RASIONALITAS PENGGUNAAN ANTIBIOTIK PASIEN INFEKSI SALURAN KEMIH DI INSTALASI RAWAT INAP RSUD SOE

Abstract

Acute respiratory tract infections are infections that occur in the nose, ears, and throat caused by viruses and bacteria. The usual treatment given is antibiotics. This study aimed to determine the rationality of the use of antibiotics in infants with acute respiratory infections non pneumonia at Pasir Panjang Public Health Center in 2018 which includes the right patient, the right type of antibiotic, the right way / route of administration and the right indication. The method used is systematic sampling. The population in this study were all toddler patients who received antibiotic therapy at Pasir Panjang Public Health Center in 2018 and the sample used was toddler patients who met population characteristics with exclusion criteria were incomplete medical records of toddler patients and pneumonia patients. The results of this study found that antibiotics used for ARI therapy in outpatients under five in the Pasir Panjang Public Health Center in 2018 are beta-lactam (amoxicillin) antibiotics, macrolide (erythromycin) sulfonamide (cotrimoxazole) groups. The rationality of antibiotic use based on 4T criteria is 100% correct indication, 95% correct dose, 100% right drug, and 100% right patient. The result of the Gyssens method category 0 (right / rational) was 86%, or in other words the use of antibiotics for ARI therapy in the Pasir Panjang Public Health Center was rational. The use of antibiotics is inappropriate namely category II B (inappropriate use of antibiotics interval of administration) by 4%, category II A (inappropriate use of antibiotics) by 10%. Keywords: Rationality, Antibiotics, Acute Respiratory Infection