Evaluasi Penggunaan Antibiotika Secara Kualitatif dan Kuantitatif Pada Pasien High Care Unit di Rumah Sakit Umum Pusat Haji Adam Malik Medan Periode Februari – April 2016

51

Lampiran 1. Data Pasien

RUANG HCU

KODE PASIEN

NAMA

PASIEN No. RM JK

USIA (Thn)

BB

(Kg) DIAGNOSA

KULTUR

Spesimen Bakteri Sensitive Resisten

CVCU 1 MR 00.66.62.56 L 21 43

CHF fc IV ec AR Severe, MR Severe, TR MOA

Severe, PR mid PH

- - - -

CVCU 2 MS 00.65.49.49 L 77 56 Acute lung

Oedem - - - -

CVCU 3 TK 00.65.49.87 L 53 57 CHF fc III ec

CAD, HHD - - - -

CVCU 4 NA 00.66.91.47 P 4

Bulan 6

CHF ec ASD, VSD, BP, Kejang

Demam, GE

- - - -

HDU 5 MP 00.52.15.60 L 40 59

Penurunan kesadaran ec HE

grad III-IV, SH std PC (Hepatitis)

- - - -

HDU 6 LH 00.66.78.13 P 73 58 Diffuse Injury - - - -

SC 7 NB 00.65.88.80 P 67 54

Apatis, Stroke Iskemik releven,

NPH, DD, Hipertensi, Enselepati.

- - - -

SC 8 RT 00.66.76.44 L 50 56 Stroke

Hemoragik - - - -

SC 9 SIN 00.66.81.67 P 57 53 Stroke

Hemoragik

CVCU 10 RNG 00.64.25.65 L 17 50

SLE, Vaskular, CHF fc II ec Myocarditis, Shok Sepsis ec

Pneumonia

52

HDU 11 AP 00.46.58.04 P 24 50

Penurunan kesadaran SCE,

CKD Stage V, hipertensi stage II, Hiponatremi

Urine

kateter E-coli

Amikasin, Imepenem, Gentamisin, Meropenem

Ampicilin, Cetriaxone, Cefotaxime, Levofloxacin, Ceftazidime,ciprofloxacin

Darah Interococcus

Faecium

Linezolid dan Vancomycin

Ampicilin, Cetriaxone, Levofloxacin,

Ceftazidime

Sputum 1. Klebsiella

pneumoni Amikasin

Ampicilin, Cetriaxone, Cefotaxime, Levofloxacin,

Ceftazidime 2.

