Erna Susanti, Ellyvina S. Dhini

Assesment of Antibiotic Prescribing Practices in Hospital X, Malang Regency: A Gyssens Method

Introduction

Assesment of antibiotic prescribing practices in hospital x, malang regency: a gyssens method. Evaluate antibiotic prescribing practices in Hospital X, Malang Regency using the Gyssens method. Findings reveal issues in duration of antibiotic therapy & resistance prevention.

Abstract

Antibiotic resistance remains a major problem in medicine. The therapy and goals of antibiotic treatment given to patients do not meet the expected therapeutic targets due to the occurrence of antibiotic resistance. The long-term goal of this study is to achieve the rationality of antibiotic use based on the results of a qualitative analysis of antibiotic use at Hospital X, Malang Regency using the Gyssen method. The main goal to be achieved is to prevent antibiotic resistance in hospitals due to irrational use. The specific objective of this study is to assess the appropriateness of antibiotic use among patients in the Internal Medicine, surgical, and obstetrics-gynecology  departments based on Gyssens criteria. This study uses a retrospective descriptive method to provide a general overview of antibiotic use at Hospital X, Malang Regency. The sample consisted of patient medical records and antibiotic administration record  data, including 50  internal  patients, 50 surgical patients, and 40 Obgyn patients. The results showed that ceftriaxone was the most commonly prescribed antibiotic across Internal Medicine, surgical, and Obgyn cases. Based on the Gyssens analysis, antibiotic use was classified into categories 0, I, IIB, IIIA, IIIB, and V, with the highest proportion observed in category IIIB. Overall, the findings indicate that antibiotic use at Hospital X, Malang Regency predominantly falls into category IIIA, suggesting issues related to the duration of therapy.  

Review

The study titled "Assessment of Antibiotic Prescribing Practices in Hospital X, Malang Regency: A Gyssens Method" addresses a highly pertinent issue in global healthcare: antibiotic resistance. By focusing on the rationality of antibiotic use at a specific institution, Hospital X, the research aims to identify and ultimately mitigate practices that contribute to this critical problem. The adoption of the Gyssens method, a recognized tool for evaluating antibiotic appropriateness, provides a systematic framework for this crucial assessment, signaling the study's commitment to understanding and improving prescribing patterns. Employing a retrospective descriptive design, the researchers analyzed antibiotic administration data from 140 patients across Internal Medicine, Surgical, and Obstetrics-Gynecology departments. A key finding was the predominant use of ceftriaxone across all studied departments. The application of the Gyssens criteria revealed a spectrum of prescribing issues, classifying use into categories 0, I, IIB, IIIA, IIIB, and V. Critically, the study found that category IIIA was the most prevalent, indicating a significant problem related to the duration of antibiotic therapy. This specific insight is valuable as it pinpoints a remediable aspect of antibiotic stewardship within the hospital. Overall, this study offers a foundational insight into the antibiotic prescribing landscape at Hospital X. The identification of ceftriaxone as a highly utilized antibiotic and, more importantly, the prevalence of category IIIA issues related to therapy duration provide concrete targets for intervention. While the abstract clearly outlines the problem and the general findings, a deeper discussion of the clinical implications of each Gyssens category, particularly IIIA and IIIB, would enhance the understanding of the identified irrationalities. The findings serve as a robust starting point for Hospital X to develop and implement targeted antibiotic stewardship programs focused on optimizing treatment durations and reducing the threat of antibiotic resistance.

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