Prevalence of antibiotic resistance in adult septic patients of H. Adam Malik central general hospital, Medan under Indonesia's mandatory health scheme

1st International Conference on Tropical Medicine and Infectious Diseases (ICTROMI) Faculty of Medicine Universitas Sumatera Utara

Tillasman, N.S.^1 ; Saragih, R.H.^2,4 ; Umar, N.^3,4

Faculty of Medicine, Universitas Sumatera Utara, Medan

20222, Indonesia^1

Division of Tropical and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan

20136, Indonesia^2

Department of Anesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara, Medan

20136, Indonesia^3

Haji Adam Malik Central General Hospital, Jalan Bunga Lau No.17, Medan

20136, Indonesia^4

关键词: Antibiotic resistance;    Antibiotic susceptibility tests;    Bacterial infections;    General hospitals;    Global health;    Indonesia;    Resistance rate;   

Others  :  https://iopscience.iop.org/article/10.1088/1755-1315/125/1/012039/pdf
DOI  :  10.1088/1755-1315/125/1/012039

来源: IOP

【 摘 要 】

Sepsis is a severe bacterial infection whose treatment still varies in preference. However, for more than 60 years, antibiotics have been regarded as the panacea, as long as they are used wisely and timely. Antibiotic resistance has escalated in recent years, resulting in an accelerating global health security emergency, that is rapidly outpacing available treatment options. In January 2014, the new mandatory health insurance scheme (JKN) was introduced, whose treatments must comply with National Formulary (FORNAS) policy. We aimed to systematically review the prevalence of antibiotic resistance to FORNAS policy's preferential treatments in adult septic patients who had been in the non-surgical wards. Based on an overall view, 76 out of 90 kinds of antibiotics which had undergone antibiotic susceptibility test (AST) had alarming resistance rate and preferential antibiotics in the current JKN scheme may have become ineffective.