PENGKAJIAN RASIONALITAS PENGGUNAAN ANTI INFEKSI DI PUSKESMAS MARGAHAYU RAYA KOTA BANDUNG

• Main Author: Zahidah Durrotun Nas, Amatullah
• Format: Final Project
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/45511
• Institution: Institut Teknologi Bandung

World Health Organization (WHO) estimates that more than half of the drug in the world used irrationally. One of the drugs that high risk and dangerous if used irrationally is antiinfective drugs. The use of anti infective drugs can lead to resistance of organisms and the infections become more difficult to treat. Anti infective drugs is one of the most used drugs in Puskemas Margahayu in Bandung Raya. Therefore, it is necessary to evaluate the use of anti infective drugs in Puskesmas Margahayu Raya Bandung as one of the quality assurance to ensure therapeutic effectiveness and patient safety. This research is a retrospective observational study of prescriptions that contain anti infective drugs from January to March 2015 in Puskesmas Margahayu Raya Kota Bandung. Evaluation of the prescription was done by comparing the actual data of anti-infective drugs use with the criteria which has been prepared before by the updated literature. The exsistance of Drug Related Problem (DRP) was classified based on the Gyssens algorithm. There were 3034 prescriptions that contain anti infective drugs which where evaluated in this study. There were 2002 cases of potential drug related problem, 1949 cases that were classified based on the Gyssens method, consisting of 17 inappropiate timing of the administration (category I), 12 cases of improper dosage (category IIA), 15 cases improper dosage interval (category IIB), 290 cases of duration is too short (category IIIB), 31 cases drug is not the most effective (category IVA), 21 cases drug spectrum too broad (category IVD), 363 cases of drugs without indication (category V ) and 1132 cases could not be evaluated because of lack of information or data (category VI), and 53 cases of potential drug interactions. There were also found 955 prescriptions that were written by other personnel other than doctor. The potential occurrence of drug-related problems were two cases for every three prescriptions that were studied.