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Journal : JOURNAL LA MEDIHEALTICO

Evaluation of the Rationality of Antibiotic Use in Pneumonia Patients Using the Gyssens Method Agustiana, Agustiana; Fristiohady, Adryan; Arba, Muhammad; Jabbar, Asriullah; Akib, Nur Illiyyin; Suryani, Suryani
Journal La Medihealtico Vol. 6 No. 6 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i6.2757

Abstract

Pneumonia is one of the leading causes of morbidity and mortality worldwide. The irrational use of antibiotics in pneumonia management can reduce therapeutic effectiveness and increase the risk of antimicrobial resistance. This study aimed to evaluate the rationality of antibiotic use in pneumonia patients at Hospital X using the Gyssens method. This research employed a descriptive observational design with a retrospective approach, utilizing medical record data of adult inpatients diagnosed with pneumonia during the period of January–December 2024. A total of 86 patient records meeting the inclusion criteria were analyzed. Evaluation was conducted using the Gyssens method by comparing the appropriateness of therapy with the Guidelines for the Management of Adult Pneumonia issued by the Indonesian Ministry of Health (Regulation No. 28 of 2021) and the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS, 2023) guidelines. The results showed that the most frequently used antibiotics were Ceftriaxone (34.88%), Azithromycin (32.56%), and Levofloxacin (32.56%). The most common duration of therapy was five days (53.9%). Based on the Gyssens categories, rational antibiotic use (category 0) was found in 57 cases (66.28%), while the remaining cases were categorized as I (6.98%), IIa (11.63%), IIIa (9.30%), and IIIb (5.81%). These findings indicate that most antibiotic use at Hospital X was rational; however, continuous monitoring and periodic evaluation through the Antimicrobial Resistance Control Program (PPRA) are still necessary to optimize therapeutic effectiveness and prevent antibiotic resistance.
Co-Authors Abdulkadir Kamaluddin Agung W. M. Yodha Agustiana, Agustiana Agustina, Ikra Akbar, Jalaludin Muhammad Amaliah, Wa Ode Fitri Andini Sundowo Andini Sundowo Andriani, Rina Anwar, Irvan Arba, Muh. Arba, Muhammad Arfan Arfan Arfan Arfan Ariyanto, Irland Asasutjarit, Rathapon Asnani Asnani Asniar Pascayantri Aspadiah, Vica Asrina, Eki Asrul Sani Asrul Sani, Asrul Astrid Indalifiany Atasya, Fretiniar Ayu Wulandari Azwar, Andri Bafadal, Mentarry Baharum, Syarul Nataqain Baru Sadarun Cicilia, Retno Daud, Nur Saadah Dayatriana Muthalib Dewi Puspita Dewiyanti Madu Dian Munasari Fadhliyah Malik Farhan, Muh. Adit Firdayanti, Firdayanti Fitrawan, La Ode Muhammad Fitrawan, La Ode Muhammad Fitria Nurcahyani Fredy Talebong Fusvita, Angriani Gobel, Sri Yunanci Van Grasiana Eka E.Y.G Gusti Ayu Kade Sutariati Gusti Ray Sadimantara Haera, Evi Hadrawati Handayani, Lili Sri Hariana Hariana, Hariana Haringi, Elfira Harnita, Wa Ode Haruna, Lidya