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All Journal Jurnal Farmasi Udayana Majalah Farmasi dan Farmakologi (Trends in Pharmacy and Pharmaceutical Sciences) Jurnal Farmasi Medica (Pharmacy Medical Journal) PMJ PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia) Jurnal Farmasi Indonesia Journal Syifa Sciences and Clinical Research (JSSCR) Jurnal Abdimas PHB : Jurnal Pengabdian Masyarakat Progresif Humanis Brainstorming Health Sciences and Pharmacy Journal Journal Pharmasci (Journal of Pharmacy and Science) Jurnal Abdi Masyarakat Kita International Journal of Health and Pharmaceutical (IJHP) Jurnal Farmasi Sains dan Praktis Acta Holistica Pharmaciana Journal of Science and Social Development Borneo Journal of Pharmacy
Zulfa, Ilil Maidatuz
Akademi Farmasi Surabaya
Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mechanical Engineering Medicine & Pharmacology Nursing Public Health Other

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Studi Potensi Interaksi Obat-Obat pada Peresepan Penyakit Gigi di Salah Satu Apotek di Surabaya Zulfa, Ilil Maidatuz
Journal of Pharmacy and Science Vol. 3 No. 1 (2018): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v3i1.70

Abstract

Paradigma pelayanan kefarmasian yang telah bergeser dari fokus pengelolaan obat (drug oriented) menjadi pelayanan komprehensif antara pelayanan obat dan farmasi klinik menuntut farmasis lebih berperan dalam mengidentifikasi, mencegah, serta mengatasi masalah terkait obat. Interaksi obat-obat (IOO) merupakan salah satu bentuk masalah terkait obat. Peresepan dua atau lebih obat untuk suatu terapi seperti terapi infeksi gigi berpotensi menimbulkan IOO. Tujuan dari penelitian ini adalah untuk menganalisis potensi dan prevalensi IOO antara obat-obat yang diresepkan untuk penyakit gigi. Kajian observasional retrospektif dilakukan pada rekam resep tahun 2016 di salah satu Apotek di Surabaya. Sebanyak 114 resep untuk penyakit gigi telah dianalisis dalam penelitian ini dan sebanyak 61 resep berpotensi menimbulkan IOO dan ditemukan 54 potensi IOO dalam terapi infeksi gigi dimana 80,36% adalah IOO farmakokinetik dan 19,64% adalah IOO farmakodinamik. Disamping itu keparahan IOO yang muncul adalah kategori minor 44(81,48%), kategori moderat 8(14,81%), kategori mayor 1(1,85%), dan tidak diketahui 1(1,85%). Hasil studi menunjukkan penggunaan amoksisilin bersama diklofenak berpotensi menurunkan efek amoksisilin. Sedangkan kombinasi NSAID-fluoroquinolon akan menyebabkan resiko penekanan sistem syaraf pusat, sementara kombinasi NSAID-kortikosteroid dan duplikasi NSAID akan meningkatkan resiko efek samping gangguan gastrointestinal. Kajian IOO dalam terapi infeksi gigi sangat diperlukan guna mengurangi resiko efek merugikan dari interaksi obat-obat yang digunakan.Kata Kunci: Interaksi obat-obat (IOO), Resep, Infeksi gigi.
Prescribed Daily Dose (PDD) Antibiotik Untuk Penyakit Gigi di Salah Satu Apotek di Surabaya Zulfa, Ilil Maidatuz; Yunitasari, Fitria Dewi
Journal of Pharmacy and Science Vol. 2 No. 2 (2017): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v2i2.77

