EVALUASI PERESEPAN OBAT MASA PANDEMI DAN PASCA PANDEMI COVID-19 DI PUSKESMAS LOSARANG

  • Anis Febri Nilansari Program Studi Farmasi, Fakultas Sains dan Teknologi, Universitas PGRI Yogyakarta, Yogyakarta
  • Puja Alfin Fadillah Program Studi Farmasi Fakultas Sains dan Teknologi Universitas PGRI Yogyakarta, Yogyakarta, Indonesia
Keywords: COVID-19, WHO Indicators, Prescribing, Drug use, Community Health Center

Abstract

Pharmaceutical services play a crucial role in patient therapy success, with prescribing errors being a common issue leading to treatment failure. The COVID-19 pandemic, caused by the coronavirus, has underscored the need for evaluating drug prescriptions during and after the crisis. This study, conducted at the Losarang Community Health Center, Indramayu Regency, aims to assess prescription patterns and drug suitability based on WHO indicators. Using a retrospective approach, patient prescriptions from July to December 2020 (pandemic) and July to December 2023 (post-pandemic) were analyzed. Results indicate notable differences in prescribing trends. During the pandemic, antivirals, antibiotics, analgesics, and vitamins were commonly prescribed, whereas post-pandemic, analgesics, antibiotics, antihypertensives, antihyperglycemics, and antacids saw increased prescription rates. However, the average number of drugs per prescription sheet exceeded WHO standards during both periods, indicating potential inefficiencies. While the percentage of generic drug prescriptions met standards (100%), antibiotic prescriptions did not comply during both phases (pandemic: 100%, post-pandemic: 44.03%). Injection preparations met WHO standards (<20%) for both periods. Notably, adherence to the health center formulary was consistent with standards (100%) during both phases. In conclusion, this research underscores the need for optimizing prescribing practices to enhance patient outcomes. Strategies to reduce the number of drugs per prescription and ensure appropriate antibiotic use are imperative, emphasizing adherence to WHO guidelines and formulary recommendations.

References

Agustin, R. R., Hidayati, S., Setyowati, L., & Angger Putri, A. (2023). Studi Peresepan Obat Antivirus Oseltamivir Di Apotek Ngagel Jaya Surabaya. Pharmamedica Journal, 8(1), 1–6.

Amanda M, Frianto D, Alkandahri MY, Hidayah H. Analisis Pengelolaan Sediaan Farmasi Pada Masa Pandemi Covid-19 Di Puskesmas Kecamatan Rawamerta. Jurnal Buana Farma: Jurnal Ilmiah Farmasi. 2021;1(3):37-40.

Arfania, M., Frianto, D., Astuti, D., Anggraeny, EN., Kurniawati, T., Alivian, R., Alkandahri, MY. Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument. Journal of Pharmaceutical Research International. 2021; 33(54A):115-120.

Arfania M, Pardede TW, Alkandahri MY. Analisis Tingkat Kepuasan Pasien BPJS terhadap Pelayanan di Instalasi Farmasi Rawat Jalan Rumah Sakit Swasta. Jurnal Farmasetis. 2022;11(1):1-6.

Astuti, R. B., Andayani, T. M., & Puspitasari, I. (2022). Gambaran Terapi dan Luaran Klinik pada Pasien COVID-19 di RSUD Dr. Moewardi Surakarta. Majalah Farmaseutik, 19(4).

Bilqis, S. U. (2015). Kejadian Medication Error pada Fase Prescribing di Poliklinik Pasien Rawat Jalan RSD Mayjend HM Ryacudu Kotabumi.

Burhan, E., Dwi Susanto, A., Isbaniah, F., Aman Nasution, S., Ginanjar, E., Wicaksono Pitoyo, C., et al. (2022). Pedoman Tatalaksana Covid-19 Edisi 4 (4th ed.).

Elviani, R., Anwar, C., Januar Sitorus, R., Studi Magister Ilmu Kesehatan, P., Kesehatan Masyarakat, F., Siwijaya, U., Kesehatan Masyarakat, I., Kedokteran Universitas Sriwijaya, F., & Studi lmu Kesehatan Masyarakat, P. (2021). Gambaran Usia Pada Kejadian Covid-19. JMJ, 9, 204–209.

