Gambaran Rasionalitas Penggunaan Antibiotik berdasarkan Kriteria Gyssens di Bangsal Obstetri dan Ginekologi RSUP Dr. Hasan Sadikin Bandung

Abstract

Abstrak Tujuan : Penggunaan antibiotik yang tidak rasional terjadi di banyak rumah sakit dan dikaitkan dengan peningkatan jumlah resistensi antibiotik di seluruh dunia. WHO telah menggambarkan bahwa saat ini sedang terjadi “krisis” resistensi antibiotik yang berpotensi menyebabkan musibah secara global. Di Indonesia termasuk RSUP Dr. Hasan Sadikin Bandung data penelitian yang menggambarkan kualitas penggunaan antibiotik masih terbatas. Metode : Penelitian ini merupakan jenis penelitian deskriptif eksploratif dengan desain cross sectional dilaksanakan di RSUP Dr. Hasan Sadikin Bandung pada periode September–November 2016  pada pasien rawat inap di bangsal Obstetri dan Ginekologi. Rasionalitas penggunaan antibiotik diukur berdasarkan kriteria Gyssens yang  mengklasifikasikan kasus penggunaan antibiotik berdasarkan suatu alur memuat indikasi, jenis antibiotik, dosis, rute, interval, dan waktu pemberiannya. Hasil : Dari 150 kasus mayoritas merupakan kasus obstetri (62,7%) dengan kelompok umur terbanyak antara 21−35 tahun (73,3%). Berdasarkan  kriteria gyssens didapatkan terbanyak adalah kategori V (40,3%), sedangkan kategori 0 (antibiotik rasional) didapatkan sebanyak (22%). Kesimpulan : Penggunaan antibiotik yang tidak rasional berdasarkan kriteria Gyssens masih tinggi ditemukan di bangsal Kandungan dan Kebidanan Kata kunci : Antibiotik, kualitas penggunaan antibiotik, kriteria gyssens Abstract Objective : The use of irrational antibiotics occurs in many hospitals and is associated with an increase of antibiotic resistance worldwide. WHO has described that there is currently a “crisis” of antibiotic resistance that has the potential to cause a global disaster. In Indonesia, including dr. Hasan Sadikin Hospital research data describing the quality of antibiotic use is still limited. Method : This study is a descriptive explorative research with cross sectional design that was conducted in dr. Hasan Sadikin Hospital on September until November 2016 with the sample was all inpatient that trated in the Obstetric and Gynecology ward.. The rationality of antibiotic use is measured by the Gyssens criteria that classify cases of antibiotic use based on a path containing indications, type of antibiotics, doses, routes, intervals, and time of administration. Result : Of the 150 cases the majority were obstetric cases (62.7%) with the most age group between 21-35 years (73.3%). Based on the criteria gyssens obtained the most is category V (40.3%), while category 0 (rational antibiotics) obtained as much (22%). Conclusion : The use of irrational antibiotics based on the Gyssens criterion is still high in the Obstetric and Gynecology ward Key words : Antibiotics, quality of antibiotic use, criteria gyssens