Abstract

ABSTRAKAntibiotik sistemik banyak diresepkan oleh dokter gigi baik sebagai profilaksis maupun penanganan infeksi. Tingginya peresepan antibiotik pada infeksi gigi dan periodontal akan berpotensi pada peningkatan resistensi bakteri karena penggunaan yang berlebihan. Tujuan dari penelitian ini adalah untuk menginvestigasi pola peresepan, Prescribed Daily Dose (PDD) dan rasio PDD/DDD yang ditetapkan WHO setiap antibiotik yang diresepkan untuk penyakit gigi. Studi cross-sectional retrospektif dilakukan pada rekam resep tahun 2016 di salah satu Apotek di Surabaya. Sebanyak 136 resep untuk penyakit gigi telah dianalisis dalam penelitian ini. Rata-rata usia pasien adalah 38,92+12,96 tahun. Antibiotik yang paling banyak diresepkan adalah Golongan –Laktam yaitu Amoksisilin (50,72%) dan Amoksisilin+Asam Klavulanat (3,62%) diikuti oleh golongan Linkosamid yaitu Klindamisin (28,99%) dan Linkomisin (5,80%), serta golongan Nitroimidazol yaituMetronidazol (5,07%). PDD Antibiotik yang diresepkan lebih rendah dibanding DDD yang ditetapkan WHO kecuali Amoksisilin (1509,2 mg/pasien/hari; rasio PDD/DDD 1,59), Amoksisilin+Asam Klavulanat (1368,42 mg/pasien/hari; rasio PDD/DDD 1,37), Eritromisin (1500,00 mg/pasien/hari; rasio PDD/DDD 1,50), dan Levofloksasin (500,00 mg/pasien/hari; rasio PDD/DDD 1,00). Terdapat perbedaan antara nilai PDD beberapa antibiotik dengan nilai DDD yang ditetapkan WHO dimana dalam penelitian ini nilai PDD lebih merefleksikan densitas penggunaan antibiotik.Kata kunci: Prescribed Daily Dose (PDD), Antibiotik, Infeksi gigi.ABSTRACTSistemic Antibiotics are prescribed by dentists not only for treatment of infection but also for profilactics. Most of dental and periodontal diseases are best treated by operative intervention and oral hygiene measures, so that the use of sistemic antibiotics are very limited. High rates of sistemic antibiotics prescribing in densitry can lead to bacterial resistance due to overuse of antibiotics. The aim of the study was to investigate the antibiotics prescribing patterns in densitry, Prescribed Daily Dose (PDD), and PDD/WHO’s Defined Daily Dose (DDD) ratio. A retrospective cross-sectional study was conducted on 2016 prescription records at a private pharmacy in Surabaya, East Java, Indonesia. A total 136 prescription records were analyzed. The average age of patients was 38,92+12,96 years old. The most common antibiotics prescribed in densitry was –Lactam group which were Amoxycillin (50,72%) and Amoxycillin+Clavulanic Acid (3,62%) followed by Linkosamide group w Clindamycin (28,99%) and Lincomycin (5,80%), and Nitroimidazol group which was Metronidazole (5,07%). The PDD of Antibiotics prescribed was lower than each WHO’s DDD except Amoxycillin (1509,2mg/patient/day; PDD/DDD ratio 1,59), Amoxycillin+Clavulanic Acid (1368,42 mg/patient/day; PDD/DDD ratio 1,37), Eritromisin (1500,00 mg/patient/day; PDD/DDD ratio 1,50), dan Levofloksasin (500,00 mg/patient/day; PDD/DDD ratio 1,00). There was a difference between PDD and WHO’s DDD. PDD was more likely reflect the density of antibiotic usage. Key Words: Prescribed Daily Dose (PDD), Antibiotics, Dental Infections
Hospitalisasi Pasien Skizofrenia di Rumah Sakit Jiwa Menur Surabaya Yunitasari, Fitria Dewi; Zulfa, Ilil Maidatuz
Journal of Pharmacy and Science Vol. 3 No. 2 (2018): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v3i2.118