Gau, A. W., Arsal, A. S. F., Darussalam, A. H. E., Irwan, A. A., & Sodiqah, Y. (2024). Gambaran Penggunaan Antibiotik Pasien Diare Akut pada Anak di Puskesmas Maroangin Kota Palopo Tahun 2021-2022. Jurnal Kesehatan Masyarakat, 8, 877–891.

Hildan, H., & Sadeli, M. (2022). Gambaran Karakteristik Pasien Covid-19 di Rumah Sakit X. Jurnal Riset Kedokteran, 51–56.

Iksan H, Frianto D, Alkandahri MY. Evaluasi Pengobatan Infeksi Saluran Pernapasan Akut Pada Balita Di Klinik X Cikarang Utara. Jurnal Buana Farma: Jurnal Ilmiah Farmasi. 2021;1(3):31-36.

Irmawati, Kambaya, P. P., Masyhudi, Kuntari, I. D., & Yani, S. (2023). Pengaruh Antibiotik Metronidazole, Ciprofloxacin dan Oxytetracycline terhadap Bakteri Enterococcus Faecalis dengan Metode Difusi Disk. Jurnal Vendure, 5, 18–25.

Kemenkes RI. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 35 Tahun 2014 Tentang Standar Pelayanan Kefarmasian di Apotek. In Kementerian Kesehatan Republik Indonesia.

Kemenkes RI. (2019). Laporan Riskesdas 2018 Nasional. Badan Penelitian dan Pengembangan Kesehatan .

Kemenkes RI. (2023). Data Sebaran Covid-19. https://covid19.go.id/id

Khoirunnisa, E. A., & Rahmaniar, R. (2023). Evaluasi Pola Peresepan Obat Pasien Rawat Jalan Ditinjau dari Indikator Peresepan WHO 1993 di RSUD Tugurejo Jawa Tengah. Indonesian Journal of Pharmaceutical Sciences and Clinical Research (IJPSCR), 1(2), 45–57.

Kusuma, T., & Nurchayati. (2021). Sikap dan Perilaku Masyarakat Terhadap Pandemi COVID-19. Jurnal Penelitian Psikologi, 8(4).

Langford, B. J., So, M., Raybardhan, S., Leung, V., Westwood, D., MacFadden, D. R., Soucy, J. P. R., & Daneman, N. (2020). Bacterial co-infection and secondary infection in patients with COVID-19: a living rapid review and meta-analysis. In Clinical Microbiology and Infection (Vol. 26, Issue 12, pp. 1622–1629).

Mahdiana, N. (2020). Evaluasi Peresepan Obat Berdasarkan Indikator WHO (World Health Organization) di Puskesmas Barabai Kalimantan Selatan. In Skripsi. Universitas Islam Indonesia. Universitas Islam Indonesia.

Muldianah, D., Sulastri, Fatharani, A., Nurdimayanthi, D. A., Dinda, Rahmawati, S., Fadhilah, H., (2022). Metode Analisis Paracetamol (Acetaminophen) dalam Darah, Plasma, dan Serum Manusia Methods Of Analysis Of Paracetamol (Acetaminophen) In Human Blood, Plasma, And Serum 1). Metode Analisis Paracetamol (Acetaminophen) Dalam Darah, 1(1), 1–12.

Nilawati, Harokan, A., & Zaman, C. (2023). Analisis Kejadian Infeksi Saluran Pernapasan Akut Pada Anak Balita Di PuskesmasPangkalan Balai Tahun 2023. Jurnal Kesehatan Saelmakers Perdana, 6(2).

Nurrohmah C, Astuti D, Alkandahri MY. Analisis Hubungan Sikap dan Pengetahuan Terhadap Kepatuhan Penggunaan Fe Pada Ibu Hamil di Puskesmas Klari. Pharma Xplore: Jurnal Sains dan Ilmu Farmasi. 2020;5(3):76-86.

Nurrohmah C, Astuti D, Alkandahri MY. Analisis Hubungan Sikap dan Pengetahuan Terhadap Kepatuhan Penggunaan Fe Pada Ibu Hamil di Puskesmas Tirtamulya. Pharma Xplore: Jurnal Sains dan Ilmu Farmasi. 2020;5(3):87-98.

