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Systematic Review: The Impact of Antimicrobial Stewardship Program Implementation in Hospital Intensive Care Units Candra, Tifany Maulida; Syafhan, Nadia Farhanah; Kurniasih, Fransisca Dhani
Eduvest - Journal of Universal Studies Vol. 4 No. 11 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i11.1467

Abstract

Antimicrobial resistance represents a significant challenge in clinical settings, particularly in intensive care units (ICUs). The incidence of antimicrobial resistance in the ICUs has reached 30% of all hospital patients. Furthermore, over 71% of patients on the unit were using antibiotics. Consequently, infections contribute substantially to the elevated mortality and morbidity rates in patients with critical status. The Antimicrobial Stewardship Program (ASP) is a program that refers to a multidisciplinary approach to optimize the appropriate use of antimicrobials. This systematic review aims to identify ASP policies implemented in hospital ICUs, utilizing various parameters for assessment. This systematic review was conducted using PubMed, Scopus, Google Scholar, and the Cochrane Database of Systematic Reviews, focusing on publications from January 1, 2015, to June 1, 2024. A comprehensive review of 4,419 articles identified 12 studies that met the inclusion and exclusion criteria. The primary goal of ASP is to enhance the appropriateness of antimicrobial use, ensuring accurate prescribing practices in terms of indication, antimicrobial selection, route of administration, and therapy duration. The outcomes of ASP implementation are evaluated based on decreased in antimicrobial use, increased in the number of recommendations, decreased in treatment costs, and a decrease in multidrug-resistant organism (MDRO) incidence. Although numerous articles have provided positive results regarding the implementation of ASP in ICU settings, there remains a need for extensive and structured research to validate these findings comprehensively.
Edukasi PATUH untuk Pencegahan Penyakit Jantung Koroner melalui Pemberdayaan Ibu 3C (Cerdas Cegah Coroner) di Desa Kemanisan Mursyid, Abdillah; Chairani, Farahdina; Adini, Syilvi; Candra, Tifany Maulida; Amanda, Shalza; Novita, Via
Jurnal IPTEK Bagi Masyarakat Vol 5 No 2 (2025)
Publisher : Ali Institute of Research and Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55537/j-ibm.v5i2.1367

Abstract

Coronary heart disease is one of the leading causes of death worldwide and continues to pose a growing public health burden in Indonesia. The high prevalence of risk factors such as smoking, hypertension, obesity, and low physical activity, along with limited public awareness of early detection and healthy lifestyle practices, highlights the need for educational interventions that enhance knowledge and empower families as agents of behavioral change. This community engagement program aims to improve health literacy, particularly among women, through education on coronary heart disease prevention using the PATUH approach that encourages disciplined healthy habits. The program was implemented in Kampung Kubang Lor, Kemanisan Village, Curug District, Serang City in December 2024 and involved twenty housewives and prospective mothers as participants. The methods used included needs assessment, participatory education on heart disease and prevention, leaflet distribution, health exercise sessions, and blood pressure measurement. The results showed increased enthusiasm and active participation in discussions, along with better understanding of risk factors and prevention strategies. This activity strengthened the role of women as health promoters within their families and communities through the formation of the "Ibu-ibu Cerdas Cegah Coroner" group. The program proved relevant in addressing low health literacy and may serve as a replicable community based intervention model for other areas with similar characteristics. The findings recommend integrating family oriented educational initiatives into health promotion strategies such as in posyandu and healthy community programs to support sustainable prevention of noncommunicable diseases.