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All Journal Majalah Farmaseutik
Titik Nuryastuti
Departemen Mikrobiologi, FKKMK, UGM
Medicine & Pharmacology

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Prevalensi Multidrug-Resistant Klebsiella pneumonia dan Evaluasi Kesesuaian Antibiotik Empiris Berdasarkan Nilai Prediksi Farmakokinetik Terhadap Outcome Klinis di RSUP Dr Soeradji Tirtonegoro Klaten Rizqi Nurul Khasanah; Ika Puspitasari; Titik Nuryastuti; Nunung Yuniarti
Majalah Farmaseutik Vol 16, No 1 (2020)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.737 KB) | DOI: 10.22146/farmaseutik.v16i1.47914

Abstract

Klebsiella pneumonia is a multidrug resistant (MDR) pathogen that affects morbidity and mortality. MDR K. pneumonia is the bacterium K. pneumonia which has experienced resistance to at least one antibiotic from 3 or more antibiotic groups. The purpose of this study was to see the percentage prevalence of MDR K. pneumonia events and to see profiles of antibiotic sensitivity and predictions of antibiotic pharmacokinetic parameters in hospitalized patients at RSUP dr. Soeradji Tirtonegoro Klaten from 2017 to 2018. This study was an observational study with a cross sectional method and retrospective data collection. Data collected included the number of inpatients who experienced MDR K. pneumonia and the factors that influence the occurrence of antibiotic resistance. The prevalence of MDR K. pneumonia and antibiotic sensitivity evaluation were analyzed descriptively. Prediction of antibiotic pharmacokinetics in patients with MDR K. pneumonia associated with patient clinical outcomes was analyzed in Chi-square. Patients infected with Klebsiella pneumonia as many as 338 patients found 67 patients with MDR K. pneumonia who met the inclusion criteria in hospitalized patients at RSUP dr. Soeradji Tirtonegoro Klaten. The prevalence of MDR K. pneumonia in 2017-2018 is 30.17%. The results of the analysis show that there is a relationship between empirical antibiotic suitability based on pharmacokinetic predictiion value to clinical outcomes with a probability value of P = 0.024 (P <0.05).
Evaluasi Kesesuaian Penggunaan Antbiotik pada Pasien dengan Infeksi Methicillin Resistant Staphylococcus Aureus (MRSA) di RSUD. Dr. Moewardi Surakarta Tristina Devi Azzahra; Titik Nuryastuti; Ika Puspitasari
Majalah Farmaseutik Vol 17, No 1 (2021)
Publisher : Faculty of Pharmacy, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/farmaseutik.v16i2.48025

Abstract

MRSA is one of the Multi Drug Resistant Organism (MDRO) with a high number of cases and problem. Incidence of MRSA in Indonesia is quite significant every years. In 1986 there were 2.5%, 1993 increased to 9.4% and in 2006 23.5%. The problem is methicillin is no longer effective and other antibiotics vary in efficacy. The aims of this reasearch was to evaluate the used of antibiotics in patients with MRSA infection in Dr. Moewardi Hospital in Surakarta. The study was performed using retrospective Cohort study to examine the relationship between suitability antibiotic to clinical outcomes in patients with MRSA infection in Dr. Moewardi Hospital in Surakarta during period 1 January 2017 - 31 December 2018. The evaluation was conducted to the suitability of type, dose, frequency, duration of antibiotic use and pharmacokinetic profile. Chi-square test was used to analyse the relationship of antibiotic suitability to clinical outcomes including predicted pharmacokinetic parameters for clinical outcomes.There were 28 samples with MRSA infection tested in this study. Twenty one patients (75%) used appropriate antibiotics showed good clinical outcome 21 patients (85,7%) and 7 patients (25%) with unsuitable antibiotics showed good clinical outcome 71,4%.Keywords: antibiotic, clinical outcome, pharmacokinetic, MRSA.
Co-Authors Ika Puspitasari Nunung Yuniarti Rizqi Nurul Khasanah Tristina Devi Azzahra