Evaluation of Prophylactic Antibiotic Use in Sectio Caesarea Patients at Mintohardjo Naval Hospital

Romauli Lumbantobing *

Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia.

Gorga I.V.W Udjung

Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia.

Windy Wijayanti

Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia.

*Author to whom correspondence should be addressed.


Abstract

Aims: The main aim of this research is to determine the appropriateness of using prophylactic antibiotics in Sectio Caesarea patients at Mintohardjo Napal Hospital (RSAL Mintohardjo) in 2020

Methodology: This study is a non-experimental research study with a descriptive, retrospective design. It uses medical record data of patients who gave birth using SC surgery in 2020 at RSAL Mintohardjo and were given prophylactic antibiotics. The population of this study is all medical record data of mothers giving birth by SC at RSAL Mintohardjo in 2020. The sampling technique is total sampling where the number of samples is the same as the population.

Results: The results of the evaluation of the appropriateness of prophylactic antibiotic use based on five categories with assessment standards based on POGI (Indonesian Association of Obstetrics and Gynecology) guidelines show that of the 58 research samples, there were 58 samples (100%) that were appropriate for use based on indications where the samples were patients who were going to undergo surgery. , with clean and contaminated operating classes. However, based on the exact type and class of drug, it was found that all samples did not meet POGI guidelines; Likewise, evaluation of the right dose, right route and right time could not be carried out because all research samples did not pass the evaluation of the right type of drug according to the guidelines issued by POGI.

Conclusion: The percentage of accuracy in administering and using prophylactic antibiotics at RSAL Mintohardjo is 100% correct indication, however, there is no correct type of drug, right dose, right route, and right time based on the guidelines for prophylactic antibiotics in surgery published by POGI.

Keywords: Evaluation, prophylactic antibiotics, Sectio caesarea


How to Cite

Lumbantobing, Romauli, Gorga I.V.W Udjung, and Windy Wijayanti. 2024. “Evaluation of Prophylactic Antibiotic Use in Sectio Caesarea Patients at Mintohardjo Naval Hospital”. Asian Research Journal of Gynaecology and Obstetrics 7 (1):63-73. https://journalarjgo.com/index.php/ARJGO/article/view/211.


References

Indonesian Ministry of Health. Control Of Antmicrobial Resistance Is A World Concern; 2021.

Centers for disease control and prevention. Central infographic: Antibiotic Resistance the Global Threat; 2021

Rukmini R, Siahaan S, Sari Id. Analysis of Antimicrobial Resistance Control Program Policy Implementation. Health Systems Research Bulletin. 2019;22(2):106-116.

Sagita D, Hastuti H. Antibiotic resistance test against staphylococcus aureus bacterial Cultures In The Intensive Care Unit (Icu) Of Y Hospital, Jambi City. Journal Of Healthcare Technology And Medicine. 2020;6(1):301-307

Hardiyanti R. Use of prophylactic antibiotics in sectio caesarea patients. Journal Of Health Science And Physiotherapy. 2020;2(1):97-100. Available: https://Doi.Org/10.35893/Jhsp.V2i1.37

Fadhilah H, Aulia G, Maharani N. Literature study evaluation of the use of prophylactic antibiotics in sectio caesarea patients. In: Continuous Proceedings; National Seminar On Research Results And Community Service; South Tangerang: Pamulang University; 2020. 542. Available:http://openjournal.unpam.ac.id/index.php/senan/article/view/9033/5734

[Accessed on 2020 September 23].

Hapsari Ra. Evaluation of the use of prophylactic antibiotics in sectio caesarea patients at the inpatient installation Of Dr. Regional General Hospital. Soediran Mangun Sumarso Wonogiri 2016 [Thesis]. Surakarta: Setia Budi University; 2017.

