Kajian Peresepan Antibiotik Pada Pasien Pediatrik Rawat Jalan Di Rsud Deli Serdang Lubuk Pakam Periode September 2014 – Desember 2014

No

No
RM

Na
ma

1

1702
30
1803
83
1745
32

NF
P
AR bpjs


1071
43
1487
23
0972
80
1804
08
1522
10
1741
08
1781
79
1799
51
1800
66

NA bpjs

D
FM bpjs

2
3
4
5
6
7
8
9
10
11
12

Jaminan
Kesehata
n
umum


AR bpjs

RG bpjs
A
CU bpjs
G
DR jkd
H

jkd

GS

bpjs

AD bpjs
A
RA bpjs
T


Jenis
Kelam
in
Perem
puan
Perem
puan
lakilaki

Umur

Berat Dosis 1x p
Badan

Jenis
Antibiotik

Dosis

Frekuen

si

Durasi

Diagnosa

8 bln

8 kg

100 – 125 mg

4 hari

17 kg

2x5 ml

6 hari


2 thn

10 kg

212,5 – 255
mg
100 – 200 mg
100 – 200 mg

125/5ml
125 mg
250/5ml
250 mg
100
250

3x5 ml

8 thn


Cefadroxil
sirup
Cefadroxil
sirup
Isoniazid
Rifampisin

1x1
1x1

180hari
180hari

Bronkhit
is
Bronkhit
is
tb

Perem

puan
Perem
puan
Perem
puan
Perem
puan
lakilaki
lakilaki
lakilaki
lakilaki
Perem
puan

4 thn

11 kg

Thiamphenicol


12 hari

35 kg

175 mg/
pulv
500 mg

3x1

16 thn

110 – 183,3
mg
350 – 525 mg

3x1

12 hari


12 thn

28 kg

9 bln

9 kg

280 – 560 mg
280 – 560 mg
27 – 54 mg

Isoniazid
Rifampisin
cefixime sirup

1x1
1x1
2x2,5 ml


180hari
180hari
6 hari

2 thn

10 kg

125 – 150 mg

2x5 ml

6 hari

1 thn

9 kg

27 – 54 mg

Cefadroxil
sirup
cefixime sirup

400 mg
450 mg
100/5ml
50 mg
125/5ml

2x2,5 ml

6 hari

1,5 thn

9 kg

112 - 135 mg

2x5 ml

6 hari

5 thn

12 kg

36 – 72 mg

Cefadroxil
sirup
cefixime sirup

2x2 ml

7 hari

9 thn

20 kg

60 – 120 mg

cefixime sirup

100/5ml
50 mg
125/5ml
125 mg
100/5ml
40 mg
100/5ml
100 mg

2x5 ml

9 hari

Thiamphenicol

demam
tipoid
demam
tipoid
tb
Pneumon
ia
Bronkhit
is
Bronkhit
is
Bronkhit
is
Bronkhit
is
demam
tipoid

No

13
14
15
16
17
18
19
20
21
22
23
24

No
RM

Na
ma

Jaminan
Kesehata
n
1799 GA bpjs
64
P
1805 MS bpjs
35
1806 RS bpjs
34
1711 JD bpjs
37
1668 VD jkd
04
1780 IS jkd
11
1805 M bpjs
68
HS
1802 SM bpjs
55
M
1797 SM bpjs
79
1803 M bpjs
94
RA
1050 DA bpjs
66
S
1668 M bpjs
15
GF

Jenis
Kelam
in
Perem
puan
lakilaki
lakilaki
lakilaki
perem
puan
Perem
puan
Perem
puan
Lakilaki
lakilaki
lakilaki
lakilaki
lakilaki

