Karakteristik Pasien dan Penggunaan Antibiotik di Ruang Pediatric Intensive Care Unit (PICU) Salah Satu Rumah Sakit Swasta di Sulawesi Utara
Characteristics of Patients and Antibiotic Use in Pediatric Intensive Care Unit (PICU) of A Private Hospitals in North Sulawesi
DOI:
https://doi.org/10.35790/ecl.v12i3.54384Abstract
Antibiotik merupakan jenis obat yang digunakan dalam mengatasi infeksi bakteri dimana penggunaannya paling sering pada pengobatan di rumah sakit salah satunya di PICU. Golongan dan mekanisme kerja dari antibiotik yang beragam menjadi faktor dalam penggunaan antibiotik sebagai suatu terapi. Tujuan dari penelitian ini untuk mengetahui bagaimana karakteristik penggunaan antibiotik di PICU salah satu rumah sakit swasta di Sulawesi Utara. Penelitian ini bersifat deskriptif retrospektif dengan sumber data sekunder rekam medik bulan Januari sampai Juni 2023 yang diambil menggunakan metode total sampling. Dari penelitian, hasil yang didapatkan hanya 23 pasien yang diberikan terapi antibiotik dengan total antibiotik yang digunakan sebanyak 47 antibiotik. Berdasarkan antibiotik yang digunakan seftriakson merupakan antibiotik terbanyak yang digunakan yaitu 12 (25,53%) antibiotik diikuti sefotaksim 11 (23,4%) antibiotik, dan gentamisin 10 (21,28) antibiotik terbanyak ketiga. Sedangkan meropenem, ampisilin, amikasi, dan seftazidin merupakan contoh antibiotik yang jarang digunakan dimana penggunaannya hanya 1 (2,12%) antibiotik. Penggunaan antibiotik paling banyak diberikan dengan tujuan sebagai terapi empiris sebanyak 41 (87,23%) antibiotik dengan terapi profilaksis dan skin test mempunyai jumlah yang sama sebanyak 3 (6,38%) penggunaan. Antibiotik yang diberikan secara intravena sebanyak 39 (82,98%) penggunaan merupakan cara pembeian terbanyak selain pemberian secara oral maupun topikal. Simpulan penelitian ini adalah golongan sefalosporin merupakan golongan terbanyak yang digunakan dalam terapi PICU dengan indikasi terapi terbanyak sebagai terapi empiris dan cara pemberian melalui intravena.
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