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RESISTENSI ANTIMIKROBA
DI RUMAH SAKIT
HARI PARATON. dr. SpOGK
WHO 2013
10.000.000/tahun
2050
USD. 100 TRILLIUN
(Jim O Neill 2015)
KOMITE PENGENDALIAN RESISTENSI ANTIMIKROBA
KEMENTERIAN KESEHATAN
BAGAIMANA INDONESIA
The prevalence of ESBL producing E.coli and RSUD.Dr. Soetomo 204 sample kasus
Klebsiella pneumoniae among hospitals in Jan-Juli 2010
Indonesia six hospitals 2013
N= 554
60 56,39% 56,8% 100.00%
51,69% 52,23% 90.00%
50 45,33% 80.00%
40,83% 70.00%
40 37,82% 60.00%
Persentase
34,31% 32,16% 32,7% 35,02
50.00% %(194)
30 27,94% 26,71% 40.00%
30.00%
20 20.00% 6,50%(36) 4,51%(25)
10.00%
10 0.00%
Jumlah Isolat Jumlah ESBL Jumlah PAN Jumlah
RESISTEN MRSA
0
Macam Isolat
40 40 WHO/
35 PPRA
30 26- ESBL
28 RSD 56%
20 RSD S
S
10 9 AMRI
0 N
2000 2005 2010 2013 2016
PEMICU RESISTENSI
SELECTIVE
PRESSURE
Hasil
Kategori Sby Semg
(%) (%)
Tidak ada
indikasi 76 53
terapi
Tidak ada
indikasi 55 81
profilaksis
• Blood stream
• Pneumonia
HAI AMR • UTI
• SSI
Food Kurikul
Knowled Residu AB Insent um
ge (+) if
Training
R AB / /Semina
OTC/Apat self AMR R AB/ Knowle r
ek DR dge
medikasi RS Worksh
op
Regulasi
Mikro ASP KM/K
klinik FT
Farma TOP
si MGT
klinik
PPI Klinis
i
HEALTH RESOURCES IN INDONESIA 2016
Mengguna Host
Temukan Cegah
kan defence Cegah
ANTIBIOT Transmisi
normal /Immunita Resistensi
IK baru AMR
flora s
Lama,
Save PPI/Univers
Pro-Pre Cost Antibiotik
Normal al
biotik tinggi, precaution
Bijak
Flora
ASP, Sulit
Cuci
Limitasi
Tangan
ASP
Antiseptik
DOSIS DAN WAKTU PEMBERIAN ANTIBIOTIK
PEMICU BAKTERI MUTANT
MPC
Window of
Selection
MIC
40 40 40
35
30 30 ESBL
28 RSD
20 RSD S 20
S
10 9 AMRI
0 N
2000 2005 2010 2013 2016 2017 2018 2019
TERIMA KASIH