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All Journal Folia Medica Indonesiana Veterinary Biomedical and Clinical Journal Farmasis: Jurnal Sains Farmasi Journal of Agropharmacy
Aryani, Dhita Evi
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Biochemistry, Genetics & Molecular Biology Chemistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Veterinary Other

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Evaluasi Penggunaan Antibiotik pada Pasien Diare Menggunakan Metode ATC/DDD di Puskesmas Kalisat Kabupaten Jember Rachmawati, Ema; Husnun, Khoiriyah Haifa; Machlaurin, Afifah; Norcahyanti, Ika; Christianty, Fransiska Maria; Aryani, Dhita Evi
FARMASIS: Jurnal Sains Farmasi Vol 5 No 1 (2024): Farmasis: Jurnal Sains Farmasi Vol 5. No. 1 (2024)
Publisher : Universitas PGRI Adi Buana, Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/farmasis.v5i1.8777

Abstract

Pendahuluan: Diare merupakan masih menjadi masalah utama di seluruh dunia dan menjadi penyebab tingginya angka kesakitan dan kematian di segala usia. Sebagian besar kasus diare disebabkan oleh virus bersifat self limiting disease. Namun sayangnya, diare menjadi salah satu penyakit yang rentan menyebabkan overuse dan misuse dari penggunaan antibiotik. Hal tersebut berpotensi meningkatkan resiko terjadinya resistensi antibiotik. Surveilans pola peresepan antibiotik merupakan bagian penting dalam pengendalian resistensi antibiotik dan perlu dilakukan secara secara rutin dari waktu ke waktu. Tujuan: Melakukan evaluasi penggunaan antibiotik pada pasien diare di Puskesmas Kalisat Kabupaten Jember tahun 2021 menggunaakan metode ATC per DDD serta melihat kesesuiaan pemilihan antibiotik berdasarkan PPK tahun 2017. Metode: Penelitian ini merupakan penelitian cross sectional dengan metode retrospektif. Pengambilan data dilakukan terhadap 55 rekam medis pasien diare rawat jalan di Puskesmas Kalisat Kabupaten Jember tahun 2021 yang memenuhi kriteria. Data penggunaan antibiotik dihitung nilai sesuai indikator DDD per 1000 pasien per hari, Drug Utilization (DU) 90 persen serta kesesuaian dengan PPK 2017. Hasil: Karakteristik responden menunjukkan jumlah pasien diare perempuan lebih banyak dibanding pasien laki-laki (63,64 persen vs 36,36 persen). Persentase diare terbanyak terjadi pada kelompok usia 18-25 tahun dan 36-45 tahun dengan persentase masing-masing sebesar 21, 82 persen serta diagnosis paling banyak adalah gastroenteritis akut (GEA) yaitu sebesar 67,27 persen. Total penggunaan antibiotik pada pasien diare sebesar 5,98 DDD per 1000 pasien per hari dengan antibiotik yang sering diresepkan adalah kotrimoksazol dengan nilai 3,59 DDD per 1000 pasien per hari dan menyusun 60,13 persen dari segmen DU 90 persen. Persentase kesesuaian penggunaan antibiotik pada pasien GEA sebesar 94,59 persen. Sedangkan untuk pasien dengan diagnosis disentri, persentase kesesuaian penggunaan antibiotik didapatkan sebesar 38,88 persen. Kesimpulan: Kotrimoxazol paling tinggi diresepkan dalam terapi diare di Puskesmas Kalisat Kabupaten Jember dan menunjukkan persentase 60,13 persen dalam segmen DU 90 persen, sehingga perlu adanya evaluasi terkait ketepatan penggunaan sebagai upaya untuk mengendalikan jumlah peresepan antibiotik tersebut guna mencegah resiko resistensi  antibiotik.
The Effect of Triponyl Sulphate on Fetuses Development and Placental Abnormalities in Inducing Preeclampsia of Rattus norvegicus animal model Purwatiningsih, Wawid; Aryani, Dhita Evi; Vidiastuti, Dian; Oktanella, Yudit; Firmawati, Aulia
Veterinary Biomedical and Clinical Journal Vol. 1 No. 1 (2019)
Publisher : Faculty of Veterinary Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (672.49 KB) | DOI: 10.21776/ub.VetBioClinJ.2019.001.01.6

