CD Skripsi
Gambaran Penggunaan Antibiotik Kualitatif Berdasarkan Metode Point Prevalence Survey Di Irna Surgikal RSUD Arifin Achmad Provinsi Riau
Antibiotic resistance has become a global emergence nowadays, caused by excessive and irresponsible use of antibiotics. The administration of antibiotics during surgical procedures is necessary to prevent surgical site infection. Therefore, evaluation of antibiotics use in surgical ward is required. This study used a descriptive method with cross-sectional design adopting a Point Prevalence Survey (PPS) method to describe the use of antibiotics in surgical inpatient ward at Arifin Achmad Regional Hospital between October – November 2024. Of 110 inpatients, 53 received antibiotics. Of 53 patients with antibiotics, most patients received 1 type of antibiotic (79.2%), had surgery since admission (84.9%), with NHSN surgery category (91.9%). Indications comprised surgical prophylaxis (79.2%), community-acquired infections (13.2%), and hospital-acquired infections (7.5%). The most common antibiotic prescriptions were skin, soft tissue, bone, and joint prophylaxis (66.7%), with duration of surgical prophylaxis for more than 1 day (88.1%). Of 64 antibiotic prescriptions, the most common antibiotic type is Ceftriaxone (60.9%), and according to AWaRe classification is dominated by Watch category (68.8%). Reason for the antibiotic prescriptions were documented (96.9%), with the guideline compliance was only 43.8%. Of 11 therapeutic use, sample cultures were perfomed in 54.5% cases. The use of empirical antibiotics remains high, amount 90.9%.
Keywords: Antibiotic, antimicrobial resistance, AWaRe classification, Point Prevalence Survey
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