#TITLE_ALTERNATIVE#
Acute Respiratory Infection (ARI) is one of the main causes of patient visits in Community Health <br /> <br /> Center (Puskesmas) (40%-60%) and hospitals (15%-30%). Pharyngitis is an inflammation of the <br /> <br /> pharyngeal wall caused by viruses (40%-60%) and bacteria (...
Saved in:
| Main Author: | |
|---|---|
| Format: | Final Project |
| Language: | Indonesia |
| Online Access: | https://digilib.itb.ac.id/gdl/view/30068 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Institution: | Institut Teknologi Bandung |
| Language: | Indonesia |
| Summary: | Acute Respiratory Infection (ARI) is one of the main causes of patient visits in Community Health <br />
<br />
Center (Puskesmas) (40%-60%) and hospitals (15%-30%). Pharyngitis is an inflammation of the <br />
<br />
pharyngeal wall caused by viruses (40%-60%) and bacteria (5%-40%). ARI stewardship program <br />
<br />
specifically aims to reduce morbidity and mortality, especially in infants and toddlers, however the <br />
<br />
morbidity and mortality rates are still high as reported in the Result of Basic Health Research of <br />
<br />
2013. This study aimed to compare two methods of identifying the causes of acute pharyngitis using <br />
<br />
Centor Criteria and analysis of symptoms, signs and comorbidities, evaluate the rationality of <br />
<br />
antibiotic use; identify the impact of irrationality; and see if there was any relationship between <br />
<br />
patient adherence and the outcome of therapy of acute pharyngitis patients. This was a descriptive <br />
<br />
observational study involving evaluation the rational use of medicine, carried out retrospectively <br />
<br />
and concurrently at the Community Health Center (Puskesmas) Ciumbuleuit, Bandung in the period <br />
<br />
of March-June 2018. The results of the identification of causes of acute pharyngitis in both <br />
<br />
retrospective and concurrent phases showed no significant differences whether the evaluation was <br />
<br />
based on the Centor Score method or the method of analysis of symptoms, signs, and comorbidities <br />
<br />
(p = 0.830 and p = 0.593). In the retrospective phase, there were 59.55% of patients received <br />
<br />
antibiotic therapy albeit only an average of 27.7% of patients who were indicated to receive <br />
<br />
antibiotics. In the concurrent phase, the rationality of antibiotic use comprised the accuracy of the <br />
<br />
indication (46.67%), the accuracy of drug selection (87.5%), and the accuracy of the dose (100%), <br />
<br />
but there was inaccuracy in duration of antibiotic given to almost all patients. The results of <br />
<br />
therapeutic outcomes showed that 73.33% patients received good therapeutic results, with <br />
<br />
antibiotics and without antibiotics. The condition of patients with persistent symptoms after <br />
Ė¨®¨çŊçĀÚ  ĀĤçÂÂçćĤç®Ěŋ ĚĤäćĿÚäĤĤć¨ ¸Ŀ¨ Ĥćē Ĥç¨ĀĤ􀍛ĚĀćĀ-compliance (26.67%). The irrationality <br />
<br />
of antibiotic use could have an impact on the emergence of bacterial resistance to antibiotics and <br />
<br />
the increased risk of side effects in patients. <br />
|
|---|