Journal of Management and Pharmacy Practice最新文献

{"title":"EVALUATION THE EFFICIENCY OF INPATIENT DRUG DISTRIBUTION IN THE PHARMACY DEPARTEMENT OF TARAKAN HOSPITAL IN CENTRAL JAKARTA","authors":"Ika Purwidyaningrum, L. Hakim, Sri Wahyuni Pujitami","doi":"10.22146/JMPF.53","DOIUrl":"https://doi.org/10.22146/JMPF.53","url":null,"abstract":"Drug management in Hospital which consist of stages are selection, procurement, distribution and use. Result of preliminary observation done in Pharmacy departement of Tarakan Hospital found some inefficiency problem in distribution steps such as expired and damage control, conformity of record to physical checks on drug management, etc. Therefore, it necessary to evaluation the efficiency rate of inpatient ward drug management distribution. Research design was descriptive, retrospective and concurrent with the evaluation of documents relating to inpatient drug distribution process. The study used a sample of drugs including Class A medicines criteria. Data collected in the form of qualitative and quantitative data from observations of documents and interviews with relevant officers. Data was presented in tabular and textual descriptions. Data evaluation was descriptive using SPSS. Measurement of the efficiency of drug distribution was done by using indicators of the efficiency of Depkes and WHO, then compared with that indicator to determine the existence of inefficiency. The results showed, that according to several indicators inpatient ward drug distribution was not been efficient, inefficiency drug management indicators at this stage of the distribution occurs on a match between the physical card stock while (93.27%).Damaged and / or expired drugs in 2008 was 0.23% in 2009 was 0.48%. Prescriptions are not served in 2008 was 1.52%, 2.28% in 2009. TOR in 2008 was 6 times and in 2008 was 6.9 times. Efficient distribution of drugs already on the length of service time and the availability of prescription drugs  Key words: drug distribution, efficiency, Pharmacy departement of Tarakan Hospital","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114812563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"KAJIAN DRUG RELATED PROBLEMS PADA TERAPI PASIEN GAGAL JANTUNG RAWAT INAP","authors":"Alfin Rufaidah, I. Pramantara, I. P. Sari","doi":"10.22146/JMPF.133","DOIUrl":"https://doi.org/10.22146/JMPF.133","url":null,"abstract":"Keberhasilan pharmaceutical care tidak terlepas dari tiga fungsi utama apoteker, yaitu mengidentifikasi Drug Related Problems (DRPs) baik yang aktual maupun yang potensial terjadi, mengatasi DRPs yang terjadi aktual, dan mencegah terjadinya DRPs potensial. Penelitian bertujuan untuk mengetahui prevalensi kejadian DRPs, mengetahui DRPs yang terjadi, dan menganalisis faktor-faktor yang berpengaruh terhadap kejadian DRPs pada terapi pasien gagal jantung. Penelitian ini merupakan penelitian observasional cross sectional dan pengumpulan data dilakukan secara prospektif. Penelitian dilakukan di ruang rawat inap kelas II dan III RSUP Dr. Soeradji Tirtonegoro Klaten sejak pertengahan November 2014 hingga awal Januari 2015. Pengambilan sampel dilakukan secara consecutive sampling. Data dianalisis menggunakan statistik Uji-Chi Square dan Odds Ratio. Prevalensi kejadian DRPs pada terapi pasien gagal jantung rawat inap adalah sebesar 58,33% (49 pasien) dari 84 pasien, terdiri dari 88 kejadian DRPs, yang dikelompokkan menjadi enam kategori DRPs yaitu timbulnya reaksi merugikan sebesar 29,55% (26 kejadian), diperlukan terapi obat tambahan sebesar 21,59% (19 kejadian), dosis obat terlalu tinggi sebesar 19,32% (17 kejadian), obat tidak efektif sebesar 15,91% (14 kejadian), dosis obat terlalu rendah sebesar 7,95% (7 kejadian), dan terapi obat tidak diperlukan sebesar 5,68% (5 kejadian). Uji Chi-Square dan Odds Ratio menunjukkan bahwa umur, penyakit penyerta, dan polifarmasi tidak berpengaruh terhadap kejadian DRPs, namun LOS berpengaruh terhadap kejadian DRPs pada terapi pasien gagal jantung rawat inap di RSUP Dr. Soeradji Tirtonegoro Klaten. Pasien dengan LOS ≥6 hari mempunyai kemungkinan 6,92 kali (95% CI 2,63-18,25) untuk mengalami DRPs dibandingkan dengan pasien dengan LOS <6 hari (p<0,05).","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116656737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPLEMENTATION ANALYSIS OF PHARMACEUTICAL MANAGEMENT INFORMATION SYSTEM IN THE DR. YAP EYE HOSPITAL YOGYAKARTA WITH HOT-FIT