Abstract

ABSTRAKSkizofrenia merupakan gangguan atau kumpulan gangguan mental yang mempengaruhi pemikiran, persepsi, dan perilaku sosial dan penyebabnya sebagian besar masih belum diketahui. Pengobatan farmakologis skizofrenia menggunakan obat-obat golongan antipsikotik terutama dalam jangka waktu lima tahun setelah episode akut pertama muncul. Penggunaan antipsikotik berpotensi menimbulkan kejadian hospitalisasi yang dapat menurunkan kualitas hidup pasien terkait penurunan fungsi sosial pasien skizofrenia. Penelitian ini bertujuan menganalisis potensi jenis kelamin dan jenis pengobatan antipsikotik sebagai faktor prediktor hospitalisasi pasien skizofrenia. Analisis cross sectional jenis kelamin dan penggunaan antipsikotik dilakukan pada rekam medis pasien rawat inap di Rumah Sakit Jiwa Menur Surabaya Bulan Oktober 2017 yang didiagnosis skizofrenia (ICD-10 F20). Faktor prediktor hospitalisasi pasien  dianalisis menggunakan uji Chi-square for goodness of fit yang membandingkan perbedaan jumlah frekuensi antar kategori pada masing-masing faktor prediktor. Faktor jenis terapi antipsikotik digolongkan menjadi tipikal, atipikal, dan kombinasi. Hasil menunjukan terdapat perbedaan jumlah pasien pada tiga jenis terapi yang berbeda (p-value 0,000) dimana sebagian besar pasien yang dirawat dirumah sakit menerima antipsikotik tipikal (47,41%). Perbandingan jenis kelamin tidak menunjukkan perbedaan yang signifikan pada pasien yang dirawat. Dapat disimpulkan jenis antipsikotik tipikal kemungkinan dapat mempengaruhi kejadian hospitalisasi pada pasien skizofrenia. Kata kunci: Skizofrenia, antipsikotik tipikal, antipsikotik atipikal, hospitalisasi.ABSTRACTSchizophrenia is a mental disorder that affect thought, perception, and social behaviours. Most of causes of schizophrenia are unknown. Pharmacological treatments of schizophrenia use antipsychotics especially during  five years after first acute episode observed. The use of antipsychotics potentially lead to hospitalization that can affect to patients’ quality of life. This study was aimed to analyze the potential of gender and types of antipsychotic treatments as predictor factors in hospitalization of schizophrenia patients. Cross sectional analysis in gender and types of antipsycotics was conducted to medical records of inpatients at Rumah Sakit Jiwa Menur Surabaya diagnozed with Schizophrenia (ICD-10 Code F20) in October 2017. Chi-square for goodness of fit test was used to determine the difference amount of patients among different gender and different types of antipsychotics used as predictor factors. Types of antipsychotics used was classified into three categories which were patients who received typical antipsychotic, atypical antipsycotic and combination. The results showed that there was a significant difference in amount of hospitalized patients who received typical antipsychotic, atypical antipsycotic and combination (p-value 0,000) which most of hospitalized patients received atypical antipsychotics (47,41%).On the other hand, the proportion of gender among hospitalized patients was found have no significant difference. In conclusion, types of antipsychotics used might related to the hospitalization of schizophrenia patients.Keywords: Schizophrenia, Typical antipsychotic, Atypical antipsychotic, Hospitalization.
Anealisis Uji Pendahuluan Aktivitas Antikanker Ekstrak Biji Pepaya (Carica papaya L) dengan Metode BSLT Ulfa, Ninik Mas; Kusumo, Galuh Gondo; Zulfa, Ilil Maidatuz
Journal of Pharmacy and Science Vol. 4 No. 1 (2019): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v4i1.122

