Inadequate antibiotic therapy for meningitis and bacterial encephalitis is one of the factors that can jeopardize patient safety and turn into a public health issue in a number of nations, including Indonesia. This phenomena has the potential to raise health-care expenses, which should be avoided in the era of the JKN program's implementation. The goal of this research was to describe the profile of antibiotic use and cost in hospitalized meningitis and bacterial encephalitis patients. This cross-sectional observational study took place from January to December 2019. As study materials, patient medical records and billing data were employed. To enhance the data obtained, confirmation with medical and pharmaceutical personnel is required. Antibiotic use and expenditures were described using descriptive analysis. A total of 71 patients, both children and adults, met the study's inclusion criteria. Antibiotics were given to all of the patients, and the results revealed that third generation cephalosporins (49.375%) were the most commonly recommended antibiotic class, either alone or in combination. Antibiotic use receives 46.94% of total medication funding. According to the length of stay category, the majority of patients (45.99 %) were hospitalized for 8-14 days consecutively with antibiotic medication. Antibiotics, which are typically administered to patients with meningitis and bacterial encephalitis, had no effect on the length of stay in the hospital. Antibiotic prescriptions must be carefully reviewed at top referrel hospital, taking into account the local germ map.

Fever is a condition often found in toddlers. Fever is a condition when the body temperature is above normal temperature (36-37ºC). The general objective of the study was to describe the level of knowledge of mothers in handling fever in children under five years old in Suci village, Panti Jember district. The research used a descriptive design. Samples were taken by random samplingand obtained 81 mothers who have toddlers. This research instrument uses a questionnaire. The results showed that the level of mother's knowledge in handling fever in toddlers in the realm of know was 86%, in the realm of understand was 76%, and in the realm of application was 75%. It can be concluded that the level of mother's knowledge in handling fever in toddlers in Suci village, Panti Jember sub-district in the realm of know and in the realm of understand was a good criterion, and in the realm of application was a fairly good criterion.\Keywords: toddlers, fever, mother's knowledge level

Fever is a condition often found in toddlers. Fever is a condition when the body temperature is above normal temperature (36-37ºC). The general objective of the study was to describe the level of knowledge of mothers in handling fever in children under fiveyears old in Suci village, Panti Jember district. The research used a descriptive design. Samples were taken by random samplingand obtained 81 mothers who have toddlers. This research instrument uses a questionnaire. The results showed that the level of mother's knowledge in handling fever in toddlers in the realm of know was 86%, in the realm of understand was 76%, and in the realm of application was 75%. It can be concluded that the level of mother's knowledge in handling fever in toddlers in Suci village, Panti Jember sub-district in the realm of know and in the realm of understand was a good criterion, and in the realm of application was a fairly good criterion.\Keywords: toddlers, fever, mother's knowledge level

Bacterial meningitis-encephalitis (ME) management therapy is critical to appropriately manage clinical outcomes. This study aims to provide recommendations on appropriate empiric antimicrobial to support the healing period and reduce the risk of disease severity. A cross-sectional study, including inpatients without comorbid diagnosed with bacterial ME, was conducted, and records of antimicrobial prescriptions were obtained. Sociodemographic, clinical (diagnostic), and pharmacological (antimicrobial) variables were assessed. Through multivariate analysis, variables associated with the use of antimicrobials for bacterial infections were identified. A total of 45 patients with ME. The patients, who were from surrounding Center Java and Yogyakarta, had a mean age of 11.27 ± 16.93 years and a male predominance of 56.9% (n = 23). The most frequent bacterial infections were caused by: S. haemolyticus and S. epidermidis (25.93%). A total of 100% the patients (n = 45) received a prescription for empiric antibiotics, predominantly 3rd generation cephalosporin e.c ceftriaxone (35.56%) and cefotaxime (13.33%). Empiric antimicrobials are frequently prescribed for the first management of bacterial ME, are considered an inappropriate practice due to a lack of clinical benefits, increased generation of antimicrobial resistance, and risk of adverse reactions due to the use of medications that patients do not require. Drug utilization studies are a great tool for monitoring how antimicrobial is being used and planning interventions to improve their use.