?url_ver=Z39.88-2004&rft_id=2118031023&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=ANALISIS+PERBEDAAN+BIAYA+ANTIBIOTIK+KELOMPOK+RESERVE+%0D%0ADENGAN+METODE+ATC%2FDDD+BERDASARKAN+TINGKAT%0D%0ASENSITIVITAS+ANTIBIOTIK+DI+RSUD+DR.+H.+ABDUL+MOELOEK+%0D%0APROVINSI+LAMPUNG&rft.creator=Cathartica%2C+Allamanda&rft.subject=540+Kimia+dan+ilmu+yang+berhubungan&rft.subject=601+Filsafat+dan+teori+tentang+teknologi+dan+ilmu+terapan&rft.subject=607+Pendidikan%2C+riset%2C+topik+terkait&rft.description=Latar+Belakang%3A+Antibiotik+reserve+berperan+sebagai+pilihan+terakhir+dalam%0D%0Apenanganan+infeksi+berat.+Namun%2C+antibiotik+reserve+memiliki+rata-rata+biaya+yang%0D%0Atinggi.+Penelitian+ini+bertujuan+untuk+menganalisis+perbedaan+biaya+antibiotik%0D%0Areserve+berdasarkan+tingkat+sensitivitasnya%2C+guna+mengoptimalkan+penggunaan%0D%0Aantibiotik+dan+menekan+risiko+resistensi.%0D%0AMetode%3A+Penelitian+ini+adalah+penelitian+analitik+observasional+dengan+desain%0D%0Apenelitian+cross-sectional+berdasarkan+perspektif+rumah+sakit.+Pengambilan+data%0D%0Adilakukan+secara+retrospektif+melalui+formulir+permintaan+antimikroba%0D%0Apengendalian+khusus+(reserve).+Jumlah+sampel+sebanyak+273+dan+dipilih%0D%0Amenggunakan+teknik+total+sampling.%0D%0AHasil%3A+Mayoritas+pasien+rawat+inap+yang+menggunakan+antibiotik+reserve+adalah%0D%0Alaki-laki+(54%2C9%25)%2C+dengan+usia+kategori+dewasa+(18-59+tahun)+(35%2C9%25)+dan+usia%0D%0Abalita+(0-5+tahun)+(29%2C7%25).+Berdasarkan+distribusi+ruangan+rawat+inap+mayoritas%0D%0Aberada+di+ruang+Perinatologi+(21%2C6%25)+dan+ruang+ICU+(15%2C4%25).+Penggunaan%0D%0Aantibiotik+reserve+terbanyak+adalah+meropenem+(37%2C4%25)+dengan+bakteri+yang%0D%0Apaling+banyak+ditemukan+adalah+bakteri+Gram-negatif+(71%2C34%25).+Total+biaya+rata-%0D%0Arata+penggunaan+antibiotik+terbesar+adalah+vankomisin+sebesar+Rp32.485.000.%0D%0ABakteri+Gram-negatif+menunjukkan+sensitivitas+tinggi+pada+antibiotik+amikasin%2C%0D%0Ameropenem%2C+dan+moksifloksasin+sementara+pada+bakteri+Gram-positif%0D%0Amenunjukkan+sensitivitas+tinggi+pada+vankomisin+dan+linezolid.%0D%0AKesimpulan%3A+Terdapat+perbedaan+biaya+antibiotik+reserve+berdasarkan+tingkat%0D%0Asensitivitas+antibiotik+di+RSUD+Dr.+H.+Abdul+Moeloek+Provinsi+Lampung.+%0D%0AKata+Kunci%3A+Antibiogram%2C+Antibiotik+Reserve%2C+ATC%2FDDD%2C+Tingkat+Sensitivitas+%0D%0A%0D%0ABackground%3A+Reserve+antibiotics+serve+as+the+last+line+of+treatment+for+severe%0D%0Ainfections.+However%2C+they+are+generally+associated+with+high+average+costs.+This%0D%0Astudy+aims+to+analyze+the+cost+differences+of+reserve+antibiotics+based+on+their%0D%0Asensitivity+levels%2C+in+order+to+optimize+antibiotic+use+and+reduce+the+risk+of%0D%0Aresistance.%0D%0AMethods%3A+This+study+was+an+analytical+observational+study+with+a+cross-sectional%0D%0Adesign+from+the+hospital%E2%80%99s+perspective.+Data+were+collected+retrospectively+through%0D%0Aspecial+antimicrobial+request+forms+(reserve+category).+A+total+of+273+samples+were%0D%0Aincluded+using+a+total+sampling+technique.%0D%0AResults%3A+The+majority+of+hospitalized+patients+who+used+reserve+antibiotics+were%0D%0Amale+(54.9%25)%2C+with+the+most+common+age+categories+being+adults+(18%E2%80%9359+years)+at%0D%0A35.9%25+and+toddlers+(0%E2%80%935+years)+at+29.7%25.+Based+on+the+distribution+of+inpatient%0D%0Awards%2C+most+patients+were+treated+in+the+Perinatology+ward+(21.6%25)+and+the+ICU%0D%0A(15.4%25).+The+most+frequently+used+reserve+antibiotic+was+meropenem+(37.4%25)%2C+and%0D%0Athe+most+commonly+identified+bacteria+were+Gram-negative+bacteria+(71%2C34%25).+The%0D%0Ahighest+average+cost+of+antibiotic+use+was+vancomycin%2C+at+IDR32.485.000.+Gram-%0D%0Anegative+bacteria+showed+high+sensitivity+to+amikacin%2C+meropenem%2C+and%0D%0Amoxifloxacin%2C+while+Gram-positive+bacteria+showed+high+sensitivity+to+vancomycin%0D%0Aand+linezolid.%0D%0AConclusion%3A+There+was+a+difference+in+the+cost+of+reserve+antibiotics+based+on%0D%0Aantibiotic+sensitivity+levels+at+RSUD+Dr.+H.+Abdul+Moeloek%2C+Lampung+Province.+%0D%0AKeywords%3A+Antibiogram%2C+ATC%2FDDD%2C+Reserve+Antibiotics%2C+Sensitivity+Level+&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2025-05-09&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F87807%2F1%2FABSTRAK.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F87807%2F2%2FSKRIPSI%2520FULL.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F87807%2F3%2FSKRIPSI%2520FULL%2520TANPA%2520BAB%2520PEMBAHASAN.pdf&rft.identifier=++Cathartica%2C+Allamanda++(2025)+ANALISIS+PERBEDAAN+BIAYA+ANTIBIOTIK+KELOMPOK+RESERVE+DENGAN+METODE+ATC%2FDDD+BERDASARKAN+TINGKAT+SENSITIVITAS+ANTIBIOTIK+DI+RSUD+DR.+H.+ABDUL+MOELOEK+PROVINSI+LAMPUNG.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F87807%2F