Abstract

Preeclampsia is one of the obstetrical problems that can cause maternal and fetal morbidity and mortality. Preeclampsia causes the fetus born prematurely and low fetal weight. This is caused by high blood pressure which causes decrease of blood delivery to the placenta, so the supply of oxygen and food to the fetus decreases. As a result, fetal development inhibits and trigger born prematurely. More fatal, this disease cause the release of placental tissue from the uterus prematurely. The aim of this study was to determine the effect of administration of triponyl sulfate as induction of increased blood pressure in preeclampsia animal models, fetal development with alizarin red staining and placental abnormalities. The experimental animals were rats Rattus norvegicus mated with male rats monomating , 4 months old and 250-300 grams body weigh. Pregnant female rats were induced by triponyl sulfate 70 mg / kg BW (k +) and without induced by triponyl sulfate (k-). The results of the study showed that there were formation of the sternal bone in k- and malformation of the sternum bone at k +. Placental abnormalities occured in k +, it could be seen in the presence of ghos villi in blood vessel abnormalities in the preeclampsia placenta caused by there was no invation of trophoblast cells in the whole or partial spiral arteries and the mean of blood pressure increased.
The Knowledge Enhancement of Al Huda MTS Students about The Use, Storage and Disposal of Animal Medicine through Educational Seminars and Demonstration Aryani, Dhita Evi; Herawati, Herawati; Oktavianie, Dyah Ayu; Permata, Fajar Shodiq
Veterinary Biomedical and Clinical Journal Vol. 2 No. 2 (2020)
Publisher : Faculty of Veterinary Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.VetBioClinJ.2020.002.02.1

Abstract

Currently, there are many pet shops, animal clinics, and animal lover communities in Malang. Data from UB's animal education hospitals showed an increasing number of patients visiting there. This reflects that the owner had considered his favorite animal as part of his family that must be treated if they are sick. Drugs medicine plays an important role in the treatment of animal diseases. Therefore, pet owners must know how to use and store drugs properly so that the efficacy of the drug does not change, and the results of treatment are achieved. When the drug is not used anymore, the owner must know how to properly dispose of the drug to prevent the drug from being mixed, polluting the environment, or even being used by irresponsible people. The aim of this community service was to provide additional knowledge about how to use, store and dispose of veterinary medicines. The theme we took was "Increasing Knowledge of Al-Huda MTS Students on the Use, Storage and Disposal of Animal Medicine through Educational Seminars and Demonstration". Community service methods used were counseling and seminars on the use, storage and disposal of veterinary medicines and demonstrations on how to give medicines to cats. The evaluation tools used were pretest and posttest. The pretest and posttest results showed an increase in the knowledge of MTS Al-Huda students about how to give medicines to pets - especially cats -, how to store and dispose of drugs that are not used. While the results of the questionnaire showed a very good response related to community service.
ANALYSIS OF ANTIBIOTICS USE IN PEDIATRIC PNEUMONIA PATIENTS AGED 3 MONTHS - 5 YEARS Aryani, Dhita Evi; Hasmono, Didik; Zairina, Nun; Setiawan, Landia
Folia Medica Indonesiana Vol. 52 No. 2 (2016): APRIL - JUNE 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.198 KB) | DOI: 10.20473/fmi.v52i2.5224

