suryani Suryani