Abstract

ABSTRAKTumbuhan pepaya (carica papaya L) merupakan tumbuhan tropis yang banyak terdapat di Indonesia. Tumbuhan ini mempunyai banyak manfaatnya mulai dari buah, biji, hingga daunnya. Penelitian pendahuluan menyebutkan buah pepaya mengandung alkaloid dan flavonoid yang berkhasiat sebagai antikanker. Senyawa BenzylIsothiocyanat diketahui banyak terdapat pada biji dan buah pepaya yang sudah matang. Kandungan BenzylIsothiocyanat mempunyai khasiat sebagai antikanker. Pemanfaatan limbah biji pepaya pada penelitian ini untuk membuktikan aktivitas Benzyl-Isothiacyanat yang berkhasiat sebagai antikanker. Penelitian ini merupakan penelitian pendahuluan untuk menganalisis aktivitas antikanker dari Ekstrak kental biji pepaya dengan menggunakan metode BSLT. Konsentrasi ekstrak kentak yang digunakan yaitu 100 ppm, 200 ppm dan 300 ppm masing-masing diujikan pada 10 larva udang dalam air laut. Diperoleh hasil rata-rata kematian pada konsentrasi 100 ppm adalah 4,3, 200 ppm adalah 5,3 dan 300 ppm adalah 6,7. Hasil regresi linearitas menunjukkan aktivitas antikaker pada uji BSLT dari Ekstrak kental biji pepaya dengan LC50 sebesar 163,89 ppm. Dengan demikian ekstrak kental biji pepaya tersebut berpotensi untuk dikembangkan sebagai bahan antikanker alamiKata kunci: Aktivitas antikanker, Carica papaya, metode BSLT.ABSTRACTPapaya plant (carica papaya L) is a tropical plant that is widely found in Indonesian. This plant has many benefits ranging from fruit, seeds, to leaves. Preliminary research says papaya fruit contains alkaloids andflavonoids which are efficacious as anticancer. Benzyl-Isothiocyanat compounds are known to be widely found in ripe papaya seeds and fruit. The content of Benzyl-Isothiocyanat has properties as an anticancer. The use of papaya seed waste in this study is to prove the activity of Benzyl-Isothiacyanat which is efficacious as an anticancer. This research is a preliminary study to analyze the anticancer activity of thick papaya seeds using the BSLT method. The concentrations of used fart extracts were 100 ppm, 200 ppm and 300 ppm each tested on 10 shrimp larvae in seawater. The results of the average mortality at concentrations of 100 ppm were 4.3, 200 ppm were 5.3 and 300 ppm was 6.7. The linearity regression results showed the anticaker activity in the BSLT test from the thick extract of papaya seeds with LC50 of 163.89 ppm. Thus the thick extract of papaya seeds has the potential to be developed as a natural anticancer material.Key Words : Anticancer activity, BSLT method, Carica papaya.
Evaluasi Peresepan Terapi Bronkopneumonia Anak di Unit Rawat Jalan Rumah Sakit Umum Daerah Bangkalan, Indonesia Zulfa, Ilil Maidatuz; Yunitasari, Fitria Dewi; Ratnadi, Nisa Dwi
Journal of Pharmacy and Science Vol. 4 No. 2 (2019): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v4i2.138

