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NO NAMA ANTIBIOTIK 1 2 3 4 5 6 7 8 9 10 11 12

1 ABBOTIC SYR 125 MG


2 ABBOTIC SYR 250 MG
3 ACLAM SYRUP 125 MG
4 ACLAM FORTE SYR 250 MG
5 AMOXAN 500 MG 1 2
6 AMOXAN DROP 2
7 AMOXAN SYR FORTE 1 1
8 AMOXAN SYR 125 MG
9 AMOXICILIN 500 MG 1 1
10 AMOXYCILIN SYR
11 AMPICILIN 500 MG
12 ANBACIM
13 AZITHROMYCIN 500 MG 1 1 1 1 1
14 AZITHROMYCIN SYR
15 BACTESYN 375 MG 1 1 2 1
16 BAQUINOR FORTE 500 MG 1 1
17 CEFADROXYL 500 MG 2 1
18 CEFAT 500 MG 1 1 1
19 CEFAT FORTE SYR 250 MG 1
20 CEFILA 100 MG 1 1 2
21 CEFILA 200 MG
22 CEFIXIM 100 MG 1 1 2 1 2
23 CEFIXIM 200 MG 1 1 1 1 1 2
24 CEFSPAN 100 MG 1 6 1 2 1 4 1 2
25 CEFSPAM 200 MG 3 1 1 1
26 CEFSPAN 50 MG
27 CEFSPAMN DRY SYR 1 1 1 1 1 2 1
28 CELOCID 500 MG 3 1 1 1 1 1 1 1 3
29 CENDO GENTAMYCIN 0,3% EO
30 CENDO XITROL ED 1 1
31 CENDO TOBROSON ED 1
32 CENDO STATROL 1 1 1
33 CIPROFLOXACIN 500 MG 1
34 CLAVAMOX 500 MG
35 CLAVAMOX SYR 1 2 1
36 CLIMADAN 150 MG
37 CLIMADAN 300 MG
38 CLINDAMYCIN 300 MG
39 CO AMOXYCLAV 500 MG 1
40 CRAVIT 500 MG 1
41 CRYPTAL 200 MG
42 DALACIN C 150 MG
43 DALACIN C 300 MG
44 DOXYCICLIN 100 MG 2 1 4 1 2
45 ERYTHROMYCIN 250 MG
46 FLAGYL FORTE TAB
47 LANFIX 100 MG 1 2 1 5 3 4
48 LANFIX 200 MG 1 1 2 2 1 1 1 1
49 LANFIX SYR 1
50 LAPICEF
51 LEXA 500 MG 1
52 METRONIDAZOL 500 MG
53 URFAMYCIN 500 MG
54 LINCOCIN 500 MG 2
55 MEZATRIN 250 MG 1 1 3 2 1
56 LEVOFLOXACIN 500 MG 1
57 MONURIL 1 GR 1
58 SPIRASIN 500 MG
59 SANPRIMA SYR
60 ZITHROMAX SYR 1 1 1 1
61 ZITHROMAX 500 MG 1 1 1
62 PROLIC 150 MG
63 PROLIC 300 MG 1
64 SPORETIC 100 MG 1 1 1 1 1 1 3 1 3
65 SHAROX 500 MG
66 STARCEF 100 MG
67 STARCEF SYR
68 RIFAMPICIN 450 MG
NO NAMA ANTINIOTIK
1 FORICEF 1GRAM
2 TERFACEF 1 GRAM 2 1 2 1 1 1 1 2 1 2 1
3 CEFXON 1 GRAM 1 1 2 2 1 1
4 KALFOXIM 500 MG 1 1 1
5 KALFOXIM 1000 MG
6 TRIJEC 1 GRAM 1 1 1 1 2 1 1 1
7 MEROPENEM 1 GRAM
8 BACTESYN 0,75 GRAM 1 1 1 1 1 1 1 1 2
9 BACTESYN 1,5 GRAM
10 CINAM 1 GRAM
11 CLAVAMOX 1 GRAM
12 CRAVIT IV 750 MG
13 CRAVIT IV 500 MG
14 FOSMICIN 2 GRAM
15 SAGESTAM INJEKSI 1 1 1 1 1 2 1 2
16 GENTAMYCIN INJEKSI
17 KANAMYCIN 1 GRAM 1 2
18 CEFOTAXIM 1 GRAM 1 1 1
19 VICCILIN 1 GRAM
20 AMPICILIN 1 GRAM
21 CEFTRIAXON 1 GRAM 1 2 1 1 1 1
22 BROADCED 1 GRAM
23 CEFRIN 1 GRAM
24 CIPROFLOVACIN INFUS 500 MG
25 LEVOFLOXACIN INFUS 500 MG
26 ZITHROMAX INFUS 500 MG
13 15 25 19 24 18 19 11 28 31 18 22
1 1 0 0 3 0 3 0 2 1 1 1
=
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1

