印度尼西亚医院抗生素使用合理性定量与定性分析

Fadhila Diah Suminar
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引用次数: 1

摘要

感染是印度尼西亚最大的死亡原因之一,适当使用抗生素可对感染产生影响。不合理使用抗生素会导致细菌对抗生素产生耐药性,从而使药物的有效性下降甚至消失。本研究旨在定量和定性地评估2021年7月至12月期间印度尼西亚一家私立医院住院患者使用抗生素的情况。本研究是一项回顾性数据收集的观察性研究,其中定性分析使用Gyssens方法,定量分析使用DDD方法。定性分析结果显示,在观察到的30例病例中,不合理处方9例(30%),其中V类1例,IVA类4例,IIIB类2例,IIA类2例。定量分析结果显示,2021年7 ~ 12月DDD/100患者日最高的抗生素为头孢曲松,连续值为39.15;39.81;36.22;55.65;7 ~ 12月DDD/100患者日最低的抗菌药物的结果不同。研究结果显示,抗生素处方存在不合理的情况,头孢曲松成为最常用的抗生素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RATIONALITY OF ANTIBIOTICS USE WITH QUANTITATIVE AND QUALITATIVE METHODS AT HOSPITAL IN INDONESIA
Infection is one of the biggest causes of death in Indonesia which can be influenced by the appropriate use of antibiotics. Irrational use of antibiotics can cause bacteria to become resistant to antibiotics so that the effectiveness of the drug decreases or even disappears. This study aims to evaluate the use of antibiotics given to inpatients at a private hospital in Indonesia both quantitatively and qualitatively in the period July to December 2021. This study is an observational study with retrospective data collection where qualitative analysis using the Gyssens Method and quantitative analysis uses the DDD method. The results of the qualitative analysis showed that from 30 cases observed, there were 9 cases (30%) irrational prescriptions, namely 1 case in category V, 4 cases in category IVA, 2 cases in category IIIB and 2 cases in category IIA. The results of the quantitative analysis showed that the antibiotics with the highest DDD/100 patient days in the period July to December 2021 were Ceftriaxone with a successive value of 39.15; 39.81; 36.22; 55.65; 41,48 and 49, 42 while antibiotics with the lowest DDD/100 patient-days values in the period July to December obtained different results. Based on research results, there are irrational antibiotic prescriptions and Ceftriaxone became the most commonly prescribed antibiotic.      
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