Umur

Berat Dosis 1x p
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

10 thn

21 kg

63 – 126 mg

cefixime sirup

2x5 ml

9 hari

4 thn

13 kg

39 – 78 mg

cefixime sirup

2x2,5 ml

6 hari

demam
tipoid
ISPA

5 thn

13 kg

130 – 216 mg

3x7,5 ml

3 hari

13
Thn
14 thn

30 kg

90 – 180 mg

Thiamphenicol
sirup
cefixime sirup

2x5 ml

6 hari

35 kg

12 thn

28 kg

350 – 700 mg
350 – 700 mg
350 – 420 mg

1x1
1x1
2x5 ml

180hari
180hari
6 hari

1,5 thn

8 kg

24 – 48 mg

Isoniazid
Rifampisin
Cefadroxil
sirup
cefixime sirup

100/5ml
100 mg
100/5ml
50 mg
125/5ml
200 mg
100/5ml
100 mg
400 mg
450 mg
250/5ml

2x2 ml

7 hari

14 thn

36 kg

96 – 192 mg

cefixime

100/5ml
40 mg
100 mg

2x1

10 hari

9 bln

8 kg

100 – 120 mg

6 hari

14 kg

42 – 84 mg

2x2,5 ml

3 hari

4 thn

13 kg

4 hari

15 kg

Cefadroxil
sirup
Isoniazid
Rifampisin

3x5 ml

6 thn

108,4 – 130
mg
150 – 300 mg
150 – 300 mg

125/5ml
125 mg
100/5ml
50 mg
125/5ml
125 mg
100
300

2x5 ml

5 thn

Cefadroxil
sirup
cefixime sirup

2x1
1x1

180hari
180hari

47

demam
tipoid
Bronkhit
is
tb
Bronkhit
is
Bronkhit
is
demam
tipoid
Pneumon
ia
Pneumon
ia
Bronkhit
is
tb

No

No
RM

Na
ma

25

1808
84
1809
29
1809
93
1809
23
1681
03
1391
18
1525
64
1741
25
1812
84
1804
86
1810
54
1077
47

AE
A
W bpjs
B
NA bpjs
S
VD bpjs

26
27
28
29
30
31
32
33
34
35
36

Jaminan
Kesehata
n
bpjs

M
AF
AZ

bpjs

SN

bpjs

bpjs

NH bpjs
CA PT
GL
bpjs
HD bpjs
FA

bpjs

Jenis
Kelam
in
perem
puan
lakilaki
perem
puan
lakilaki
lakilaki
perem
puan
perem
puan
perem
puan
perem
puan
Perem
puan
Lakilaki
Perem
puan