Acinetobacter baumanii

Imepenem, Meropenem, Polymyxin B

Amikasin,Ampisilin, Amoxisilin, Gentamisin, Cetriaxone, Levofloxacin

CVCU 12 RS 00.66.88.02 P 52 49 CHF - - - -

CVCU 13 ST 00.14.80.49 P 70 51

NSTEMI, TIMI, Roc 3/7,

DM Type 2

- - - -

CVCU 14 PR 00.66.94.37 L 62 60

PSMBA ec Gastritis, NSTEMI Lateral

- - - -

CVCU 15 JSS 00.67.00.60 L 42 60

STEMI inferior onset 11 jam killip I TIMI Risk 2/14, Hipertensi Stage II

- - - -

CVCU 16 CBS 00.46.76.29 P 77 55

PSMBA ec Gastritis, Erosiva, sepsis ec pneumonia,

anemia, pendaharahan

Sputum

Tidak ada pertumbuhan

bakteri

53

HDU 17 NKS 00.66.55.38 P 55 60 Hipertensi samnolen

ec Stroke hemoregi

Darah Klebsiella

Pneumoni

Amikasin, Imepenem, Gentamisin, Meropenem, Levofloxacin

Ampicillin, Cefotaxime, Ceftazidime, Ceftriaxone, Ciprofloxacin

Sputum Acinetobacter

baumanii

Amikasin, Imepenem, Meropenem

Ampicillin, Cefotaxime, Ceftazidime, Ceftriaxone, Ciprofloxacin

HDU 18 NS 00.40.28.47 L 73 65 DM Type II, anemia,

CHF fc I ec CAD - - - -

SC 19 NP 00.58.79.23 L 62 70 Stroke Iskemik, CHF,

Pneumoni - - - -

SC 20 JT 00.66.90.50 L 60 50 Stroke Iskemik Sputum

Tidak ada pertumbuhan

bakteri

- -

SC 21 FR 00.66.93.82 P 61 51 Hemiparise, Stroke

Iskemik - - - -

SC 22 SD 00.66.93.83 L 67 60 Stroke Hemoragik - - - -

SC 23 MPS 00.66.95.97 L 44 80 Stroke Hemoragik - - - -

CVCU 24 CP 00.67.00.66 L 71 65 STEMI antereoseptal

onset 2 hari killip II Darah

Tidak ada pertumbuhan

bakteri

CVCU 25 CC 00.45.12.10 L 69 50 UAP dd NSTEMI,

AKI dd CUP - - - -

CVCU 26 AS 00.67.03.96 L 65 80

CHF ec CAD, HHD, Hipertensi, sepsis ec pneumonia, PPOK,

asidosis

- - - -

SC 27 MT 00.67.04.02 P 83 50

Penurunan kesadaran, spontaneus, ICH (R),

stroke hemoragik

54

SC 28 KM 00.35.64.38 L 57 70

Hemiparise sinistra, PN VII, XII, UMN

sinistra ec stroke iskemik rekuren dan

stroke hemoragic

- - - -

SC 29 FN 00.65.65.96 L 34 48 Stroke iskemik, CHF

susp, TB Paru - - - -

HDU 30 RH 00.66.82.90 L 16 45

HI GCS g, EDH (L) P, Lakso (L) F, prekursor, penurunan kesadaran sejak 28/02

Darah

Tidak ada pertumbuhan

bakteri

- -

HDU 31 KT 00.66.80.68 P 52 58 Tumor spinal,

thoracal V - - - -

SC 32 RP 00.67.97.20 P 66 50

Somnolen, hemiparise ed. Dd. Stroke iskemik dan stroke hemoragik

- - - -

SC 33 ST 00.67.11.76 P 65 55 Stroke iskemik - - - -

SC 34 DS 00.67.15.44 L 47 60

Hemiparise sinistra, IN VI, UMN sinistra ec. Stroke hemoragik

- - - -

CVCU 35 MS 00.67.09.52 L 51 65

UAP, CHF fc III ec HHD, HT urgent, dan

DM type II

- - - -

