EVALUASI KESESUAIAN PERESEPAN OBAT DIARE ANAK BERDASARKAN MANAJEMEN TERPADU BALITA SAKIT KEMENKES 2022 DI KLINIK “X” KABUPATEN SIDOARJO
Abstract
Diarrhea is an incident of defecation with a consistency that is more liquid than usual, with a frequency of three or more times per day. Improper and rapid management is the main cause of death from diarrhea. The Ministry of Health has begun to disseminate the Guidelines for the Management of Sick Toddler Therapy (MTBS) 2022. This study aims to evaluate the suitability of prescribing children's diarrhea medications by the Ministry of Health MTBS 2022 guidelines in the outpatient unit of Clinic "X" in Sidoarjo Regency. This study uses a descriptive evaluative design of the pattern of prescribing children's diarrhea based on the 2022 Ministry of Health MTBS, which was conducted during July - December 2023. The population in this study was the medical records of pediatric patients with diarrhea. Samples collected using a simple random technique with specific inclusion and exclusion criteria. Data were taken from medical records, including gender, age, diagnosis, and type of medication prescribed, and analyzed to evaluate prescribing based on the 2022 Ministry of Health MTBS guidelines. The results of the prescribing pattern analysis showed a single prescribing pattern for 10 patients (16.67%) and a combination for 50 patients (83.33%). The appropriate prescribing pattern included a combination of ORS and zinc for 2 (3.33%) and inappropriate single without ORS and zinc, single only zinc or ORS, combination without zinc and ORS, and combination with only zinc or ORS respectively 8 (13.33%), 2 (3.33%), 19 (31.67%) and 29 (48.33%). Evaluation of prescribing patterns that did not comply with the guidelines revealed that 96.67% of prescriptions were made without including the administration of a combination of oral rehydration salt (ORS) and zinc, whereas those that complied with the guidelines included combinations that included the administration of a combination of oral rehydration salt (ORS) and zinc in 3.33% of cases
Keywords
Full Text:
PDF (Bahasa Indonesia)References
WHO. Diarrhoeal Disease, URL: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease. (2019, accessed 25 October 2024)
Riskesdas K. Hasil Utama Riset Kesehata Dasar (RISKESDAS). J Phys A Math Theor. 2018; 44(8):1–200
Dinas Kesehatan Kabupaten Sidoarjo. Buletin SKDR Kabupaten Sidoarjo Menurut Aplikasi SKDR (EWARS). 2024
Yuningsih. Hubungan Status Gizi Dengan Stunting Pada Balita. Jurnal Ilmiah Kebidanan. 2022; 9(2):102–109
Kemenkes. Rencana Aksi Program Pencegahan Dan Pengendalian Penyakit 2020-2024.
Rendang Indriyani DP, Putra IGNS. Penanganan Terkini Diare Pada Anak: Tinjauan Pustaka. Intisari Sains Medis. 2020; 11(2):928–932
Kemenkes. Buku Bagan Manajemen Terpadu Balita Sakit. 2022
Mcfarland L, Elmer GW, McFarland M. Meta-Analysis of Probiotics for the Prevention and Treatment of Acute Pediatric Diarrhea. Int J Probiotics Prebiotics. 2006; 1:63–76
Fischer Walker CL, Black RE. Zinc for the Treatment of Diarrhoea: Effect on Diarrhoea Morbidity, Mortality and Incidence of Future Episodes. Int J Epidemiol.; 39(SUPPL. 1). DOI: 10.1093/ije/dyq023
Departemen Kesehatan RI. Buku Saku Petugas Kesehatan Lima Langkah Tuntaskan Diare. 2011
Ciccarelli S, Stolfi I, Caramia G. Management Strategies in the Treatment of Neonatal and Pediatric Gastroenteritis. Infect Drug Resist. 2013; 6:133–161
Halim I. Pola Tatalaksana Diare Akut Pada Anak Usia 1-24 Bulan Di Poliklinik Puskesmas Tanjung Pinang. CDK. 2015; 42(No. 4):247–250
Aprilia L, Puspitasari CE, Andanalusia M. Evaluasi Terapi Pada Kasus Diare Balita Di Puskesmas Rensing Kabupaten Lombok Timur Tahun 2021. 2025
Dewi IAPP, Paramasatiari AAAL, Lely AAO. Karakteristik Pasien Diare Anak Umur 2-5 Tahun Di Rumah Sakit Umum Daerah Wangaya, Denpasar. Aesculapius Medical Journal. 2023; 3(2):180–187
Daviani Prawati D et al. Faktor Yang Mempengaruhi Kejadian Diare Di Tambak Sari, Kota Surabaya. Jurnal Promkes. 2019; 7(1):35–46
Fitriani N, Darmawan A, Puspasari Fakultas Kedokteran dan Ilmu Kesehatan A, Jambi U. Analisis Faktor Resiko Terjadinya Diare Pada Balita Di Wilayah Kerja Puskesmas Pakuan Baru Kota Jambi. Medic. 2021; 4:154–164
Ariastuti R, Kusumawati D. Gambaran Pengobatan Diare Akut Anak Di Puskesmas Jiwan Madiun. CERATA Jurnal Ilmu Farmasi. 2020; 11(1):35–42
WHO. Pocket Book of Hospital Care for Children Guidleines For The Manajemen Of Common Childhood Illnesses. Second Edition. 2013
IDAI. Bagaimana Menangani Diare Pada Anak, URL: www.idai.or.id/artikel/klinik/keluhan-anak/bagaimana-menangani-diare-pada-anak. (2024, accessed 14 June 2025)
Subagyo B, Budi Santoso N. Buku Ajar Gastroenterologi-Hepatologi. Jilid 1. UKK-Gastroenterologi-Hepatologi IDAI. 2009
Wardani S, Purborini N. Penggunaan Antibiotik Dan Antidiare Pada Anak Diare Akut Di Rumah Sakit. Journal of Holistic Nursing Science. 2018; 5(1):43–48
Ningsih LF et al. Apa Yang Direkomendasikan Apoteker Untuk Tatalaksana Diare Akut Pada Anak? Sebuah Survei Di Wilayah Timur Kota Surabaya. Jurnal Manajemen dan Pelayanan Farmasi. 2021; 11(1):39–53
Tyler R. Kemnic MC. Trimethoprim Sulfamethoxazole, URL: https://www.ncbi.nlm.nih.gov/books/NBK513232/. (2022, accessed 26 October 2024)
Rahmayani R, Salwan H, Bakri A, Husin S. Efek Pemberian Kombinasi Zinc Dan Probiotik Terhadap Lama Dan Frekuensi Diare Pada Penderita Diare Akut. Majalah Kedokteran Sriwijaya. 2014; 46(3):181–185
Ningsih LF et al. Apa Yang Direkomendasikan Apoteker Untuk Tatalaksana Diare Akut Pada Anak? Sebuah Survei Di Wilayah Timur Kota Surabaya. Jurnal Manajemen dan Pelayanan Farmasi. 2021; 11(1):39–53
DOI: https://doi.org/10.56711/jifa.v17i1.1297
Refbacks
- There are currently no refbacks.
Indexed by:
ISSN: 2085-4714 | e-ISSN: 2502-9444
Editor's Address:
Faculty of Pharmacy, Univeristas Muslim Indonesia
2nd Campus of UMI: Jl. Urip Sumoharjo km. 5 , Makassar, South Sulawesi, Indonesia
E-mail: jurnal.farmasi@umi.ac.id