1 2 2 1
1 1 1
1
1
1 1 1 2 1

3 1 1 2 1 1 1 1

1 1
1
1
2 1 1 1 1 1 1
1 1 1
1 1 2 2 1 2 1 1

1 2 1 1 3 2 2 2
1 1 1 1 1 2
1 3 1 1 1 8 2 2 1
1 1 5

2 1 1 1 1 2 1 1 1 1 1 1
3 1 2 1 1 1
1 1 1
1 2 1 1

1
1 2 1
1 1 1
1

3 2 1 1
1 1 1

1 1

1 1 1

3 1 3 5 2 1 2 3 2
2 3 3 1 1 1 2
1 1
1
1 1

1 1 1 1 1 1
1 2 2 3 1 1 2 4 1 1
1 1 1
2 1 1 1 2

1 1 1 1
2 1 1 1

1 1
1 1 3 1 2 1 1 2 2

1 1
1 2 1 2 1 1 1
1 1 1 2 2 1 1 3 1 1
2

2 1 2 2 6 2 1 1 1

1 1 1 1 1 1 1 1

1 1 1 1 1 1 2 1 3

1 1 1 1 1

1 1 1 1 1 1 1 1 2
20 20 18 25 42 26 9 9 11 10 18 15 16 13 20 22 7 18 18
1 0 3 3 4 1 0 0 0 0 2 0 1 1 0 1 1 3 0
TOTAL
1
0
0
0
9
5
3
1
8
0
0
0
16
0
7
3
4
11
4
15
0
21
14
38
13
0
22
22
3
7
1
4
5
3
5
0
0
7
4
1
0
2
0
13
0
0
38
23
3
1
3
0
0
8
26
4
8
0
0
8
8
0
3
27
0
0
0
0
0
2
24
22
5
0
27
0
18
0
0
0
0
0
0
22
0
8
3
0
0
17
0
0
0
0
0
LAPORAN PEMAKAIAN ( PERESEPAN )ANTIBIOTIK YANG TIDAK S
BULAN SEPTEMBER
NO NAMA ANTIBIOTIK 1 2 3 4 5 6 7 8 9 10 11 12
1 ABBOTIC SYR 125 MG
2 ABBOTIC SYR 250 MG 1 1 1
3 ACLAM SYRUP 125 MG
4 ACLAM FORTE SYR 250 MG
5 AMOXAN 500 MG 1
6 AMOXAN DROP 1 1 1 1
7 AMOXAN SYR FORTE
8 AMOXAN SYR 125 MG 1
9 AMOXICILIN 500 MG 1 2 1 1 1
10 AMOXYCILIN SYR
11 AMPICILIN 500 MG
12 ANBACIM 3 3
13 AZITHROMYCIN 500 MG 1 1 2 1 1 1
14 AZITHROMYCIN SYR
15 BACTESYN 375 MG 1
16 BAQUINOR FORTE 500 MG
17 CEFADROXYL 500 MG 1 2 1 1
18 CEFAT 500 MG 1 1 1
19 CEFAT FORTE SYR 250 MG
CEFAT DRY SYR
20 CEFILA 100 MG 2 1 1
21 CEFILA 200 MG
22 CEFIXIM 100 MG 1 1
23 CEFIXIM 200 MG 1 1 3 2 1 1
CEFIXIM SYR
24 CEFSPAN 100 MG 3 3 1 1 1
25 CEFSPAM 200 MG 1 1 1 1 1
26 CEFSPAN 50 MG
27 CEFSPAMN DRY SYR 1 1 1 1
28 CELOCID 500 MG 1 1 1 1 1
29 CENDO GENTAMYCIN 0,3% EO
30 CENDO XITROL ED 1 1
31 CENDO TOBROSON ED
32 CENDO STATROL 1 1 1 1
33 CIPROFLOXACIN 500 MG 1 1 1 2
34 CLAVAMOX 500 MG 1 2 2
35 CLAVAMOX SYR 2 1
36 CLIMADAN 150 MG
37 CLIMADAN 300 MG
38 CLINDAMYCIN 300 MG 1
39 CO AMOXYCLAV 500 MG 1 1
40 CRAVIT 500 MG 3 1
41 CRYPTAL 200 MG
DEXYCLAV FORTE SYR 1 1 2 2
42 DALACIN C 150 MG 1
43 DALACIN C 300 MG 3
44 DOXYCICLIN 100 MG 5
45 ERYTHROMYCIN 250 MG
46 FLAGYL FORTE TAB
47 LANFIX 100 MG 1 3 4 2 1 1
48 LANFIX 200 MG 1 1
49 LANFIX SYR 1
50 LAPICEF
51 LEXA 500 MG 1
52 METRONIDAZOL 500 MG
53 URFAMYCIN 500 MG
54 LINCOCIN 500 MG 1
55 MEZATRIN 250 MG 1 1 1 1 1 1
56 LEVOFLOXACIN 500 MG 1 1 1