Abstract

Pneumonia is an infectious disease that causes acute inflammation of the lung parenchyma and compaction exudate in the lung tissue. In addition to causing significant morbidity and mortality, pneumonia is also difficult to diagnose, treatments are less precise and less taken seriously. Pneumonia caused the death of 14% of children under five in Indonesia, with a mortality rate of 83 children per day. The difficulty of diagnosis, the selection of a less appropriate antibiotics, side effects, differences in pharmacokinetics and pharmacodynamics of the drug in infants and antibiotics resistance is to be a problem in itself. Therefore it is necessary to study the analysis of the use of antibiotics in patients with pneumonia of children aged 3 months till 5 years. The aim of this research to analyze antibiotics therapy in patients with pneumonia of children aged 3 months till 5 years. Method: an observational cohort analysis was carried out in the Pediatrics Respirology Division Dr. Soetomo Hospital Surabaya. Data was collected from February to May 2014. Patients who met the inclusion criteria were observed prospectively and the quantity and quality of antibiotics usage assessed with Gyssens category. Result: from February to May 2014 period, prospectively, the antibiotics usage quantitative evaluation used DDD/patient days shows that ampicillin 34.39DDD/100 patient days. Qualitative evaluation using Gyssens category on 75 antibiotics therapy shows that 32% considered appropriate. So, this study showed that ampicillin is most widely and qualitative analysis, only 32% of rational use of antibiotics.
Analisis Minimalisasi Biaya Penggunaan Antiplatelet Pada Pasien Stroke Infark Rawat Inap Wicaksono, Ayssa; Rachmawati, Ema; Norcahyanti, Ika; Aryani, Dhita Evi; Machlaurin, Afifah
Journal of Agropharmacy Vol. 1 No. 1 (2024)
Publisher : Faculty of Pharmacy, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Antiplatelets are crucial medications in the treatment of ischemic stroke patients. The management of stroke cases in Indonesia incurs substantial costs, reaching Rp. 3.2 billion annually. This study conducted a simple pharmacoeconomic research using Cost Minimization Analysis (CMA) method, utilizing medical records and patient financing data of ischemic stroke inpatients at RSUD Gambiran, Kediri City from January to December 2022. The study adopts a hospital perspective with the same outcome of patient recovery. Out of 659 stroke patients, 100 eligible participants, predominantly male aged 46-65 years with Diabetes Mellitus as the most common comorbidity, were included. Based on antiplatelet therapy profiles, the majority received a combination of clopidogrel and aspirin (65%), while 35% received clopidogrel monotherapy. The largest cost component was service cost amounting to Rp 2,898,606 (59.37%). According to CMA analysis, combination therapy showed cost-saving benefits compared to monotherapy in drug and medical equipment, laboratory, service, and total overall costs. Thus, for ischemic stroke patients with the same outcome of recovery, combination therapy of clopidogrel and aspirin isrecommended over clopidogrel monotherapy.
Evaluasi Penggunaan Antibiotik pada Pasien ISPA Non-pneumonia di Puskesmas Senduro Kabupaten Lumajang Tahun 2019 Pratiwi, Permata Sari; Rachmawati, Ema; Rachmawati, Sinta; Aryani, Dhita Evi; Norcahyanti, Ika; Machlaurin, Afifah; Muhammad Hilmi Afthoni
Journal of Agropharmacy Vol. 1 No. 2 (2024)
Publisher : Faculty of Pharmacy, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/joa.v1i2.1330

Abstract

Acute Respiratory Infection (ARI) is an infectious disease of the upper and lower respiratory tract. Non-pneumonic ARI is mostly caused by viral infections so symptomatic therapy can be given, but it can also be caused by bacterial infections so antibiotic therapy is needed. Unwise use of antibiotics can increase bacterial resistance, thereby increasing morbidity and mortality rates. Regular evaluations need to be carried out to reduce the unwise use of antibiotics. The evaluation method that can be used is a quantitative method (ATC/DDD) to determine trends in antibiotic use. This research was conducted on 278 outpatient non-pneumonic ARI patients at the Senduro Lumajang Community Health Center in 2019, with the aim of knowing patient characteristics, antibiotic use profile, and description of antibiotic use using the ATC/DDD method. The results showed that female patients (n=154; 55.4%), were more dominant than male (n=124; 44.6%), patients with the highest age range being 36-45 years (n=70; 25, 2%), the highest diagnosis of ARI was other acute infections of the upper respiratory tract (J06) (n=147; 52.9%), the most commonly used antibiotic was amoxicillin (n=227; 81.6%) and the most rarely used was cefadroxil (n=13; 4.7%). Based on the evaluation results using the ATC/DDD method, it shows that amoxicillin is the antibiotic with the highest DDD value of 7.5 DDD/1000 patients/day and the antibiotic levofloxacin with the lowest DDD value of 0.3 DDD/1000 patients/day.
Evaluasi Perencanaan dan Pengadaan Obat dengan Dana JKN di Puskesmas Rambipuji Jember Norcahyanti, Ika; Firandi, Adelia; Ramadhani, Nuril Izzati Farihatur; Rachmawati, Sinta; Rachmawati, Ema; Aryani, Dhita Evi; Wardhani, Firdha Aprillia; Kusumaningrum , Yunita Dyah
Journal of Agropharmacy Vol. 1 No. 3 (2024)
Publisher : Faculty of Pharmacy, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/joa.v1i3.1811