Abstract

ABSTRAKBronkopneumonia adalah salah satu manifestasi klinik dari pneumonia yang paling sering muncul pada anak. Obat yang diresepkan seringkali mengkombinasikan antibiotik dengan obat-obat simtomatis dan tidak sedikit yang berupa polifarmasi. Peresepan polifarmasi berpotensi pada kurang efisiennya pengobatan. Peresepan yang kurang efisien akan berakibat pada efektivitas dan keamanan terapi, eksaserbasi atau perpanjangan gejala dan penyakit, serta tingkat keamanan pada pasien, serta peningkatan biaya terapi. Tujuan dari penelitian ini adalah untuk mengevaluasi peresepan terapi bronkopneumonia pada anak. Studi observasional secara retrospektif dilakukan pada peresepan bronkopneumonia anak usia 0-14 tahun di Unit Rawat Jalan Rumah Sakit Umum Daerah Syarifah Ambami Rato Ebu Bangkalan, Indonesia selama tahun 2016. Evaluasi peresepan mengacu pada WHO prescribing indicator yang terdiri dari 5 poin. Hasil evaluasi pada penelitian ini menunjukkan bahwa rata-rata jumlah obat yang diresepkan adalah 4,60 item per kunjungan, obat generik diresepkan sebanyak 53,88%, antibiotik sebesar 69,31%, obat injeksi sebesar 0,99%, dan obat dalam Formularium Nasional tahun 2017 sebesar 48,28% dalam satu tahun periode peresepan. Sehingga, terdapat empat indikator yang belum sesuai dengan yang ditentukan WHO. Walaupun pemberian antibiotik sangat disarankan pada terapi bronkopneumonia, peresepan antibiotik masih memerlukan evaluasi lebih lanjut terkait rasionalitasnya. Selain itu, rendahnya peresepan berdasarkan Formularium Nasional tahun 2017 menunjukkan masih relatif rendahnya optimasi penggunaan obat yang cost-effective menurut kebijakan nasional.Kata kunci: Bronkopneumonia, Peresepan, Rawat Jalan.ABSTRACTBronchopneumonia is one of pneumonia manifestations commonly occur in children.The treatments usually combine antibiotics and symptomatic drugs in the form of polypharmacy.Polypharmacy can leads to inefficient treatmentsthat can cause ineffective and unsafe treatment, exacerbation or prolongation of illness, distress, harm to the patient and increasing the cost therapy.The aim of the study was to evaluate the prescribing for bronchopneumonia treatment in children. A retrospective observational study was conducted on prescriptions written for children with bronchopneumonia age 0-14 y.o in outpatient departement of Rumah Sakit Umum Daerah Syarifah Ambami Rato Ebu Bangkalan, Indonesia during 2016.WHO prescribing indicators was used to evaluate the prescribing. The result showed that the average number of medicine per encounter was 4.60 items, including medicine prescribed by generic name was 53.88%, antibiotics prescribed was 69.31%, injection prescribed was 0.99%, and medicines prescribed from National Formulary 2017 was 48.28%. Hence, there were four indicators found to be innapproppriate to WHO recomendation. Although antibiotics are highly recommended in bronchopneumonia, the usage of antibiotics still need an assessment related to its rationality. In addition, low percentage of medicines National Formulary showed low usage of cost-effective drugs based on the goverments policy.Keywords: Bronchopneumonia, Prescribing, Outpatients.
Kaitan Pengetahuan dengan Respon Pengunjung Apotek terhadap Penolakan Pelayanan Pengobatan Mandiri dengan Antibiotik Lubada, Eziah Ika; Zulfa, Ilil Maidatuz; Putri, Octavia Eka
Journal of Pharmacy and Science Vol. 6 No. 1 (2021): Journal of Pharmacy and Science
Publisher : Akademi Farmasi Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53342/pharmasci.v6i1.196

Abstract

Pengobatan mandiri dengan antibiotik masih menjadi masalah di masyarakat Indonesia dimana sebagian besar sumber perolehan antibiotik adalah apotek. Beberapa apotek mungkin menolak memberikan antibiotik tanpa resep, namun angka pengobatan mandiri masih susah ditekan. Penelitian ini bertujuan menganalisis hubungan pengetahuan dan respon pengunjung apotek terhadap penolakan pelayanan antibiotik tanpa resep. Studi cross sectional di lakukan di Apotek Daerah Kebonsari Surabaya pada Januari-Februari 2020 menggunakan kuisioner untuk mengukur pengetahuan pengunjung apotek tentang antibiotik dan mengobservasi respon mereka apabila apotek menolak memberikan antibiotik tanpa resep. Pengetahuan responden diklasifikasikan menjadi tiga tingkatan dan dianalisis kaitannya dengan bentuk respon yang dipilih menggunakan Fisher exact test. Sebanyak 82 responden dilibatkan dalam penelitian dimana 64,63% berpengetahuan baik tentang antibiotik dan sisanya berpengetahuan cukup dan sebanyak 75,60% pernah melakukan pengobatan mandiri dengan antibiotik. Tidak terdapat hubungan antara tingkat pengetahuan dengan pengalaman pengobatan mandiri antibiotik (p-value 0,068) namun tingkat pengetahuan tentang antibiotik berkorelasi dengan respon ketika mengalami penolakan pelayanan antibiotik tanpa resep (p-value 0,049). Responden yang berpengetahuan baik terhadap antibiotik cenderung memilih periksa ke dokter sedangkan yang berpengetahuan cukup cenderung memilih pergi ke apotek lain yang masih memberikan antibiotik tanpa resep. Peningkatan edukasi serta penguatan penerapan regulasi antibiotik di komunitas masih sangat diperlukan guna menekan pengobatan mandiri dengan antibiotik
Studi Komparatif Efektivitas Seftriakson dibanding Kombinasi Seftriakson-Metronidazole dan Sefuroksim-Metronidazole pada Pasien Apendisitis yang Menjalani Apendiktomi Ilil Maidatuz Zulfa
Jurnal Farmasi Udayana Vol. 8, No. 2, Tahun 2019
Publisher : Departement of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.012 KB) | DOI: 10.24843/JFU.2019.v08.i02.p07

