EVALUASI KERASIONALAN PENGGUNAAN ANTIBIOTIKA PADA PENGOBATAN PNEUMONIA ANAK DI INSTALASI RAWAT INAP RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI-DESEMBER 2013
DOI:
https://doi.org/10.35799/pha.3.2014.5391Abstract
ABSTRACT
Appropriate use of the antibiotics are effective increased therapeutic clinical effect, minimized the occurrence of resistance and effective terms of cost. Rational use of antibiotics have to comply with several criteria like the appropriate patient, appropriate indication, appropriate drug, appropriate dose, and appropriate duration. This study was aimed to evaluate the rational utilizing of antibiotics in the treatment of pediatric pneumonia in Hospitalized Installation of RSUP Prof. Dr. R. D. Kandou Manado. This research is a descriptive study with retrospective data aggregation based on medical records. Research conducted on 53 pediatric patients medical record with pneumonia who fulfill the inclusion criteria. The result showed that antibiotics are the most used antibiotics combination is ampicillin-chloramphenicol were 26,42%. Evaluation of rational use of antibiotics to the appropriate patient (100%), appropriate indication (100%), appropriate drug (100%), and irrational use of antibiotics on criteria appropriate dose (8,93%) and appropriate duration (11,61%).
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Key words : Rational, antibiotics, pneumonia, pediatric
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ABSTRAK
Penggunaan antibiotika yang tepat ialah penggunaan antibiotika yang efektif dengan peningkatan efek terapeutik, meminimalkan terjadinya resistensi dan meminimalkan biaya obat. Penggunaan antibiotika yang rasional harus memenuhi beberapa kriteria, yaitu tepat pasien, tepat indikasi, tepat obat, tepat dosis, dan tepat lama pemberian. Penelitian ini bertujuan untuk mengevaluasi kerasionalan penggunaan antibiotika pengobatan pneumonia anak di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini berupa penelitian deskriptif dengan pengumpulan data secara retrospektif yang didasarkan pada catatan medis. Penelitian dilakukan terhadap 53 catatan medis penderita pneumonia anak yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan jenis antibiotika yang paling banyak digunakan pada pneumonia anak ialah kombinasi antibiotika ampisilin-kloramfenikol yakni sebesar 26,42%. Evaluasi penggunaan antibiotika yang rasional berdasarkan kriteria tepat pasien (100%), tepat indikasi (100%), tepat obat (100%) dan penggunaan antibiotika yang tidak rasional pada kriteria tepat dosis (8,93%) dan tepat lama pemberian (11,61%).
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Kata kunci : kerasionalan, antibiotika, pneumonia, anak
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