FORM PENGGUNAAN ANTIBIOTIK IGD RSU AT MEDIKA

PERIODE : ..................... 2018

Golongan Jumlah RUTE PEMBERIAN

No. Nama Generik Nama Obat Pemberian Keterangan
Antibiotik PO IV Ocular Topikal
Amoxicillin tablet 500mg ;
Amoxicillin DS 125mg/5mL;
Amoxicillin DS 250 mg/5ml ;
Amoxicillin
Amoxan tablet 500mg ;
1. Penisillin
Amoxan DS 125mg/5mL ;
Amoxan drops 100mg/mL
Amoksisillin +
Claneksi Tablet 625mg
Klavulanat
Chlorampenicol kapsul 250mg ;
Chloramfenicol
Chlorampenicol suspensi 125mg/5mL
2. Chloramfenicol Biothicol kapsul 500mg ;
Thiamfenikol Genicol kapsul 500mg ;
Biothicol Forte suspensi 250mg/5mL
3. Sefalosporin Cefotaxime Injeksi 1g ;
Lapixime Injeksi 1g ;
Lancef injeksi 1g ;
Cefotaxime Tirdicef injeksi 1g ;
Taxegram injeksi 1g ;
Kalfoxim injeksi 1g ;
Goforan injeksi
Ceftriaxone injeksi 1g ;
Infibiotic injeksi 1g ;
Gracef injeksi 1g ;
Starxon injeksi 1g ;
Ceftriaxon Terfacef injeksi 1g ;
Trijec injeksi 1g ;
Cephaflox injeksi 1g ;
Cefxon injeksi 1g ;
Broadced injeksi 1g
Cefadroxil Cefadroxil kapsul 500mg ;
 Cefat kapsul 500mg ;
Macef kapsul 500mg ;
Renasistin kapsul 500mg ;
Q-Cef kapsul 500mg ;
Cefadroxil DS 125mg/5mL, 250mg/5mL ;
Cefat DS 125mg/5mL, 250mg/5mL
Cefixime kapsul 100mg, 200mg ;
Cefspan kapsul 100mg ;
Sporetic kapsul 100mg ;
Cefiksim
Cefixime DS 100mg/5mL ;
Ceptik DS 100mg/5mL ;
Sporetic DS 100mg/5mL
Ceftasidim Ceftazidime injeksi 1g
Gentamicin injeksi 40mg/mL ;
Gentamicin Tetes Mata 0.3% ;
4. Aminoglikosida
Salep Mata 0.3% ; Salep Kulit 0.1%
Dibekasin Dibekacin injeksi 100mg/mL
Levofloxacin tablet 500mg ;
Lefos tablet 500mg ;
Levofloksasin
Lovesco tablet 500mg ;
Levofloxacin infus 500mg ; LQ-500 infus
Moksifloksasin Moxifloxacin infus 400mg/250mL
Ofloksasin Ofloxacin tablet 200mg, 400mg
5. Kuinolon
Ciprofloxacin tablet 500mg ;
Ciflos tablet 500mg ;
Lapiflox tablet 500mg ;
Ciprofloksasin
Baquinnor tablet 500mg ;
Levofloxacin infus 500mg ;
LQ-500 infus
Azitromisin Azithromicyn kapsul 500mg ;
6. Makrolida Erithromicyn kapsul 250m
Eritromisin
Infimycin injeksi 500
Doksisiklin Doxicycline kapsul 100mg
7. Tetrasiklin Oxytetracycline 1% salep mata,
Oksitetrasiklin
Oxytetracycline salep kulit 0.5%
8. Kombinasi