UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 50 / No. 3 / Published : 2014-07

Order : 13, and page :204 - 210

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Original Article :

The use of antibiotics in patients with urinary tract infection

Author :

  1. Muhammad Thariq Nadhafi*1
  2. Budi Suprapti*2
  3. Agung Dwi Wahyu Widodo*3
  4. Bambang Wahjuprajitno*4
  1. Pharmacy Division, Dr. Soetomo Hospital, Surabaya
  2. Dosen Fakultas Farmasi
  3. Dosen Fakultas Kedokteran
  4. Intensive Care Unit, Dr. Soetomo Hospital, Surabaya

Abstract :

The high frequency of multiple resistant in ICU raises awareness for the more effectiveness in using the antibiotics. The approach isto do with germs pattern making, sensitivity and qualitative evaluation of antibiotics in patients with UTI in ICU of Dr. SoetomoHospital. The study was conducted through an observational study with retrospective and prospective cohort design. The data wereanalyzed on empirical and definitive therapy in patients with UTI regimentation of the drug (route of administration dose frequencyand duration of antimicrobial administration). The manufacture of antibiogram and resistance map germs and evaluation of the useof antibiotics through questions structured (Gyssens method). Type of bacteria most commonly found in gram-positive urinespecimens were negative for Staphylococcus Coa 8.20% while occupied by gram-negative bacteria Escherichia coli (22.95%).Acinetobacter spp (14.75%). Enterobacter spp (13.11%). Pseudomonas aeruginosa (11.48%). Klebsiella pneumoniae (8.20%). Fromthe results of antibiogram (most germs pattern). The recommended antibiotic sensitivity (> 60%) for the bacteria Escherichia coliare antibiotic amikacin, gentamicin, meropenem, imipenem. ertapenem. ciprofloxacin nitrofurantonin and cefoperazone sulbactam.Evaluation of the use of antibiotics by using Gyssens divided into 7 categories with eleven prescribing antibiotics of 7 patients whopresented. Antibiotic prescribing 5 obtained results (54.55%) which includes category IV A-IV B while the remaining 6 antibioticscategory 0 (45.45%) were also interpreted the rational antibiotic prescribing. Many problems related to the possibility of antibioticmedication that is necessary to control antibiotic resistance in order to achieve optimal outcomes. (FMI 2014;50:204-210)

Keyword :

analysis of antibiotics, ICU of Dr. Soetomo Hospital,


References :

Japoni A, Vazin A, Hamedi M, Davarpanah MA, Alborzi A, Rafaatpour N,(2009) Multidrug-resistant bacteria isolated from intensive-care-unit patient samples 13, 118-122 : Braz J Infect Dis





Archive Article

Cover Media Content

Volume : 50 / No. : 3 / Pub. : 2014-07
  1. Heavy Metal Contamination May Have A Role In Negative Correlation Between Seafood Consumption And Visuo-motor Development Of 1-3 Year-old Children In Subdistrict Bulak, Surabaya
  2. Detection Of Gyra Gene Mutation Region In Fluoroquinolone Resistant Mycobacterium Tuberculosis Isolate From Surabaya Indonesia
  3. Intravenous Vitamin C Administration Decreases Nitric Oxide Serum Level In Severe Burn Injury
  4. The Overview Of Macrophage, Mast Cell, And Lymphocyte Activity In The Efficacy Distinction Of Pain Reduction For Dry And Wet Cupping Therapies
  5. Effectiveness Of Fosfomycin On Prevention Of Surgical Site Infection Of Closed Brain Injury Patients After Craniotomy In Emergency Unit Dr. Soetomo Hospital
  6. Soot Particulate Matter Exposure Increases Interleukin 6 Levels In The Mechanism Of Cardiovascular Disorders
  7. Electric Shock Increases Vcam And Mcp In Mice Endothelial Blood Vessel
  8. Magnesium And Potassium Parenteral Supplementation Does Not Produce Significant Effect On Magnesium And Potassium Serum Level Of Cervical Cancer Patients Receiving Cisplatin Chemotherapy
  9. Effect Of G-csf On Anc Level In All (acute Lymphoblastic Leukemia) Patient With Neutropenia And Febrile Neutropenia During Chemotherapy
  10. Comparative Effectiveness Of Paracetamol And Metamizol As Antipyretics In Patients With Moderate And Severe Brain Injury In Dr. Soetomo Hospital, Surabaya
  11. Analysis Of Complicated Factors Affecting Therapy Effectiveness In Urinary Tract Infections
  12. In Infant With Acute Diarrhea, Nutritional Status Has Correlation With Dehydration Degree, But Not With Mother’s Education And Breastfeeding
  13. The Use Of Antibiotics In Patients With Urinary Tract Infection

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