SC 36 RS 00.60.36.28 P 81 65

Hemiparise sinistra, PN VII, XII, UMN

sinistra ec stroke iskemik rekuren

- - - -

SC 37 SR 00.67.14.71 P 48 70 Hemiparise ec Stroke

Hemoragik - - - -

SC 38 SM 00.67.16.86 P 59 80 Stroke Hemoragik - - - -

55

SC 40 MH 00.58.37.26 L 57 60

Penurunan kesadaran, lemah

sebelah kanan ec stroke iskemik

- - - -

SC 41 RG 00.66.87.86 P 62 58

Soporokoma, hemiparise dextra ec stroke iskemik

- - - -

SC 42 UB 00.67.19.41 L 41 60

Somnolen, hemiparise sinistra

ec. dd. Stroke iskemik dan stroke

hemoragik

- - - -

SC 43 MS 00.67.22.46 L 58 75

Wajah miring ke kiri, Stroke Iskemik, hipertensi,

hiperkolesterol

- - - -

HDU 44 RAS 00.67.14.45 P 20 46 Epilepsi umum - - - -

CVCU 45 KM 00.66.96.86 L 59 50

SVT ventrikal, takikardia with pulse dengan hemodinamik tak

stabil

- - - -

CVCU 46 RS 00.67.14.35 P 51 69

TPM a/1, TAUB ec folib PPM, Hipertensi stage II

- - - -

CVCU 47 KR 00.67.17.06 P 41 70

CHF fc IV ec HHD, pneumonia, hipertensi stage II

- - - -

CVCU 48 JN 00.67.18.29 L 40 60

CHF fc IV ac CAD, HHD, hipertensi stage II, post PCI

- - - -

CVCU 49 RK 00.67.18.89 P 78 59 CHF fc IV - - - -

CVCU 50 RKK 00.66.33.19 L 85 75 AF RVR fc IV ec

56

SC 51 JS 00.67.22.01 L 41 76 Hemiparise dextra ec

stroke hemoragic - - - -

SC 52 ES 00.67.27.77 L 57 65 Stroke Hemoragik - - - -

SC 53 JP 00.67.29.14 L 53 65 Stroke iskemik - - - -

SC 54 IM 00.67.30.83 L 46 73

Hipertensi stage 2, DM Type II, Hemoragic sinistra ec

dd stroke iskemik recurent & stroke

hemoragic

- - - -

SC 55 MSS 00.67.36.60 L 43 65 Stroke Hemoragik - - - -

SC 56 JS 00.67.36.18 L 48 65 Stroke Hemoragik - - - -

CVCU 57 BTB 00.66.98.18 L 7 16 Cyanotic spell, TOF - - - -

CVCU 58 MAT 00.45.34.14 L 67 50 UAP dd NSTEMI - - - -

CVCU 59 MS 00.52.00.61 L 63 80

CAD pro CABG, recurent STEMI inferior ekstensive

- - - -

CVCU 60 IS 00.67.26.37 L 47 69 Recurent STEMI

inferior, DM type 2 - - - -

CVCU 61 HA 00.67.23.07 L 72 54 SB Symptomatic - - - -

CVCU 62 MT 00.67.35.86 L 52 60 STEMI Anteroseptal - - - -

HDU 63 AR 00.67.28.02 L 60 55 Penurunan kesadaran,

HI, GCS ec SDH - - - -

CVCU 64 UM 00.67.38.16 L 67 60 Gagal nafas tipe 2,

PPOK, pneumoni - - - -

HDU 65 RP 00.66.63.68 P 78 72 CKD stage V, sepsis

ec pneumoni

Urine kateter

Chryseobacterium cyle

Ciprofloxacin, doxycycline, levofloxacin, dan

trimetoprim

Amikasin, ampicilin, amoxiclav, cefotaxime, ceftazidime, gentamisin, meropenem,

57

Lampiran 2. Data Antibiotika

KP NO

REGIMEN ANTIBIOTIKA LAMA

RAWAT (HARI)

LAMA PENGGUNAAN

(HARI)