MODEL","authors":"A. Pratiwi, R. Sudjaswadi, H. Kusnanto","doi":"10.22146/JMPF.58","DOIUrl":"https://doi.org/10.22146/JMPF.58","url":null,"abstract":"Analysis on Pharmaceutical Management Information System (PMIS) application should be conducted for measuring or estimating the potential benefit purposes, observing potential problems that organization and its members might be faced, especially on pharmaceutical inventory management of a hospital. The results of the analysis may be used as the references in order to improve the existing potentials, so the PMIS will be able to carrying on the objective, vision and mission(s) of an organization. The HOT-Fit analysis model plays important role within information system namely Human, Organization, and Technology and harmonization among them in order to create Net Benefit from PMIS implementation. This research was conducted in Pharmaceutical Departement of Dr. Yap Eye Hospital Yogyakarta. This research was conducted within non-experimental quantitative- qualitative approach and applied case study framework. Questionnaires were analyzed by applying descriptive statistic methodology, Pearson correlation analysis, regression, multivariate statistic, and path analysis. Meanwhile, qualitative data were analyzed in order to establish the resume. The results of research showed that application of information system had not fulfilled the user expectation yet. On other side, harmonization among user-organization- technology really needs improvement to happen. There were strong correlations between Human-Technology and Organization-Technology. Human and Technology simultaneously affected the Net Benefit by 88,7%. Human and Organization simultaneously affected the Net Benefit by 87,8%. Organization- Technology simultaneously affected the Net Benefit by 75,3%. The most affective variable toward PMIS successful implementation were Human and Technology which means that certain improvement in the quality of technology & users ability would improve the probability to success of PMIS implementation in Dr. Yap Eye Hospital Yogyakarta. Keywords : Information system analysis, HOT-Fit, Dr. Yap Eye Hospital Yogyakarta","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"34 14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123148540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE EFFECTIVENESS ANALYSIS OF MEDICATION BOOKLET ON ADHERENCE RATE IN TYPE 2 DIABETES MELLITUS PATIENTS","authors":"Atika Wahyu Puspitasari, R. Andrajati, A. Bahtiar","doi":"10.22146/JMPF.84","DOIUrl":"https://doi.org/10.22146/JMPF.84","url":null,"abstract":"Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by elevation of blood glucose concentration. Non-adherence to diabetes treatment in type 2 DM patients leads to poor glucose control and increases the risk of disease complications. Education is one of the ways to increase medication adherence. Limitation of pharmacists in public primary health care in Indonesia led to education could not be done effectively so that it was necessary to find other alternatives education such as medication booklet. This study was undertaken to evaluate the effect of a medication booklet on adherence rate parameters, in type 2 diabetic patients. This was pre-experimental and prospective study conducted at Bakti Jaya primary care, Depok from January to June 2012. A convenience sample of 30 type 2 diabetic patients was studied to receive medication booklet. The value of The 8-item Morisky Medication Adherence Scale (MMAS-8) and percentage of glycosylated haemoglobin (HbA1C) were measured before and after the 8-week intervention. The results were analyzed by paired t-test for HbA1C and Wilcoxon test for MMAS-8. The research result  showed that there were significant differences (p < 0.05) of the value of HbA1C and MMAS-8 between before and after the 8-week intervention. It indicated that a diabetes education by medication booklet, was effective enhancing their medication adherence. This study also found that patients with a lower score on the Morisky scale had a lower HbA1C measurement. Keywords : MMAS-8, HbA1C, adherence, blood glucose, type 2 diabetes mellitus, booklet, pharmacist","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125292718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PHARMACOKINETIC PROFILE OF LUMBAR EPIDURAL BUPIVACAINE INJECTION IN PREECLAMPSIA PATIENTS DURING CESAREAN SECTION: CASE STUDY IN DR. SARDJITO