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"Praktik kerja profesi di Rumah Sakit Umum Pusat Fatmawati Periode Bulan Maret-April Tahun 2018 bertujuan untuk memahami peranan, tugas dan tanggung jawab apoteker di rumah sakit sesuai dengan ketentuan dan etika pelayanan farmasi khususnya dan pelayanan kesehatan umumnya; memiliki wawasan, pengetahuan, keterampilan dan pengalaman praktis untuk melakukan praktik kefarmasian di rumah sakit, memiliki gambaran nyata tentang permasalahan praktik kefarmasian serta mempelajari strategi dan kegiatan-kegiatan yang dapat dilakukan dalam rangka pengembangan praktik kefarmasian di rumah sakit. Praktik kerja profesi ini dilaksanakan selama enam minggu dengan tugas khusus yaitu ldquo;Pemantauan Terapi Obat dan Analisis Gyssen Pasien ICU Intensive Care Unit di RSUP Farmawati rdquo;. Tujuan dari tugas khusus ini adalah agar calon apoteker dapat menganalisis masalah terkait obat pada pasien ICU

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Internship at Fatmawati General Hospital Period March-April 2018 aims to understand the duties and responsibilities of pharmacists to practice pharmaceutical services in accordance with applicable laws and ethics, knowledge, skills and practical experience to undertake pharmaceutical practices in hospital. Having insight of pharmaceutical practice issues and learn strategies and activities that can be undertaken in the course of pharmaceutical practice development. This internship at was conducted for six weeks with special assignment Monitoring of Drug Therapy and Gyssen Analysis in ICU Patient at Fatmawati General Hospital . The purpose of this special assignment is that the prospective pharmacist can"

"Antibiotik adalah zat yang dihasilkan oleh mikroorganisme yang mampu menghambat pertumbuhan mikroorganisme lainnya. Penggunaan antibiotik masih menjadi terapi andalan terhadap penyakit infeksi yang disebabkan oleh bakteri.. Risiko kejadian resistensi karena kesalahan penggunaan antibiotik adalah permasalahan serius yang harus diatasi. Dalam praktik kedokteran gigi, antibiotik diresepkan untuk tujuan profilaksis atau pun untuk tujuan terapeutik. Namun peresepan antibiotik pada oleh praktisi gigi sering kali tidak tepat sehingga turut berkontribusi terhadap peningkatan kejadian resistensi antibiotik. Secara global, praktisi gigi meresepkan total 9%–10% dari semua resep antimikroba. Apoteker turut berperan dalam pengendalian, identifikasi dan penyelesaian masalah terkait penggunaan obat termasuk antibiotik yang diresepkan dari semua poli di Puskesmas, termasuk poli gigi. Dalam pengkajian rasionalitas penggunaan antibiotik, salah satu metode yang dapat digunakan adalah metode Gyssens. Gyssens. Penelitian dilakukan secara retrospektif yaitu mengumpulkan data sekunder berupa rekam medik pasien poli gigi dan dilakukan penentuan kriteria ekslusi dan inklusi. rasionalitas penggunaan antibiotika di Poli Gigi Puskesmas Kecamatan Pasar Rebo pada bulan Januari s.d. Maret 2023 adalah sebesar 52,67%. Terdapat 37,45% antibiotika yang digunakan masih tidak rasional yang disebabkan oleh tidak ada indikasi penggunaan antibiotik; sebesar 9,47%, karena adanya antibiotik yang lebih efektif ; 0,41% karena terdapat antibiotik lain yang kurang toksik/lebih aman.

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Antibiotics are substances produced by microorganisms that are able to inhibit the growth of other microorganisms. The use of antibiotics is still the mainstay of therapy for infectious diseases caused by bacteria. The risk of resistance due to incorrect use of antibiotics is a serious problem that must be addressed. In dental practice, antibiotics are prescribed for prophylactic purposes as well as for therapeutic purposes. However, antibiotic prescribing by dental practitioners is often inappropriate, contributing to the increase in the incidence of antibiotic resistance. Globally, dental practitioners prescribe a total of 9%–10% of all antimicrobial prescriptions. Pharmacists play a role in controlling, identifying and resolving problems related to the use of drugs including antibiotics prescribed from all clinics at the Community Health Center, including dental clinics. In assessing the rationality of antibiotic use, one method that can be used is the Gyssens method. Gyssens. The research was carried out retrospectively, namely collecting secondary data in the form of medical records of dental poly patients and determining exclusion and inclusion criteria. rationality for the use of antibiotics in the Dental Clinic of the Pasar Rebo District Health Center from January to March 2023 is 52.67%. There are 37.45% of antibiotics used which are still irrational due to there being no indication for antibiotic use; amounting to 9.47%, due to the presence of more effective antibiotics; 0.41% because there are other antibiotics that are less toxic/safer."

"A 46-year-old man was admitted to ICU with a diagnosis at the time of admission of Guillain Barre Syndrome (GBS) and sepsis due to suspected Ventilator-Associated Pneumoniae (VAP). Specimens for the following laboratory workup were inquired, i.e. complete blood count, culture and resistance workup using specimens obtained from the tip of suction pipe, urinalysis and urine culture, blood culture and resistance, procalcitonin and lactate levels. Neutrophilia was found along with increased procalcitonin and lactate levels, which supported the sepsis diagnosis. Moreover, the result of culture from suction pipe demonstrated colonies of Pseudomonas luteola MDRO, which might be originated from the oropharyngeal colonization of the patients due to poor oral hygiene and ineffective oral hygiene nursing; therefore, the colonies of the microorganism were swabbed away when obtaining the specimens. Ineffective oral hygiene nursing may have a potency to cause VAP and recurrent VAP."