A. Haruna, Lidya Agriningsih Hasan, Fonnie Esther Haslianti Haslianti, Haslianti Hasnawati Hastiar, Arfiani Hendra Febriansyah Idin Sahidin Idin Sahidin Idin, Sahidin Idrus, Loly Subhiaty Ilma Sarimustaqiyma Rianse Ilyas Y, Muhammad Indalifiany, Astrid Intan Permata Putri Iren Meylani Irmayani Jubir Irnawati Irnawati Irnawati Irsan Irsan Izzati, Emy Jabbar, Asriullah Jafriati Jannah, Sitti Raodah Nurul Jumadil Kardin, Laode Karmilah Karmilah Kasmawati, Henny Kirana, Rezky Marwah Kuncoro, Shienny La Ode MJ Purnama La Ode Muhammad Fitrawan La Ode Muhammad Julian Purnama Laode Muhamad Mbuyang Nadia Lidya Agriningsih Haruna Loly Subhiaty Idrus M. Hajrul Malaka Magdalena Magdalena Malaka, Muh. Hajrul Malaka, Muhammad Hajrul Marianti A. Manggau Masrika, Nur Upik En Mawaddah, Nur Ainul Mesi Leorita Miftahul Fadli Mirawanti G, Wa Ode Mirda Mirda Mugiarno, Dita Oktavianti Muh. Azdar Setiawan Muh. Ilyas Yusuf Muhamad Handoyo Sahumena Muhammad H Malaka Muhammad Hajrul Malaka Muhammad Hajrul Malaka Muhammad Hajrul Malaka Muhammad Ilyas Muhammad Ilyas Y. Muhammad Ilyas Yusuf Muhammad Ilyas Yusuf Muhammad Ilyas Yusuf Muhammad Isrul Muhammad Mahfudz Nur Muhammad Ramadhan Muktiarni, Muktiarni Munasari, Dian Musabar, Nasyrah Musdalipah Musdalipah Musdalipah Musdalipah, Musdalipah Muzuni, Muzuni N. Nohong Naimah Naimah NASRUDIN Nazira, Arni Nisi, Hairul Nita Trinovitasari Nur Illiyyin Akib Nur Illiyyin Akib Nur Illiyyin Akib Nur Indri Rahayu Nur Saadah Daud Nur Syifa Rahmatika Nuralifah Nuralifah, Nuralifah Nurcahyani, Fitria Nurjeddah Fariane Nurkhalis Bintang Astiasal Nurpajriani, Nurpajriani Nurul Hikmah Nurull Hikmah Nurwati Nurwati Nyoman Rudi Kusuma Nyoman Rudi Kusuma Parrung, Arsyani Pascayantri, Asniar Purnama, La O. M. J. Purnama, La Ode Muh. Julian Purnama, La Ode Muhammad Julian Puspita Sari Putri, Natalia Christiani RAHMAT MULIADI, RAHMAT Rahmatika, Nur S. Ramadhani, Rizky Barkah Rathapon Asasutjarit Reni Yunus, Reni Rifa'atul Mahmudah Rina Andriani Rina Andriani Rina Maryanti Rini Hamsidi Rizky Barkah Ramadhani Ruslan Ruslan Ruslin Ruslin Ruslin Ruslin Ruslin Ruslin Ruslin Ruslin, Ruslin Sahidin Sahidin . Sahidin F. Sahidin Sahidin Sahidin Sahidin Sahidin Sahidin Sahidin, Idin Saputri, Ulan Mulyani Sarah Saranani, Muhammad Aqsal Azriel Fajar Saranani, Selpirahmawati Saripuddin Saripuddin Saripuddin Selfyana Austin Tee Selpirahmawati Saranani Sernita Sernita Siti Helmyati Sofa Fajriah Solly Aryza Solo, Dian Munasari Sulasry, Sulasry Sunandar Ihsan Sunandar Ihsan Sunandar Ihsan Sunandar Ihsan, Sunandar SURYANI Suryani Suryani Syifa, Fadhil Nur Syukur, Novita Sari Tian Amalia Halik Tien Tien W. Wahyuni Wa Baane WA KUASA Wa Ode Norma Wa Ode Nurfinti Wa Ode Salma Wa Ode Siti Zubaydah Wa Ode Sitti Zubaydah WAHYUNI wahyuni wahyuni Wahyuni Wahyuni Wati, Sri Asma Yamin Yamin Yamin Yodha, Agung W. M. Yodha, Agung Wibawa Mahatva Yuliansyah Yuliansyah Yulianti Fauziah Yusniati Dwi Pemudi Zainuddin, Asnia Zoraya Denok Rafhisya Zubaydah, Wa Ode Sitti