Analysis of the Quality of Antibiotic Use in Pediatric Inpatients with Bronchopneumonia
Abstract
Bronchopneumonia is lobular pneumonia characterized by the presence of infected areas with spots approximately 3-4 cm in diameter surrounding and involving the bronchi. The improper selection of antibiotics can lead to bacterial resistance and high treatment costs due to prolonged hospital stays. The aim of the study is to determine the appropriateness of antibiotic prescriptions using the Geyssens method. Data collection was conducted retrospectively based on the medical records of inpatients at RS Roemani Muhammadiyah Semarang for the period of April – June 2024. The qualitative analysis of empirical antibiotic prescriptions was evaluated using the Gyssens method. The number of pediatric inpatients with bronchopneumonia who met the inclusion criteria was 109 patients. There were 65 male patients (59.63%) and 44 female patients (40.36%), with the most common age being 2 years old (22%), and the average length of stay was four days. Ceftriaxone is the antibiotic that is frequently used. Evaluation of the appropriateness of prescriptions based on the Gyssens method yielded a total of 146 antibiotic regimens from 109 patients due to the combination of antibiotic use and the replacement of antibiotic therapy during hospitalization. Appropriate antibiotic prescriptions (58.9%) and inappropriate (41.1%).
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