Brahmana Ib, Setyawati I. Evaluation of the use of prophylactic antibiotics ceftriaxon injection and oral cefadroxil in healing post sectio caesaria wounds. Smedjour. 2020;3(2):91

Aryzky S, Nisa H, Gamaliana DY. Evaluation of the use of prophylactic antibiotics in Cesarean Section (SC) Patients at Ulin Regional Hospital, Banjarmasin in. Manuntung Scientific Journal. 2019;5(2):151

Kurniarum A. Midwifery care for childbirth and newborns. Jakarta: Health Human Resources Education Center. 2016;3.

Nurhayati. Evaluation of antibiotic use after cesarean operation at Handayani Maternity Hospital [thesis]. Bandung: Al-Ghifari University; 2017.

Fatimah S, Fatmasaanti AU. Analysis of Factors Associated with Types of Delivery in Pregnant Women. Journal of Biological Midwifery. 2020;6(3):277

Sihotang HM, Yulianti H. Factors that Influence the Post Sectio Caesarea Wound Healing Process. Care Journal. 2018;6(2):176

Sungkar A, Basrowi RW. Rising Trends And Indications Of Caesarean Section In Indonesia. World Nutrition Journal. 2020;4(1):1-2

Geraldy Y. Profile of Cesarean Section Delivery on Hypertension in Pregnancy Based on Maternal Outcomes at Rsia Sitti Khadijah Muhammadiyah Makassaar for the Period December 2018 - November 2019 [thesis]. Makassar; 2020.

Sung S, Mahdy H. Cesarean Section. In: Statpearls. Treasure Island (Fl): Statpearls Publishing; 2021.

Silvira P, Bestari R. Comparison of the effectiveness of using types of prophylactic antibiotics in sectio caesarea patients at Sylvani RSU, Binjai City, 2020. Journal of Medical Science and Medical Technology. 2022;5(1):1-5.

Frequently Asked Questions About Surgical Site Infections. Centers For Disease Control And Prevention. Centers For Disease Control And Prevention; 2019. Available:https://Www.Cdc.Gov/Hai/Ssi/Faq_Ssi.Html

Novelia SM, Sia WS, Songwathana P. Surgical Site infection woman post caesarea section: An integrative review. Nurse Media Journal of Nursing. 2017;7 (1):46-51

Aditya R, Dirgagita. Identification of Bacteria in the Surgical Wounds of Post-Cesarean Section Patients in the Gynecology and Obstetrics Ward of Ulin Hospital, Banjarmasin. INAJOG. 2021;9 (1):380

Steiner Hl, Strand EA. Surgical Site Infection In Gynecologic Surgery: Pathophysiology And Prevention. American Journal of Obstetrics And Gynecology. 2017;217(2):121-128

Chairani F, Puspitasari I, Asdie Rh. Incidence and Risk Factors for Surgical Wound Infections in Obstetrics and Gynecology Surgery in Hospitals. JMPF. 2019;9(4):281

World Health Organization. Global guidelines for the prevention of surgical site infection. Geneva: WHO Document Production Services. 2018;11

Pratiwi RH. Defense Mechanisms of Pathogenic Bacteria Against Antibiotics. Pro-Life Journal. 2017;4(3):418

Pratomo GS. Goddess NA. Level of Knowledge of the Community of Central Anjir Mambulau Village Regarding the Use of Antibiotics. Surya Medika Journal. 2018;4(1):80

Calhoun C, Wermuth HR, Hall GA. Antibiotics. Treasure Island (FL): StatPearls Publishing; 2022.

Wati AM. Rostikarina NA. The Relationship between Community Education Level and Knowledge Level of Oral Antibiotic Use in Slorok Village, Malang Regency [thesis]. Malang: Indonesian Men's Academy; 2019.

LV Series. Independent use of antibiotics in health and non-health students at Hasanuddin University [thesis]. Makassar: Hasanuddin University; 2020.

Bui T, Preuss CV. Cephalosporins. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.

