#TITLE_ALTERNATIVE#

• Main Author: NYOMAN VIDYA SARASWATI NIM : 11614001, LUH
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/28648
• Institution: Institut Teknologi Bandung

Urinary tract infection (UTI) is an infection in urinary tract. The main therapy of urinary tract <br /> <br /> infections is using antibiotic. The irrational used of antibiotic will lead to resistance and increase <br /> <br /> of medical cost. This study was aimed to evaluate rationality uesed of antibiotic in hospitalized <br /> <br /> urinary tract infection patients at RSUP. Dr. Hasan Sadikin Bandung. The study was conducted <br /> <br /> patients’medical records from January until December 2017. UTI patients recieved antibiotic <br /> <br /> treatment were the inclusion criteria in this research. Rationality of antibiotic used was analyzed <br /> <br /> by Gyssens method. Data for 250 medical records was collected. Result showed that, there were <br /> <br /> 264 antibiotic prescribed of 250 medical records. Based on Gyssens method, there was 35.2% met <br /> <br /> 0 category (appropriate and rational), 3.8% met IIa category (inappropriate dosage), 3.4% met IIIa <br /> <br /> category (too long duration treatment), 39.3% met IIIb category (too short duration), 15.2% met <br /> <br /> IVa category ( improper because other more effective antibiotic available), and 3% met IVd <br /> <br /> category (improper used because other narrower spectrum of antibiotic available). Though 48 <br /> <br /> urin patient laboratory data, showed the presence of 52% of Escherichia coli sensitive to <br /> <br /> meropenem, 4.1% Pseudomonas aeruginosa were sensitive to amikacin, 6.3% Acinetobacter <br /> <br /> baumannii sensitive to amikacin, 2% Achromobacter xylosoxidans sensitive to meropenem, 12.5% <br /> <br /> Klebsiella pneumoniae sensitive to meropenem, 2% Candida glabrata sensitive to imipenem, 8.3% <br /> <br /> Enterococcus faecalis sensitive to vancomycin, 6.3% Morganella morganii sensitive to cefepime, <br /> <br /> 2% Proteus mirabilis sensitive to amikacin, and 4.1% Staphylococcus haemolyticus sensitive to <br /> <br /> vancomycin. Based on Gyssens method, the use of antibiotics for hospitalized urinary tract <br /> <br /> infection patient in RSUP. Dr. Hasan Sadikin Bandung need to be further improvement. <br />