JUMLAH KATEGORI

GYSSENS MASALAH

NAMA DOSIS RUTE

1 1 Ceftriaxone 1 gram / 12 jam i.v 17 10 20 gram 0 -

2 2 Ceftriaxone 1 gram / 12 jam i.v 6 6 12 gram 0 -

3 3 Ceftriaxone 1 gram / 12 jam i.v 9 9 18 gram 0 -

4 4 Cefotaxime 100 mg / 8 jam i.v 5 5 1,5 gram 0 -

5 Gentamisin 7,5 mg / 12 jam i.v 5 75 mg 0 -

5 6 Ceftriaxone 1 gram / 12 jam i.v 7 6 12 gram 0 -

6 7 Ceftriaxone 1 gram / 12 jam i.v 11 11 22 gram 0 -

7 8 Ciprofloxacin 500 mg / 12 jam p.o 16 4 4 gram 0 -

8 9 Meropenem 1 gram / 8 jam i.v 6 1 3 gram III b AB terlalu singkat

10 Ceftazidime 1 gram / 12 jam i.v 1 2 gram III b AB terlalu singkat

9 11 Ceftriaxone 1 gram / 12 jam i.v 7 7 14 gram 0 -

10

12 Ceftriaxone 2 gram / 24 jam i.v

7

4 8 gram 0 -

13 Levofloxacin 500 mg / 24 jam i.v 4 2 gram 0 -

14 Meropenem 1 gram / 24 jam i.v 3 3 gram 0 -

11

15 Ceftriaxone 2 gram / 12 jam i.v

19

11 44 gram IV a Kultur Resisten

16 Ciprofloxacin 400 mg / 24 jam i.v 7 2,8 gram IV a Kultur Resisten

17 Ciprofloxacin 400 mg / 12 jam i.v 5 4 gram IV a Kultur Resisten

18 Meropenem 500 mg / 12 jam i.v 10 10 gram II b Interval tidak tepat

19 Amikasin 1 gram / 24 jam i.v 4 4 gram 0 -

12 20 Ceftriaxone 2 gram / 12 jam i.v 9 3 12 gram 0 -

58

13 22 Ceftriaxone 1 gram / 12 jam i.v 4 3 6 gram 0 -

14

23 Ceftriaxone 1 gram / 12 jam i.v

7

4 8 gram 0 -

24 Amoksisilin 2 gram / 24 jam i.v 8 16 gram 0 -

25 Metronidazole 1,5 gram / 24 jam i.v 8 12 gram II a Dosis Tidak tepat

15 26 Ceftriaxone 1 gram / 12 jam i.v 7 7 14 gram 0 -

16 27 Ceftriaxone 2 gram / 24 jam i.v 9 2 4 gram 0 -

28 Meropenem 1 gram / 8 jam i.v 6 18 gram 0 -

17 29 Levofloxacin 500 mg / 12 jam p.o 25 21 21 gram IV a Kultur Resisten

30 Amikasin 500 mg / 12 jam i.v 10 10 gram 0 -

18

31 Ciprofloxacin 200 mg / 24 jam i.v

10

7 1,4 gram II a Dosis Tidak tepat

32 Ciprofloxacin 200 mg / 12 jam i.v 6 2,4 gram 0 -

33 Ceftriaxone 1 gram / 12 jam i.v 6 12 gram 0 -

34 Meropenem 1 gram / 12 jam i.v 5 10 gram 0 -

19 35 Ceftriaxone 1 gram / 12 jam i.v 14 11 22 gram 0 -

20 36 Ceftriaxone 2 gram / 12 jam i.v 13 10 40 gram 0 -

21 37 Ceftriaxone 1 gram / 12 jam i.v 10 6 12 gram 0 -

22 38 Ceftriaxone 1 gram / 12 jam i.v 7 7 14 gram 0 -

23 39 Ceftriaxone 1 gram / 12 jam i.v 12 5 10 gram 0 -

40 Ciprofloxacin 200 mg / 12 jam i.v 7 2,8 gram 0 -

24

41 Ceftriaxone 2 gram / 12 jam i.v

11

2 4 gram 0 -

42 Ciprofloxacin 200 mg / 12 jam i.v 2 800 mg V AB tidak diindikasikan

43 Meropenem 1 gram / 8 jam i.v 8 24 gram 0 -

25 44 Ceftriaxone 1 gram / 12 jam i.v 12 3 6 gram 0 -

45 Ciprofloxacin 200 mg / 12 jam i.v 7 2,8 gram 0 -

59

27 47 Ceftriaxone 1 gram / 12 jam i.v 12 10 20 gram 0 -

28 48 Ceftriaxone 1 gram / 12 jam i.v 7 5 10 gram 0 -

49 Ciprofloxacin 400 mg / 12 jam i.v 4 3,2 gram 0 -

29 50 Ceftriaxone 1 gram / 12 jam i.v 8 7 14 gram 0 -

30

51 Ceftriaxone 1 gram / 12 jam i.v

33

27 54 gram III a AB terlalu lama

52 Metronidazole 500 mg / 8 jam i.v 17 25,5 gram III a AB terlalu lama

53 Gentamisin 80 mg / 8 jam i.v 19 4,56 gram III a AB terlalu lama

54 Ciprofloxacin 200 mg / 8jam i.v 2 800 mg III b AB terlalu singkat

55 Ampicillin 500 mg / 8 jam i.v 7 10,5 gram 0 -

