ANALISIS RASIONALITAS PERESEPAN ANTIBIOTIK PADA
    PENYAKIT INFEKSI SALURAN PERNAFASAN AKUT (ISPA) DI
      PUSKESMAS BANTUL I DENGAN PUSKESMAS KASIHAN II
                           KABUPATEN BANTUL

                            Annisha Ayuning Tanza
                                Prodi Farmasi

                                    INTISARI
      Prevalensi ISPA di provinsi Daerah Istimewa Yogyakarta pada periode
2013 sebesar 23,3% dan di Kabupaten Bantul angka kesakitan ISPA menempati
urutan tertinggi 10 besar penyakit yang cenderung meningkat. Tingginya angka
kesakitan ISPA yang diikuti dengan tingginya penggunaan antibiotik dapat
berpotensi menimbulkan risiko resistensi antibiotik apabila peresepan antibiotik
tidak rasional. Tujuan penelitian ini adalah untuk mengetahui tingkat rasionalitas
penggunaan antibiotik untuk pasien ISPA di Puskesmas Bantul I dan Kasihan II
Kabupaten Bantul berdasarkan pedoman yang digunakan di puskesmas serta
guideline IDSA (Infectious Diseases Society of America) dan AAFP (American
Academy of Family Physicians). Penelitian ini dilakukan secara deskriptif dengan
pengambilan data secara retrospektif dari data register SIMPUS dan resep pasien
ISPA selama bulan Januari – Desember 2017. Hasil penelitian menemukan
prevalensi peresepan antibiotik di Puskesmas Bantul I sebesar 14,22% dan di
Puskesmas Kasihan II sebesar 14,7%. Jenis antibiotik yang paling banyak
digunakan di kedua puskesmas tersebut adalah amoksisilin. Rasionalitas
peresepan antibiotik pada pasien ISPA berdasarkan Pedoman Pengobatan Dasar di
Puskesmas tahun 2007 diperoleh sebesar 36% di Puskesmas Bantul I dan di
Puskesmas Kasihan II sebesar 47,12%. Tidak terdapat peresepan antibiotik pada
pasien ISPA yang rasional berdasarkan guideline IDSA dan AAFP.
Kata kunci: ISPA, Infeksi Saluran Nafas Akut, Antibiotik, Resistensi Antibiotik




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 ANALYSIS OF RATIONALITY ON ANTIBIOTIC PRESCRIBING FOR
   ACUTE RESPIRATORY TRACT INFECTION (ARI) AT PRIMARY
    HEALTH CENTER OF BANTUL I AND KASIHAN II IN BANTUL
                                  REGENCY

                            Annisha Ayuning Tanza
                                Prodi Farmasi

                                  ABSTRACT
The prevalence of ARI in Yogyakarta in 2013 was 23.3%, in Bantul district
numbers of ARI becomes the highest order of the top 10 diseases that tend to
increase. The high prevalence of ARI impact on the high use of antibiotics may
occur antibiotic resistance caused by irrational of antibiotics prescribing. The
aim of this research is to determine the prevalence and rationality of antibiotics
prescribing for ARI patients in Bantul I and Kasihan II primary health center in
Bantul Regency based on the guidelines in clinics and as well as the IDSA
(Infectious Diseases Society of America) guideline and AAFP (American Academy
of Family Physicians) guideline. This research was done in a descriptive with
retrospective data retrieval from SIMPUS register data and patient prescribing of
ARI patients in January – December 2017. Results of the prevalence of antibiotics
prescribing in Bantul I Primary Health Center was 14,22% and in Kasihan II
Primary Health Center was 14,7%. The most widely used type of antibotics in
both Primary Health Center is Amoxicillin. The rationality of antibiotics
prescribing for ARI patients based on Basic Medical Giudeline in Puskesmas
2007 acquired for 36% in Bantul I Primary Health center and in Kasihan II
Primary Health Center was 47,12%. The rationality of antibiotics prescribing
based on guideline IDSA and the AAFP all prescribing antibiotics in patients of
ARI are not rational.
Keywords: Acute Breath Infections, ARI, Antibiotics, Antibiotic Resistance




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