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All Journal Jurnal Kedokteran Brawijaya Jurnal Hukum dan Etika Kesehatan (JHEK)
Pasaribu, Munawaroh
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Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology

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Implementasi Komite Pengendalian dan Pencegahan Resistensi Antimikroba dalam Perspektif Hukum Kesehatan di RSUD Ulin Banjarmasin: Implementation of The Antimicrobial Stewardship Comittee to Prevent Antibiotic Resistance: A Health Law Perspective at Ulin Hospital Banjarmasin Pasaribu, Munawaroh; Noor Rahman, Aditya; Insani, Dina Aulia
Jurnal Hukum dan Etika Kesehatan VOLUME 5 NO 2
Publisher : Magister Ilmu Hukum - Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/jhek.v5i2.256

Abstract

This study emphasizes the relationship between legal aspects and health policy implementation, particularly the Antimicrobial Resistance Control and Prevention Program (PPRA) based on Ministry of Health Regulation No. 8 of 2015 and No. 28 of 2021. The program represents the hospital’s legal responsibility to ensure the right to safe, high-quality, and rational healthcare. Antimicrobial resistance, which increases patient morbidity and mortality, has become a global and national problem. This research employs a juridical-empirical method with a sociological approach, combining primary data from interviews with PPRA administrators and secondary data from legal documents and hospital policies. The results indicate that antibiotic use at Ulin Regional Hospital, Banjarmasin, has been regulated according to the PPRA guidelines established by the hospital director. However, implementation remains suboptimal, particularly in planning, supervision, and healthcare workers’ understanding of rational antibiotic use. The lack of management support and coordination serves as a major obstacle. Strengthening hospital information systems, managerial support, and active involvement of all health professionals are essential to ensure the sustainability of PPRA. From a health law perspective, PPRA implementation at Ulin Hospital has not fully met the principles of legal governance in healthcare. Strengthening internal regulations, enhancing managerial oversight, and conducting periodic evaluations based on the patient safety principle are required to improve compliance and service quality.
Neonatal Sepsis Caused by Pseudomonas putida in NICU at Tertiary Hospital in South Kalimantan Andayani, Pudji; Hartoyo, Edi; Pasaribu, Munawaroh; Marhaeni, Wulandewi; Yunanto, Ari; Putra, Nataniel Hadi; Himawan, Gratianus Billy; Salim, Monica Anggriana; Halim, Pricilia Gunawan
Jurnal Kedokteran Brawijaya Vol. 34 No. 1 (2026)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Pseudomonas putida is a Gram-negative bacterium that can cause nosocomial infections, particularly in neonates. This study aimed to identify the characteristics of neonates with P. putida infection, the antibiotics administered, and the treatment outcomes during a P. putida outbreak. This descriptive study collected data from the medical records of neonates diagnosed with neonatal sepsis admitted to Ulin Hospital, Banjarmasin, between August and October 2022. Data collected included patient characteristics, clinical profiles, laboratory results, antibiotic therapy, P. putida antibiotic sensitivity results, and bacterial culture results from samples taken in the NICU during the outbreak period. Fourteen neonates (6.5%) had positive P. putida during the outbreak of blood cultures, including 13 neonates born at Ulin Hospital and one referred from another health facility. Neonates with P. putida infection exhibited leukopenia, thrombocytopenia, and elevated CRP levels. After obtaining the culture results and antibiotic sensitivity tests, the choice of antibiotics was adjusted based on the bacteria's sensitivity. The antibiotics found compelling during treatment included ciprofloxacin, cefepime, tazobactam, gentamicin, a combination of ciprofloxacin and amikacin, and a combination of piperacillin. Most of the clinical and laboratory characteristics improved following treatment, but three neonates unfortunately died during hospitalization. Overall, there were clinical and laboratory improvements after administering antibiotics according to the culture-based antibiotic resistance results.
Co-Authors ary yunanto Edi Hartoyo Halim, Pricilia Gunawan Himawan, Gratianus Billy Insani, Dina Aulia Marhaeni, Wulandewi Noor Rahman, Aditya Pudji Andayani, Pudji Putra, Nataniel Hadi Salim, Monica Anggriana