Intan Fatah Kumara
Department Of Child Health, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Yogyakarta, Central Java

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STUDI PENGGUNAAN ANTIBIOTIK PASIEN PNEUMONIA ANAK DENGAN METODE DDD DAN DU 90% Farah Bidara; Mumfasiroh Saputri; Dyah Aryani Perwitasari; Intan Fatah Kumara; Muhammad Ardhani
Jurnal Ilmiah Ibnu Sina (JIIS): Ilmu Farmasi dan Kesehatan Vol 6 No 1 (2021): JIIS
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.318 KB) | DOI: 10.36387/jiis.v6i1.644

Abstract

Pneumonia is one of the most common respiratory infections. The treatment of pneumonia mostly uses broad-spectrum empirical antibiotics that are susceptible to resistance. One of the efforts to reduce antibiotic resistance is to use antibiotics wisely which can be done by regularly evaluating the quantitative and qualitative use of antibiotics. The purpose of this study was to determine the quantity of consumption and the type of antibiotic used in patients pneumonia child inpatient ward at Hospital Mitra Paramedika Yogyakarta (MPY) and Yadika Pondok Bambu Jakarta (YPBJ) by DDD (Defined Daily Dose) and DU (Drug utility) 90%. This is a descriptive study period June 2017 - April 2020 in pediatric patients aged 1 - 18 years with a diagnosis of pneumonia. Sampling was performed at the Medical Record Installation. The Data taken were antibiotic type, dosage regimen, medication route, antibiotic duration (day), and hospital stay (day) as well as patient demographic data (age, type sex) .There are differences in the pattern of antibiotic use between YPBJ and MPY. Comparison of DDD and DU 90% may be due to differences in standard of therapy used by physicians, antibiotic resistance, differences in germ maps and hospital formularies. Keywords: Pneumonia, Children, Antibiotic, Defined Daily Dose, DU 90%
Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children Niken Iswarajati; Intan Fatah Kumara; Agung Triono
Paediatrica Indonesiana Vol 62 No 6 (2022): November 2022
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi62.6.2022.396-403

Abstract

Background Status epilepticus (SE) is a neurological emergency, with short-term mortality ranging from 0.9 to 3.6% in children. The disease burden of SE includes morbidity, treatment costs, and mortality. Various scoring tools for predicting outcomes in adult SE cases have been widely studied, but there are few tools for predicting outcomes in children with SE. Objective To evaluate the usefulness of status epilepticus in pediatric patients severity score (STEPSS), a clinical score for predicting functional outcome and mortality in pediatric patients with status epilepticus, as well as to identify characteristics of SE patients. Methods This retrospective cohort study included 88 pediatric patients with status epilepticus aged >1 month to ?18 years by consecutive sampling, who were treated at Dr. Sardjito Hospital, Yogyakarta. All subjects underwent assessment by STEPPS score, which were compared to functional outcome assessed by Pediatric Overall Performance Capacity (POPC) score and mortality. Results STEPPS > 3 was significantly correlated with poor functional outcome (OR 2.85; 95%CI 1.04 to 7.87; P=0.043), but was not significantly correlated with mortality outcome in children with SE (P=0.411). Conclusion STEPPS score with cut-off >3 can be used as a predictor of poor functional outcome in pediatric patients with SE aged >1 month to ?18 years, but cannot be used as a predictor of mortality.