Umur

Berat Dosis 1x p
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

13 thn

32 kg

96 – 192 mg

cefixime

100

2x1

3 hari

11 thn

27 kg

270 – 450 mg

Thiamphenicol

500

3x1

12 hari

7 bln

7,5 kg
15 kg

Cefadroxil
sirup
Thiamphenicol

125/5ml
93,75
250 mg

2x3,75
ml
3x1

8 hari

6 thn

93,75 – 112,5
mg
150 – 250 mg

pneumon
ia
demam
tipoid
ISPA

2,5 thn

10 kg

30 – 60 mg

cefixime sirup

2x2,5 ml

6 hari

8 thn

20 kg

60 – 120 mg

cefixime sirup

100/5ml
50 mg
100/5ml

demam
tipoid
ISPA

2x5 ml

3 hari

ISPA

7 thn

16 kg

160 – 283 mg

26 kg

325 – 390 mg

200/5ml
150 mg
250 mg

3x3,75
ml
2x1

5 hari

11 thn

Eritromycin
sirup
Cefadroxil

3 hari

Bronkhit
is
ISPA

4 thn

10 kg

125 – 250 mg

125/5ml

2x5 ml

6 hari

bronkitis

3 thn

11 kg

8 hari

9,5 kg

250/5ml
125 mg
125/5ml

3x2,5 ml

2 thn

3x2,5 ml

6 hari

Pnemoni
a
bronkitis

7 thn

18 kg

110 – 183,3
mg
118 – 142,5
mg
180 – 300 mg

Cefadroxil
sirup
Thiamphenicol
sirup
Cefadroxil
sirup
Thiamphenicol

250

3x1

6 hari

bronkitis

48

12 hari

No

No
RM

Na
ma

37

0786
64
1813
65
1793
41
1795
90
0973
41
1654
78
1337
63
1656
79
1793
66
1342
42

M
W
KN bpjs
K
S
bpjs

38
39
40
41
42
43
44
45
46

47
48

Jaminan
Kesehata
n
bpjs

YC bpjs
MF bpjs
A
NA jkd
VR umum
K

jkd

SM bpjs
E
W

bpjs

1817 SJ
93
1817 A
95
M

Bpjs
Bpjs

Jenis
Kelam
in
Lakilaki
perem
puan
perem
puan
perem
puan
lakilaki
lakilaki
lakilaki
perem
puan
perem
puan
lakilaki

Umur

Berat Dosis 1xp
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

5 thn

14 kg

140 – 242 mg

Eritromycin sr

250

3x1

5 hari

bronkitis

1 thn

7 kg

21 – 42 mg

cefixime sirup

2x2 ml

7 hari

ISPA

1 thn

10 kg

30 – 60 mg

cefixime sirup

2x2 ml

7 hari

ISPA

7 thn

16 kg

48 – 96 mg

cefixime sirup

ISPA

10 kg

30 – 60 mg

cefixime sirup

2x3,75
ml
2x2 ml

4 hari

1 thn

7 hari

ISPA

5 thn

13 kg

39 – 78 mg

cefixime sirup

2x2,5 ml

6 hari

ISPA

1,5thn

9 kg

27 – 54 mg

cefixime sirup

2x2,5 ml

6 hari

12 thn

24 kg

350 – 420 mg

2x5 ml

6 hari

16 thn

39 kg

117 – 234 mg

Cefadroxil
sirup
cefixime

100/5ml
40 mg
100/5ml
40 mg
100/5ml
75 mg
100/5ml
40 mg
100/5ml
50 mg
100/5ml
50 mg
250/5ml
100

2x1

3 hari

Bronkhit
is
Pnemoni
a
sinusitis

6 thn

14 kg

140 – 280 mg
140 – 280 mg

Isoniazid
Rifampisin

150
300

1x1
1x1

180hari
180hari

Tb

Lakilaki
lakilaki

5 thn

13 kg

39 – 78 mg

cefixime sirup

2x2,5 ml

6 hari

ISPA

8 thn

21 kg

210 – 350 mg

Metronidazol
sirup

100/5ml
50 mg
125/5ml

3x5 ml

4 hari

GE

49

No

No
RM

Na
ma

49

1819
30
1816
02
1819
37
1594
82
1450
96
1815
35
1649
23
1133
01
1343
81
1819
20
1823
14
1488
99

GP
S
AR jkd

50
51
52
53
54
55
56
57
58
59
60

Jaminan
Kesehata
n
jkd

CB
M
M
A
HF

Bpjs

R

Bpjs

NE

Bpjs

M
R
AF

Bpjs

Bpjs
Bpjs

Bpjs

AN Bpjs
L
M Bpjs
VA
MF jkd
R

Jenis
Kelam
in
lakilaki
lakilaki
lakilaki
perem
puan
lakilaki
lakilaki
perem
puan
lakilaki
perem
puan
perem
puan
lakilaki
lakilaki

Umur

Berat Dosis 1xp
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

1 thn

9 kg

2x5 ml

6 hari

ISPA

7 kg

5 ml

2x5 ml

6 hari

GE

2 thn

9 kg

125/5ml

2x5 ml

6 hari

ISPA

12 thn

27 kg

3 hari

ISPA

9 kg

125/5ml
250 mg
125/5ml

2x10 ml

2 thn

2x5 ml

6 hari

ISPA

10 thn

22 kg

Cefadroxil
sirup
cotrimoksazol
sirup
Cefadroxil
sirup
Cefadroxil
sirup
Cefadroxil
sirup
cefixime sirup

