RSIA UMMUHANI PURBALINGGA

FORM 2 Kajian Penggunaan Antibiotik Secara Kuantitatif

SMF/DEPARTEMEN : POLI DALAM
NO DOSIS LAMA LAMA
TOTAL KODE
KODE NAMA ANTIBIOTIK REGIMEN DOSIS PER- RUTE KODE TERAPI TGL. MRS TGL. KRS RAWAT DDD KOMBINASI
DOSIS ATC
PASIEN HARI AB INAP
1 2 3 4 5 6 7 8 10 11 (HARI)
12 13 14 15
J01DD02 CEFTAZIDIME 2 x 1000 2000 IV 0 4 8 9 12 4 J01DD02 2.00
J01DD04 CEFTRIAXONE 2 x 1000 2000 IV 1 3 6 10 12 3 J01DD04 3.00 KODE ATC NAMA OBAT KODE ATC DDD (gram) per 26 Nov 2018
J01DD04 CEFTRIAXONE 2 x 1000 2000 IV 1 3 6 9 11 3 J01DD04 3.00 J01GB06 Amikacin J01GB06 1
J01DD04 CEFTRIAXONE 1 x 1000 1000 IV 1 1 1 9 11 3 J01DD04 0.50 J01CA04 Amoxicillin (Oral) J01CA04 1.5
J01DD01 CEFOTAXIME 1 x 1000 1000 IV 2 1 1 12 13 2 J01DD01 0.25 J01CA04 Amoxicillin (Parenteral) J01CA04 3
J01DD04 CEFTRIAXONE 2 x 1000 2000 IV 1 5 10 8 12 5 J01DD04 5.00 J01CR02 Amoxicillin and enzym inhibitor (P) J01CR02 3
J01DD01 CEFOTAXIME 2 x 1000 2000 IV 2 2 4 20 22 3 J01DD01 1.00 J01CR02 Amoxicillin and enzym inhibitor (O) J01CR02 1.5
J01DD04 CEFTRIAXONE 2 x 1000 2000 IV 1 3 6 16 18 3 J01DD04 3.00 J01CR01 Ampiciliin and enzym inhibitor J01CR01 6
J01DD04 CEFTRIAXONE 3 x 1000 3000 IV 1 3 9 22 24 3 J01DD04 4.50 J01CA01 Ampicillin (Oral) J01CA01 2
J01DD04 CEFTRIAXONE 2 x 1000 2000 IV 1 2 4 28 30 3 J01DD04 2.00 J01CA01 Ampicillin (Parenteral) J01CA01 6
x 0 0 #N/A #N/A J01CA01 Ampicillin (Rectal) J01CA01 2
32 #N/A J01CE04 Azidocillin J01CE04 1.5
J01FA10 Azithromycin (Oral) J01FA10 0.3
J01DD02 Kode ATC Nama Antibiotik Tot DDD
Tot DDD/rawat inap*100 LOS J01FA10P Azithromycin (Parenteral) J01FA10P 0.5
#N/A 0.00 0.00 32 J01CA09 Azlocillin J01CA09 12
#N/A 0.00 0.00 32 J01CA09 Azlocillin J01CA09 12
#N/A 0.00 0.00 32 J01DH01 Aztreonam J01DH01 4
#N/A 0.00 0.00 32 J01CA06 Bacampicillin J01CA06 1.2
#N/A 0.00 0.00 32 J01CE08 Benzathine benzylpenicillin J01CE08 3.6
#N/A 0.00 0.00 32 J01CE10 Benzathine phenoxymethylpenicillin J01CE10 3.6
#N/A 0.00 0.00 32 J01CE30 Benzylpen/ + Procaine pen/ + Benzathine pen/ J01CE30 3.6
0.00 J01CE01 Benzylpenicillin J01CE01 3.6
J01EA02 Brodimoprim J01EA02 0.2
J01CA03 Carbenicillin J01CA03 12
J01CA05 Carindacillin J01CA05 4
J01DC04 Cefaclor J01DC04 1
J01DB05 Cefadroxil J01DB05 2
J01DB01 Cefalexin J01DB01 2
J01DB02 Cefaloridine J01DB02 3
J01DB03 Cefalotin J01DB03 4
J01DC03 Cefamandole J01DC03 6
J01DB08 Cefapirin J01DB08 4
J01DB07 Cefatrizine J01DB07 1
J01DB06 Cefazedone J01DB06 3
J01DB04 Cefazolin J01DB04 3
J01DD15 Cefdinir J01DD15 0.6
J01DE01 Cefepime J01DE01 4
J01DD10 Cefetamet J01DD10 1
J01DD08 Cefixime J01DD08 0.4
J01DD05 Cefmenoxime J01DD05 2
J01DD09 Cefodizime J01DD09 2
J01DC06 Cefonicid J01DC06 1
J01DD12 Cefoperazone J01DD12 4
J01DC11 Ceforanide J01DC11 4
J01DD01 Cefotaxime J01DD01 4
J01DC05 Cefotetan J01DC05 4
