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Quantitative Evaluation of Antibiotic Usage in ICU Ward at West Nusa Tenggara Province Hospital in 2018

Oci Qonita Londo Woro, Dewi Suryani, Ni Made Amelia Ratnata Dewi

Abstract


The number of antibiotic resistances in hospitals and healthcare is increasing. The resistances prevalence rate in Intensive Care Unit (ICU) room is 11,6-22,5%. This research aim is to evaluate the usage of antibiotics of patients in ICU at West Nusa Tenggara Provincial Hospital in 2018. This research is observational and applies a cross-sectional design that collects data retrospectively, with the total number of samples are 64 patients who met inclusion criteria and employs DDD/100 patient-days system analysis method. The result of this study shows, among 64 patients; there are 37 male and 27 female patients; 48 adult and 16 elderly patients. Among 11 groups of cases, the highest case is neurosurgery with 30 patients. The total length of stay (LOS) of all patients is 621 days, where the range of LOS is 1-69 days, and the median value is 6 days. According to the calculation, there are 17 types of antibiotics used in the ICU room of West Nusa Tenggara Hospital in 2018. Five varieties of most used antibiotics based on their DDD/100 patient-days are ceftriaxone (60,71), levofloxacin (29,15), meropenem (16,10), metronidazole (11,00), dan amikacin (6,24). The percentage value of those antibiotics respectively is 45,44; 21,82; 12,05; 8,24; dan 4,67%. Based on all types of antibiotics, the range value of DDD/100 patient-days is 60,71- 0,05 DDD/100 patient-days

Keywords


Antibiotic, ATC/DDD, ICU, DDD/100 patient

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DOI: 10.24815/jks.v23i1.24796

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