Evaluation of Prophylactic Antibiotic Use in Sectio Caesarea Patients at Mintohardjo Naval Hospital

Abstract

Aims: The main aim of this research is to determine the appropriateness of using prophylactic antibiotics in Sectio Caesarea patients at Mintohardjo Napal Hospital (RSAL Mintohardjo) in 2020 Methodology: This study is a non-experimental research study with a descriptive, retrospective design. It uses medical record data of patients who gave birth using SC surgery in 2020 at RSAL Mintohardjo and were given prophylactic antibiotics. The population of this study is all medical record data of mothers giving birth by SC at RSAL Mintohardjo in 2020. The sampling technique is total sampling where the number of samples is the same as the population. Results: The results of the evaluation of the appropriateness of prophylactic antibiotic use based on five categories with assessment standards based on POGI (Indonesian Association of Obstetrics and Gynecology) guidelines show that of the 58 research samples, there were 58 samples (100%) that were appropriate for use based on indications where the samples were patients who were going to undergo surgery. , with clean and contaminated operating classes. However, based on the exact type and class of drug, it was found that all samples did not meet POGI guidelines; Likewise, evaluation of the right dose, right route and right time could not be carried out because all research samples did not pass the evaluation of the right type of drug according to the guidelines issued by POGI. Conclusion: The percentage of accuracy in administering and using prophylactic antibiotics at RSAL Mintohardjo is 100% correct indication, however, there is no correct type of drug, right dose, right route, and right time based on the guidelines for prophylactic antibiotics in surgery published by POGI.