Evaluation of The Use of Antibiotic Drugs in Outstanding Patients with Diabetes Mellitus with Complications of Diabetic Ulcus in Clinic X Pontianak

Oni Astri Herdani, Nurmainah Nurmainah, R. Susanti
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Abstract

Diabetic ulcers are a complication of diabetes mellitus. Diabetic ulcers are caused by poor circulation associated with peripheral neuropathy and peripheral vascular disease that can lead to infection. To prevent or treat infections, proper treatment is needed, one of which is by using antibiotic therapy. Inappropriate use of antibiotics can lead to an increased risk of antibiotic resistance. This study aims to describe the pattern of antibiotic use in patients with type 2 diabetes mellitus with complications of diabetic ulcers and the rationale for their use. This study uses a descriptive observational method with a cross-sectional research design. Retrospective data collection using a purposive sampling method. The results showed that the characteristics of patients with type 2 diabetes mellitus with complications of diabetic ulcers by gender were most common in women (65%) compared to men (35%), and most occurred in the age range 55-64 years (44%) with the most severe level in grade III (86%). The pattern of antibiotic use used was antibiotics with single therapy (93%) compared to combination antibiotics (7%). The single most widely used antibiotic was cefixime (31%). Evaluation of the accuracy of the use of antibiotics is the right dose (93.45%) and the right time interval of administration (83.17%).
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Pontianak临床治疗糖尿病合并糖尿病溃疡的疗效评价
糖尿病性溃疡是糖尿病的并发症。糖尿病溃疡是由血液循环不良引起的,与周围神经病变和周围血管疾病相关,可导致感染。为了预防或治疗感染,需要适当的治疗,其中之一是使用抗生素治疗。不当使用抗生素可导致抗生素耐药性风险增加。本研究旨在描述伴有糖尿病溃疡并发症的2型糖尿病患者抗生素使用的模式及其使用的基本原理。本研究采用横断面研究设计的描述性观察方法。回顾性数据收集采用有目的的抽样方法。结果显示,2型糖尿病合并糖尿病溃疡患者的性别特征以女性(65%)多于男性(35%),且多数发生在55 ~ 64岁(44%),以III级最严重(86%)。抗生素使用模式为抗生素单药治疗(93%)与联合抗生素(7%)。使用最广泛的抗生素是头孢克肟(31%)。对抗菌药物使用的准确性评价为正确剂量(93.45%)和正确给药时间间隔(83.17%)。
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