Ofori-Asenso, R. (2016). A closer look at the World Health Organization’s prescribing indicators. In Journal of Pharmacology and Pharmacotherapeutics (Vol. 7, Issue 1, pp. 51–54). Medknow Publications.

Rahmawati, A. N., & Mutmainah, N. (2023). Evaluation Of Drug Prescribing Based on World Health Organization (Who) Indicators At The Karanganyar. Usadha: Journal of Pharmacy, 2(1).

Salsabilla, D. A., & Anggara, F. Y. (2023). Gambaran Kejadian Kematian Penderita COVID-19 di Kabupaten Pangandaran. Jurnal Riset Kedokteran, 1–6. https://doi.org/10.29313/jrk.vi.1767

Sari, D. D., & Oktarlina, R. Z. (2017). Peresepan Obat Rasional dalam Mencegah Kejadian Medication Error. Medula, 5(5).

Seng, C. R., Wiyono, W. I., Jayanti, M., (2023). Evaluasi Penggunaan Antibiotik pada Pasien Covid-19 di RSUP Prof. Dr.R. D. Kandou Manado Periode Januari-Maret 2021. Pharmacon– Program Studi Farmasi, Fmipa, Universitas Sam RatulangiI, 12(1).

Sultana, J., Cutroneo, P. M., Crisafulli, S., Puglisi, G., Caramori, G., & Trifirò, G. (2020). Azithromycin in COVID-19 Patients: Pharmacological Mechanism, Clinical Evidence and Prescribing Guidelines. Drug Safety, 43(8), 691–698. https://doi.org/10.1007/s40264-020-00976-7

Tuloli, T. S., Akuba, J., Djuwarno, E. N., Makkulawu, A., & Ahmad, R. A. (2024). Profil Penggunaan Obat Antibiotik pada Penderita Infeksi Saluran Pernapasan Akut (ISPA) di Puskesmas Kabupaten Gorontalo. Journal Syifa Sciences and Clinical Research, 6(1). https://doi.org/10.37311/jsscr.v6i1.21889

Ulya, R. R., Wibowo, A., & Husniawati, Y. R. (2022). Analisis Perbedaan Jumlah Pasien Berjenis Kelamin Laki-Laki dan Perempuan Terhadap Kunjungan Unit Pemeriksaan Umum dan Unit Pemeriksaan Gigi PLK Universitas Airlangga. Jurnal Kesehatan Masyarakat, 13, 504514.

Wahid, R. A. H., Febri Nilansari, A., & Fatimah, F. A. (2023). Profil Penggunaan Antikoagulan pada Pasien COVID-19 dengan Komorbid Hipertensi di Rawat Inap RSUD Panembahan Bantul Yogyakarta. Jurnal Ilmu Kefarmasian, 4(1).

Wasiaturrahmah, Y., Perdana Putra, A. M., Nahdha, N., & Rahmah, N. (2022). Profil Penggunaan Obat Pada Pasien Covid-19 Di Salah Satu Rumah Sakit Di Banjarmasin. Jurnal Insan Farmasi Indonesia, 5(1), 159–166.

World Health Organization. (1993). How to investigate drug use in health facilities. Geneva : World Health Organization.

World Health Organization. (2020). Corona Virus Desease 2019. https://covid19.who.int/

Yunus, M., Raharjo, W., & Fitriangga, A. (2020). Faktor-faktor yang berhubungan dengan kejadian infeksi saluran pernapasan akut (ISPA) pada pekerja PT.X. In Jurnal Cerebellum (Vol. 6, Issue 1).

Zata, J., & Nurhadi, L. (2020). Pengaruh Pandemi Covid-19 Terhadap Tingkat Aktivitas Fisik Pada Masyarakat Komplek Pratama, Kelurahan Medan Tembung. Jurnal Health Sains, 1(5).

Zulkarnaini, A., & Martini, R. D. (2019). Gambaran Polifarmasi Pasien Geriatri Dibeberapa Poliklinik RSUP Dr. M. Djamil Padang. In Jurnal Kesehatan Andalas (Vol. 8). http://jurnal.fk.unand.ac.id

Published
2024-06-30