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EVALUASI PENGGUNAAN OBAT DI RUMAH SAKIT MARSUDI WALUYO, KABUPATEN MALANG TAHUN 2016 Dwi Praetyaning Rahmawati; Fauna Herawati; Susilo Ari Wardani
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Abstract-Optimization of health care has been the major requirement of health care facilities, especially at the era of National health insurance. Optimization of health care presented by the rational, evidence-based, and cost-effective use of medicines that should be evaluated regularly. Evaluation of national formulary application in hospital is part of drug use evaluation, to ensure that patients receive the most evidence-based and cost effective drugs in their medication. Beside of national formulary application evaluation, it also important to evaluate antibiotic consumption, as the prevention of antibiotic resistance, since the resistance of antibiotics influenced by the irrational use of antibiotics. Purpose of this study is to evaluate the application of national formulary, and antibiotics consumption in Marsudi Waluyo Hospital. This study design IS descriptive exploratory retrospective nature. Data were collected from Drug Use Evaluation (EPO) report in 2016. Result of this study showed that suitability percentage between drug use in 2016 and national formulary is 57,04%. Antibiotics consumption calculated by Defined Daily Dose (DDD) 100 patient-days method. Result showed that total value of DDD/100 patient days of those antibiotics is 350,86. The highest DDD value is ofloxacin, i.e: 49,46. The DDD values found in this study indicate a possibility of inappropriate use of antibiotics.
PROFILE OF ANTIBIOTIC USE AND GERMS MAP ON PNEUMONIA PATIENTS IN THE PULMONARY ROOM Dr. ISKAK HOSPITAL, TULUNGAGUNG Tsamrotul Ilmi; Rika Yulia; Fauna Herawati
CALYPTRA Vol. 7 No. 2 (2019): Calyptra : Jurnal Ilmiah Mahasiswa Universitas Surabaya (Maret)
Publisher : Perpustakaan Universitas Surabaya

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Abstract

Pneumonia is an infection of lung tissue caused by bacteria, fungi, viruses or parasites. Antibiotics is a major therapy in pneumonia. The aim of this study was to determine the amount of antibiotic use in DDD / lOO patient-days and to know the profile of germs map in pneumonia patients in Pulmonary Room Dr. Iskak Hospital, Tulungagung period January-June 2Ol7. Observational research method with retrospective data retrieval from patient medical record data and antibiotic usage data from Pharmacy Installation and microbiology culture result data of patient, then analyzed descriptively. The results showed the total amount of antibiotic in l3O unspecified pneumonia patients non ICU inpatient in Pulmonary Room Dr. Iskak Hospital, Tulungagung period January-June 2Ol7 was 5l.28 DDD/lOO patient-days. The most antibiotic types are levofloxacin iv 4O,l4 DDD /lOO patient-days and ceftriaxone 8.7l DDD /lOO patient- days. The profile of the pneumonia-causing germs map can not be determined because there is no data on microbiological culture test results from the patient.
Profil Kualitas dan Kuantitas Penggunaan Antibiotik Profilaksis pada Pre, On, dan Pos Bedah di Rumah Sakit Provinsi (RSP) NTB Firdaus Kabiru Massey; Rika Yulia; Nurlina Muliani; Fauna Herawati
Jurnal Sains Farmasi & Klinis Vol 8, No 1 (2021): J Sains Farm Klin 8(1), April 2021
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (809.311 KB) | DOI: 10.25077/jsfk.8.1.43-52.2021

Abstract

Penelitian ini bertujuan untuk mengetahui profil kuantitas penggunaan antibiotik berdasarkan metode DDD/100 patient-days dan kualitas penggunaan antibiotik berdasarkan persentase kesesuaian (indikasi, waktu pemberian, durasi, dosis, dan rute pemberian) terhadap ASHP, PPAB, dan Formularium Rumah Sakit, serta profil Infeksi Daerah Operasi (IDO) pada pasien bedah di RSP NTB periode Januari-Juni 2019. Metode penelitian menggunakan desain penelitian deskriptif dengan pengambilan data secara retrospektif terhadap data rekam medik sampel penelitian. Subyek penelitian adalah pasien bedah periode Januari-Juni 2019 yang memenuhi kriteria inklusi, yaitu sebanyak 323 sampel penelitian. Hasil yang diperoleh dari penelitian ini yaitu kuantitas penggunaan antibiotik periode Januari-Juni 2019 di dominasi oleh antibiotik ceftriaxone (J01DD04) dengan nilai total DDD/100 patient-days pada pre operasi yaitu 77,655, on operasi 87,31, dan post operasi 93,65. Kesesuaian pemilihan antibiotik profilaksis berdasarkan guideline ASHP sebesar 1,9%, PPAB 15,5%, dan Formularium RSP NTB 100%, sedangkan kesesuaian durasi, waktu pemberian, dosis, dan rute pemberian berdasarkan ASHP berturut-turut yaitu 19,2%, 42,7%, 1,5%, dan 100%. Sampel penelitian yang mengalami IDO yaitu 2 dari 323 sampel (0,62%) dengan hasil pertumbuhan bakteri yaitu Proteus sp., Staphylococcus aureus, S. epidermidis, dan E.coli. Uji sensitivitas keseluruhan bakteri penyebab IDO ditemukan masih sensitif terhadap antibiotik seperti chloramphenicol, amoxicillin-clavulanic acid, vancomycin, cefoxitin, dan oxacillin