Startseite Antibiotic use on acute respiratory tract infection nonpneumonia and nonspecific diarrhea in Primary Health Care Centre in Banjarbaru City, South Kalimantan, Indonesia
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Antibiotic use on acute respiratory tract infection nonpneumonia and nonspecific diarrhea in Primary Health Care Centre in Banjarbaru City, South Kalimantan, Indonesia

  • Rizky Liestya Wardani , Suharjono EMAIL logo , Kuntaman und Agus Widjaja
Veröffentlicht/Copyright: 25. Juni 2021

Abstract

Objectives

Acute respiratory tract infection (ARTI) nonpneumonia and nonspecific diarrhea are the most common cases in primary health care centre (PHCC) in Indonesia with the enormous use of antibiotics. The aims of this study were to analyze the antibiotic use and factors affected to the quality of antibiotic use in PHCC in Banjarbaru City, South Kalimantan, Indonesia.

Methods

The study was conducted in four PHCCs, two in urban and two in rural areas. All of the patients visited these PHCCs since March to April 2018 were recruited as samples after signing informed consent. Data were analyzed using SPSS version 18.

Results

There were no significant difference in antibiotic use between urban and rural PHCC, both on ARTI nonpneumonia and nonspecific diarrhea. The most prescribed antibiotics were amoxycillin and cephadroxil. Based on DDD/1,000 patients-day calculation, the quantity of antibiotics in urban PHCC was 3,544.4 and in rural PHCC was 3,478.6. Physicians with more than seven years of service, both in rural and urban PHCCs, were prescribe the antibiotics higher than who had been working for shorter period. There were no significant difference between physicians who had trained on rational drug use and had not trained yet in urban PHCC (p=0.874), while in rural PHCC there were a significant difference among them.

Conclusions

The quantitative analysis showed that the antibiotics use in DDD in urban PHCC was 3,544.416 and in rural PHCC was 3,478.693. Factors affected to the quality of antibiotic use were physician’s years of service and rational drug use training’s.


Corresponding author: Suharjono, Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia, Phone: +628121733877, E-mail:

Funding source: Thahir Professorship

Acknowledgment

Authors acknowledge with thanks to Head of Primary Health Care Centres (PHCCs), pharmacists and Tahir Professorship for their technical and administrative support to conduct this research.

  1. Research funding: Board for Development and Empowerment Human Resources of Health Scholarship.

  2. Author contributions: All authors have accepted responsibility for entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Not applicable.

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Received: 2020-11-27
Accepted: 2021-02-21
Published Online: 2021-06-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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