31 56 Meropenem 1 gram / 12 jam i.v 12 16 52 gram 0 -

57 Gentamisin 80 mg / 8 jam i.v 16 38,4 gram III a AB terlalu lama

32 58 Ceftriaxone 1 gram / 12 jam i.v 10 13 26 gram 0 -

33 59 Ceftriaxone 1 gram / 12 jam i.v 12 10 20 gram 0 -

34 60 Ciprofloxacin 400 mg / 12 jam i.v 15 9 7,2 gram 0 -

35 61 Ciprofloxacin 400 mg / 12 jam i.v 12 8 6,4 gram 0 -

36 62 Ciprofloxacin 400 mg / 12 jam i.v 12 8 6,4 gram 0 -

37 63 Ceftazidime 1 gram / 12 jam i.v 11 10 20 gram 0 -

38 64 Ceftazidime 1 gram / 12 jam i.v 11 10 20 gram 0 -

39 65 Ceftazidime 1 gram / 12 jam i.v 13 10 20 gram 0 -

40 66 Ciprofloxacin 200 mg / 12 jam i.v 14 8 3,2 gram 0 -

41

67 Ceftriaxone 1 gram / 12 jam i.v

17

2 4 gram III b AB terlalu singkat

68 Ceftazidime 1 gram / 12 jam i.v 11 22 gram 0 -

69 Ceftriaxone 2 gram / 12 jam i.v 6 24 gram 0 -

42 70 Ceftazidime 1 gram / 12 jam i.v 12 12 24 gram 0 -

60

44 72 Ceftazidime 1 gram / 12 jam i.v 9 8 16 gram 0 -

73 Levofloxacin 500 mg / 24 jam i.v 2 1 gram III b AB terlalu singkat

45 74 Ceftazidime 1 gram / 12 jam i.v 14 7 14 gram 0 -

75 Ciprofloxacin 400 mg / 12 jam i.v 7 5,6 gram 0 -

46 76 Cepefime 500 mg / 12 jam i.v 8 4 4 gram 0 -

77 Ceftazidime 1 gram / 12 jam i.v 4 12 gram 0 -

47 78 Ceftazidime 1 gram / 12 jam i.v 14 14 28 gram 0 -

79 Ciprofloxacin 400 mg / 12 jam i.v 13 10,4 gram 0 -

48

80 Ceftazidime 1 gram / 8 jam i.v

14

9 27 gram 0 -

81 Levofloxacin 500 mg / 24 jam i.v 2 1 gram III b AB terlalu singkat

82 Flukonazole 200 mg / 24 jam i.v 6 1,2 gram 0 -

49 83 Ceftazidime 1 gram / 12 jam i.v 13 13 26 gram 0 -

50 84 Ceftazidime 1 gram / 24 jam i.v 9 9 9 gram 0 -

51 85 Ceftazidime 1 gram / 12 jam i.v 14 4 8 gram 0 -

52 86 Cefotaxime 1 gram / 12 jam i.v 14 10 20 gram III a AB terlalu lama

53 87 Cefotaxime 1 gram / 12 jam i.v 14 10 20 gram III a AB terlalu lama

88 Gentamisin 80 mg / 8 jam i.v 11 17,6 gram III a AB terlalu lama

54 89 Cefotaxime 1 gram / 12 jam i.v 10 11 22 gram III a AB terlalu lama

55 90 Cefotaxime 1 gram / 12 jam i.v 6 6 12 gram 0 -

56 91 Ceftazidime 1 gram / 12 jam i.v 5 5 10 gram 0 -

57

92 Ceftriaxone 500 mg / 12 jam i.v

42

7 7 gram 0 -

93 cefepime 400 mg / 12 jam i.v 2 1,6 gram III b AB terlalu singkat

94 Ceftriaxone 750 mg / 12 jam i.v 7 10, 5 gram 0 -

95 Amikasin 125 mg / 12 jam i.v 9 2,25 gram 0 -

58 96 Meropenem 1 gram / 12 jam i.v 11 7 14 gram 0 -

59 97 Ceftazidime 1 gram / 12 jam i.v 24 7 14 gram 0 -

61

60

99 Ceftriaxone 1 gram / 8 jam i.v

7

1 3 gram III b AB terlalu singkat

100 Cefotaxime 1 gram / 8 jam i.v 5 15 gram 0 -

101 Azitromycin 500 mg / 24 jam p.o 5 2,5 gram 0 -

61 102 Cefotaxime 1 gram / 8 jam i.v 11 5 15 gram 0 -

62 103 Cefotaxime 1 gram / 8 jam i.v 7 5 15 gram 0 -

63 104 Cefotaxime 1 gram / 12 jam i.v 12 6 12 gram 0 -

64 105 Meropenem 1 gram / 8 jam i.v 16 8 24 gram 0 -

106 Ciprofloxacin 400 mg / 12 jam i.v 7 5,6 gram 0 -

65

107 Levofloxacin 500 mg / 24 jam i.v

19

16 8 gram 0 -

108 Ciprofloxacin 200 mg / 12 jam i.v 12 4,8 gram 0 -

62

Lampiran 3: Tabel Kuantitas Penggunaan Antibiotika Bulan Februari Pada Pasien High Care Unit (HCU) di RSUP H. Adam Malik

