Research Paper
Year: 2022 | Month: January | Volume: 9 | Issue: 1 | Pages: 510-515
DOI: https://doi.org/10.52403/ijrr.20220158
Antibiotic Prescription for Adult with Acute Respiratory Tract Infections (ARTI) in Public Health Care Center in Denpasar Area during COVID-19 Era
Johan Kevin Wijaya1, Bagus Komang Satriyasa2, Ida Ayu Alit Widhiartini3
1Faculty of Medicine, 2,3Department of Pharmacology and Therapy,
Faculty of Medicine, Udayana University, Denpasar, Indonesia.
Corresponding Author: Bagus Komang Satriyasa
ABSTRACT
Restriction of antibiotic prescribing in pandemic COVID-19 is a dilemma. Establishing an acute respiratory tract infection (ARTI) may underdiagnosed due to limited doctor-patient communication and physical examination. Antibiotics are live saving drug and antibiotics should be prudently used to avoid antibiotic resistance. Understanding the trend of antibiotics prescribing in primary health care services is needed to support antibiotics use appropriate. The aim of this study is at profiling of antibiotics prescriptions for adults with ARTI during COVID-19 era. The qualitative descriptive study was designed at the primary health care services in Denpasar area. Data of antibiotic use were collected from out-patients prescription between April-December 2020. Antibiotic prescription were assessed for the appropriateness based on the Ministry of Health of the Republic of Indonesia (MHRI) and World Health Organization (WHO) “AWaRe” criteria. The study found those Amoxicillin (43.3%) and Ciprofloxacin (31.4%) were the most utilized antibiotics. In spite of the overall duration of antibiotic prescriptions appropriately use based on the MHRI’s, there were two types of antibiotics prescriptions used inappropriately based on the level of health-care services. Based on the AWaRe WHO’s criteria, It was found the use of the Access group and Watch group antibiotics. The maximum period of antibiotic therapy was not exceeded in this trial, and the appropriateness based on the levels of health care service reached 89.5%. Antibiotic use was 55.8% in the Access group and 43.5% in the Watch group.
Keywords: antibiotics, covid-19 era, profile of antibiotics prescription.
[PDF Full Text]