Abstract

Appendicitis or inflammation of appendix still has high prevalence in Indonesia which reach 3236 cases in 2103 and increase at 4351 cases in 2014. Antibiotics are used in appendicitis to prevent surgical site infection (SSI) after appendictomy. Cephalosporins like ceftriaxone and cefuroxime are commonly used as monotherapy or in combination with imidazole. This study was aimed to compare the effectifity of antibiotics used in acute appendicitis non perforation using parameter length of hospital stay, discharge status, and amount of SSI occurence. An analytical observation was conduct retrospectively through acute appendicitis patient medical records with ICD k35.8 during 2018. A total of 39 medical records were analyzed. Of that, 25 patients received ceftriaxone monotherapy, 5 patients received combination of ceftriaxone and metronidazole, and 9 remaining received cefuroxime in combination with metronidazole. All antibiotics were administered intravenously and used as prophylaxis and continued as pasca appendictomy therapy. The average of hospital stay of that three antibiotics regimen showed that the patients received combination of cefuroxime and metronidazole had the shortest period (3.00 + 0,50 days) while based on discharge status, patients with ceftriaxone monotherapy were the most who discharged to home with complete recovery (64.00%). However, SSI occurence was only observed in patients received ceftriaxone monotherapy (2.00%). Statistical analysis showed that there is a significant different in the average of hospital stay and discharge status through three groups of antibiotics treatment (p-value 0,000; p-value 0,001). In conclusion, the three regimens of antibiotics are effective as prophylactic and post appendictomy in acute appendicitis. However, becuse of significant difference of hospital stay, antibiotics regimen selection should consider the cost and effectivity ratio analysis.
Oral Short-course Antibiotics Compliance Survey at Several Public Health Centres in Surabaya Ilil Maidatuz Zulfa; Widya Handayani
Jurnal Farmasi Indonesia Vol 17 No 2 (2020): Jurnal Farmasi Indonesia
Publisher : Fakultas Farmasi Universitas Setia Budi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31001/jfi.v17i2.911

Abstract

Patients compliance is commonly occured in short-course antibiotics therapy. Patients compliance not only contributed to the therapeutics effect but also to prevent antibiotics resistance. Qualitatively, uncompliance in using antibiotics is affected by patients knowledge about antibiotics, improving symptomps, false in interpretating drug labels, activities, the lack of family suppor, and the lack of information given by healthcare provider. This study was aimed to observe patients compliance in using antibiotics assessed in how and howmany times they take their dosage, how they give interval between the doses, and whether they complete their course or not. The reasons behind their behaviour also investigated in this study. The survey was conducted at three public health centres in Surabaya. Patients who received short-course (3-5 days) antibiotics therapy were asked to participate in this study. The compliance was assessed using online developed self-assessment questionnaire containing 17 questions asking how they use their antibiotics and how many pills left sent in the last dosage day. The antibiotics prescription data was recorded as a refference in evaluating patients compliance. During research periods, a total of 100 patients were enrolled in this study. Of that, there were only 12.0% categoryzed as compliant. Most of patients did not give the same time interval between their doses (63,0%) and did not finished or prolonged their course (46,0%). The majority reasons behind their behaviour was feelings better or improving symptomps and simply forgot to take their antibiotics. A strengtnen in counselling and monitoring during their antibiotics course is needed in order to increase their compliance.
Potensi Interaksi Antar Obat dalam Peresepan Rawat Jalan Pasien Penyakit Jantung Akibat Hipertensi Ilil Maidatuz Zulfa; Yessy Asli Rahmawati; Putri Febri Anggraini
Jurnal Farmasi Indonesia Vol 19 No 1 (2022): Jurnal Farmasi Indonesia
Publisher : Fakultas Farmasi Universitas Setia Budi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31001/jfi.v19i1.1253

