THE THIRD-GENERATION CEPHALOSPORIN USE IN A REGIONAL GENERAL HOSPITAL IN INDONESIA

Abstract

Antibiotic is used abundantly over time. This study aimed to determine the profile of the use of antibiotics in units of DDD/100 bed-days, types of bacteria as well as the sensitivity of bacteria in the Surgery, Obstetrics and Gynecology, and Medical Ward of Bangil Regional General Hospital, Pasuruan in 2016. The study was conducted using a descriptive, cross-sectional study design and data collection was done retrospectively. The results showed that the most-used antibiotics in surgery and medical wards are the third-generation cephalosporins, whereas in Obstetrics and Gynecology is the first-generation cephalosporins. The total DDD per bed-days of the medical ward (53.76 DDD per bed-days) is higher than surgery ward (45.83 DDD per bed-days) and Obstetrics and Gynecology ward (28.78 DDD per 100 bed-days). Only limited microbial culture perform during the study period. The most bacteria came from the isolates were Staphylococcus aureus and Escherichia coli. Antibiotic stewardship programme is urgently needed due to a high antibiotic use in the hospital.