IMPACT OF ANTIMICROBIAL STEWARDSHIP PROGRAM ON THE USE OF ANTIBIOTICS IN PNEUMONIA PATIENTS AT TEACHING HOSPITAL IN SURAKARTA INDONESIA
DOI:
https://doi.org/10.22159/ijap.2021.v13s1.Y0067Keywords:
Antimicrobial stewardship program, Gyssens, Pneumonia, Quantitative, QualitativeAbstract
Objective: Antibiotic resistance is a serious problem worldwide. One cause of antibacterial resistance is the inappropriate use of antibiotics. The
study of antibiotic use in hospitals found that 30–80% were not based on indications. Antimicrobial Stewardship Programs (ASP) was developed to
control antimicrobial resistance. This study aims to evaluate the impact of ASP in pneumonia patients qualitatively and quantitatively pre-post ASP
applied.
Methods: This research is a non-experimental study. Data were taken from the medical records of pneumonia patients and analyzed qualitatively
using the Gyssens method and quantitatively using the Defined Daily Dose (DDD) method. Sampling was conducted through purposive sampling and
results were described descriptively.
Results: During the study period, 96 samples were obtained with 48 data pre-ASP and 48 data post-ASP. The results of the qualitative analysis using
the Gyssens method show an increase in the prudent use of antibiotics from 31.25% to 62.5% pre-post ASP, respectively. Quantitative evaluation
shows a decrease of antibiotic use pre-post ASP from 90.84 DDD/100 patients-days to 61.42 DDD/100 patients-days.
Conclusion: The ASP can improve the quality of antibiotic use in pneumonia patients quantitatively and qualitatively.
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