scholarly journals Evaluasi Penggunaan Antibiotik pada Pasien Tifoid Rawat Inap di Salah Satu Rumah Sakit Pemerintah Provinsi Bali dengan Metode Gyssens dan ATC/DDD

2020 ◽  
pp. 37
Author(s):  
I Gusti Ayu Nyoman Dyah Sukmawati ◽  
Made Krisna Adi Jaya ◽  
Dewa Ayu Swastini
Keyword(s):  
Medical Records ◽  
Antibiotic Use ◽  
Research Data ◽  
Provincial Government ◽  
The Other ◽  
Inclusion Criteria ◽  
Inappropriate Use ◽  
Government Hospitals ◽  
Global Health Problem

Typhoid is a global health problem especially in developing countries, one of which is in Indonesia. The incidence of antibiotic resistance in typhoid therapy can occur due to inappropriate use of antibiotics. This study aims to determine patterns of antibiotic use as well as the quality and quantity of antibiotic use in typhoid therapy in one of the provincial government hospitals in Bali. This study was an observational study conducted retrospectively which was analyzed using the Gyssens and ATC/DDD methods. The research data were taken from the medical records of patients in the January-December 2019 period that met the inclusion criteria. The results showed that of the 40 total antibiotics prescribing, ceftriaxone was the most widely used antibiotic for typhoid therapy. The quality of antibiotic use as much as 40% is stated rational (category 0), while the other 60% is irrational (categories I-VI) which includes the use of antibiotics with incorrect interval of administration (IIB; 5%), the use of antibiotics that is too long (IIIA; 40%), the use of antibiotics that are too short (IIIB; 5%), there are other antibiotics that are more effective (IVA; 5%), and there are other antibiotics that are less toxic/safer (IVB; 5%). The quantity of antibiotic use was stated more than WHO standards which includes the use of ceftriaxone at 83.80 DDD/100 patient days; levofloxacin at 27.47 DDD/100 patient days; and azithromycin at 3.52 DDD/100 patient days. The results of this study are expected to be a consideration for the hospital as a material for evaluation and improvement in order to improve the rationality of antibiotic use.

scholarly journals PROBLEM OF ANTIBIOTIC USE AND ANTIMICROBIAL RESISTANCE IN INDONESIA: ARE WE REALLY MAKING PROGRESS?

2013 ◽  
Vol 4 (4) ◽  
pp. 5 ◽  
Author(s):  
Usman Hadi ◽  
Kuntaman Kuntaman ◽  
Mariyatul Qiptiyah ◽  
Hari Paraton
Keyword(s):  
Antimicrobial Resistance ◽  
Antibiotic Use ◽  
Teaching Hospitals ◽  
Resistant Bacteria ◽  
Prevention Study ◽  
Antibiotic Resistant ◽  
Inappropriate Use ◽  
Government Hospitals ◽  
Inappropriate Antibiotics ◽  
Very High

Background: Based on the results Antimicrobial Resistance in Indonesia: prevalence and prevention-study (AMRIN-study), the Ministry of Health of Indonesia in 2005 began a program antibiotic resistance control (PPRA) in some government hospitals, and is currently developing to all government teaching hospitals in Indonesia. Aim: The core activities of the PPRA are to implement standardized surveillance emergence of antibiotic resistant bacteria, and the surveillance of antibiotic use in terms of quantity and quality. Method: Our research in the years 2003 showed the proportion of antibiotic use 84% of patients in a hospital. The use of inappropriate antibiotics was very high, 42% no indication. Result: In 2012 the results of surveillance showed decline of inappropriate use of antibiotic, but prevalence extended-spectrum b-lactamase (ESBL)-producing K.pneumoniae (58%), and E.coli (52%) andmethicillin-resistant S.aures (MRSA) (24%) were increasing. Conclusion: It was needed to implement the most appropriate programs to prevent the growth and development of bacteria resistant to antibiotics.