57 MONURIL 1 GR 2 1 1 1
58 SPIRASIN 500 MG 1 1 1
59 SANPRIMA TAB 1 2
60 SANPRIMA SYR
61 ZITHROMAX SYR 5 4 6 1 2 1
62 ZITHROMAX 500 MG
63 PROLIC 150 MG 1 1
64 PROLIC 300 MG 1 2
65 SPORETIC 100 MG 1 1 1 2 1
66 SPORETIK 200MG
67 SHAROX 500 MG
68 STARCEF 100 MG 1
69 STARCEF SYR
70 RIFAMPICIN 450 MG
NO NAMA ANTINIOTIK
1 FORICEF 1GRAM 2 2 1 1 2 2
2 TERFACEF 1 GRAM 2 1 4 1 3 2 2 2
3 CEFXON 1 GRAM 1 1 1
4 KALFOXIM 500 MG
5 KALFOXIM 1000 MG
6 TRIJEC 1 GRAM 2 1 4 3 1 1 4
7 MEROPENEM 1 GRAM
8 BACTESYN 0,75 GRAM
9 BACTESYN 1,5 GRAM
10 CINAM 1 GRAM
11 CLAVAMOX 1 GRAM
12 CRAVIT IV 750 MG
13 CRAVIT IV 500 MG
14 FOSMICIN 2 GRAM
15 SAGESTAM INJEKSI 1
16 GENTAMYCIN INJEKSI
17 KANAMYCIN 1 GRAM 2 1 1
18 CEFOTAXIM 1 GRAM
19 VICCILIN 1 GRAM
20 AMPICILIN 1 GRAM
21 CEFTRIAXON 1 GRAM 2 3 4 1 3 1
22 BROADCED 1 GRAM
23 CEFRIN 1 GRAM
24 CIPROFLOVACIN INFUS 500 MG
25 LEVOFLOXACIN INFUS 500 MG
FLAGYL INFUS 1 1 4 2
26 ZITHROMAX INFUS 500 MG
15 8 28 34 32 25 21 17 23 20 19 15
0 1 1 2 0 0 1 1 3 0 0 3
=
N )ANTIBIOTIK YANG TIDAK SESUAI DENGAN FORMULARIUM
BULAN SEPTEMBER
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 TOTAL
0
1 1 5
0
0
1 1 1 3 1 1 1 10
1 1 1 7
0
1 1 3
1 1 1 1 1 11
0
0
1 7
1 1 1 2 1 1 2 16
0
2 1 1 1 1 1 1 9
1 1 2
1 1 1 1 9
1 1 1 6
1 1
1
1 1 1 2 2 1 1 2 15
0
1 1 1 1 2 2 10
2 2 1 1 3 1 1 20
1 1 2 1 1 1
3 1 1 2 1 12 5 1 3 38
1 2 1 1 2 2 1 1 16
0
1 1 2 1 1 1 1 1 1 1 4 19
1 1 3 1 1 2 1 5 2 1 23
0
1 1 1 5
1 1
1 5
2 1 2 1 11
1 1 1 1 1 10
1 1 2 1 8
0
0
1
1 1 4
1 1 6
0
1 1 1 2 1 1 1 1
1
3
2 1 8
0
1 1 1 1 1 2 7
2 2 2 3 1 1 1 2 2 28
1 1 1 1 1 1 2 3 13
1
0
1 1 1 2 2 8
0
0
1 1 3
1 1 2 1 2 2 2 17
1 1 1 6
1 1 1 1 1 2 12
1 1 1 2 8
2 1
1 1 2
1 1 1 1 1 24
1 1
1 3
1 1 1 1 7
1 1 2 1 5 1 1 1 2 2 1 24
1 2 2 2
0
1 3 1 6
0
0
0
1 2 13
1 1 2 3 5 29
2 3 1 1 4 2 16
1 1
0
1 1 1 1 3 23
0
2 2 4
1 1
0
0
0
1 1
0
1 2
0
2 1 7
2 2
0
0
1 2 3 1 21
1 1 2
1 1
1 1 2
0
3 1
0
15 21 15 11 13 26 30 21 13 15 18 37 40 26 33 22 15 5 633
3 2 1 2 1 2 2 2 0 0 0 4 4 0 1 0 1 0 37
5.8452
LAPORAN PEMAKAIAN ( PERESEPAN )ANTIBIOTIK YANG TIDAK S
BULAN SEPTEMBER
NO NAMA ANTIBIOTIK 1 2 3 4 5 6 7 8 9 10 11 12
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
=
N )ANTIBIOTIK YANG TIDAK SESUAI DENGAN FORMULARIUM
BULAN SEPTEMBER
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
###