QUALITATIVE ANALYSIS OF ANTIBIOTIC USE IN POSTOPERATIVE PATIENTS IN THE ICU (INTENSIVE CARE UNIT) ROOM OF HOSPITAL X IN ACEH IN 2022

Abstract

The irrational use of antibiotics can lead to increased bacterial resistance to antibiotics in hospitals, which can complicate the treatment process. Potential problems with antibiotic use in the ICU arise from inappropriate use. A study mentioned that 30%-60% of antibiotic use in ICU is unnecessary, inappropriate, or suboptimal. Antimicrobial Resistance in Indonesia (AMRIN) research showed that 42% of antibiotic use indicated inappropriate in surgical patients. This study is an analytic descriptive study with a cross-sectional design using retrospective data with a qualitative approach to the Gyssens method. This study used retrospective secondary data in the form of medical records of postoperative patients in the ICU in 2022. 116 patient medical records met the inclusion criteria. The results of the Gyssens analysis showed a category 0 (rational) of 71.58% and an inappropriate category of 28.42% spread in several categories. The results of the chi-square test showed a difference in the quality of antibiotic use with the type of single or combined antibiotic use, and there was a difference in the quality of antibiotic use with the condition of the patient leaving the ICU.