Abstract

Public Health Center is a health facility that organizes drug management activities, including planning and procurement activities. Evaluation needs to assess the success of achieving the objectives and results of the action. Indicators that can use are efficiency indicators published by the Ministry of Health of the Republic of Indonesia and efficiency indicators developed by Pudjaningsih. Rambipuji Public Health Center with spending funds for the most significant drug procurement in Jember Regency in 2020. Therefore, it is necessary to evaluate the results that can improve the quality of service in the next period. This research aims to determine the results of the evaluation of drug planning and procurement with JKN funds at Rambipuji Public Health Center for 2020. This research is descriptive, primary data through interview results. Secondary data includes total funds available, drug procurement funds, Drug Usage Reports, and Drug Demand Sheets for drugs purchased through JKN funds and stock cards. The data is analyzed descriptively, presented in the form of tables supported by interview results. The results showed that the Government of Indonesia had governed drug planning and procurement activities with JKN funds. The percentage indicator of available funds compared to the general funds needed is 114.26%. The percentage indicator of drug procurement fund allocation is 3.46%. Results on percentage indicator procurement conformity with the reality of the use of each drug item amounted to 133.33% and on the procurement frequency indicator of each drug item once a year. Through this research, it can be concluded that the evaluation results on indicators of the efficiency of drug planning and procurement activities at Rambipuji Public Health Center have not been by established standards. This matter was influenced by several factors, including a decrease in the number of patient visits due to the COVID-19 pandemic, changes in the organizational structure in the Jember Health Office that resulted in the frequency of procurement activities only once throughout 2020, and the absence of government regulations that regulate in more detail about the percentage of JKN funds allowed for drug procurement activities.
Evaluasi Penggunaan Antibiotik pada Pasien ISPA non Pneumonia Rawat Jalan dengan pendekatan Drug Utilization 90% Rachmawati, Ema; Norcahyanti, Ika; Aryani, Dhita Evi; Machlaurin, Afifah; Kurniawan, Eka Cahya
Journal of Agropharmacy Vol. 2 No. 1 (2025)
Publisher : Faculty of Pharmacy, University of Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Acute respiratory infections (ARI) are infections most commonly caused by viruses, and antibiotics are not always necessary. However, antibiotics are still frequently used needlessly in ARI patients. Unreasonably using antibiotics can affect the likelihood of adverse medication reactions, raise medical expenses, and lead to antibiotic resistance. Regular assessments are required to prevent the overuse of antibiotics. This surveillance study uses retrospective and cross-sectional data to monitor antibiotic use. We measured the amount of antibiotic use using the DDD method in combination with DU 90%. Outpatient non-pneumonia ARI patients at the Teja Health Center in the Pamekasan Regency in 2020 served as the study's sample. The study's samples consisted of 193 adult non-pneumonia ARI patients. The kind and quantity of antibiotics used were gathered from patient medical records. The daily consumption of each antibiotic was calculated in DDD/1000 inhabitants/day, then grouped into the DU 90% segment. Six types of antibiotics were used for the therapy of non-pneumonia ARI patients: amoxicillin, erythromycin, co-trimoxazole, chloramphenicol, cefadroxil, and ciprofloxacin. The most widely used antibiotic is co-trimoxazole, valued at 4.71 DDD/1000 inhabitants per day. Two antibiotics are included in the 90% DU segment: co-trimoxazole and amoxicillin. This shows that the selection of antibiotics in ARI cases is increasingly specific. However, the use of co-trimoxazole in the therapy of non-pneumonia ARI needs to be further evaluated to assess the accuracy of drug prescription. This is because co-trimoxazole is not included in one of the antibiotic choices in the therapy management guidelines.
Co-Authors Afifah Machlaurin, Afifah Dian Vidiastuti, Dian Didik Hasmono Ema Rachmawati Fajar Shodiq Permata Firandi, Adelia Firmawati, Aulia Fransiska Maria Christianty Herawati Herawati Husnun, Khoiriyah Haifa Ika Norcahyanti Kurniawan, Eka Cahya Kusumaningrum , Yunita Dyah Machlaurin, Afifah Nun Zairina, Nun Oktavianie, Dyah Ayu Pratiwi, Permata Sari Purwatiningsih, Wawid Ramadhani, Nuril Izzati Farihatur Setiawan, Landia Sinta Rachmawati Wardhani, Firdha Aprillia Wicaksono, Ayssa Yudit Oktanella, Yudit