The Pattern of Antiinfection Therapy and its Costs in the Emergency Room in Regional Public Hospital in Kudus city, Indonesia.

Abstract

The Emergency Room (ER) is the initial gate for patients to enter the hospital and has a high risk of medication errors. The use of anti infections (especially antibiotics) in patients in the ER needs special attention because the inappropriate use of antibiotics at the beginning of treatment can affect subsequent antibiotic therapy. This study aims to determine the pattern of anti infections used and its cost in the ER of the regional public hospital in Kudus city, Indonesia. The benefit of this research is as input and evaluation for the hospital to improve the quality of pharmaceutical services in terms of drug supply at the ER. The population in this study were all patients who came to the ER in February 2019 (2732 patients) and the number of men and women were 49,24% and 50,76%, respectively. Most patients were at the age of 46-65 years (old people) as many as 822 (30.09%) and the smallest amount was at age of > 65 years (elderly). Anti infections were used for 62,96% of patients in ER. Antibiotics were the most used anti infections, but the anti-tetanus serum spent the most money (14,75%). The most antibiotics used in the emergency department are ceftriaxone (for 258 patients, 9,44%) and Cefotaxime (for 240 patients, 8,78%). The total drug cost in February 2019 period was 139.970.200 rupiahs, Anti infections spend 21,23% and Antibiotics spend 6,33% of the total drug cost. The most expensive anti-infection was Antitetanus serum 1500 IU vac (157.200 rupiahs). Forty-five patients used double antibiotics, ceftriaxone+metronidazole was the most (21 patients) and only 1 patient used triple antibiotics (ceftriaxone+metronidazole+gentamycin). The anti infections were used efficiently in the Emergency Room.