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Journal : Indonesian Journal of Pharmaceutical Education

The Use of Prophylactic Antibiotics for Cesarean Section Delivery and The Incident of Surgical Site Infection Shofiatul Fajriyah; Umul Farida; Sri Agustina; Lelly Winduhani Astuti; Esti Ambar Widyaningrum
Indonesian Journal of Pharmaceutical Education Vol 3, No 2 (2023): Mei-Agustus 2023
Publisher : Jurusan Farmasi Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/ijpe.v3i2.19864

Abstract

According to the 2018 Riskesdas data, the ratio of deliveries by cesarean section in 2018 was recorded at 17.6% of a total of 78,736 deliveries. One of the serious problems in postoperative treatment that has an impact on increasing morbidity, mortality, and increasing medical costs is surgical site infection (SSI). To reduce the risk of infection, efforts are made by giving prophylactic antibiotics followed by surgical procedures. The aim of this study was to determine the use of prophylactic antibiotics in cesarean section surgery and to determine the incidence of surgical site infection (SSI) in patients after Sectio Caesarea surgery in one of a private hospital in Kediri City. This study was an observational descriptive study with retrospective data collection through tracing of medical record data of patients who underwent Caesarean section surgery in 2021. The samples that entered the inclusion criteria were patients who received surgical prophylaxis with antibiotics and returned to the hospital for control after 1 week postoperatively. Samples that met the inclusion criteria were 89 patients. The sampling technique used purposive sampling. This study collected data on prophylactic antibiotics used and the incidence of SSI on days 1, 3 and (7-10) postoperatively.  The results showed that the types of prophylactic antibiotics in patients undergoing sectio caesarea were ceftriaxone 2 g (99%) and cefotaxime 2 g (1%). Whereas there were 3 patients (3%) who had SSI on days 7-10 postoperatively.
Hubungan Jumlah Peresepan Obat Terhadap Potensially Inapropriate Medications Berdasarkan Beers Criteria 2019 Pasien Diabetes Mellitus Kumala Sari Poespita Dewi Wahyuni; Esti Ambar Widyaningrum; Erni Anika Sari; Dwitania Noerhalizah
Indonesian Journal of Pharmaceutical Education Vol 3, No 2 (2023): Mei-Agustus 2023
Publisher : Jurusan Farmasi Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37311/ijpe.v3i2.19752

Abstract

Diabetes melitus can lead to complications if not controlled, the risk of complications in geriatric patiens can lead to an increase in the number of drugs prescribed, so that many geriatric receive polypharmacy drugs. Polypharmacy can be used as a factors to describe Potentially Inappropriate Medications. Potentially Inappropriate Medications are the potential for inappropriate drug use which causes a risk of side effects where there are alternative drug options for the same therapy. This study was to determine the number of drug prescribing for Potentially Inappropriate Medications based on the 2019 Beers Criteria. This studi was an observational descriptive study using retrospective data. The sample used was 195 prescriptions for patients with diabetes mellitus in the period October-December 2020 with purposive sampling technique. Characteristics of the data using the contingency coefficient correlation test. The number of drug prescriptions obtained, a total of 68.21% of patients received 5 kinds of drugs in one prescription based on the assessment of the incidence of Potentially Inappropriate Medications, there were 92.82% of prescriptions indicate an incidence of Potentially Inappropriate Medications. The highest number of Potentially Inappropriate Medications received was category one namely 50,38%. There are difference in the categories of Potentially Inappropriate Medications that patients receive due to diseases suffered by geriatricians where disease that affect many organs cause geriatricians to receive many drugs in health services. Based on a p-value of 0,000 there is a statistically significant relationship between the amount of drug administration with Potentially Inappropriate Medications.