Abstract Ref Number = APCP67
Antibiotics Chosen in Outpatients Clinic
Infection Tropical Diseases of Child Health Department, Hasan Sadikin GHFaculty of Medicine Universitas Padjadjaran ITD Working Group of IPS
The use and misuse of antibiotics is a major contributor to the development of antibiotic-resistant bacteria. These drugs should be used only to treat bacterial infections and, when needed, the right antibiotic should be prescribed at the most appropriate dose and duration. Yet antibiotics are often prescribed inappropriately across health care settings.
Approximately 30% of all oral antibiotics prescribed in US outpatient settings are unnecessary, and antibiotic prescribing rates are higher overall for young children and people living in the South, according to a study in the Journal of the American Medical Association (JAMA). Antibiotics can be purchased without a prescription in 64% of Southeast Asian countries. A study from suburban community health centers located in Bandung, Indonesia; there was over-prescription of antibiotics in 80.01% of prescription cases, with a total of 8.98% being non-treatment option, and 62.43% being irrational use of corticosteroids
It can indirectly trigger the occurrence of antibiotic resistance. WHO released data that there are at least 2,049,442 cases of illness due to antibiotic resistance and 23,000 of them died. Initially resistance usually occurs at the hospital level, but gradually also develops in the community, especially the bacteria Streptococcus pneumoniae, Staphylococcus aureus, and Escherichia coli, and ultimately affect the treatment pattern in outpatient care
The root causes of the spread of antibiotic resistance are multi factorials and interconnected. It basically caused by inappropriate, irrational, high consumption, and profligate use of antibiotics, combined by a low level of compliance of the patients. People also can buy antibiotics without prescription in developing countries, included Indonesia. The Indonesian government has made restrictions on the use of antibiotics, as stipulated in Regulation of the Minister of Health on General Guidelines on the Use of Antibiotics, 2011. However, the facts on the field of use and sale of antibiotic drugs are still excessive.