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LAMA RAWAT

Pasien 1 14 Hari
Pasien 2 9 Hari
Pasien 3 12 hari
Pasien 4 12 hari
Pasien 5 3 Hari
Pasien 6 10 hari
Pasien 7 12 Hari
Pasien 8 12 hari
Pasien 9 16 Hari
Pasien 10 5 Hari
Pasien 11 4 Hari
TOTAL RAWAT (LOS) 109 hari

NILAI DDD
Jumlah dosis AB selama dirawat
Rumus DDD = DDD AB (gram)WHO

Diketahui DDD AB (WHO) ;


NAMA ANTIBIOTIK NILAI DDD (WHO)
Ceftriaxon 3 gram
Metronidazol 1.5 gram
Meropenem 2 gram
Amikacin 1 gram
Cefotaxim 4 gram
Cefixim 0.4 gram
Ceftazidim 4 gram
Levofloxacin 0.5 gram
Rifampicin 0.6 gram
INH 0.3 gram
Pyrazinamid 1.5 gram
Ethambutol 1.2 gram
Ciprofloxacin 1 gram
Gentamicin 0.24 gram

A. Pasien 1, jenis antibiotik yang diberikan ;


1. Ceftriaxon = Tidak bisa dihitung karena aturan pemberian dosis obat tidak jelas.
2. Metronidazol = 3 x 150 mg selama 11 hari
= 450 x 11 = 4950 MG = 4.95 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
4.95 gram
DDD = 1.5 gram
= 3.3 gram
3. Amikacin = 1 x 150 mg selama 6 hari
= 900 mg = 0.9 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.9 gram
DDD = 1 gram
= 0.9 gram

B. Pasien 2, antibiotik yang diberikan ;


1. Cefotaxim = 4 x 800 mg selama 6 hari
= 3200 x 6
= 19200 mg = 19.2 gram

Jumlah dosis AB selama dirawat


DDD = DDD AB (gram)WHO
19.2 gram
DDD = 4 gram
= 4.8 gram
2. Cefixim sirup = 2 x 3.5 ml (2 x 70 mg ) selama 4 hari
= 140 x 4
= 560 mg = 0.56 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.56 gram
DDD = 0.4 gram
= 1.4 gram

C. Pasien 3, antibiotik yang diberikan ;


1. Cefotaxim = 2 x 200 mg selama 7 hari
= 400 x 7 hari = 2800 mg
= 2.8 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
2.8 gram
DDD = 4 gram
= 0.7 gram
2. Amikacin = 2 x 30 mg selama 7 hari
= 60 x 7 hari = 420 mg
= 0.42 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.42 gram
DDD = 1 gram
= 0.42 gram
3. Ceftazidim = 3 x 250 mg selama 1 hari
= 750 mg = 0.75 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.75 gram
DDD = 4 gram
= 0.1875 gram

4. Meropenem = 3 x 125 mg selama 3 hari


= 375 x 3 hari
= 1125 mg = 1.125 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
1.125 gram
DDD = 2 gram
= 0.5625 gram

D. Pasien 4, antibiotik yang diberikan ;


1. Levofloxacin = 1 x 750 mg selama 9 hari
= 750 x 9
= 6750 mg = 6.75 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
6.75 gram
DDD = 0.5 gram
= 13.5 gram
2. Rifampicin = 1 x 450 mg selama 9 hari
= 450 x 9
= 4050 mg = 4.05 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
4.05 gram
DDD = 0.6 gram
= 6.75 gram
3. INH = 1 x 300 mg selama 8 hari
= 300 x 8 hari
= 2400 mg = 2.40 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
2.4 gram
DDD = 0.3 gram
= 8 gram
4. Pyrazinamid = 1 x 1 gram selama 8 hari
= 8 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
4.95 gram
DDD = 1.5 gram
= 3.3 gram
5. Ethambutol = 1 x 1 gram selama 8 hari
= 8 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
8 gram
DDD = 1.2 gram
= 6.66 gram

E. Pasien 5, antibiotik yang diberikan ;


1. Metronidazol = 3 x 500 mg selama 3 hari
= 1500 x 3 hari
= 4500 mg = 4.5 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
4.5 gram
DDD = 1.5 gram
= 3.3 gram
2. Ceftriaxon = 1 x 2 gram selama 3 hari
= 2 x 3 hari = 6 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
6 gram
DDD = 2gram
= 3 gram

F. Pasien 6, antibiotik yang diberiakan ;


1. Cefotaxim = 3 x 150 mg selama 7 hari
= 450 x 7 hari
= 3150 mg = 3.15 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
3.15 gram
DDD = 4 gram
= 0.7875 gram
2. Amikacin = 2 x 30 mg selama 7 hari
= 60 x 7 hari
= 420 mg = 0.42 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.42 gram
DDD = 1 gram
= 0.42 gram
3. Meropenem = 3 x 125 mg selama 2 hari
= 375 mg x 2 hari
= 750 mg = 0.75 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.75 gram
DDD = 2 gram
= 0.375 gram

