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All Journal JURNAL FARMASIMED (JFM) Journal of Pharmaceutical and Sciences.
Muhammad Andry
Sriwijaya University
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Evaluation of Antibiotic Appropriateness in Hospitalised Pediatric Pneumonia Patients at Ar-Rasyid Islamic Hospital Palembang: A Retrospective Gyssens-Based Study Cindy Marseli Cindy; Rafifah Azzahra Rafifah; Salvira Pradita Salvira; Muhammad Andry
Jurnal FARMASIMED (JFM) Vol 9 No 1 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v9i1.3676

Abstract

Background: Pneumonia remains a leading cause of morbidity and mortality in children worldwide, particularly in developing countries, where irrational antibiotic use contributes to antimicrobial resistance and poorer clinical outcomes. Objective: This study aimed to evaluate the profile and rationality of antibiotic use in pediatric patients with hospital-acquired pneumonia at Ar-Rasyid Islamic Hospital, Palembang, during 2023-2024.  Methods: A descriptive, observational, retrospective study was conducted on 100 medical records of pediatric patients aged 0-12 years who met the inclusion criteria; rationality was assessed using the Gyssens method. Results: The majority of patients are male (63%), with infants under 1 year of age comprising the largest age group (76%). The most frequently used antibiotic is injectable ceftazidime (49.40%). Gyssens' analysis reveals that only 35% of antibiotic prescriptions are classified as rational (Category 0), while 33% show inappropriate dosing (Category IIa), 10% are administered for too long (Category IIIa), and 22% for too short a duration (Category IIIb). Conclusion: These findings indicate that the rationality of antibiotic use in pediatric hospital-acquired pneumonia patients at this institution remains suboptimal, with dosing irregularities and inappropriate duration of therapy as the predominant issues. Implementation of an evidence-based Antimicrobial Stewardship Program is therefore essential to improve prescribing practices and reduce the risk of antimicrobial resistance in this vulnerable population.
Kepuasan Pasien terhadap Pelayanan Kefarmasian di RSUD dr. Fauziah Bireuen: Studi Berbasis SERVQUAL Dhea Nur Nurfadhilah; Muhammad Amin Nasution; Nur Irhamni Sabrina; Okpri Meila; Muhammad Andry
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 3 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i3.1552

Abstract

Pharmaceutical services play an important role in the hospital healthcare system because they support the safe, rational, and patient-centered use of medicines. This study aimed to analyze patient satisfaction with pharmaceutical services and its relationship with service quality dimensions, including tangible, reliability, responsiveness, assurance, and empathy, at the Pharmacy Installation of RSUD dr. Fauziah Bireuen. This study used a descriptive survey design with a quantitative approach. The sample consisted of 109 respondents from a population of 150 outpatients, selected using accidental sampling based on the Slovin formula. The research instrument was a SERVQUAL questionnaire that met the reliability requirement, with a Cronbach’s alpha value of 0.89. The results showed that the majority of respondents, namely 56.9%, were dissatisfied with pharmaceutical services. The tangible dimension obtained the highest satisfaction level at 68%, while the assurance dimension obtained the lowest satisfaction level at 45.2%. The Chi-Square test showed that all SERVQUAL dimensions were significantly associated with patient satisfaction (p < 0.05). Responsiveness had the strongest association (Cramer’s V = 0.68), followed by empathy (0.67), tangibles (0.65), reliability (0.55), and assurance (0.51). Therefore, the Pharmacy Installation of RSUD dr. Fauziah Bireuen needs to improve service quality comprehensively, particularly in the aspects of service assurance, clarity of drug information, staff competence, and staff ability to build patient trust.
Co-Authors Cindy Marseli Cindy Dhea Nur Nurfadhilah Muhammad Amin Nasution Nur Irhamni Sabrina Okpri Meila Rafifah Azzahra Rafifah Salvira Pradita Salvira