scholarly journals PERBANDINGAN KUALITAS PRODUK DAN MINAT MENABUNG PADA LPD DESA ADAT TAJUN DENGAN DESA ADAT TEGAL

2020 ◽  
Vol 4 (1) ◽  
pp. 59-67
Author(s):  
Eka Swarnadi Luh ◽  
Ketut Budi Susrusa ◽  
Ida Ayu Listia Dewi
Keyword(s):  
Product Quality ◽  
Financial Institutions ◽  
Rapid Development ◽  
Research Data ◽  
The Other ◽  
Physical Evidence ◽  
Significant Difference ◽  
The Difference ◽  
Better Than

LPDs are non-bank financial institutions that are regulated and approved by the Regional Regulations of the Province of Bali. The management of LPD is fully handed over to the relevant Pakraman village. In line with the rapid development of LPDs, it turns out that on the other hand it shows diverse performance, so that LPDs need to pay attention to the level of product quality and customer interest in the products offered.            The purpose of the study was to determine the comparison of product quality and interest in saving at the Tajun Traditional Village LPD with the Traditional Village of Tegal. The number of samples from Tajun Adat Village LPD was 98 people and the LPD of Tegal Traditional Village was 84 people. The research data were analyzed by the Mann-Whitney Test. The results showed that there was a significant difference between the quality of the products of the Adat Village of Tajun LPD and the Traditional Village of Tegal. This difference is indicated by indicators of physical evidence, reliability, responsiveness and empathy. The product quality of Tajun Adat Village's LPD is better than the traditional village of Tegal. There is a significant difference between the interest in saving the traditional village of Tajun LPD and the traditional village of Tegal. The difference is in the indicator of confidence. Interest in Saving Tajun Indigenous Village LPD is higher than the Traditional Village of Tegal.

scholarly journals IMPACT OF ANTIMICROBIAL STEWARDSHIP PROGRAM ON THE USE OF ANTIBIOTICS IN PNEUMONIA PATIENTS AT TEACHING HOSPITAL IN SURAKARTA INDONESIA

2021 ◽  
pp. 20-23
Author(s):  
HIDAYAH KARUNIAWATI ◽  
TRI YULIANTI ◽  
DEWI KUROTA AINI ◽  
FINISHIA ISNA NURWIENDA
Keyword(s):  
Antimicrobial Stewardship ◽  
Antibiotic Use ◽  
Study Data ◽  
Defined Daily Dose ◽  
Inappropriate Use ◽  
Stewardship Program ◽  
Daily Dose ◽  
The Impact ◽  
Method Show

Objective: Antibiotic resistance is a serious problem worldwide. One cause of antibacterial resistance is the inappropriate use of antibiotics. Thestudy of antibiotic use in hospitals found that 30–80% were not based on indications. Antimicrobial Stewardship Programs (ASP) was developed tocontrol antimicrobial resistance. This study aims to evaluate the impact of ASP in pneumonia patients qualitatively and quantitatively pre-post ASPapplied.Methods: This research is a non-experimental study. Data were taken from the medical records of pneumonia patients and analyzed qualitativelyusing the Gyssens method and quantitatively using the Defined Daily Dose (DDD) method. Sampling was conducted through purposive sampling andresults were described descriptively.Results: During the study period, 96 samples were obtained with 48 data pre-ASP and 48 data post-ASP. The results of the qualitative analysis usingthe Gyssens method show an increase in the prudent use of antibiotics from 31.25% to 62.5% pre-post ASP, respectively. Quantitative evaluationshows a decrease of antibiotic use pre-post ASP from 90.84 DDD/100 patients-days to 61.42 DDD/100 patients-days.Conclusion: The ASP can improve the quality of antibiotic use in pneumonia patients quantitatively and qualitatively.

scholarly journals A review on the use of operational research techniques in the medical records department

2020 ◽  
Vol 29 (1) ◽  
pp. 42-49
Author(s):  
Hossein Bagherian ◽  
Maryam Jahanbakhsh ◽  
Nahid Tavakoli
Keyword(s):  
Medical Records ◽  
Operational Research ◽  
English Language ◽  
Quality Of Services ◽  
Patient Scheduling ◽  
Inclusion Criteria ◽  
Workload Management ◽  
Analysis Process ◽  
Language Studies