HOSPITAL YOGYAKARTA","authors":"Helmina Wati, D. Wahyono, Farida Hayati, Yusmein Uyun","doi":"10.22146/JMPF.102","DOIUrl":"https://doi.org/10.22146/JMPF.102","url":null,"abstract":"Preeclamsia patient experienced deterioration of glomerolus filtration and plasma protein concentration. Bupivakain is bound strongly with the plasma protein that is 95%. This research was aimed to know the pharmacokinetics profiles of isobaric bupivacaine with the noncompartemen model in preeclampsia patients who underwent Sectio Caesarea (SC) with lumbar epidural technique in RSUP Dr. Sardjito and to know correlation between protein levels and pharmacokinetics profiles of isobaric bupivacaine in preeclampsia patients. Firstly, albumin concentration of patients was checked in the laboratory and then isobaric bupivacaine 0.5% in 15ml (75mg) was given by lumbar epidural technique. The samples of blood were taken through veins vessels at 0; 15; 20; 25; 30; 45; 60 and 90 minutes. The concentration of 0.5% isobaric bupivacaine in those samples of blood was determined with High Performance Liquid Chromatography (HPLC) methods. Furthermore, pinprick test was taken to measure block sensoric effect in T10-T6 areas. Pharmacokinetics parameters of bupivacaine (AUC, AUMC, MRT) were calculated based on data of bupivakain concentration in the blood versus time. The results of this research showed that the AUC0-∞ (total AUC) was 116±37,6 (μg/ml) minutes; AUMC0-∞ (total AUMC) was 9187,5 (μg/ml) minutes2; and MRT0-∞ was 102,5 minutes. Average block sensoric effect was at T8. There was no linear correlation between the protein levels and pharmacokinetics profiles of bupivacaine (p>0,05). The conclusion was that there was no linear correlation between the protein levels and pharmacokinetics profiles of bupivacaine that was given by lumbar epidural in preeclampsia patients who underwent section caesarea. Keywords : bupivakaine, pharmacokinetic profile, lumbar epidural, section caesarea.","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126790431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PERFORMANCE MEASUREMENT OF PHARMACY DEPARTMENT AT PANEMBAHAN SENOPATI BANTUL REGIONAL GENERAL HOSPITAL USING BALANCED SCORECARD","authors":"Gusti Ayu Putu Sri Erwinayanti, A. Purnomo, S. Satibi","doi":"10.22146/JMPF.104","DOIUrl":"https://doi.org/10.22146/JMPF.104","url":null,"abstract":"Pharmacy Department is the highest revenue of Panembahan Senopati Bantul Regional General Hospital, but its performance is never measured, so the success of intangible and tangible asset management in achieving the organisational vision and goals is still unknown. This research was conducted to measure and evaluate the performance of Pharmacy Department at Panembahan Senopati Bantul Regional General Hospital using the balanced scorecard. This research was a descriptive non-experimental study. Data were obtained retrospectively and prospectively. Qualitative data were acquired through questionnaires and in-depth interview with Head of the Pharmacy Department. Quantitative data were attained through direct observation, prescription survey, and financial reports. Quantitative data were statistically analyzed using a statistic, while qualitative data were analysed and presented in descriptive form. Performance of learning and growth perspective showed that from human capital view, the proportion of pharmacists and bed was not ideal (1:36); the percentage of employee training had not reached 100%; and the average of employee morale was high (3.18). The percentage of Organization Capital was 75.71% which showed the high culture, leadership, teamwork, and alignment. Meanwhile, Information System Capabilities needed the addition of expired date and drugs dosage databases, internet, and the development of management information system. The performance of internal business process perspective showed that the average of drug availability was 98%; the average dispensing time was 37 minutes for compounded prescription and 29 minutes for non compounded prescription; the average SOP suitability with accreditation standards of hospital was 74%; and there was no documentation for medication error. Performance of the customer’s perspective showed the percentage of patients encountered was 80.97%; the rate of customer satisfaction was 86%; and the rate of customer growth was 1% per month. Performance of the financial perspective found that TOR value