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All Journal Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat Jurnal Pengabdian Ilmu Kesehatan
Hidayati Hidayati
Universitas Batam
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Nursing Physics Public Health

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Evaluation of the Rationality of Antibiotic Use in Acute Respiratory Infection Patients at Hospital X, Batam City Zaki Mubarak; Fifin Oktaviani; Hidayati Hidayati; Aldhehita Ari Kusumawati
Jurnal Anestesi Vol. 4 No. 1 (2026): Januari : Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v4i1.2810

Abstract

Acute respiratory infection (ARI) is among the conditions with the highest antibiotic prescribing rates in health care, even though most cases are of viral origin and self-limiting. Irrational prescribing in this setting is a major driver of antimicrobial resistance. This study aimed to evaluate the rationality of antibiotic use in ARI patients at Hospital X, Batam City. A cross-sectional design was applied, with data collected retrospectively from the medical records of ARI patients who received antibiotics during January-March 2024. Rationality was assessed qualitatively using the Gyssens method, while antibiotic selection was mapped against the WHO 2023 AWaRe classification. Of 96 prescriptions meeting the inclusion criteria, the most frequent antibiotics were amoxicillin (31.3%) and amoxicillin-clavulanic acid (22.9%), with acute pharyngitis (27.1%) as the leading diagnosis. Based on the AWaRe classification, the Access group predominated (68.8%), exceeding the WHO target of 60% or higher. Gyssens evaluation showed that 60.4% of prescriptions were rational (category 0), whereas 39.6% were irrational, with the most common deviations being inappropriate dosing (category IIA; 9.4%), availability of a more effective antibiotic (category IVA; 6.3%), and overly short duration (category IIIB; 5.2%). These findings indicate that although antibiotic selection was relatively appropriate, dosing and duration still require improvement. Strengthening the antimicrobial stewardship programme with emphasis on dose and duration accuracy is recommended to improve treatment quality while curbing resistance in health facilities.
Implementasi Edukasi DAGUSIBU dalam Meningkatkan Literasi Penggunaan Antibiotik pada Kasus Infeksi Gigi dan Mulut di Masyarakat Kartini Hasballah; Zaki Mubarak; Fifin Oktaviani; Aldhehita Ari Kusumawati; Hidayati Hidayati
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 2 (2025): Juli: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i2.7891

Abstract

Dental and oral infections are among the most common health complaints in the community and are frequently self-treated with antibiotics without a physician's prescription. Inappropriate antibiotic use is one of the main drivers of antimicrobial resistance (AMR), which currently poses a global health threat. This community service activity aimed to improve public literacy regarding the rational use of antibiotics in dental and oral infection cases through a DAGUSIBU (Get, Use, Store, Dispose) educational approach. The activity was carried out in June 2025 in Belakang Padang Subdistrict, Batam City, Riau Islands Province, involving 42 participants. A pre-experimental one-group pretest-posttest method was applied, comprising preparation, implementation (pretest, interactive lecture supported by leaflets and slides, demonstration, and discussion), and evaluation. A validated and reliable knowledge questionnaire was used as the instrument, and data were analyzed using the Wilcoxon test. The results showed an increase in the mean knowledge score from 58.7 (poor category) to 85.3 (good category), with the proportion of participants in the good category rising from 19.0% to 83.3%. The Wilcoxon test yielded p = 0.000 (p < 0.05), indicating a significant difference before and after the education. DAGUSIBU education was proven effective in improving antibiotic-use literacy in dental and oral infection cases and can serve as a community-based strategy to control antibiotic resistance.
Penggunaan Obat yang Aman pada Anak melalui Pendekatan Interprofesional Zaki Mubarak; Kartini Hasballah; Fifin Oktaviani; Hidayati Hidayati; Aldhehita Ari Kusumawati
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 3 No. 1 (2025): February: Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v3i1.2550

Abstract

Medication errors among children in household settings remain a leading cause of preventable harm, particularly in small island areas with limited access to healthcare professionals such as Kasu Island, Belakang Padang District, Batam City. This community service program aimed to improve the knowledge and skills of parents, integrated health post (posyandu) cadres, and early childhood teachers regarding safe medication use in children through an interprofessional approach involving pharmacists, physicians, nurses, and midwives. The activity was conducted on February 2, 2025, through field visits by an interprofessional team to posyandu cadres, using interactive lectures based on the DAGUSIBU principles, demonstrations of liquid dosage measurement, case simulations of fever and diarrhea in children, and interprofessionally facilitated focus group discussions. Evaluation employed a one-group pretest–posttest design involving 42 participants. The results showed a significant increase in the mean knowledge score from 50.4 ± 10.9 to 83.5 ± 7.8 (p<0.001; Wilcoxon test), with the greatest improvement in medicine disposal and prudent antibiotic use. The interprofessional approach effectively strengthened medication literacy in the island community and is recommended for replication in other hinterland areas with sustained mentoring through posyandu.
Co-Authors Aldhehita Ari Kusumawati Fifin Oktaviani Kartini Hasballah Zaki Mubarak