No

Nama

Pasien

Regimen Antibiotika

LOS

Total

Standar DDD

WHO

DDD

1

MR

Ceftriaxone 2 x 1 g (10 hari) 17 20 gram

2

20/2 = 10

2

MS

Ceftriaxone 2 x 1 g (6 hari) 6 12 gram

2

12/2 = 6

3

TK

Ceftriaxone 2 x 1 g (9 hari) 9 18 gram

2

18/2 = 9

4

NA

Cefotaxime 3 x 100 mg (5 hari) 5 1,5 gram

4

1,5/4 = 0,375

Gentamisin 2 x 7,5 mg (5 hari) 75 mg

0,24

0,75/0,24 = 3,125

5

MP

Ceftriaxone 2 x 1 g (6 hari) 7 12 gram

2

12/2 = 6

6

LH

Ceftriaxone 2 x 1 g (11 hari) 11 22 gram

2

22/2 = 11

7

NB

Ciprofloxacin 2 x 500 mg (4 hari) 16 4 gram

1

4/1 = 4

8

RT

Meropenem 3 x 1 g (1 hari) 6 3 gram

2

3/2 = 1,5

Ceftazidime 2 x 1 g (1 hari) 2 gram

4

2/ 4 = 0,5

9

SIN

Ceftriaxone 2 x 1 g (7 hari) 7 14 gram

2

14/2 = 7

10

RNG

Ceftriaxone 1 x 2 g (4 hari)

7

8 gram

2

2/2 = 1

Levofloxacin 1 x 500 mg (4 hari) 2 gram

0,5

2/0,5 = 4

Meropenem 1 x 1 g (3 hari) 3 gram

2

3/2 = 1,5

11

AP

Ceftriaxone 2 x 2 g (11 hari)

19

44 gram

2

44/2 = 22

Ciprofloxacin 1 x 400 mg (7 hari) 2,8 gram

1

2,8/1 = 2,8

Ciprofloxacin 2 x 400 mg (5 hari) 4 gram

1

4/1 = 4

Meropenem 2 x 500 mg (10 hari) 10 gram

2

10/2 = 5

Amikasin 1 x 1 g (4 hari) 4 gram

1

4/1 = 4

12

RS

Ceftriaxone 2 x 2 g (3 hari) 9 12 gram

2

12/2 = 6

Meropenem 3 x 1 g (8 hari) 24 gram

2

24/2 = 12

13

ST

Ceftriaxone 2 x 1 g (3 hari) 4 6 gram

2

6/2 = 3

14

PR

Ceftriaxone 2 x 1 g (4 hari)

7

8 gram

2

4/2 = 2

Amoksisilin 1 x 2 g (8 hari) 16 gram

1

16/1 = 16

63

15

JSS

Ceftriaxone 2 x 1 g (7 hari) 7 14 gram

2

14/2 = 7

16

CBS

Ceftriaxone 1 x 2 g (2 hari) 9 4 gram

2

4/2 = 2

64

Lampiran 4: Tabel Kuantitas Penggunaan Antibiotika Bulan Maret Pada Pasien High Care Unit (HCU) di RSUP H. Adam Malik

No

Nama

Pasien

Regimen Antibiotika

LOS

Total

Standar DDD

WHO

DDD

1

NKS

Levofloxacin 2 x 500 mg (21 hari) 25

21 gram

0,5

21/0,5 = 42

Amikasin 2 x 500 mg (10 hari)

10 gram

1

10/1 = 10

2

NS

Ciprofloxacin 1 x 200 mg (7 hari)

10

7 gram

1

7/1 = 7

Ciprofloxacin 2 x 200 mg (6 hari)

6 gram

1

6/1 = 6

Ceftriaxone 2 x 1 g (6 hari)