Abstract

Hypertension or high blood pressure have contributed to the occurrence of cardiovascular disease. One of its complication is the development of Hypertensive Heart Disease (HHD). HHD pharmacological treatments usually combine antihypertensive and other agents that lead to polypharmacy. The use of multiple medications or polypharmacy will increase the potential of drug-drug interactions (PDDIs) that affect the therapeutic effect and increase adverse events. This study was aimed to analyze the prevalence and predictor of the PDDIs among HHD patients prescriptions in order to prevent the adverse effects and optimalize the therapy management. A retrospective observational study was conducted on HHD outpatients prescriptions. Medscape Drug Interaction Checker application was used to identify PDDIs. The mechanism, severity, number of interaction per prescription and most common interaction pairs of PDDIs were documented. In addition, age, gender, and the number of drug prescribed were analyzed as predictors of PDDIs using logistic regression binomial test. A total of 100 HHD outpatients prescriptions was analyzed and 94 of them had PDDIs. Majority of prescriptions had 3-4 and >4 PDDIs (33.00% each). Total of PDDIs observed were 397 cases. Most of PDDIs happened in the pharmacodynamic phase (86.40%) and need to monitored closely (93.20%). The concomitant use of Candesartan and Bisoprolol was found to be the most commpon interaction pair (11,08%) that can lead to the raise of potassium serum levels. The result of predictors analysis showed that the higher number of drug prescribed the higher the risk of the occurrence of PDDIs respectively (p-value 0,005) which addition 1 drug item will increase the PDDIs 7,232 time higher. In conclusion, the higher number of drug prescribed the closer monitoring need for PDDIs. In addition, closely monitoring in the elevating of potassium serum levels and the symptoms of hyperkalemia are needed in the treatment of HHD outpatients
Evaluasi Penggunaan Antibiotika Profilaksis Operasi Digestif Laparatomi Selly Septi Fandinata; Eziah Ika Lubada; Ilil Maidatuz Zulfa
Journal Syifa Sciences and Clinical Research Vol 4, No 1 (2022): Volume 4 Edisi 1 2022
Publisher : State University of Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/jsscr.v4i1.13496

Abstract

Laparotomy is a major operation and causes a lot of injuries, so the risk of infection of the laparotomy surgery wound is quite high. Surgical Site Infection (ILO) or Surgical Site Infection (ITP). Prevention of postoperative infection in patients with clean-contaminated surgery, and some clean operations with the use of prophylactic antibiotics. The purpose of this study was to evaluate the use of prophylactic antibiotics in patients with laparotomy surgery in a hospital in Surabaya. The research method is descriptive operational with retrospective data. The results of this study obtained as many as 160 patients aged 46-55 years at 20.6%, the sex of the respondents were dominated by male sex 66.3%, and the diagnosis of generalized peritonitis was 46.9%. The use of prophylactic antibiotics is class I cephalosporin antibiotics (cefazolin) with a dose of 1000-2000 mg, which is by the 2011 Ministry of Health guidelines.
Co-Authors Anastasia, Laurin Dewi Yunitasari, Fitria Eziah Ika Lubada Fitria Dewi Yunitasari Galuh Gondo Kusumo Hapsari, Badrahini Tri Imtihani, Hilya Nur Kusumo, Galuh Gondo Lubada, Eziah Ika Ni Made Dwi Ratnadi Permatasari, Intan Kurnia Prasetyo Handrianto Putri Febri Anggraini Putri, Octavia Eka Ratih Kusuma Wardani Rumangkang, Rizky Kurnia Septi Fandinata, Selly Susanty Kartika Dewi Ulfa, Ninik Mas Widya Handayani Widya Handayani Yessy Asli Rahmawati Yuliarni, Floreta Fiska Yunitasari, Fitria Dewi