J01DC07 Cefotiam J01DC07 4
J01DC01 Cefoxitin J01DC01 6
J01DD11 Cefpiramide J01DD11 2
J01DE02 Cefpirome J01DE02 4
J01DD13 Cefpodoxime J01DD13 0.4
J01DC10 Cefprozil J01DC10 1
J01DB09 Cefradine (Oral) J01DB09 2
J01DB09 Cefradine (Parenteral) J01DB09 2
J01DD03 Cefsulodin J01DD03 4
J01DD02 Ceftazidime J01DD02 4
J01DB12 Ceftezole J01DB12 3
J01DD14 Ceftibuten J01DD14 0.4
J01DD07 Ceftizoxime J01DD07 4
J01DD04 Ceftriaxone J01DD04 2
J01DD63 Ceftriaxone + beta lactamase inhibitor (P) J01DD63 2
J01DC02 Cefuroxime (Oral) J01DC02 0.5
J01DC02P Cefuroxime (Parenteral) J01DC02P 3
J01BA01 Chloramphenicol (Oral) J01BA01 3
J01BA01 Chloramphenicol (Parenteral) J01BA01 3
J01AA03 Chlortetracycline J01AA03 1
J01MB06 Cinoxacin J01MB06 1
J01MA02 Ciprofloxacin (Oral) J01MA02 1
J01MA02P Ciprofloxacin (Parenteral) J01MA02P 0.8
J01FA09 Clarithromycin (Oral) J01FA09 0.5
J01FA09P Clarithromycin (Parenteral) J01FA09P 1
J01FF01 Clindamycin (Oral) J01FF01 1.2
J01FF01P Clindamycin (Parenteral) J01FF01P 1.8
J01XX03 Clofoctol J01XX03 1.5
J01CE07 Clometocillin J01CE07 1
J01AA11 Clomocycline J01AA11 1
J01CF02 Cloxacillin (Oral) J01CF02 2
J01CF02 Cloxacillin (Parenteral) J01CF02 2
IJ01XB01 Colistin (Inhal/ sol/) IJ01XB01 3
IJ01XB01 Colistin (Parenteral) unit: MU IJ01XB01 9
J01AA01 Demeclocycline J01AA01 0.6
JO1GB09 Dibekacin JO1GB09 0.14
J01CF01 Dicloxacillin (Oral) J01CF01 2
J01CF01 Dicloxacillin (Parenteral) J01CF01 2
J01FA13 Dirithromycin J01FA13 0.5
J01AA02 Doxycyline (Oral) J01AA02 0.1
J01AA02 Doxycyline (Parenteral) J01AA02 0.1
J01MA04 Enoxacin J01MA04 0.8
J01CA07 Epicillin (Oral) J01CA07 2
J01CA07 Epicillin (Parenteral) J01CA07 2
J01DH03 Ertapenem J01DH03 1
J01FA01 Erythromycin (Oral) J01FA01 1
J01FA01 Erythromycin (Parenteral) J01FA01 1
J01FA01 Erythromycin ethylsuccinate tabl/ (Oral) J01FA01 2
J01MA08 Fleroxacin (Oral) J01MA08 0.4
J01MA08 Fleroxacin (Parenteral) J01MA08 0.4
J01CF05 Flucloxacillin (Oral) J01CF05 2
J01CF05 Flucloxacillin (Parenteral) J01CF05 2
J01MB07 Flumequine J01MB07 1.2
J01FA14 Flurithromycin J01FA14 0.75
J01XX01 Fosfomycin (Oral) J01XX01 3
J01XX01 Fosfomycin (Parenteral) J01XX01 8
J01XC01 Fusidic acid (Oral) J01XC01 1.5
J01XC01 Fusidic acid (Parenteral) J01XC01 1.5
J01MA16 Gatifloxacin (Oral) J01MA16 0.4
J01MA16 Gatifloxacin (Parenteral) J01MA16 0.4
JO1GB03 Gentamycin (Bead chain) JO1GB03 0.24
JO1GB03 Gentamycin (Parenteral) JO1GB03 0.24
J01MA11 Grepafloxacin J01MA11 0.4
J01CA18 Hetacillin J01CA18 2
J01DH51 Imipenem and enzyme inhibitor J01DH51 2
J01FA07 Josamycin J01FA07 2
JO1GB04 Kanamycin (Parenteral) JO1GB04 1
J01DD06 Latamoxef J01DD06 4
J01MA12 Levofloxacin (Oral) J01MA12 0.5
J01MA12 Levofloxacin (Parenteral) J01MA12 0.5
J01FF02 Lincomycin (Oral) J01FF02 1.8
J01FF02 Lincomycin (Parenteral) J01FF02 1.8
RSIA UMMUHANI PURBALINGGA