Introduction: Various operational research (OR) techniques have been used in different areas of healthcare. One of the areas in which OR techniques can be effective is the medical records department (MRD). The aim of this study is to review the applications of OR in the management of MRD and its related processes. Methods: This is a review article. In order to collect data, English-language studies published between 2000 and 2018, related to the use of OR techniques in MRD, in the Medline, Science Direct, ProQuest and Web of science databases were investigated. From 1165 retrieved studies, 19 articles met the inclusion criteria and were included in the final review. Results: The results showed that different OR techniques such as linear programming, integer programming, simulation, hierarchical analysis process, etc. have been used in various aspects of the MRD and its ongoing processes such as improving efficiency, workload management, resource allocation, optimal scheduling of staff work hours, patient scheduling, patient admission and discharge. Conclusion: It can be concluded that if the managers and experts of MRD and health information management become familiar with the principles and techniques of OR and become aware of the importance of these techniques in improving efficiency of MRD, there is a hope that in the future these techniques will find their true place in MRD and ultimately enhance the quality of services provided to patients.

scholarly journals Evaluation on The Use of Antibiotics for Pneumonia Patients

2021 ◽  
Vol 15 (2) ◽  
pp. 88
Author(s):  
Nada Zavira ◽  
Abdul Kadir Jaelani ◽  
Fauna Herawati ◽  
Rika Yulia
Keyword(s):  
Fungal Infections ◽  
Control Program ◽  
Antibiotic Use ◽  
Inappropriate Use ◽  
Record Data ◽  
Acute Infectious Disease ◽  
The Right ◽  
Antibiotic Control ◽  
Time Of Administration

Pneumonia is an acute infectious disease that attacks lung tissue (alveoli) which can be caused by viral, bacterial, or fungal infections. Pneumonia is one of the diseases that have the highest death risk in Indonesia. The first line of treatment for pneumonia is antibiotic therapy. Inappropriate use of antibiotics will increase the possibility of antibiotic resistance. Antimicrobial Control Program (PPRA) is a health surveillance to control the use of antibiotics where the indicator of success is seen from the improvement in the quantity and quality of antibiotic use. Antibiotic control that can be performed is evaluating the use of antibiotics quantitatively and evaluating the suitability of antibiotics. The purpose of this study was to determine the quantity of antibiotic use with the DDD/100 patient-days unit and the suitability of the use of antibiotics based on PPAB. This study was observational, the data were taken retrospectively and analyzed descriptively. The research material used medical record data for pneumonia patients from January to June 2020 at RSUD Bangil. There were 91 research samples obtained by purposive sampling that met the inclusion and exclusion criteria. The data were analyzed quantitatively using the DDD/100 patient-days unit and 90% DU, and the suitability of antibiotics was analyzed using five indicators of the right indication, the right route, the right dose, the right interval, and the right time of administration. The results showed the use of antibiotics with a total value of DDD/100 patient-days of 78.13 DDD/100 patient-days with the highest value on moxifloxacin (39.28 DDD/100 patient-days). Antibiotics included in the 90% segment that need to be controlled are parenteral moxifloxacin (50.27%), ceftriaxone (23.34%), azithromycin (6.83%), oral moxifloxacin (4.62%), and levofloxacin (3.85%). The suitability of antibiotics based on PPAB RSUD Bangil 2019 showed the right indication (51.65%), right route (100%), right dose (87.23%), right interval (48.93%), and right time of administration (10.64). %).

scholarly journals Quantitative Antibiotic Use Profile in Typhoid

2020 ◽  
Vol 3 (3) ◽  
pp. 113-118
Author(s):  
Hidayatul Kurniawati ◽  
Marianti
Keyword(s):  
Typhoid Fever ◽  
Medical Records ◽  
Bacterial Resistance ◽  
Antibiotic Use ◽  
Drug Side Effects ◽  
Inclusion Criteria ◽  
Adult Age ◽  
Retrospective Data Collection ◽  
The Right ◽  
Age Range

