Abstract
Objective: Antibiotic resistance is a serious problem worldwide. One cause of antibacterial resistance is the inappropriate use of antibiotics. Thestudy of antibiotic use in hospitals found that 30–80% were not based on indications. Antimicrobial Stewardship Programs (ASP) was developed tocontrol antimicrobial resistance. This study aims to evaluate the impact of ASP in pneumonia patients qualitatively and quantitatively pre-post ASPapplied.Methods: This research is a non-experimental study. Data were taken from the medical records of pneumonia patients and analyzed qualitativelyusing the Gyssens method and quantitatively using the Defined Daily Dose (DDD) method. Sampling was conducted through purposive sampling andresults were described descriptively.Results: During the study period, 96 samples were obtained with 48 data pre-ASP and 48 data post-ASP. The results of the qualitative analysis usingthe Gyssens method show an increase in the prudent use of antibiotics from 31.25% to 62.5% pre-post ASP, respectively. Quantitative evaluationshows a decrease of antibiotic use pre-post ASP from 90.84 DDD/100 patients-days to 61.42 DDD/100 patients-days.Conclusion: The ASP can improve the quality of antibiotic use in pneumonia patients quantitatively and qualitatively.
Highlights
Antibiotics resistance has become a serious problem worldwide
The results of the qualitative analysis using the Gyssens method show an increase in the prudent use of antibiotics from 31.25% to 62.5% pre-post Antimicrobial stewardship program (ASP), respectively
Quantitative evaluation shows a decrease of antibiotic use pre-post ASP from 90.84 Defined Daily Dose (DDD)/100 patients-days to 61.42 DDD/100 patients-days
Summary
Antibiotics resistance has become a serious problem worldwide. The cause of bacterial resistance to antibiotics is inappropriate or irrational use of antibiotics [1,2]. Efforts to prevent antibiotic resistance have been launched both internationally and nationally. Antimicrobial stewardship program (ASP) in hospitals aims to optimize antimicrobial prescribing to obtain optimal use of antibiotics, prevents the development of antibiotic resistance, improves individual patient care as well as reduce hospital costs, and slows the spread of antimicrobial resistance [5]. Based on Indonesian Health Ministry regulations concerning ASP in hospitals, this program is an attempt to control antimicrobial resistance through preventing selective pressure by applying prudent use of antibiotics and prevents spreading by implementing infection control prevention (Proton Pump Inhibitors) [6]. Surveillance study of antibiotic use was carried out quantitatively and qualitatively, pre-post ASP
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