FORM 2 Kajian Penggunaan Antibiotik Secara Kuantitatif
SMF/DEPARTEMEN : POLI DALAM
NO DOSIS LAMA LAMA
TOTAL KODE
KODE NAMA ANTIBIOTIK REGIMEN DOSIS PER- RUTE KODE TERAPI TGL. MRS TGL. KRS RAWAT DDD KOMBINASI
DOSIS ATC
PASIEN HARI AB INAP
(HARI) J01XX08 Linezolid (Oral) J01XX08 1.2
J01XX08 Linezolid (Parenteral) J01XX08 1.2
J01DC08 Loracarbef J01DC08 0.6
J01AA04 Lymecycline (Oral) J01AA04 0.6
J01AA04 Lymecycline (Parenteral) J01AA04 0.6
J01XX06 Mandelic acid J01XX06 12
J01DH02 Meropenem J01DH02 3
J01AA05 Metacycline J01AA05 0.6
J01CA14 Metampicillin (Oral) J01CA14 1.5
J01CA14 Metampicillin (Parenteral) J01CA14 1.5
J01XX05 Methenamine, hippurate J01XX05 2
J01XX05 Methenamine, mandelate J01XX05 3
P01AB01 Metronidazole (Oral) P01AB01 2
P01AB01 Metronidazole (Oral) P01AB01 2
J01XD01 Metronidazole (Parenteral) J01XD01 1.5
P01AB01 Metronidazole (Rectal) P01AB01 2
P01AB01 Metronidazole (Rectal) P01AB01 2
J01CA10 Mezlocillin J01CA10 6
J01FA03 Midecamycin J01FA03 1
J01AA08 Minocycline (Oral) J01AA08 0.2
J01AA08 Minocycline (Parenteral) J01AA08 0.2
J01FA11 Miocamycin J01FA11 1.2
J01MA14 Moxifloxacin (Oral) J01MA14 0.4
J01MA14 Moxifloxacin (Parenteral) J01MA14 0.4
J01MB02 Nalidixic acid J01MB02 4
A07AA01 Neomycin (Intestinal) A07AA01 5
A07AA01 Neomycin (Intestinal) A07AA01 5
JO1GB05 Neomycin (Oral) JO1GB05 1
JO1GB07 Netilmicin (Oral) JO1GB07 0.35
JO1GB07 Netilmicin (Parenteral) JO1GB07 0.35
J01XE02 Nifurtoinol J01XE02 0.16
P01AB06 Nimorazole P01AB06 2
P01AB06 Nimorazole P01AB06 2
J01XX07 Nitroxoline J01XX07 1
J01MA06 Norfloxacin J01MA06 0.8
J01MA01 Ofloxacin (Oral) J01MA01 0.4
J01MA01 Ofloxacin (Parenteral) J01MA01 0.4
J01FA05 Oleandomycin J01FA05 1
P01AB03 Ornidazole (Oral) P01AB03 1.5
P01AB03 Ornidazole (Oral) P01AB03 1.5
J01XD03 Ornidazole (Parenteral) J01XD03 1
J01CF04 Oxacillin (Parenteral) J01CF04 2
J01MB05 Oxolinic acid J01MB05 1
J01AA06 Oxytetracycline (Oral) J01AA06 1
J01AA06 Oxytetracycline (Parenteral) J01AA06 1
J01MA03 Pefloxacin (Oral) J01MA03 0.8
J01MA03 Pefloxacin (Parenteral) J01MA03 0.8
J01CE06 Penamecillin J01CE06 1.05
J01CE05 Pheneticillin J01CE05 1
J01CE02 Phenoxymethylpenicillin J01CE02 2
J01MB04 Pipemidic acid J01MB04 0.8
J01CA12 Piperacillin J01CA12 14
J01MB03 Piromidic acid J01MB03 2
J01CA20 Pivampi/ + pivmecillinam (250:200, 125:100) J01CA20 1.35
J01CA02 Pivampicillin J01CA02 1.05
J01CA08 Pivmecillinam J01CA08 0.6
J01XB02 Polymyxin B (Parenteral) J01XB02 0.15
J01FG01 Pristinamycin J01FG01 2
J01CE30 Procaine pen/ + benzylpen/ (1800:360) J01CE30 2.16
J01CE09 Procaine penicillin J01CE09 0.6
J01CE03 Propicillin J01CE03 0.9
J01FG02 Quinupristin/dalfopristin J01FG02 1.5
J04AB04 Rifabutin J04AB04 0.15
J04AB04 Rifabutin J04AB04 0.15
J04AB02 Rifampicin (Oral) J04AB02 0.6