Background. Typhoid fever is a common health problem in developing countries. Antibiotics are used to treat typhoidfever which is caused by a bacterial infection. Selection and use of appropriate and rational antibiotic therapy candetermine a success in treatment to avoid bacterial resistance and minimize drug side effects. This study aims todetermine the rationality of the use of antibiotics in adult patients diagnosed with typhoid fever in the InpatientInstallation of X Hospital in Yogyakarta. Method. Non-experimental research with descriptive observational researchdesign and retrospective data collection. The sample of this study was inpatients with a diagnosis of typhoid fever andwas recorded at the X Hospital Medical Records Installation in Yogyakarta for the period January 2016 - December2017 which was included in the inclusion criteria. Result. Data taken came from 75 medical records that were includedin the inclusion criteria. Patients were dominated by female patients as many as 64% and the adult age range was 18-30 years. The single most widely used antibiotic was levofloxacin in 27 cases (36%). The use of antibiotics with theright indication was 75 patients (100%), the right type was 75 patients (100%), the exact duration of administrationwas 64 patients (85.33%), the right dose was 73 patients (97.33%), the right interval was 73 patients (97.33%) and theright route of administration were 75 patients (100%). Conclusion. The rationality of using antibiotics is good withaccuracy> 75%.

scholarly journals URINARY CONTINENCE DIVERSION IN CHILDREN WITH NEUROGENIC BLADDER

2015 ◽  
Vol 22 (1) ◽  
Author(s):  
Yopie T Satyawan ◽  
Arry Rodjani ◽  
Irfan Wahyudi
Keyword(s):  
Urinary Diversion ◽  
Neurogenic Bladder ◽  
Medical Records ◽  
Urinary Continence ◽  
Initial Experience ◽  
Inclusion Criteria ◽  
Recurrent Uti ◽  
Common Etiology ◽  
Child Age

Objective: We evaluate the initial experience of the implementation of the urinary diversion procedure in patients with neurogenic bladder continence in children. Material & method: The study was conducted retrospectively by collecting data contained in patient medical records of patients who come for treatment to Cipto Mangunkusumo Hospital Jakarta, from 2003 to 2012, and by interviews with parents of patients over the phone or when the patients control to the clinic. The patient is a child (age 0-18 years), diagnosed with congenital neurogenic bladder, and had urinary diversion continence procedure. Results: There are eight cases with urinary diversion continence undertaken in Cipto Mangunkusumo Hospital and found only 7 cases met the inclusion criteria with more girls than boys. Common etiology was spina bifida (57%). Most of the patients complained of recurrent UTI, and the most techniques used are Mitrofanoff (72%) with complications 33%. Conclusion: Urinary diversion continence procedure that has been done in Urology of Cipto Mangunkusumo Hospital is Mitrofanoff-Monti. Of the total of seven cases performed, the initial evaluation gives good results after urinary diversion continence procedure. Improved quality of life of patients with the achievement continence, overcome recurrent UTI problems and kidney function can be retained. Keywords: Neurogenic bladder, Mitrofanoff techniques, Yang-Monti.

scholarly journals Síndrome de burnout em acadêmicos de enfermagem

2018 ◽  
Vol 2 (1) ◽  
pp. 82
Author(s):  
Daniela Chaves Peixoto Moreira ◽  
Rita De Cassia Julia Fernandes ◽  
Mércia Teixeira De Almirante ◽  
Cíntia Carolina Silva Gonçalves
Keyword(s):  
Quality Of Life ◽  
Nursing Students ◽  
Customer Service ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
The Other ◽  
Burnout Syndrome ◽  
Inclusion Criteria ◽  
Professional Environment

