EVALUASI RASIONALITAS PENGGUNAAN ANTIBIOTIK TERHADAP OUTCOME PADA PASIEN ANAK PENDERITA PNEUMONIA (STUDI KASUS DI RS Dr.R.SOETRASNO REMBANG)
Pneumonia disease kills more childrens under 5 years old than any other disease in every country troughout the world. Estimated nearly one-fifth of children's cause of death worldwide, approximately 2 million childrens under 5 years old die every year from pneumonia,...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| Subjects: | |
| Online Access: | https://repository.ugm.ac.id/130334/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=70754 |
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| Institution: | Universitas Gadjah Mada |
| Summary: | Pneumonia disease kills more childrens under 5 years old than any other
disease in every country troughout the world. Estimated nearly one-fifth of
children's cause of death worldwide, approximately 2 million childrens under 5
years old die every year from pneumonia, mostly in Africa and Asia. From the
children with pneumonia reported case data in Indonesia by 2011, about 168.019
infant under 1 years old cases pneumonia with 10.770 infant under 1 years old
suffer from severe pneumonia, and 312.014 toddler from 1-4 years old cases
suffer from pneumonia with 10.797 among them suffer from severe pneumonia.
Pneumonia in the DR. R. Soetrasno Rembang Hospital listed in top 10 cause of
hospitalizations disease. Based on data of DR. R. Soetrasno Rembang Hospital's
medical records from 2012, two hundred and seventy-seven patients with
pneumonia hospitalized. Two hundred and thirteen of them (56,5%) are children
under 14 years old. The use of antibiotics evaluation in children with pneumonia
at DR. R. Soetrasno Rembang has never been performed.
This study was an analitical cross sectional study with retrospective data
based on pediatrics medical record of patients with pneumonia whom admitted to
the pediatrics wards in DR. R. Soetrasno Rembang Hospital from January 2012 to
October 2013, and were assesed its rationality using Gyssen method and assesed
its clinical outcomes results after using antibiotics for 3 days.
The results showed that the use of antibiotics therapy given for the first
time to patients with pneumonia in DR. R. Soetrasno Rembang Hospital pediatrics
wards has been evaluated using Gyssen methods, 49,7% were rational and 50,3%
were irrational. Rational use of antibiotics gives better clinical outcomes
significantly (temperature, respiratory rate, retracti ons, leukocyte number, and
segmental neutrophyl counts) than irrational use of antibiotics ( p < 0,05). |
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