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All Journal Pharmacy Reports Jurnal Pustaka Mitra : Pusat Akses Kajian Mengabdi Terhadap Masyarakat Jurnal Kefarmasian Indonesia
Akhmad, Atika Dalili
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Public Health Social Sciences Other

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Evaluasi Penggunaan Antibiotik pada Pasien Rawat Inap di Bangsal Penyakit Dalam RSUD. Dr. H. Abdul Moeloek Provinsi Lampung Dirga, Dirga; Khairunnisa, Sudewi Mukaromah; Akhmad, Atika Dalili; Setyawan, Irfanianta Arif; Pratama, Anton
Jurnal Kefarmasian Indonesia VOLUME 11, NOMOR 1, FEBRUARI 2021
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v11i1.3570

Abstract

The high prevalence of infectious disease in Indonesia causes increased use of antibiotics. It has serious consequences since it can cause germicidal resistance rapidly increased, significant morbidity and mortality, as well as high additional medical costs per year. This study aims to evaluate the appropriateness of antibiotic use inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province. This research was observational (non-experimental) with a descriptive evaluative research design. The data were obtained from the retrospective tracing of medical records that collected by a purposive sampling technique on July-December 2017. A total of 163 inclusion samples are analyzed qualitatively and quantitatively. The qualitative analysis uses standard guidelines for the use of antibiotics and quantitative analysis uses the anatomical therapeutic chemical (ATC)/Defined Daily Dose (DDD) method. The results showed that out of 168 medical records, 19 types of antibiotics were used with a 118.57 DDD value of 100 patient days. The most widely prescribed was ceftriaxone (49.09%). The highest number of infections was diabetic ulcers with an incidence of 42 cases (25%). Out of 168 evaluated cases, 166 cases (98.8%) were appropriate indication, 168 cases (100%) were appropriate patients, 150 cases (89,29%) were appropriate medication, and 89 cases (52,97%) were appropriate dosage. These results indicated that the use of antibiotics inpatients in the internal medicine ward of Dr. H. Abdul Moeloek in Lampung Province were rational but it was necessary to consider selectivity regarding the choice of antibiotic use for infected patients.
Characteristics and evaluation of potential drug interactions among HIV/AIDS outpatients: a retrospective study at primary health center in a North Lampung regency, Indonesia Nabila, Novrilia Atika; Karim, Miska Aulia; Akhmad, Atika Dalili
Pharmacy Reports Vol. 5 No. 1 (2025): Pharmacy Reports
Publisher : Indonesian Young Scientist Group and UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51511/pr.102

Abstract

People living with HIV/AIDS require lifelong antiretroviral therapy (ART) and frequently experience complications and comorbidities that raise the risk of drug-drug interactions. This study aimed to characterize the patients, describe their medication use, and identify potential drug interactions among HIV/AIDS patients at a primary health center in North Lampung Regency. We performed a retrospective, descriptive review of medical records from January to December 2024. All eligible HIV/AIDS patients (N = 31) were included via total sampling. Drug interaction screening used the Lexicomp® application and Stockley’s Drug Interactions. The results showed that most HIV/AIDS patients were male (74.19%), aged 36–45 years (41.93%), and classified as WHO clinical stage I (38.70%). The first‑line ART regimen TLE (tenofovir + lamivudine + efavirenz) was prescribed to 54.8% of patients. A total of 35 potential interactions were identified: 65.7% were moderate pharmacokinetic, 28.6% minor pharmacokinetic, and 5.7% pharmacodynamic (2.9% major and 2.9% moderate). Moderate pharmacokinetic interactions predominated, underscoring the importance of proactive screening and ongoing medication review by pharmacists to prevent adverse events and optimize therapy in HIV/AIDS care.
Pemeriksaan dan Edukasi Kesehatan bagi Guru dalam Upaya Pencegahan Hipertensi, Asam Urat, dan Diabetes di SMA 2 Muhammadiyah Bandar Lampung Akhmad, Atika Dalili; Nabilla, Novrilia Atika; Karim, Dewi Damayanti Abdul; Rooswita, Putri Amelia; Oktariza, Yasinda; Mayefis, Delladari
Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat) Vol 5 No 4 (2025): Jurnal Pustaka Mitra (Pusat Akses Kajian Mengabdi Terhadap Masyarakat)
Publisher : Pustaka Galeri Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55382/jurnalpustakamitra.v5i4.1093

Abstract

Pemeriksaan kesehatan dasar merupakan langkah penting dalam deteksi dini risiko penyakit tidak menular di masyarakat. Melalui kegiatan pengabdian masyarakat ini, dilakukan pemeriksaan kesehatan terhadap 45 orang peserta untuk mengidentifikasi kondisi kesehatan mereka. Mayoritas peserta berada pada kelompok usia produktif 20–40 tahun (55,6%) dengan rata-rata usia 39,7 tahun, dan didominasi oleh perempuan (68,9%). Hasil pemeriksaan menunjukkan bahwa sebagian peserta memiliki kondisi kesehatan yang masih dalam batas normal, antara lain tekanan darah normal (90–120 mmHg) pada 26,7% responden, kadar asam urat normal (3–7 mg/dL) pada 60% responden, serta kadar gula darah normal (80–120 mg/dL) pada 71,1% responden. Temuan ini menunjukkan pentingnya upaya promotif dan preventif untuk mempertahankan serta meningkatkan derajat kesehatan masyarakat, khususnya pada kelompok usia produktif.
Out-of-pocket expenditure in Indonesia’s national health insurance: evidence from household survey in Bandar Lampung City, Indonesia Akhmad, Atika Dalili; Setyawan, Irfanianta Arif; Dirga
Pharmacy Reports Vol. 5 No. 2 (2025): Pharmacy Reports
Publisher : Indonesian Young Scientist Group and UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51511/pr.107

Abstract

Indonesia’s National Health Insurance (NHI) was established to promote equitable access to healthcare and protect households from financial hardship. However, out-of-pocket (OOP) payments continue to occur, leading in catastrophic health for many families. This study aimed to measure the incidence and identify the determinants of OOP spending among NHI participants in Bandar Lampung. A cross-sectional survey involving 253 NHI members was conducted in 2020 across clinics, public health centers, and pharmacies. Data were analyzed using chi-square and logistic regression. OOP spending was reported by 31.62% of respondents. Bivariate analysis indicated that the type of health facility (p = 0.004) and membership status (p = 0.040) significantly influenced OOP expenditure, while age, gender, education, occupation, income, and treatment class were not significant. Multivariate analysis confirmed that visits to clinics (p = 0.018) and membership in Mandiri or PBI groups (both p = 0.039) were associated with a higher likelihood of OOP payments. Despite essential health services being covered under NHI, OOP expenditure remains a considerable financial burden. These findings highlight the need for stronger policy interventions to improve benefit coverage and ensure equitable financial protection under Indonesia’s NHI system.
Co-Authors Damayanti Abdul Karim, Dewi Dirga Dirga Dirga Karim, Miska Aulia Khairunnisa, Sudewi Mukaromah Mayefis, Delladari Nabila, Novrilia Atika Nabilla, Novrilia Atika Oktariza, Yasinda Pratama, Anton Rooswita, Putri Amelia Setyawan, Irfanianta Arif