J04AB02 Rifampicin (Oral) J04AB02 0.6
J04AB02 Rifampicin (Parenteral) J04AB02 0.6
J04AB02 Rifampicin (Parenteral) J04AB02 0.6
J04AB03 Rifamycin J04AB03 0.6
J04AB03 Rifamycin J04AB03 0.6
J01FA12 Rokitamycin J01FA12 0.8
J01AA09 Rolitetracycline J01AA09 0.35
J01MB01 Rosoxacin J01MB01 0.3
J01FA06 Roxithromycin J01FA06 0.3
J01MA10 Rufloxacin J01MA10 0.2
JO1GB08 Sisomicin JO1GB08 0.24
J01MA09 Sparfloxacin J01MA09 0.2
J01XX04 Spectinomycin J01XX04 3
J01FA02 Spiramycin J01FA02 3
J01GA02 Streptoduocin J01GA02 1
J01GA01 Streptomycin (Parenteral) J01GA01 1
J01CG01 Sulbactam J01CG01 1
J01CA16 Sulbenicillin J01CA16 15
J01EC20 Sulfacarbamide+Sulfadiaz/+Sulfadimid/ (167:167:167) J01EC20 2
J01EC02 Sulfadiazine J01EC02 0.6
J01ED01 Sulfadimethoxine J01ED01 0.5
J01EB03 Sulfadimidine J01EB03 4
J01EB05 Sulfafurazole (Oral) J01EB05 4
J01EB05 Sulfafurazole (Parenteral) J01EB05 4
J01EB01 Sulfaisodimidine (Oral) J01EB01 4
J01EB01 Sulfaisodimidine (Parenteral) J01EB01 4
J01ED02 Sulfalene J01ED02 0.1
J01ED09 Sulfamazone (Oral) J01ED09 1.5
J01ED09 Sulfamazone (Rectal) J01ED09 1.5
J01ED07 Sulfamerazine J01ED07 3
J01EB02 Sulfamethizole J01EB02 4
J01EC01 Sulfamethoxazole J01EC01 2
J01ED05 Sulfamethoxypyridazine J01ED05 0.5
J01ED04 Sulfametoxydiazine J01ED04 0.5
J01EC03 Sulfamoxole (Oral) J01EC03 1
J01EC03 Sulfamoxole (Parenteral) J01EC03 1
J01ED06 Sulfaperin J01ED06 0.5
J01ED08 Sulfaphenazole J01ED08 1
J01EB04 Sulfapyridine J01EB04 1
J01EB08 Sulfathiourea J01EB08 6
J01CA15 Talampicillin J01CA15
J01XA02 Teicoplanin J01XA02 0.4
J01FA15 Telithromycin J01FA15 0.8
J01MA05 Temafloxacin J01MA05 0.8
J01CA17 Temocillin J01CA17 4
J01AA20 Tetra/ + chlortet/ + demeclo/ (115/4:115/4:69/2) J01AA20 0.6
J01AA07 Tetracycline (Oral) J01AA07 1
J01AA07 Tetracycline (Parenteral) J01AA07 1
J01BA02 Thiamphenicol (Oral) J01BA02 1.5
J01BA02 Thiamphenicol (Parenteral) J01BA02 1.5
J01CA13 Ticarcillin J01CA13 15
P01AB02 Tinidazole (Oral) P01AB02 2
P01AB02 Tinidazole (Oral) P01AB02 2
J01XD02 Tinidazole (Parenteral) J01XD02 1.5
RSIA UMMUHANI PURBALINGGA
FORM 2 Kajian Penggunaan Antibiotik Secara Kuantitatif
SMF/DEPARTEMEN : POLI DALAM
NO DOSIS LAMA LAMA
TOTAL KODE
KODE NAMA ANTIBIOTIK REGIMEN DOSIS PER- RUTE KODE TERAPI TGL. MRS TGL. KRS RAWAT DDD KOMBINASI
DOSIS ATC
PASIEN HARI AB INAP
(HARI) P01AB02 Tinidazole (Rectal) P01AB02 2
P01AB02 Tinidazole (Rectal) P01AB02 2
J01GB01 Tobramycin (Inhal/ sol/) J01GB01 0.3
J01GB01P Tobramycin (Parenteral) J01GB01P 0.24
J01EA01 Trimethoprim (Oral) J01EA01 0.4
J01EA01 Trimethoprim (Parenteral) J01EA01 0.4
J01FA08 Troleandomycin J01FA08 1
J01MA13 Trovafloxacin (Oral) J01MA13 0.2
J01MA13 Trovafloxacin (Parenteral) J01MA13 0.2
A07AA09 Vancomycin (Intestinal) A07AA09 2
A07AA09 Vancomycin (Intestinal) A07AA09 2
J01XA01 Vancomycin (Parenteral) J01XA01 2