Eko Retnowati
Universitas Muhammadiyah Kudus, Kudus, Indonesia

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Effectiveness of Antibiotic Use in Pediatric Diarrheal Patients Inpatient Bhina Bhakti Husada Rembang Hospital Eko Retnowati; Puput Syah Inta Purnama; Bintari Tri Sukoharjanti; Nura Ali Dahbul
Advances in Healthcare Research Vol. 4 No. 1 (2026)
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v4i1.729

Abstract

Purpose: This study aimed to analyze the characteristics of pediatric inpatients with diarrhea and to evaluate the relationship between the type of antibiotics used and therapeutic effectiveness at Bhina Bhakti Husada Rembang Hospital. It was hypothesized that differences in antibiotic type might influence treatment effectiveness, although other clinical factors could also contribute. Research Method: This study used a descriptive-analytic design with a retrospective approach based on medical records of 106 pediatric inpatients diagnosed with diarrhea during June–December 2025. Data included age, sex, antibiotic type, length of hospital stay, and diarrhea frequency before and after therapy. Therapeutic effectiveness was assessed based on length of hospitalization, with ≤3 days categorized as effective and >3 days as ineffective, supported by improvement in diarrhea frequency. Data were analyzed descriptively and bivariately. Results and Discussion: Most patients were aged 1–5 years (54.7%) and male (67.9%). Nitroimidazole was the most frequently used antibiotic (53.8%), followed by third-generation cephalosporins (34.0%). Overall, 57.5% of patients were categorized as effective and 42.5% as ineffective. No significant relationship was found between antibiotic type and therapeutic effectiveness. Implications: These findings suggest that treatment success in pediatric diarrhea is multifactorial and not solely determined by antibiotic class. Further research should include disease severity, hydration status, nutritional condition, and local resistance patterns.
Relationship Between Geriatric Patient Characteristics and Adherence to Outpatient Antihypertensive Therapy in Hospitals Fadlilatul Muthi’atun Nisa; Eko Retnowati; Galih Kurniawan
Advances in Healthcare Research Vol. 3 No. 2 (2025)
Publisher : Yayasan Pendidikan Bukhari Dwi Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60079/ahr.v3i2.596

Abstract

Purpose: This study aimed to analyze the relationship between geriatric patient characteristics and adherence to antihypertensive therapy in the outpatient department of Sarkies ‘Aisyiyah Kudus Hospital, with the hypothesis that sociodemographic factors such as age, gender, education, occupation, socioeconomic status, duration of illness, and knowledge influence treatment adherence. Research Method: A quantitative analytical observational study with a cross-sectional approach was conducted from May to June 2025. The sample consisted of 60 geriatric hypertensive patients selected through purposive sampling. Data were collected using the validated MARS-5 questionnaire and a knowledge-level questionnaire. Data analysis included validity and reliability tests, as well as univariate and bivariate analyses using the Chi-Square test with SPSS 27. Results and Discussion: The majority of respondents (96.7%) demonstrated high adherence to antihypertensive therapy. Bivariate analysis revealed significant associations between education level (p = 0.039), occupation (p < 0.001), and knowledge level (p = 0.012) with adherence. In contrast, no significant relationships were found with gender, age, duration of hypertension, or socioeconomic status. These results suggest that knowledge, education, and daily activities significantly influence adherence behavior, whereas demographic characteristics alone do not. Implications: The findings underscore the importance of health education, family support, and pharmacist counseling in promoting adherence among geriatric patients, particularly those with limited knowledge or educational backgrounds. Future studies should involve larger populations, employ longitudinal designs, and investigate the role of family support and healthcare communication in enhancing long-term adherence.