Penggunaan Antibiotika Pada Pasien Anak Penderita Tifus Abdominalis Di Instalasi Rawat Inap RSUD Banyumas Periode Agustus 2009 – Juli 2010

(1)

! " # $

% & " % ' ( " ) * # * + ! & " , - & *! *

+. /.0 + ! & "

1 2 # & & " 2 & " & # 3 " 3& " & "

3 3 2 & " 4 # * 4 3 " * + & " * &

* & * " 3 " 4 # # 3 3 & 3 " "

# & & # # 1 4 " # * " & 3 " *

33 " " & # & # " " 2 # # " ! "

- ' / # 3 " , + " # & & # 3

" # " &" 2 33 & # " & # & 3 # # # # 3&

# 3 " # " - ' / 3 # 3 & # 5

* & $ " 4 && # " " 2 #

# # & & & 6 # & 76 1 # "

4 " " & 3 # 3 & # & " 2 # &

& " " & * " " * # # & # 3 & #

- ' /

" & 5 8 " " & & " 2 # - ' /

! " #$$%&' #$($ ! (% )* ()+ *) ,-+ . / (% 0 / ! 1 2 ! !"#$#! 1 2 # # *

& " 2 & & " 3

" # " # 5

# 3 3 4 # * #

(2)

5 # 3 33 & #

9$ : # 3&

& 4 # * & " 4 # # &

" * " & ; & # # & " * & # ; " * & ; & # 77 " * & & 9.5* # "* : & " 1 2 # # " & " 3 " & " # * 2 " * 5 # # " " 3 # " " # 33 9) #&& 7: + 33 " " & 3 & 3 " " # " " 4 # $ & & " # & #

3 " & " 4 * # " 3 " # & " " " 3& " " * # 9 "* # ;: ) # " & # & # # 3 " , & # " " 3 33

" " & 3 # & & # 3

" # 3 & # - * & " ' * / %& $'%'! 2 " + 1 2 # # * 3 # # 3 1 2 # 2 & # # " 1 2 # # * & 2 & 3 # & * & # " " & # * < " 3 # " & * & 3 3 # " 3* " " * " * & 3 9 ) " * : + 33 " " & " 3 3 # 4 " # # 5 " 2 & # ! " 7 1 " " # * - * & " ' * / + 3 # " " # * 3 # ! " # 3 " , ) " # 3 # " # * " # " &" 2 - " &" 2 " " " & 33 # 4 & # " # " # 9 2 :

; 1 & & # " # & &

# 3 # 3& # 3

+ # 3 # 1

(3)

/ ! / 2 # " . " . " + " 3 4 & + " + # * 1 2 # 3 # ! " # - * & " ' * / # 3 " , # * & # 3 " * 9 $ 3* : 4 * # 3 4 ! # " 2 + " 33 & " " " " 9 ! ! : * " 3 # # " # # # # 3& # 3 + # 3 # 1 - * & " ' * / ! / 2 # " . " . " + " 3 !('$ ! )*!"!(! / # & / ) & !* $ + # & & / 1* 6 3 " " .&" ( ; , % ; ) " ; ) , , ; / # & # 4 & !* $ +1 + # & # 4 & " 3 ' 9"*: = & & + , * 6 , * 6 & > "* ; 1 " 7

(4)

+ # " & 3&

* 3 # 3 & &

3 & 3* 4 #

& # 3 & #

" + # & & *

& 3& # & & 3 "

& * 3 " ! &" "

# &" ( " & * & *

* " & &" ( " & "

4 4 # * 3 # 3

2 &

& " 3

" & " 2 " 4 3

& 3& # & " & # 3

" 2 # " &

& & & 4 4 #

33 4 # & # * " * 3 # & 33 & & " 9 /* # "* : / # & & ? # " 33 & # " 3 & * 4 ! # " 2 ) & " 33 " " & & 3& # " " 2 # 9, ! : !* $ 1 $ & ! # 1 1 " , * @ @ @ @ @ @ 7 @ . 7 $ 7 + & & 3 & " " 2 # # * & & 3& * 3 # 3 # * # < " 3 < # 3 " 3 33 A " # " " 3 " " 2 # 3 * # " 3& " & * 9, ! : # 3 # * " & 3 " # & " 4 # - # " " 4 # # 6 9 , * :

