Evaluation of Antibiotics Treatment in Post Surgical RB2B Patients at H. Adam Malik Hospital
Abstract
Until now, antibiotics are still the mainstay of medicine in handling infectious disease cases. Antibiotics can be defined as compounds produced by various types of microorganisms (bacteria, fungi, actinomycetes) which can suppress the growth of other microorganisms. Postoperative is the postoperative period that starts when the patient is transferred to the recovery room and ends until the next evaluation. This research was conducted in the post-surgery room of H. Adam Malik Hospital Medan. This research objective is evaluation of antibiotic treatment in post-surgical RB2B patients at H. Adam Malik Hospital Medan. This type of research is non-experimental, quantitative descriptive that conducted at RB2B of H. Adam Malik Hospital Medan from May - September 2019. The sample was all post-surgical patients in RB2B who used antibiotics, amounted to 95 patients. Based on the research conducted, there were 4 groups of antibiotics treatment in Post- Surgery RB2B. The 4 groups namely Cephalosporins, Carbapenems, Nitroimidazoles and Quinolones. The most widely used postoperative antibiotic (RB2B) was Ceftriaxone, totalling 86 vials. Then followed by infusion of Metronidazole and 44 tablets. Then in the third place, the most used is Meropenem, as many as 13 vials. Followed by the use of cefotaxime and ciprofloxacin, 6. each. And finally, the least use, namely: Cefoperazone inj as many as 5 vials. The conclusion of this study was that 60% of antibiotics prescribed in RB2B had fulfilled the Fornas, while the discrepancy according to Fornas was 40%.
References
ACOG. (2010). Antimicrobial Prophylaxis for Cesarean Delivery: Timing of Adsminitration.
Anand, N., Dinesh M &Anupama. (2011). Comparison of combinations of ciprofloxacin-metronidazole and ceftriaxone-metronidazole in controlling operative site infections and gynecological surgeries: A retrospective study. Journal of Pharmacology and Pharmacotherapeutics.
Baradero. (2008). Prinsip dan Praktek Keperawatan Perioperatif. Jakarta: EGC.
Flum, D. R. (2015). Acute appendicitis—appendectomy or the “antibiotics first” strategy. New England Journal of Medicine, 372(20), 1937-1943.
Goodman, G. (2008). Farmakologi Terapi. Jakarta: Penerbit Buku Kedokteran EGC; 2008.
Kementrian Kesehatan Republik Indonesia. (2011). Pedoman Pelayanan Kefarmasian Untuk Terapi Antibiotika Kementrian Kesehatan Republik Indonesia.
Madjid, M., Miller, C. C., Zarubaev, V. V., Marinich, I. G., Kiselev, O. I., Lobzin, Y. V., ... & Casscells III, S. W. (2007). Influenza epidemics and acute respiratory disease activity are associated with a surge in autopsy-confirmed coronary heart disease death: results from 8 years of autopsies in 34 892 subjects. European heart journal, 28(10), 1205-1210.
Majid, A. (2011). Keperawatan Perioperatif. I. Yogyakarta: Goysen Publishing.
Musrifatul U & Hidayat A.A. A. (2008). Keterampilan Dasar Praktik Klinik Untuk Kebidanan. Jakarta: Salemba Medika.
Oh, A.L., Goh, L.M., Azim, N.A.N., Tee, C.S., Phung CWS. (2014). Antibiotic usage in surgical prophylaxis: a prospective surveillance of surgical wards at a tertiary hospital in Malaysia. 2014.
Palikhe, N., Pokharel A. Prescribing regimes of prophylactic antibiotic used in different surgeries. India: Kathmandu Univ; 2004.
Pelczar, M. J., & Chan, E. C. S. (1988). Dasar-dasar mikrobiologi Jilid 2. Jakarta: Universitas Indonesia.
Prystowsky, J.B., Pugh, C.M., Nagle A. (2005). Appendicitis. 2005.
Sastramihardja, W. & Herry, S. (1997). Penggunaan Antibiotik Yang Rasional. I. Jakarta: IDI
Schwartz, S. I., Shires, G. T., & Spencer, F. T. (2000). Intisari prinsip-prinsip ilmu bedah. Laniyati dkk (Penerjemah). Edisi ke-6. Jakarta: EGC.
Siswandono, S. B. (1995). Kimia Medisinal: Antibiotika. Airlangga University Press.
Sudoyo, W. A, Setiyohadi B, Alwi I, Marcellus Simadibrata K. S. S. (2006). Buku Ajar Ilmu Penyakit Dalam. IV. Jakarta: Pusat Penerbian Departement Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia.
Uliyah, M. & Hidayat A. (2006). Keterampilan Dasar Praktik Klinik Kebidanan. Jakarta: Salemba Medika
Wells B. G, Dipiro J. T, Swhinghammer T. L D. C. (2009). Pharmacotherapy Handbook: Infectious Disease. Seventh ed. Newyork: The MC Graw-Hill Companies Inc
Widjojo, P., Surastri, B., Wijayahadi, N., & Nugraha, T. L. (2009). Pengantar Kuliah Farmakologi Teurapeutik I.
World Health Organization. (2006). Implementing the new recommendations on the clinical management of diarrhoea: guidelines for policy makers and programme managers.
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