was 9 times per year in 2011 and 7 times per year in 2012; the rate of service revenue in 2011 was 35% and 28.35% in 2012; Gross Profit Margin was 26.29% in 2011 and 24.83% in 2012. Keywords: Performance, Balanced Scorecard, Pharmacy Department","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133159643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE INFLUENCE OF LOCAL AND FOREIGN ENDORSERS’ CREDIBILITY AND ATTRACTIVENESS IN COSMETICS ADVERTISEMENTS ON CONSUMER PERCEPTIONS AND PURCHASE DECISIONS","authors":"Mu’min Gozali, A. Fudholi, S. Satibi","doi":"10.22146/JMPF.36","DOIUrl":"https://doi.org/10.22146/JMPF.36","url":null,"abstract":"Endorser used on product advertising is ordinary thing on marketing. Developments in the flow of informationand technology have caused consumers to be increasingly selective in their choice of products. This fact hasstimulated companies to be more sensitive to consumer demand. Advertising is one of the promotional activitiesused as a medium for conveying a message to shape consumers’ attitudes. This research was conducted to measurethe influence of local and foreign endorsers’ credibility and attractiveness on consumer perceptions and purchase decisions, and to look into the difference between the use of local endorsers and the use of foreign endorsers in their influence on consumer perceptions and purchase decisions. This was an experimental research carried out in two phases, i.e. exploratory analysis and confirmatory analysis using a cross-sectional approach. The researchinstruments employed were samples of advertisements and questionnaires. The research subjects comprised130 respondents each for local and foreign endorsers. The data were analyzed using simple regression and anindependent t-test with SPSS 11.5 for windows. The research results showed that the ability of local endorsers’credibility and attractiveness to predict the consumer perceptions variable was 16.4%, their ability to predict consumerpurchase decisions was 11.3%. The ability of foreign endorsers’ credibility and attractiveness to predict the consumerperceptions variable was 30.1%, and their ability predict consumer purchase decisions was 37.4%. After a comparison was made using an independent sample t-test, it was found that consumer perceptions of advertisements with localendorsers were lower than consumer perceptions of advertisements with foreign endorsers, and consumer purchasedecisions on products advertised with local endorsers were fewer than consumer purchase decisions on productsadvertised with foreign endorsers. Keywords : advertisements, endorsers’ credibility, endorsers’ attractiveness","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"16 15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126142434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PERBANDINGAN RESPON AWAL PEMBERIAN WARFARIN PADA PASIEN OBESITAS DAN NON OBESITAS DI RSUP DR. SARDJITO YOGYAKARTA","authors":"D. Oktianti, S. I Dewa Putu Pramantara S.","doi":"10.22146/JMPF.366","DOIUrl":"https://doi.org/10.22146/JMPF.366","url":null,"abstract":"Warfarin oral anticoagulant is most prescribed in the world. Warfarin is\u0000prescribed for prevention of thromboembolic event, associated with atrial\u0000fibrillation, prosthetic heart valves, or history of vascular thrombosis. Variability\u0000in warfarin dose because of the variation among the patient and therapeutic\u0000response depend on age, influence of another disease, nutritional status, weight,\u0000concomitant medicine, influence of genetic polymorphism of the CYP2C9 or\u0000VKORC1. Optimal dose warfarin can be monitored with international normalized\u0000ratio (INR). The aims of this study is to compare initial warfarin response between\u0000obese and non obese patient at RSUP dr. Sardjito Yogyakarta.\u0000This study was a retrospective with design descriptive observational study.\u0000Subject in research is outpatient that receive newly warfarin therapy and with\u0000complete INR value. To determine time required to achieve a therapeutic INR was\u0000analyzed using non parametric test with Kaplan-Meier method.\u0000The result of this study, 92 patient were included. Patient distribution were 44\u0000patient with obesity and 48 patient with normal weight. Based on Kaplan-Meier\u0000analyzed the median time to achieve therapeutic INR in obese patient is 56 days\u0000and in normal weight is 57 days with p=0,316 (p>0,05) there is no significant\u0000difference between the group.