Abstract
Urinary tract infection (UTI) is an infection due to the proliferation of microorganisms in the urinary tract. UTI is usually occur in the community at various ages. In 2014, Indonesian Ministry of Health showed that the number of people with UTIs reached 90-100 cases per 100,000 population per year. Antibiotics are the main therapy used in treating urinary tract infections. The purpose of this study was to determine the pattern of antibiotic prescribing in UTI patients and determine the suitability of therapy with guidelines for UTI at the Installation of NTB Provincial Hospital in 2017. The design of this study was descriptive by collecting data retrospectively. The study was conducted on 105 UTI patients at the Installation Hospital of NTB Province in 2017, then the data obtained from the medical record and prescription sections were processed using Microsoft Excel software. The results showed that therapy for UTI patients was antibiotics with the most use of ciprofloxacin (45.71%), then cefixime (40%), urinter (pipemidic acid) (11.43%), levofloxacin (1.90%), cefadroxil (0.95 %). Based on these results, the suitability of prescription was seen from the type of drug and the dosage in the main therapy (antibiotics) was 100% according to the treatment guidelines, but the frequency and duration of administration only reached 99.05% and 88.6%.
Highlights
Urinary tract infection (UTI) is an infection due to the proliferation of microorganisms in the urinary tract
The results showed that antibiotics with the most use were ciprofloxacin (45.71%), then cefixime (40%), pipemidic acid (11.43%), levofloxacin (1.90%), cefadroxil (0.95 %)
Infection and Urolithiasis: Current Clinical Evidence in Prophilaxis and Antibiotic Therapy
Summary
Karakteristik pasien berdasarkan jenis kelamin didominasi oleh perempuan yaitu sebanyak 55 pasien (52,38 %) sedangkan laki – laki sebanyak 50 pasien (47,62 %). Hal ini sesuai dengan penelitian yang dilakukan oleh Pratiwi dan Septimawanto (2015) di Rumah Sakit Roemani Semarang yang menyatakan bahwa ISK lebih banyak terjadi pada perempuan (62%) dibandingkan laki – laki (38%). Kejadian tersebut disebabkan oleh saluran uretra pada perempuan lebih pendek yaitu sekitar 2 – 3 cm dibandingkan dengan laki – laki yang dapat menyebabkan bakteri dari rektum lebih mudah masuk kedalam kandung kemih sehingga terjadi infeksi (Okonko dkk., 2009). Hal ini sama dengan penelitian yang dilakukan oleh Pratiwi (2013) bahwa kompilkasi yang sering dialami pasien ISK yaitu ISK dengan CKD (17,0%), ISK dengan BPH (13,2%) dan ISK dengan DM (7,5%). Penggunaan terapi utama pasien di Instalasi Rawat Jalan RSUD Provnsi NTB tahun 2017 di kelompokkan menjadi 2 golongan antibiotik. Deskripsi penggunaan terapi utama (antibiotik) pada ISK di Instalasi Rawat Jalan RSUD Provinsi NTB tahun 2017 dapat dilihat pada Tabel 2
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