Lukito JI. Prophylactic Antibiotics in Surgery. CDK Journal. 2019;46(12):777-782

Indonesian Obstetrics and Gynecology Association. Guide to prophylactic antibiotics in obstetric-gynecological surgery. Jakarta: Indonesian Doctors Association. 2013;1-9

Republic of Indonesia. Regulation of the minister of health of the republic of Indonesia Number 2406/MENKES/PER/XII/2011 concerning General Guidelines for the Use of Antibiotics. Jakarta. 2011

Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery. Obstetrics and gynecology. 2018;132.3. e103- e119. DOI:10.1097/AOG.0000000000002833

World Health Organization. WHO recommendations for prevention and treatment of maternal perpartum infection. Geneva. 2015;36-41

Republic of Indonesia. Minister of health regulation number 8 concerning community empowerment in the health sector. Jakarta; 2019.

Luba S. Description of the Characteristics of Mothers Giving Birth by Cesarean Section at RSIA Siti Fatimah Makassar in 2018. Sandi Karsa Pharmacy Journal. 2018;4;(7):94-98.

Maelaningsih FS, Fahriati AR, Wijanarko DA, Supiyati E. Evaluation of the use of prophylactic antibiotics in caesarean section patients at the South Tangerang Private Hospital. In: Proceedings of Senantias: National Seminar on Research Results and Community Service; 2020; South Tangerang: Pamulang University. 2020;373-382. Available:http://openjournal.unpam.ac.id/index.php/Senan/article/view/8254

Sukma DR, Sari RDP. The Influence of Pregnant Women's Age Factors on the Type of Childbirth at Dr. H. Abdul Moeloek Lampung Province. Majority Journal. 2020;9(2):16-20

Rahmawati RI, Supanji Raharja SO. The Relationship between Educational Level and History of Antenatal Care (ANC) with Sectio Caesarea [thesis]. Surakarta; 2018.

Hijriani, Rahim I, Hengky HK. Characteristics of Mothers Giving Birth with Sectio Caesarea at Andi Makkasau Parepare Regional General Hospital. Human and Health Scientific Journal. 2020;3(2):257-264

Komariah S, Nugroho H. The Relationship between Knowledge, Age and Parity with the Incidence of Pregnancy Complications in Pregnant Women in the Third Trimester at the Aisyiyah Mother and Child Hospital in Samarinda. Journal of Public Health. 2020;5(2):83

Sulastri AM, Ni'mah Mufidah EN. Contribution of Number of Pregnancies (Gravida) to Complications During Pregnancy and Childbirth. Journal of Maternity Nursing Science. 2019;2(1):9-16

Tampa'i R, Ngala N, Wua D. Evaluation of the use of prophylactic antibiotics in cesarean section patients in the central surgery installation at XY Manado Hospital. Farmasindo Journal. 2020;4(1): 8-11

Subekti SW. Indications for cesarean section delivery. Journal of Biometrics and Population. 2018;7(1):11-19

Ayuningtyas D, Oktarina R. Misnaniarti NNDS. Health Ethics in Childbirth via Sectio Caesarea Without Indication.MKMI Journal. 2018;14(1):9-16

Wardhani YM. Evaluation of the Use of Prophylactic Antibiotics in Cesarean Section Patients at Siloam Hospital, Palembang. Initial Saelmakers Health Journal. 2021;4(1):132-141

Arumugham VB, Gujarathi R, Cascella M. Third Generation Cephalosporins. In: Statpearls. Treasure Island (Fl): Statpearls Publishing; 2022.

Serio AW, Magalhães ML, Blanchard JS, Connolly LE. Aminoglycosides: Mechanisms of Action and Resistance. In: Antimicrobial Drug Resistance; 2017.

Chaves BJ, Tadi P. Gentamicin. In: Statpearls. Treasure Island (Fl): Statpearls Publishing; 2022.

Eka R. Evaluation of the Use of Antibiotics in Caesarean Sections at the General Hospital of West Nusa Tenggara Province in June [thesis]. Mataram: Muhammadiyah University of Mataram; 2019.

World Health Organization. WHO Recommendations on Prophylactic Antibiotics for Women Undergoing Caesarean Section. Geneva. 2021;12.