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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya
Aryaputri Nabila Haurani
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Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Neuroscience Public Health

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ASSOCIATION BETWEEN MCISAAC SCORE AND ANTIBIOTIC PRESCRIBING IN SUSPECTED BACTERIAL TONSILLITIS Suwanto, Yustiana; Aryaputri Nabila Haurani
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 13 No. 2 (2026): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v13i2.944

Abstract

Tonsillitis is a common upper respiratory tract infection in children and adolescents. Although most cases are caused by viruses, antibiotics are still frequently prescribed. The McIsaac score is used to estimate the likelihood of group A Streptococcus infection and to support rational antibiotic use, but its application in clinical practice remains variable. This study aimed to analyze the relationship between the McIsaac score and antibiotic use in tonsillitis patients. This analytic observational study with a cross-sectional design used retrospective medical record data from RSUD K.R.M.T. Wongsonegoro Semarang from January 2020 to December 2025, with a sample of 97 patients. Most patients were in the moderate McIsaac score category (83.5%). Antibiotics were prescribed in 48.5% of cases, while 45.7% fell into the moderate category. Fisher–Freeman–Halton test results showed no significant relationship between the McIsaac score and antibiotic use (p=0.314). These findings indicate that antibiotic use has not been fully based on McIsaac score assessment, highlighting the need to strengthen the implementation of antibiotic stewardship in clinical practice.
Co-Authors Suwanto, Yustiana