CD Skripsi
Evaluasi Penggunaan Antibiotik Berdasarkan Metode Point Prevalence Survey Di Bangsal Rawat Inap ICU RSUD Arifin Achmad
Antimicrobial resistance is a major challenge in many areas of life, especially in healthcare. Antibiotics are often used in the treatment of infections, especially in ICU patients who have high comorbidities.This study used a descriptive, cross- sectional design with the Point Prevalence Survey (PPS) method to examine antibiotic use in the ICU of RSUD Arifin Achmad, Riau Province, during October– November 2024. The study found that out of 61 ICU patients, 42 were using antibiotics. The highest percentage users were in the RICU and Medical ICU (100%). Of all the patient, 24 patients receiving one type of antibiotic and 18 receiving more than one. The largest group of antibiotic users was children under 1 year old (40.5%), and more male patients used antibiotics (59.5%). The majority of antibiotics were given to patients with a history of surgery (52.38%). Patients with TB as a comorbidity accounted for 4 cases (9.4%), while those with malnutrition as a comorbidity were 14 cases (33.3%). Most patients had a McCabe score classified as "non fatal" (73.80%). In terms of AWaRe classification, the antibiotics used were mostly from the Access category and Watch category (42,6 %), followed by Reserve (14.1%). Indications for prescribing antibiotics were dominated by indications of community infection (CAI), namely 55.7%. Compliance with guidelines was only 45.9%, and empiricaltherapy was still the most dominant therapy, namely 92.7%.
Keywords: Antibiotic, antimicrobial resistance, Point Prevalence Survey, surgical
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