125/5ml

6 thn

112,5 – 135
mg
6-12 thn sehari
2 x 5-10 ml
112,5 – 135
mg
337,5 – 405
mg
112,5 – 135
mg
66 – 132 mg

100/5ml

2x5 ml

3 hari

1 thn

10 kg

30 – 60 mg

cefixime sirup

2x2,5 ml

6 hari

2 thn

9,5 kg

190 – 380 mg

3x 9 ml

3 hari

ISPA

1,5thn

9 kg

27 – 54 mg

amoxicilin
sirup
cefixime sirup

2x2,5 ml

6 hari

ISPA

2,8 thn

11 kg

33 – 66 mg

cefixime sirup

2x2,5 ml

6 hari

ISPA

4 thn

13 kg

4 hari

ISPA

9 kg

Cefadroxil
sirup
cefixime sirup

2x7,5 ml

2,5 thn

162,5 – 195
mg
27 – 54 mg

100/5ml
50 mg
125/5ml
225 mg
100/5ml
50 mg
100/5ml
50 mg
125/5ml
187,5 mg
100/5ml
50 mg

Bronkhit
is
ISPA

2x2,5 ml

6 hari

ISPA

50

No

61
62
63
64
65
66
67
68
69
70
71
72
73

No
RM

Na
ma

Jaminan
Kesehata
n
1823 NA Bpjs
93
0923 LO Bpjs
27
1824 VY Bpjs
27
1679 AB Bpjs
37
1825 HK Bpjs
30
1819 AF Bpjs
28
1826 RD Bpjs
79
1752 KH Bpjs
59
1814 AR Bpjs
51
1649 PA Bpjs
92
1827 ZP umum
53
1828 KD Bpjs
47
1542 YS Bpjs
96

Jenis
Kelam
in
perem
puan
lakilaki
lakilaki
perem
puan
perem
puan
lakilaki
lakilaki
Perem
puan
lakilaki
Perem
puan
Perem
puan
lakilaki
lakilaki

Umur

Berat Dosis 1xp
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

1,5 thn

10 kg
14 kg

200/5ml
150 mg
125/5ml

3x3,75
ml
2x5 ml

5 hari

5 thn

6 hari

Bronkhit
is
ISPA

12 thn

29 kg

5 hari

ISPA

30 kg

250/5ml
375 mg
500

2x7,5 ml

12 thn

Eritromycin
sirup
Cefadroxil
sirup
Cefadroxil
sirup
Cefadroxil

2x1

5 hari

ISPA

5 thn

15 kg

2x5 ml

6 hari

ISPA

7 kg

6 hari

4 kg

12 – 24 mg

2x2 ml

6 hari

5 thn

14 kg

42 – 84 mg

cefixime sirup

2x2,5 ml

6 hari

1 thn

11 kg

110 – 183 mg

3x5 ml

5 hari

Pneumon
ia
Bronkhit
is
Bronkhit
is
GE

1 thn

10 kg

30 – 60 mg

Metronidazol
sirup
cefixime sirup

125/5ml
62,5
100/5ml
40 mg
100/5ml
50 mg
125/5ml

2x2,5 ml

2 bln

Cefadroxil
sirup
Cefadroxil
sirup
cefixime sirup

125/5ml

7 bln

187,5 – 225
mg
87,5 – 105 mg

2x2,5 ml

6 hari

ISPA

1 thn

10 kg

125 – 150 mg

100/5ml
50 mg
125/5ml

2x5 ml

6 hari

ISPA

1 thn

11 kg

125/5ml

2x5 ml

6 hari

ISPA

11 thn

25 kg

137,5 – 165
mg
75 – 150 mg

100/5ml

2x5 ml

3 hari

ISPA

100 – 166,6
mg
175 – 210 mg
362,5 – 432
mg
375 – 450 mg

51

Cefadroxil
sirup
Cefadroxil
sirup
cefixime sirup

No

No
RM

Na
ma

74

1825
18
1561
55
1826
67
1830
96
1197
46
1325
99
1831
44
1831
50
1832
49
1832
25
1774
55
1833
34

