Interview-based cross-sectional needs assessment to advance the implementation of an effective antibiotic stewardship program in Indonesian hospitals

Antibiotic resistance has become a global health issue, negatively affecting the quality and safety of patient care, and increasing medical expenses, notably in Indonesia. Antibiotic stewardship programs (ASPs) aim to reduce resistance rates and their implementation in hospitals, has a high priority worldwide. We aimed tomonitor the progress in the organizational implementation of ASPs in Indonesian hospitals by an Antimicrobial Resistance Control Program (ARCP) team and to identify possible hurdles. We conducted a cross-sectional study with structured interviews based on a checklist designed to assess the achievement of structural indicators at the organizational level in four private and three public hospitals in four regions (Surabaya, Sidoarjo, Mojokerto, Bangil) in East Java, Indonesia. The organizational structure of public hospitals scored better than that of private hospitals. Only three of the seven hospitals had an ARCP team. The most important deficiency of support appeared to be insufficient funding allocation for information technology development and lacking availability and/or adherence to antibiotic use guidelines. The studied hospitals are, in principle, prepared to adequately implement ASPs, but with various degrees of eagerness. The hospital managements have to construct a strategic plan and to set clear priorities to overcome the shortcomings

Kajian Pemberian Leaflet dan Reminder pada Pasien Hipertensi Di Instalasi Rawat Jalan RSUD A. W Sjahranie Samarinda Periode Desember 2014-February 2015

Hipertensi adalah kondisi dimana tekanan darah meningkat dari tekanan darah normal (120/80 mmHg). Berdasarkan survei dari WHO, prevalensi hipertensi 40 % terjadi pada penduduk global dan 55 % kematian disebabkan oleh hipertensi. Manejemen terapi hipertensi dan modifikasi gaya hidup dapat meningkatkan efektivitas terapi dan menurunkan risiko komplikasi. Tujuan dari penelitian ini untuk melihat perbedaan efek dari leaflet dan reminder terhadap tekanan darah kepatuhan pasien dan perilaku pasien. Penelitian ini adalah studi eksperimen dengan teknik systematic random sampling. Subjek penelitian terdiri dari 50 orang yang dibagi dalam 2 kelompok dengan intervensi. Analisis yang digunakan adalah Wilcoxon and Mann Whitney U. Hasil penelitian didapatkan tidak terdapat perbedaan tekanan darah sistolik (p = 0,424) dan tekanan darah diastolik (p= 0,831) antara subjek pada kelompok leaflet dan subjek pada kelompok reminder. Namun, terdapat perbedaan kepatuhan pasien antara subjek pada kelompok leaflet dan reminder. Perilaku pasien pada tahap preparation stage setelah pemberian leaflet dan reminder