G. Pasien 7, antibiotik yang diberikan ;


1. Ceftriaxon = 2 x 1 gram selama 1 hari
= 2 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
2 gram
DDD = 2 gram
= 1 gram
2. Meropenem = 3 x 1 gram selama 6 hari
= 3 x 6 hari
= 18 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
18 gram
DDD = 2 gram
= 9 gram
3. Ceftriaxon = 1 x 2 gram selama 1 hari
= 2 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
2 gram
DDD = 2 gram
= 1 gram
4. Ciprofloxacin = 2 x 500 mg selama 4 hari
= 1000 mg x 4 hari
= 4000 mg = g gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
4 gram
DDD = 1 gram
= 4 gram
H. Pasien 8, antibiotik yang diberikan ;
1. Ceftriaxon = 2 x 1 gram selama 1 hari
= 2 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
2 gram
DDD = 2 gram
= 1 gram
2. Metronidazol = 3 x 500 mg selama 1 hari
= 1500 mg = 1.5 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
1.5 gram
DDD = 1.5 gram
= 1 gram
3. Meropenem = 3 x 1 gram selama 5 hari
= 15 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
15 gram
DDD = 2 gram
= 7.5 gram
4. Cefixim = 2 x 200 mg selama 2 hari
= 400 mg x 2
= 800 mg = 0.8 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.8 gram
DDD = 0.4 gram
= 2 gram

I. Pasien 9, antibiotik yang diberikan ;


1. Meropenem = 3 x 175 mg selama 15 hari
= 525 mg x 15 hari
= 7875 mg = 7.875 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
7.875 gram
DDD = 2 gram
= 3.9375 gram
2. Cefixim = 2 x 40 mg selama 3 hari
= 80 mg x 3 hari
= 240 mg = 0.24 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.24 gram
DDD = 0.4 gram
= 0.6 gram

J. Pasien 10, antibiotik yang diberikan ;


1. Meropenem = 3 x 1 gram selama 3 hari
= 9 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
9 gram
DDD = 2 gram
= 4.5 gram
2. Ciprofloxacin = 2 x 500 mg selama 1 hari
= 1 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
1 gram
DDD = 1 gram
= 1 gram
3. Metronidazol = 3 x 500 mg selama 1 hari
= 1500 mg = 1.5 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
1.5 gram
DDD =
1.5 gram
= 1 gram

K. Pasien 11, antibiotik yang diberiakan ;


1. Ceftriaxon = 2 x 1 gram selama 3 hari
= 6 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
6 gram
DDD = 2 gram
= 3 gram
2. Gentamicin = 2 x 1 ampul (80 mg) selama 3 hari
= 160 mg x 3 hari
= 480 mg = 0.48 gram
Jumlah dosis AB selama dirawat
DDD = DDD AB (gram)WHO
0.48 gram
DDD = 0.24 gram
= 2 gram
DDD/100 PATIENT DAYS :

total DDD antibiotik


DDD = x 100 %
total LOS

1. Metronidazol
total DDD antibiotik
DDD = x 100 %
total LOS
3.3+1+3+1
DDD = x 100 %
109 hari
= 7.6 %
2. Meropenem
total DDD antibiotik
DDD = x 100 %
total LOS
4.95+0.562+0.375+9+7.5+3.9375+4.5
DDD = x 100 %
109 hari
= 28.28 %
3. Amikacin
total DDD antibiotik
DDD = x 100 %
total LOS
0.9+0.42+0.42
DDD = x 100 %
109 hari
= 1.596 %
4. Cefotaxim
total DDD antibiotik
DDD = x 100 %
total LOS
4.8 + 0.7+ 0.7875
DDD = x 100 %
109 hari
= 5.768 %
5. Ceftazidim
total DDD antibiotik
DDD = x 100 %
total LOS
0.1875
DDD = 109 hari x 100 %
= 0.17 %
6. Ciprofloxacin
total DDD antibiotik
DDD = x 100 %
total LOS
4+1
DDD = 109 hari x 100 %
= 4.587 %
7. Levofloxacin
total DDD antibiotik
DDD = x 100 %
total LOS
13.5
DDD = 109 hari x 100 %
= 12.385 %
8. Rifampicin
total DDD antibiotik
DDD = x 100 %
total LOS
6.75
DDD = 109 hari x 100 %
= 6.1926 %
9. INH
total DDD antibiotik
DDD = x 100 %
total LOS
8
DDD = 109 hari x 100 %
= 77.34 %
10. Pyrazinamid
total DDD antibiotik
DDD = x 100 %
total LOS
5.3
DDD = x 100 %
109 hari
= 4.86 %
11. Ethambutol
total DDD antibiotik
DDD = x 100 %
total LOS
6.66
DDD = 109 hari x 100 %
= 6.11 %
12. Gentamicin
total DDD antibiotik
DDD = x 100 %
total LOS
2
DDD = 109 hari x 100 %
= 1.83 %
13. Ceftriaxon
total DDD antibiotik
DDD = x 100 %
total LOS
3+1+1+1+3+⋯
DDD = x 100 %
109 hari
= 0.08%
14. Cefixim
total DDD antibiotik
DDD = x 100 %
total LOS
1.4+2+0.6
DDD = x 100 %
109 hari
= 3.67 %
Jadi Nilai Ddd Yang Didapat Sebagai Berikut :

NAMA ANTIBIOTIK DDD (%) NILAI DDD (WHO)


Ceftriaxon 0.08 3 gram
Metronidazol 7.6 1.5 gram
Meropenem 28.28 2 gram
Amikacin 1.596 1 gram
Cefotaxim 5.768 4 gram
Cefixim 3.67 0.4 gram
Ceftazidim 0.17 4 gram
Levofloxacin 12.385 0.5 gram
Rifampicin 6.1926 0.6 gram
INH 7.34 0.3 gram
Pyrazinamid 4.86 1.5 gram
Ethambutol 6.11 1.2 gram
Ciprofloxacin 4.587 1 gram
Gentamicin 1.83 0.24 gram