TR
C
IN
S
LR

75
76
77
78
79
80
81
82
83
84
85

Jaminan
Kesehata
n
Bpjs
Bpjs
jkd

AA Bpjs
MF Bpjs
E
M
YS

Bpjs

FS

umum

SA

Bpjs

PR

Bpjs

jkd

M Bpjs
N
KA Bpjs

Jenis
Kelam
in
Perem
puan
Perem
puan
lakilaki
Perem
puan
lakilaki
lakilaki
lakilaki
lakilaki
lakilaki
Perem
puan
lakilaki
Perem
puan

Umur

Berat Dosis 1xp
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

5 thn

15 kg

45 – 90 mg

cefixime sirup

100/5ml

2x5 ml

3 hari

2 thn

12 kg

36 – 72 mg

cefixime sirup

2x2,5 ml

6 hari

3 thn

10 kg

125 – 250 mg

2x5 ml

6 hari

ISPA

6 thn

16 kg

48 – 96 mg

Cefadroxil
sirup
cefixime sirup

100/5ml
50 mg
125/5ml

Pnemoni
a
ISPA

100/5ml

2x5 ml

3 hari

ISPA

3 thn

10 kg

125 – 150 mg

12 hari

13 kg

2x3 ml

10 hari

5 bln

6 kg

162,5 – 195
mg
18 - 36 mg

2x1,5 ml

6 hari

4 bln

6 kg

18 - 36 mg

cefixime sirup

2x1,5 ml

6 hari

6 thn

14 kg

42 – 84 mg

cefixime sirup

250/5ml
125 mg
250/5ml
150 mg
100/5ml
30 mg
100/5ml
30 mg
100/5ml

2x2,5 ml

4 thn

Cefadroxil
sirup
Cefadroxil
sirup
cefixime sirup

2x5 ml

3 hari

demam
tipoid
demam
tipoid
Pnemoni
a
Dermatit
is
faringitis

14 thn

35 kg

105 – 210 mg

cefixime sirup

100/5ml

2x5 ml

3 hari

ISPA

11 bln

9 kg

27 – 54 mg

cefixime sirup

2x2,5 ml

6 hari

5,5 thn

14,5
kg

45 – 90 mg

cefixime sirup

100/5ml
50 mg
100/5ml

2x5 ml

3 hari

Pnemoni
a
Pnemoni
a

52

No

No
RM

Na
ma

86

1771
77
1380
74
1831
23
1835
46
1760
51
1836
17
1826
30

J

Jaminan
Kesehata
n
Bpjs

I

Bpjs

87
88
89
90
91
92

MF Bpjs
MS Bpjs
AN Bpjs
P
KP Bpjs
KA Bpjs

Jenis
Kelam
in
lakilaki
Perem
puan
lakilaki
lakilaki
lakilaki
perem
puan
perem
puan

Umur

Berat Dosis 1xp
Badan

Jenis
Antibiotik

Dosis

Frekuen
si

Durasi

Diagnosa

8 thn

18 kg

90 – 135 mg

cefixime sirup

100/5ml

2x5 ml

3 hari

13 thn

30 kg

90 – 180 mg

cefixime sirup

100/5ml

2x5 ml

3 hari

demam
tipoid
ISPA

6 thn

79 - 118,5 mg

cefixime sirup

100/5ml

2x5 ml

3 hari

8 thn

15,8
kg
18 kg

225 – 270 mg

250/5ml

3x2,5 ml

6 hari

1,2 thn

9 kg

125/5ml

2x5 ml

6 hari

6 thn

100/5ml

2x5 ml

3 hari

3 bln

16,2
kg
5,9 kg

112,5 – 135
mg
48,6 - 97,2 mg

Cefadroxil
sirup
Cefadroxil
sirup
cefixime sirup

Amoxan