6 gram

2

6/2 = 3

Meropenem 2 x 1 g (5 hari)

5 gram

2

5/2 = 2,5

3

NP

Ceftriaxone 2 x 1 g (11 hari) 14

11 gram

2

11/2 = 5,5

4

JT

Ceftriaxone 2 x 2 g (10 hari) 13

10 gram

2

10/2 = 5

5

FR

Ceftriaxone 2 x 1 g (6 hari) 10

6 gram

2

6/2 = 3

6

SD

Ceftriaxone 2 x 1 g (7 hari) 7

7 gram

2

7/2 = 3,5

7

MPS

Ceftriaxone 2 x 1 g (5 hari) 12

5 gram

2

5/2 = 2,5

Ciprofloxacin 2 x 200 mg (7 hari)

7 gram

1

7/1 = 7

8

CP

Ceftriaxone 2 x 2 g (2 hari)

11

2 gram

2

2/2 = 1

Ciprofloxacin 2 x 200 mg (2 hari)

2 gram

1

2/1 = 2

Meropenem 3 x 1 g (8 hari)

8 gram

2

8/2 = 4

9

CC

Ceftriaxone 2 x 1 g (3 hari) 12

3 gram

2

3/2 = 1,5

10

AS

Ciprofloxacin 2 x 200 mg (7 hari) 11

7 gram

1

7/1 = 7

Meropenem 2 x 1 g (8 hari)

8 gram

2

8/2 = 4

11

MT

Ceftriaxone 2 x 1 g (10 hari) 12

10 gram

2

10/2 = 5

12

KM

Ceftriaxone 2 x 1 g (5 hari) 7

5 gram

2

5/2 = 2,5

Ciprofloxacin 2 x 400 mg (4 hari)

4 gram

1

4/1 = 4

13

FN

Ceftriaxone 2 x 1 g (7 hari) 8

7 gram

2

7/2 = 3,5

14

RH

Ceftriaxone 2 x 1 g (27 hari) 33

27 gram

2

27/2 = 13,5

65

Gentamisin 3 x 80 mg (19 hari)

19 gram

0,24

19/0,24 = 79,17

Ciprofloxacin 3 x 200 mg (2 hari)

2 gram

1

2/1 = 2

Ampicillin 3 x 500 mg (7 hari)

7 gram

2

7/2 = 3,5

15

KT

Meropenem 2 x 1 g (16 hari) 12

16 gram

2

16/2 = 8

Gentamisin 3 x 80 mg (16 hari)

16 gram

0,24

16/0,24 = 66,67

16

RP

Ceftriaxone 2 x 1 g (13 hari) 10

13 gram

2

13/2 = 6,5

17

ST

Ceftriaxone 2 x 2 g (10 hari) 12

10 gram

2

10/2 = 5

18

DS

Ciprofloxacin 2 x 400 mg (9 hari) 15

9 gram

1

9/1 = 9

19

MS

Ciprofloxacin 2 x 400 mg (8 hari) 12

8 gram

1

8/1 = 8

20

RS

Ciprofloxacin 2 x 400 mg (8 hari) 12

8 gram

1

8/1 = 8

21

SR

Ceftazidime 2 x 1 g (10 hari) 11

10 gram

4

10/4 = 2,5

22

SM

Ceftazidime 2 x 1 g (10 hari) 11

10 gram

4

10/4 = 2,5

66

Lampiran 5: Tabel Kuantitas Penggunaan Antibiotika Bulan April Pada Pasien High Care Unit (HCU) di RSUP H. Adam Malik

No

Nama

Pasien

Regimen Antibiotika

LOS

Total

Standar DDD

WHO

DDD

1

MH

Ciprofloxacin 2 x 200 mg (8 hari) 14

3,2 gram

1

3,2/1 = 3,2

2

RG

Ceftriaxone 2 x 1 g (2 hari)

17

4 gram

2

4/2 = 2

Ceftazidime 2 x 1 gram (11 hari)

22 gram

4

22/4 = 5,5

Ceftriaxone 2 x 2g (6 hari)