\u0000Key word: Warfarin, Obese, non obese, INR, time to achieve therapeutic INR","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114406560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"KEPUASAN PASIEN RAWAT JALAN TERHADAP PELAYANAN KEFARMASIAN ERA JAMINAN KESEHATAN NASIONAL","authors":"Nugraheni Dwiari Kristanti, S. Sumarni, Chairun Wiedyaningsih","doi":"10.22146/JMPF.131","DOIUrl":"https://doi.org/10.22146/JMPF.131","url":null,"abstract":"Pelaksanaan JKN baru dimulai di awal tahun 2014 dan masih memerlukan perbaikan sistem yang terus menerus agar penerapan standar pelayanannya dapat terlaksana dengan baik. Oleh karena itu, untuk mengetahui keberhasilan sistem tersebut perlu dilakukan survei mengenai ekspektasi pasien dibandingkan dengan pelayanan yang pasien rasakan di rumah sakit. Penelitian bertujuan untuk menganalisis perbedaan antara ekspektasi dan persepsi pasien rawat jalan terhadap mutu pelayanan kefarmasian di RSUP Dr. Sardjito Yogyakarta dan Rumah Sakit Panti Rapih pada era JKN serta mengetahui perbedaan skor gap dimensi mutu pelayanan kefarmasian. Subjek penelitian adalah pasien JKN yang berada di apotek rawat jalan di RSUP Dr. Sardjito Yogyakarta dan di rumah sakit Panti Rapih Yogyakarta pada Bulan Oktober sampai Desember 2014 masing-masing 100 responden. Metode penelitian adalah cross sectional dengan teknik consecutive sampling. Penelitian menggunakan kuesioner yang diadopsi dari konsep penelitian kualitas pelayanan Parasuraman dkk (1985) dengan metode SERVQUAL. Perbedaan ekspektasi dan persepsi pasien dianalisis dengan uji Wilcoxon, sedangkan untuk melihat perbedaan kepuasan pasien di kedua rumah sakit digunakan uji Mann Whitney. Hasil penelitian menunjukkan terdapat perbedaan bermakna antara ekspektasi dan persepsi pasien baik di RSUP Dr. Sardjito maupun di Rumah Sakit Panti Rapih Yogyakarta (p=0,000). Selain itu hasil penelitian menunjukkan bahwa tingkat kepuasan responden di RSUP Dr. Sardjito dan di Rumah Sakit Panti Rapih tidak berbeda secara signifikan (p=0,057), namun terdapat satu dimensi yang dinyatakan berbeda signifikan secara statistik, yaitu pada dimensi empati (p=0,037).","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121613834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EVALUASI PENGGUNAAN ANTIBIOTIK PROFILAKSIS PADA PASIEN BEDAH","authors":"Sefi Megawati, Fita Rahmawati, Djoko Wahyono","doi":"10.22146/jmpf.138","DOIUrl":"https://doi.org/10.22146/jmpf.138","url":null,"abstract":"Infeksi luka operasi (ILO) merupakan salah satu infeksi nosokomial yang sering terjadi. Penggunaan antibiotik profilaksis di rumah sakit merupakan pemberian antibiotik yang dilakukan sebagai upaya preventif untuk mencegah terjadinya ILO. Penelitian bertujuan untuk mengetahui besar angka kejadian ILO, persentase penggunaan antibiotik profilaksis yang rasional (kategori 0), jenis ketidak rasionalan penggunaan antibiotik profilaksis (kategori I-V) dan hubungan antara jenis ketidakrasionalan penggunaan antibiotik profilaksis dengan kejadian ILO. Penelitian merupakan penelitian observasional mengunakan metode cross sectional. Pengambilan data dilakukan secara retrospektif pada bulan November 2014 sampai Februari 2015 di Rumah Sakit Islam Sultan Agung Semarang. Analisa dan evaluasi data berupa analisis deskriptif untuk mengetahui jumlah ILO serta melihat rasionalitas penggunaan antibiotik berdasarkan metode Van der Meer dan Gyssens serta analisa bivariat menggunakan metode Chi-square untuk mengetahui hubungan antara jenis ketidakrasionalan penggunaan antibiotik profilaksis dengan kejadian ILO. Hasil penelitian menunjukan bahwa besarnya angka kejadian ILO sebanyak 7 pasien (4,0%) dari 177 pasien. Penggunaan antibiotik yang rasional 0% dan jenis ketidakrasionalan penggunaan antibiotik menurut kategori V (indikasi) sebanyak 4,0%, kategori IVA (efektifitas) sebanyak 98,2%, kategori IVC (harga) sebanyak 5,9%, kategori IVD (spektrum) sebanyak 98,2%, kategori IIIA (durasi terlalu lama) sebanyak 99,4%, kategori IIA (dosis) sebanyak 0,6%, dan kategori I (waktu pemberian) sebanyak 27,1%. Tidak ada hubungan antara jenis ketidakrasionalan penggunaan antibiotik profilaksis dengan infeksi luka operasi.","PeriodicalId":125871,"journal":{"name":"Journal of Management and Pharmacy Practice","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127456757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}