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Profil Penggunaan Antibiotik Profilaksis pada Pasien Bedah di Salah Satu RS Swata Kota Surabaya

Universitas Surabaya, Surabaya, Indonesia

Received: 27 Apr 2021; Revised: 25 May 2021; Accepted: 27 May 2021; Published: 1 Jun 2021.
Open Access Copyright (c) 2021 MEDIA KESEHATAN MASYARAKAT INDONESIA under http://creativecommons.org/licenses/by-sa/4.0/.

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Abstract

Latar belakang: Masalah resistensi bakteri terhadap antibiotik telah menjadi masalah internasional, jika tidak segera ditangani maka dapat merugikan masyarakat di seluruh dunia dari segi kesehatan dan ekonomi Data Antimicrobial Resistant in Indonesia (AMRIN) memperkirakan pada tahun 2018 kematian akibat Antimicrobial Resistant (AMR) sekitar 700.000 jiwa dan diperkirakan juga pada tahun 2050, AMR menyebabkan kematian 10 juta jiwa/tahun. Penelitian ini bertujuan untuk mengetahui profil kuantitas penggunaan antibiotik berdasarkan metode DDD/100 patient-days dan profil Infeksi Daerah Operasi (IDO) pada pasien bedah di salah satu RS Swasta Kota Surabaya periode Januari-Juni 2019.

Metode: Penelitian ini menggunakan desain penelitian deskriptif dengan pengambilan data secara retrospektif terhadap data rekam medik sampel penelitian. Subyek penelitian adalah pasien bedah periode Januari-Juni 2019 yang memenuhi kriteria inklusi yaitu sebanyak 241 sampel penelitian, lalu dihitung dengan menggunakan metode DDD/100 patient-days.

Hasil: Hasil yang diperoleh dari penelitian ini yaitu kuantitas penggunaan antibiotik periode Januari-Juni 2019 didominasi oleh antibiotik ceftriaxone (J01DD04) dengan nilai total DDD/100 patient-days pada pre operasi yaitu 17,95, on operasi 23,57, dan post operasi 23,22.

Simpulan: Konsumsi antibiotik terbanyak pada pre, on, dan post bedah didapatkan pada antibiotik ceftriaxone.

Kata kunci: Kuantitas antibiotik, pasien bedah, antibiotik profilaksis

 

ABSTRACT

Title: Usage Profile Prophylactic Antibiotics in Surgery Patient in A Private Hospital in Surabaya

Background: The problem of bacterial resistance to antibiotics has become an international problem, if it does not act immediately it can harm people around the world in terms of health and economy. Antimicrobial Resistant in Indonesia (AMRIN) data is estimated that in 2018 the death due to Antimicrobial Resistant (AMR) is around 700,000 people and assumptions too by 2050, AMR causes the death of 10 million people / year. This research aims to determine the quantity of antibiotic usage profiles based on the DDD/100 patient-days method and as well as Surgical Site Infection (SSI) profiles in surgical patients in the Private Hospital in Surabaya in the January-June 2019 period. Then calculate using the DDD/100 patient-days method.

Method: This research use descriptive research design method with retrospective data retrieval against medical records as research samples. The research subjects were surgical patients from January to June 2019 who met the inclusion criteria, which were 241 research samples.

Result: The results obtained from this research were the quantity of antibiotic used in the January-June 2019 which dominated by the antibiotic ceftriaxone (J01DD04) with a total DDD/100 patient-days value in pre-surgery that was 17,95, ion isurgery 23,57, and post surgery 23,22.

Conclusion: The most antibiotic consumption in pre, on, and post surgery was found in ceftriaxone antibiotics.

Keywords: Quantity of antibiotics, surgical patients, antibiotics prophylaxis

 

 

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Keywords: Kuantitas antibiotik; pasien bedah; antibiotik profilaksis

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