(5)

!* $ ,+ &

- & ) # & &

/ 5* " 5 # # 7 / # * ; / # * 7 ; % 3 " 7 B 7 ; 7 ; / # * # = ! " # & # 3 !* $ - 1 = ! " = ! " 9* : , 6 7 C ; " " !* $ .+1 # 3 # 3 , * 6 * 7 ) & ; ) " 1 " + 33 " " & / # & # " 3 # * # " & # - ' / 3 " " 2 # # & 3 # ! " # - ' / # 3 " 4 33 & 5 " " & # 7 4 3 3 " " & " 33 3 &

# 3 & " & 2 & #

2" & 2 & &

" " & &" # 3

& 3* " "

(6)

1 " " & " 33 !* $ /+1 1 " " & " 33 - & ) # & , - " 7 & 2 & ( 7 ; & 2 & ( ; & 2 & ( 7 ; & 2 & ( & 2 & ( ; & 2 & ( 7 2" & ( 7 2" & ( 2" & ( 7 ; 2" & ( 2" & ( " * & 2 & 2 3 & " 3 "

2" & 4 # " " & & #

3 3 & # 3 & # - '

/ # 33 " " &

" 33 2" & & 2 " 3

3 " 3& " 5 &" 2

# " & " &" & # " # &

33 33 " *

&" "

4 3 5 & & # " &

* " " 9 ) #&& 7:

) " /* "" 33

2 3 & " 3 "

2" & 2 &" 2 # 3 & #

3 " " 2 # 3

# " " *

" " * #

& 2 & # & " & <

1 3 " " & & # " # 3 33 & " " " & " # " # 3 5 " " & # # " # 3 5 " " & " " & 3 # 3 & # * " " & # 3 3 & & # 2 & 33 " " & + 33 " " & " 33 # # & # " " 2 # # # 3& # 3 + # 3 # 1 1 2 # - ' / & 4 " " & # 3 & # 3 " " 2 # # " #

" # & " " & 3 " # &

" 2 " & #

2 & $ # 3& &

& " " & " " # & " & 3 " & & & "

+ 33 " " & " # & # " # # 3& # 3 " # + # 3 # 1 - ' / & # " # 3 " # " # & 5 " & # 33 * # " " " & # # " " 2 #

(7)

!* $ 0+1 1 3 " " & - & ) # & , - " " 3 2" & ( 1 D " 2 & ( 2 & ( 1 & # 3 ( D " 2 & . 7 ; 2 & ( 1 & # 3 ( ; 2 " & ( 1 & # 3 ( D " 2 & . 7 ( 1 3 " 2" & ( 3 " 2 & . 2 & ( 1 # 3 2" & ( D " 2 & . ; 2" & ( 1 D " ( # 3 2 & ( 2" & ( 1 D " 2 & . "8 1 8 1 # & # " # # 3& !* $ +1 " " & '( ( (#!' ' !1 ( (#!' 2 & 2" & 2 E 2 " & 2 & # 1 # " # # & " 2 # + 3* " 3 # # * " 3 # & 4 &F 9 @ G : E # ! "8 F 9 1 * :

(8)

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

* %8 2 & 8 " ?$.H 8 " 14 # & H 8 " & # & 3& * 3 # 3 * " 3 # & # - ' / 33 & " # 1 # & # # " 3 " # "& " # # 3& & # # 3 " # 3 # # - ' /

(9)

(')2#$! " " & 3 # 3 & # 3 " 1 2 # # & # " - ! " - ' / + # 3 " > , " # # 4 " " & # 7 3 3

2 & & " " &

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

#$$(&#$$# ) & & * "

( , 78 ;

) " 5* B / 9 #

1/ 8 / # 3

! ! $ 3 5

(10)

"* )A # ; 5 3 0 / " 8 ? # ? 14 1$ # - * 4 9 9 5 D # , & " ?$. ! / 2 ?$. " " 2 ( 55 # / 3 5 8 ! "< #