Burnout Syndrome (SB) refers to a response to high levels of stress related to work situations, being more related to professionals able to take care of the health status of the other. Nursing is one of those professions that suffers from this syndrome, and may also occur in students of this degree. In view of this situation, the purpose of this study was to describe how nursing students can develop SB. This exploratory-descriptive study with a qualitative approach, through a systematic bibliographical review, was performed with the collection of data through the electronic portal SCIELO, VHL and its LILACS database, books and manuals. Thirty publications were selected among articles, theses, dissertations and books, of which 18 were analyzed and used through thematic categorization, through the identification of common characteristics between titles and abstracts of each reference, 12 were excluded because they did not agree inclusion criteria and the other 9 publications were used to complement the elaboration of the article. The research evidenced that there was no occurrence of Burnout Syndrome in the academics, however this public is vulnerable to factors predisposing to the syndrome. However, such a syndrome is little discussed in the academic public, highlighting the need for research and deeper approaches, contributing to the prevention of this syndrome, so that in future the graduate does not enter the professional environment already affected by this psychic disorder, compromising their quality of life, as well as the quality of customer service.

scholarly journals ANTIBIOTIC PRESCRIPTION TO PEDIATRIC IN HOSPITAL BENGKULU, INDONESIA: ATC/DDD INDEX

2018 ◽  
Vol 10 (5) ◽  
pp. 31
Author(s):  
Zamharira Muslim
Keyword(s):  
Quantitative Analysis ◽  
Medical Records ◽  
Pediatric Patients ◽  
Antibiotic Prescription ◽  
Antibiotic Use ◽  
Government Hospital ◽  
Inclusion Criteria ◽  
Bed Days ◽  
The Government ◽  
Very High

Objective: The aim of this study was to evaluate the utilization of antibiotics for children in the General Hospital of Dr. M. Yunus Bengkulu, Indonesia by using the ATC/DDD index, which is accepted as a standard method.Methods: This study was descriptive analytic research with qualitative methods. Observations conducted over six months collecting retrospective prescribing data antibiotics in children admitted in January to June 2014. Data obtained assessed antibiotics prescribed in a quantity which is calculated using ATC/DDD index. In this study, DDDs of anti-infective agents are listed for systemic use, according to ATC/DDD 2016 Index. Data pediatric patients hospitalized amounted to 447 patients while fulfilling the inclusion criteria amounted to 103 medical records and the use of antibiotics which recorded 175 prescriptions.Results: The kind of antibiotics that are widely used are gentamicin (34.9%) and ampicillin (34.3%). The highest ACI based group is penicillin group antibiotics (ampicillin) is 26 DDD/100 bed-days. Highest DDDs in this study is ampicillin (101.7). Utilization of antibiotics in hospitals in Bengkulu, Indonesia to pediatric patient higher than suggested by the WHO is based on a quantitative analysis using the ACT/DDD index.Conclusion: Analysis of antibiotic use in children is not rationally quantitatively seen from the total value of ACI in one of the government hospital is very high compared to WHO standard and based on the most antibiotic type was ampicillin followed by gentamicin.

scholarly journals Monitoring Use of Antibiotic with ATC/DDD and DU 90% on Pediatric Patients at One of the Government Hospitals in East Borneo

2020 ◽  
Vol 5 (2) ◽  
pp. 121-124
Author(s):  
Risna Agustina ◽  
Wisnu Cahyo Prabowo
Keyword(s):  
Medical Records ◽  
Pediatric Patients ◽  
Antibiotic Use ◽  
Descriptive Study ◽  
Polymyxin B ◽  
Short Term ◽  
Quantitative Data Analysis ◽  
Government Hospitals ◽  
The Government ◽  
Basic Medical

Pediatric patients are among the recipients of most antibiotic treatment in hospitals so as to induce irrational use of antibiotics. This study aims to monitor the use of antibiotics in pediatric using ATC/DDD methods and DU 90%. This study is a descriptive study with a retrospective study by taking data from medical records to assess the use of antibiotics in pediatric patients with various diseases in the hospital. Quantitative data analysis using ATC/DDD methods showed that the widely used antibiotic was ceftriaxone 16,93% DDD. Antibiotics that include into the DU segment 90% use in the order of the largest to the smallest, respectively are ceftriaxone, metronidazole, cefotaxime, gentamycin, polymyxin B, colistin, cotrimoxazole, cefuroxime, and meropenem. The prescribing effect of short-term antibiotic use in basic medical services may increase the incidence of resistance.

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