IDENTIFIKASI MASALAH TERKAIT OBAT PADA RESEP POLIFARMASI DI POLI INFEKSI PUSAT MATA NASIONAL RUMAH SAKIT MATA CICENDO BANDUNG

• Main Author: Wilda Risni, Hindun
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/45198
• Institution: Institut Teknologi Bandung

Information completeness in a prescription is very important related to prescription verification and confirmation when needed. In a prescription that consists of types of drugs more than or equals to 5 (polypharmacy), Drug Related Problems potential is higher than non polypharmacy prescription which can cause therapy effect problems. Rumah Sakit Mata Cicendo (RSMC) Bandung has not done the prescribing analysis consistently including completeness and DRPs analysis. Therefore, this study conducts analysis of prescribing that consist of administrative and DRPs aspects toward polypharmacy prescription in infection polyclinic RSMC Bandung. This study aimed to identify prescription completeness as well as some DRPs of patients in infection polyclinic that received polypharmacy prescription. The study began with collecting polypharmacy prescriptions and analysis of prescription completeness based on RSMC prescription form and Peraturan Menteri Kesehatan No. 58 Tahun 2014. Furthermore, the study conducted DRPs identification based on Medication Use Criteria composed from reliable references. Besides, costeffectiveness analysis was also conducted toward branded drugs based on market price. From 602 prescriptions that were analyzed, the result showed that polypharmacy prescriptions in infection polyclinic RSMC Bandung did not meet some of prescription completeness criteria, while DRPs analysis based on Medication Use Criteria showed that there were 67 cases of inappropriate dosage frequency, 19 cases of inappropriate therapy duration, 2 cases of untreated indications, 177 cases of drug duplication, and 97 cases of drug interactions. Cost-effectiveness analysis showed that 273 cases of medications were not cost-effective. Based on the result, DRP potential in polypharmacy prescription was 0,6 which meant that there would be 3 kind of DRPs occured in every 5 prescriptions.