#TITLE_ALTERNATIVE#

• Main Author: ASWIRAH NIM : 11614004, HASNA
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/27771
• Institution: Institut Teknologi Bandung

Improper use may lead to the development of antibiotic resistance. In 2013, CDC stated that 50% of <br /> <br /> antibiotic prescribed is neither necessary nor effective. The most commonly oral antibiotic used at <br /> <br /> Puskesmas Ibrahim Adje are amoxicillin, cotrimoxazole, and metronidazole. Therefore, the use of <br /> <br /> amoxicillin, cotrimoxazole, and metronidazole oral antibiotic in Puskesmas Ibrahim Adjie is evaluated to <br /> <br /> asses the accuracy of its use. The results of the study are expected to be used as input for the health <br /> <br /> profession related to the antibiotic use as one of the efforts to prevent antibiotic resistance. The study <br /> <br /> was conducted by observational method with cross sectional descriptive using retrospective design. Data <br /> <br /> taken from patient prescriptions during January-December 2017. Prescription was evaluated <br /> <br /> quantitatively using DDD (Defined Daily Dose) analysis and qualitatively using Gyssens method. The <br /> <br /> samples are 744 oral antibiotics amoxicillin, cotrimoxazole, and metronidazole prescription during 2017. <br /> <br /> Based on Gyssens method, there are 566 (76,07%) medication problems that consist of 29 (3,90%) cases <br /> <br /> of category IIA (incorrect dose), 8 (1,08%) cases of category IIB (incorrect interval), 1 (0,13%) case of <br /> <br /> category IIIA (duration too long), 39 (5,24%) cases of category IIIB (duration too short), 80 (10,75%) cases <br /> <br /> of category IVA (there is more effective alternative), 267 (35,89%) cases of category V (no antibiotic <br /> <br /> indicated), and 142 (19,09%) cases of category VI (no sufficient data). Meanwhile, there are 178 (23,925%) <br /> <br /> cases of category 0 (proper use of antibiotic). The rate of antibiotic use compared with DDD consecutively <br /> <br /> for amoxicillin, cotrimoxazole, and metronidazole are 5.86 DDD/patient/year, 2.68 DDD/patient/year, and <br /> <br /> 4.75 DDD/patient/year. <br />