Kualitas Penggunaan Antibiotika Pada Pasien Pneumonia Sebelum dan Sesudah Adanya Pemberian Informasi Obat Oleh Farmasis Di Bangsal Rawat Inap RSUD Kabupaten Brebes
Based on the criteria of Gyssens, antibiotic use was rational when met the 0 criteria/category, whereas the use of antibiotics met the criteria I-VI/category known as irrational. The aim of this study was to observe the rationality usage of antibiotics before and after the provision of drug informat...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2013
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/128032/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68358 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Based on the criteria of Gyssens, antibiotic use was rational when met the
0 criteria/category, whereas the use of antibiotics met the criteria I-VI/category
known as irrational.
The aim of this study was to observe the rationality usage of antibiotics
before and after the provision of drug information by the pharmacist on a
selection of therapies for patients with pneumonia in the ward of Brebes Public
Health. This study aims to determine the rationality of the use of antibiotics before
and after the provision of drug information by pharmacists to physicians in the
selection of therapy for patients hospitalized pneumonia Brebes Hospital. The
design of quasi experimental study, a retrospective analysis of medical records of
observations in January-June 2012, the pharmacist intervention in the form of
provision of drug information to physicians in the form of pneumonia, according
to IDSA guidelines in 2007, and a discussion of intervals and doses of antibiotics
during the month of December 2012. Prospective study in January - June 2013
against pneumonia patients inpatients wards Brebes Hospital. Evaluation of
antibiotic selection was performed in all antibiotic regimens prescribed by a
doctor.
A total of 27 patients met the subject criteria of the retrospective study and
24 patients met the criteria of the prospective study. The results of this study
showed that in the retrospective study subjects who received a single antibiotic
was 65.51% and 62.50% on the prospective study, while receiving antibiotic
combination on retrospective and prospective study were 20.69% and 33.33%
respectively. The average length of stay (LoS) in the group receiving a single
antibiotic was 4.77 days while 4.50 days on the antibiotic combination (p = 0.646
> 0,05).
Quality of antibiotic use on retrospektif that met category 0 (rational) was
50% and 50% was irrational, while on the retrospective study of rational and
irrational were 48,50% and 51,50% respectively with the p value = 0.897 (>
0.05). The average length of stay in the group receiving antibiotics rationally and
irrationally were 4.64 (2-9) days and 4.81 (3-9) days respectively with p = 0.674
(> 0,05). The correlation between rationality antibiotic use and clinical outcome
was tested with Fisher test obtained p value = 1,00 (> 0.05).
There is no significant correlation in the parameters such as the duration of
treatment in the hospital with antibiotics rationality, and qualitative parameters
such as clinical outcomes with antibiotics rationality there is also no significant
correlation. No significant correlation between on rationality use of antibiotics in
pneumonia patients between before and after the provision of drug information to
pharmacists in the inpatient wards at Brebes Hospital. |
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