RASIONALITAS PENGGUNAAN ANTIBIOTIK DENGAN METODE GYSSENS PADA PASIEN RAWAT INAP YANG TERPASANG KATETER URIN DI RSUD HAJI ABDOEL MADJID BATOE KABUPATEN BATANGHARI

Anhar, Dias Nandaika (2024) RASIONALITAS PENGGUNAAN ANTIBIOTIK DENGAN METODE GYSSENS PADA PASIEN RAWAT INAP YANG TERPASANG KATETER URIN DI RSUD HAJI ABDOEL MADJID BATOE KABUPATEN BATANGHARI. S1 thesis, Universitas Jambi.

[img] Text
ABSTRAK.pdf
Download (198kB)
[img] Text
BAB I.pdf
Download (165kB)
[img] Text
BAB V.pdf
Download (141kB)
[img] Text
COVER.pdf
Download (86kB)
[img] Text
DAFTAR PUSTAKA.pdf
Download (146kB)
[img] Text
FULL SKRIPSI.pdf
Restricted to Repository staff only
Download (3MB)
[img] Text
HALAMAN PENGESAHAN.pdf
Download (828kB)
Official URL: https://repository.unja.ac.id/

Abstract

Latar Belakang : Pasien dengan kateter urin berisiko terkena infeksi saluran kemih (ISK) terkait kateter, yang membutuhkan terapi antibiotik. Pemberian antibiotik rasional mencakup ketepatan indikasi, dosis, cara, dan lama pemakaian dengan memperhatikan efek samping. Pemberian antibiotik irasional dapat menyebabkan resistensi antimikroba. Evaluasi rasionalitas antibiotik di rumah sakit dapat dilakukan menggunakan metode Gyssens. Penelitian ini bertujuan menilai rasionalitas penggunaan antibiotik pada pasien rawat inap yang dipasang kateter di RSUD HAMBA. Metode : Penelitian deskriptif observasional dengan pendekatan retrospektif dilakukan pada Juli–September 2024 di RSUD HAMBA. Sebanyak 41 sampel dipilih dengan total sampling. Data dikumpulkan dari rekam medis dan hasil kultur urin, kemudian dianalisis univariat terkait karakteristik pasien, jenis antibiotik, dan rasionalitas penggunaan antibiotik menggunakan Gyssens flowchart. Hasil : Sebesar 70,7% penggunaan antibiotik pada pasien ISK tergolong rasional. Penggunaan irasional (29,3%) digolongkan ke dalam kategori VI (data tidak lengkap), V (tidak ada indikasi), IVa (antibiotik lain lebih efektif), dan IVc (antibiotik lain lebih murah). Kesimpulan : Tingkat rasionalitas penggunaan antibiotik pada pasien rawat inap yang terpasang kateter di RSUD HAMBA sudah baik, namun terdapat beberapa kasus di mana pilihan antibiotik dapat lebih dioptimalkan untuk efektivitas biaya dan keamanan terapi. Kata Kunci : Rawat inap, kateter urin, ISK, antibiotik, metode Gyssens, rasionalitas Background : Patients with urinary catheters are at risk of developing catheter-associated urinary tract infections (CAUTIs), which may require antibiotic therapy. Rational antibiotic use involves appropriate indications, dosage, route, and duration of administration while considering potential side effects. Irrational use of antibiotics can lead to antimicrobial resistance. Antibiotic rationality in hospitals can be evaluated using the Gyssens method. This study aims to assess the rationality of antibiotic use in inpatients with urinary catheters at HAMBA Regional Hospital. Methods : This descriptive observational study with a retrospective approach was conducted from July to September 2024 at HAMBA Regional Hospital. A total of 41 samples were selected using total sampling. Data were collected from medical records and urine culture results, then analyzed univariately for patient characteristics, types of antibiotics, and antibiotic rationality using the Gyssens flowchart. Results : A total of 70.7% of antibiotic use in CAUTI patients was classified as rational. Irrational use (29.3%) was categorized into VI (incomplete data), V (no indication), IVa (more effective alternative antibiotics), and IVc (cheaper alternative antibiotics). Conclusion : The rationality of antibiotic use in inpatients with urinary catheters at RSUD HAMBA is generally good; however, there are cases where antibiotic selection can be optimized for cost-effectiveness and treatment safety. Keywords : Inpatients, urinary catheters, CAUTIs, antibiotics, Gyssens method, rationality

Type: Thesis (S1)
Uncontrolled Keywords: Rawat inap, kateter urin, ISK, antibiotik, metode Gyssens, rasionalitas
Subjects: R Medicine > R Medicine (General)
Divisions: Fakultas Kedokteran dan Ilmu Kesehatan > Kedokteran
Depositing User: Anhar
Date Deposited: 03 Jan 2025 07:21
Last Modified: 03 Jan 2025 07:21
URI: https://repository.unja.ac.id/id/eprint/73175

Actions (login required)

View Item View Item
Repository Unja is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.