24 gram

2

24/2 = 12

3

UB

Ceftazidime 2 x 1 g (12 hari) 12

24 gram

4

24/4 = 6

4

MS

Ceftriaxone 2 x 1 g (8 hari 12

16 gram

2

16/2 = 8

5

RAS

Ceftazidime 2 x 1 g (8 hari) 9

16 gram

4

16/4 = 4

Levofloxacin 1 x 500 mg (2 hari)

1 gram

0,5

1/0,5 = 2

6

KM

Ceftazidime 2 x 1 g (7 hari) 14

14 gram

4

14/4 = 3,5

Ciprofloxacin 2 x 400 mg (7 hari)

5,6 gram

1

5,6/1 = 5,6

7

RS

Cepefime 2 x 500 mg (4 hari) 8

4 gram

2

4/2 = 2

Ceftazidime 2 x 1 g (4 hari)

12 gram

4

12/4 = 3

8

KR

Ceftazidime 2 x 1 g (14 hari) 14

28 gram

4

28/4 = 7

Ciprofloxacin 2 x 400 mg (13 hari)

10,4 gram

1

10,4/1 = 10,4

9

JN

Ceftazidime 3 x 1 g (9 hari)

14

27 gram

4

27/4 = 6,75

Levofloxacin 1 x 500 mg (2 hari)

1 gram

0,5

1/0,5 = 2

Flukonazole 1 x 200 mg (6 hari)

1,2 gram

0,2

1,2/0,2 = 6

10

RK

Ceftazidime 2 x 1 g (13 hari) 13

26 gram

4

26/4 = 6,5

11

RKK

Ceftazidime 1 x 1 g (9 hari) 9

9 gram

4

9/4 = 2,25

12

JS

Ceftazidime 2 x 1 g (4 hari) 14

8 gram

4

8/4 = 2

13

ES

Cefotaxime 2 x 1 g (10 hari) 14

20 gram

4

20/4 = 5

14

JP

Cefotaxime 2 x 1 g (10 hari) 14

20 gram

4

20/4 = 5

Gentamisin 3 x 80 mg (11 hari)

17,6 gram

0,24

17,6/0,24 = 73,33

15

IM

Cefotaxime 2 x 1 g (11 hari) 10

22 gram

4

22/4 = 5,5

67

17

JS

Ceftazidime 2 x 1 g (5 hari

5

10 gram

2

10/2 = 5

18

BTB

Ceftriaxone 2 x 500 mg (7 hari)

42

7 gram

2

7/2 = 3,5

Cefepime 2 x 400 mg (2 hari)

1,6 gram

2

1,6/2 = 0,8

Ceftriaxone 2 x 750 mg (7 hari)

10,5 gram

2

10,5/2 = 5,25

Amikasin 2 x 125 mg (9 hari)

1,25 gram

1

1,25/1 = 1,25

19

MAT

Meropenem 2 x 1 g (7 hari) 11

14 gram

2

14/2 = 7

20

MS

Ceftazidime 2 x 1 g (7 hari) 24

14 gram

4

14/4 = 3,5

Levofloxacin 1 x 500 mg (8 hari)

4 gram

0,5

4/0,5 = 8

21

IS

Ceftriaxone 3 x 1 g (1 hari)

7

3 gram

2

3/2 = 1.5

Cefotaxime 3 x 1 g (5 hari)

15 gram

4

15/4 = 3,75

Azitromycin 1 x 500 mg (5 hari)

2,5 gram

0,3

2,5/0,3 = 8,33

22

HA

Cefotaxime 3 x 1 g (5 hari) 11

15 gram

4

15/4 = 3,75

23

MT

Cefotaxime 3 x 1 g (5 hari) 7

15 gram

4

15/4 = 3,75

24

AR

Cefotaxime 2 x 1 g (6 hari) 12

12 gram

4

12/4 = 3

25

UM

Meropenem 3 x 1 g (8 hari) 16

24 gram

2

24/2 = 12

Ciprofloxacin 2 x 400 mg (7 hari)

5,6 gram

1

5,6/1 = 5,6

26

RP

Levofloxacin 1 x 500 mg (16 hari)

19

8 gram

0,5

8/0,5 = 16

Ciprofloxacin 2 x 200 mg (12 hari)

4,8 gram

1

4,8/1 = 4,8

68

69

70

71