Evaluation of the Use of Antibiotics on Therapy Results of Sepsis Patients in the Intensive Care Unit (ICU) of Fatmawati Hospital, Jakarta

Background: High use of antibiotics in sepsis patients can lead to irrational use of antibiotics. Irrational antibiotic therapy in septic patients in the ICU increases the mortality rate in the hospital. Efforts to maximize the rational use of antibiotics are one of the pharmacist's responsibilities. Aim: This study aims to evaluate the quality and quantity of antibiotic use in sepsis patients in the Intensive Care Unit (ICU) ward using the Gyssens and ATC/DDD methods and to evaluate the effect of pharmacist intervention in improving the quality of antibiotic use and therapeutic outcomes. Materials and methods: The research was carried out prospectively during the period of August-November 2018 using a one-group pretest-posttest pre-experimental study design. Recommendations are given to prescribers regarding the problem of inappropriate use of antibiotics. Result: Qualitative evaluation using the Gyssens method found that rational use of antibiotics in sepsis patients was 85.1% and 14.9% were irrational. The interventions increased the accuracy of the use of antibiotics (0% to 64.7%), reduced the problem of choosing antibiotics (88.2% to 32.4%), the problem of the duration of antibiotic administration (5.9% to 0%) and the problem of the route of administration of antibiotics (5.9% to 0%). The results of the quantitative evaluation obtained the value of the use of antibiotics, namely 63.8 DDD/100 days of treatment, with the greatest value for meropenem antibiotics, namely 32.9 DDD/100 days of treatment. Conclusion: There are differences in the therapeutic results between the quality of rational use of antibiotics and the quality of irrational use of antibiotics in the ICU ward of Fatmawati Hospital.