Evaluation of Antibiotic Use in Pediatric Patients Hospitalized with Acute Diarrhea as a Result of Clinical Pathway Implementation in Hospital
DOI:
https://doi.org/10.59188/eduvest.v4i10.1360Keywords:
Clinical Pathway, Acute Diarrhea, Antibiotic Use, Clinical OutcomeAbstract
This study aims to determine the effectiveness of clinical pathway implementation in pediatric patients with acute diarrhea with mild-moderate dehydration on clinical outcomes, length of stay, use of quality and quantity of antibiotics at North Jakarta Teaching Hospital. This study is a quantitative study using a retrospective cohort case study method. The samples in this study were pediatric patients with a diagnosis of acute diarrhea with mild-moderate dehydration who were hospitalized at the North Jakarta Teaching Hospital for the period January-December 2020 and JanuaryDecember 2021 before and after the implementation of the clinical pathway, totaling 274 patients. The data used is secondary data in the form of medical records of pediatric patients with acute diarrhea with mild-moderate dehydration who were hospitalized at the North Jakarta Teaching Hospital. The data that has been collected is then processed and analyzed using the chi-square test. The results showed Qualitative use of antibiotics with the Gyssens method after the application of clinical pathway is better than before the application of clinical pathway. Quantitative antibiotic administration with the DDD method in pediatric patients with acute diarrhea with dehydration before and after the application of clinical pathway the highest was ceftriaxone antibiotics after the application of clinical pathway with DDD/100 patient-days value increased compared to before clinical pathway.
References
Amin, L. Z. (2015). Tatalaksana diare akut. Cermin Dunia Kedokteran, 42(7), 398852.
Astuti, Y. D., Dewi, A., & Arini, M. (2017). Evaluasi implementasi clinical pathway sectio caesarea di RSUD Panembahan Senopati Bantul. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 6(2), 95–106.
Aulia, N. R. (2017). Analisa kuantitatif dengan metode atc/ddd dan penilaian drug related problem’s penggunaan antibiotik di ruang isolasi rumah sakit umum daerah Cengkareng periode Januari-Desember 2016. UIN Syarif Hidayatullah Jakarta: Fakultas Kedokteran dan Ilmu Kesehatan, 2017.
Bhaveshaikh, N., Sukumaran, S., & Vyas, U. (2017). Drug prescribing pattern in acute gastroenteritis in an in–patient setting in a private hospital. Int. J. Res. Med. Sci, 5, 1256–1259.
Bruzzese, E., Giannattasio, A., & Guarino, A. (2018). Antibiotic treatment of acute gastroenteritis in children. F1000Research, 7.
Fadilah, N. F. N., & Budi, S. C. (2018). Efektifitas Implementasi Clinical Pathway Terhadap Average Length Of Stay dan Outcomes Pasien DF-DHF Anak di RSUD Kota Yogyakarta. Jurnal Kesehatan Vokasional, 2(2), 175–181.
Giannattasio, A., Guarino, A., & Vecchio, A. Lo. (2016). Management of children with prolonged diarrhea. F1000Research, 5.
Ikatan Dokter Anak Indonesia (IDAI). (2019). Pedoman Pelayanan Medis. Jakarta: IDAI, hal.58–61.
Kementerian Kesehatan R.I. (2016). Profil Kesehatan Indonesia 2015. Kementerian Kesehatan, hal.403.
Kementerian Kesehatan R.I. (2021). Peraturan Menteri Kesehatan Nomor 28 Tahun 2021 tentang Pedoman Umum Penggunaan Antibiotik. Jakarta: Kementerian Kesehatan R.I.
Rahmah, J. . (2016). Pengaruh penerapan sebelum dan sesudah adanya clinical pathway kasus typhoid triwulan 1 tahun 2016 di Rumah Sakit Islam Sultan Agung Semarang. Artikel Ilmiah. Semarang: Universitas Dian Nuswantoro.
Rahmawati, C. L., Pinzon, R. T., & Lestari, T. (2017). Evaluasi Implementasi Clinical Pathway Appendicitis Elektif Di RS Bethesda Yogyakarta. Berkala Ilmiah Kedokteran Duta Wacana, 2(3), 437.
Robiyanto, R., Rosmimi, M., & Untari, E. K. (2018). Analisis Pengaruh Tingkat Pengetahuan Masyarakat Terhadap Tindakan Swamedikasi Diare Akut Di Kecamatan Pontianak Timur. Edukasi: Jurnal Pendidikan, 16(1), 135–145.
Rumokoy, R. P., Warouw, S. M., & Mantik, M. F. J. (2016). Hubungan jumlah monosit dengan lama hari rawat pada anak penderita diare akut di RSUP Prof. Dr. RD Kandou Manado tahun 2014. E-CliniC, 4(1).
Trisnowati, K. E., Irawati, S., & Setiawan, E. (2017). Kajian penggunaan antibiotik pada pasien diare akut di bangsal rawat inap anak. Jurnal Manajemen Dan Pelayanan Farmasi, 7(1), 15–16.
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