Rheumatoid arthritis (RA) adalah penyakit autoimun yang ditandai inflamasi kronik sistemik dan menyerang berbagai jaringan terutama sendi. Pertimbangan utama dalam pemilihan jenis obat RA adalah keberhasilan terapi dan efek samping. Penelitian ini bertujuan untuk mengevaluasi hubungan pemilihan jenis obat dan keberhasilan terapi RA pada pasien rawat jalan di salah satu rumah sakit di Bandung. Penelitian ini bersifat analitik crosssectional, dimulai dengan mengumpulkan data secara retrospektif pada 30 pasien usia produktif yang melakukan terapi RA selama tiga bulan menggunakan metilprednisolon, metotreksat, kombinasi keduanya, atau dengan obat lain. Evaluasi keberhasilan terapi dilakukan dengan membandingkan keberhasilan perbaikan nilai Disease Activity Score 28 (DAS28) sebelum dan setelah terapi, dan monitoring efek samping dilihat dari kadar hemoglobin, laju endap darah, jumlah trombosit, dan leukosit. Hasil penelitian menunjukkan bahwa 90% pasien yang berobat memperoleh terapi metilprednisolon tunggal dan/atau kombinasi dengan metotreksat atau Disease-modifying Antirheumatic Drugs (DMARDs) lain. Pasien yang menerima metilprednisolon tunggal dan metotreksat tunggal mengalami penurunan nilai DAS28 sebanyak 26,8% dan 15,4% jika dibandingkan dengan kondisi awal (sebelum terapi). Pasien yang menggunakan kombinasi metotreksat, metilprednisolon, dan DMARDs lain mengalami peningkatan kadar hemoglobin tertinggi sebesar 3,51% dan penggunaan metotreksat tunggal dapat meningkatkan kadar hemoglobin sebesar 2,42%. Pasien yang menerima metotreksat tunggal mengalami penurunan nilai laju endap darah tertinggi sebesar 38,46%, penurunan trombosit tertinggi sebesar 27,16%, serta penurunan leukosit tertinggi sebesar 48,80%. Dapat disimpulkan bahwa meskipun sebagian besar pasien menerima terapi metilprednisolon tunggal dan/atau kombinasi dengan obat DMARDs lain, terapi menggunakan metotreksat tunggal masih merupakan pilihan utama untuk mencegah terjadinya remisi dan menurunkan risiko efek samping.

The purpose of this study is to assess the rationality of the use of antibiotics from inpatients in one hospital in Cimahi, West Java. The research about rationality analysis of antibiotics at pediatric inpatient in one of the hospitals in Cimahi was done retrospectively use descriptive analysis design. The data source was the medical record of a patient who treated at the children's inpatient ward from January through March 2017. The result shows that 39% of infected patients were children under one-year-old. Three significant cases of diseases that occurred in the period were bronchopneumonia, typhoid fever, and typhoid fever+bronchopneumonia. Antibiotics therapy was given as single therapy as well as combination, where cefotaxime (51%) and ceftriaxone (42%) were the most antibiotics widely used as single therapy. Antibiotic use at children inpatient ward during the period January � March 2017 on bronchopneumonia, typhoid fever, and typhoid fever + bronchopneumonia patients was not 100% rational referring to criteria: correct diagnosis, correct indication, the correct drug of choice, correct dosage, correct method, and correct time interval of drug administration.

Hospital-acquired infection has become serious issue during previous decades. In Indonesia, the prevalence of nosocomial infection reached almost 10% of total patients encounter. The objective of this study was to investigate the sterility status of 160 sets of re-used instruments in three intermediate care rooms, including High Care Cardiac Unit (HCCU), Neosurgical Critical Care Unit (NCCU) and Burn Care Unit (BCU) of Dr. Hasan Sadikin General Hospital. All tested instruments were sterilized in Central Sterile Supply Department (CSSD) of the hospital and distributed to those intermediate care rooms. Observations and microbiology assays were carried out for four weeks. We found that 0.625% of the sample was contaminated by bacteria in week IV at CSSD, bacterial infection at HCCU reached 1.875% in week II and III while fungal infection was 1.875% in week I and IV. Contamination of bacteria in NCCU was 1.25% in week I; 1.875% of the samples were contaminated by fungi in week II, III, and IV. The worst contamination was found in BCU room with 2.50% bacterial infection in week I, II and III, and 4.375% of fungal infection in week I, II and IV. The best sterility status of re-used instruments was found in CSSD, followed by NCCU, HCCU and BCU, respectively. The highest contamination was found in BCU room. The finding of this study can be used to enhance patients safety and improve health care quality.

Hospital-acquired infection has become serious issue during previous decades. In Indonesia, the prevalence of nosocomial infection reached almost 10% of total patients encounter. The objective of this study was to investigate the sterility status of 160 sets of re-used instruments in three intermediate care rooms, including High Care Cardiac Unit (HCCU), Neosurgical Critical Care Unit (NCCU) and Burn Care Unit (BCU) of Dr. Hasan Sadikin General Hospital. All tested instruments were sterilized in Central Sterile Supply Department (CSSD) of the hospital and distributed to those intermediate care rooms. Observations and microbiology assays were carried out for four weeks. We found that 0.625% of the sample was contaminated by bacteria in week IV at CSSD, bacterial infection at HCCU reached 1.875% in week II and III while fungal infection was 1.875% in week I and IV. Contamination of bacteria in NCCU was 1.25% in week I; 1.875% of the samples were contaminated by fungi in week II, III, and IV. The worst contamination was found in BCU room with 2.50% bacterial infection in week I, II and III, and 4.375% of fungal infection in week I, II and IV. The best sterility status of re-used instruments was found in CSSD, followed by NCCU, HCCU and BCU, respectively. The highest contamination was found in BCU room. The finding of this study can be used to enhance patients safety and improve health care quality.

Dyspepsia is a condition of pain in the epigastrium and a burning sensation that radiates to the chest. Dyspepsia occupies the 10th position in the 20 largest non-communicable diseases in a Public Health Center in Bandung. The heterogeneous symptoms and the absence of specific treatments can lead to irrational treatment. The research objective is to determine the pattern of drug use in patients with dyspepsia, including the right indication, the proper drug selection, the correct dose, and the proper interval of administration in a Public Health Center in Batununggal District Bandung. This study was an observational study using a cross-sectional study design that was descriptive in nature. The sampling technique employed the purposive sampling method retrospectively. The research was conducted on 104 patients diagnosed with dyspepsia with comorbidities and receiving drugs at an Outpatient Clinic in a Public Health Center in Batununggal District Bandung from January-March 2020. There were 38 male patients (36.538%) and 66 female patients (63.462%). The majority of patients were aged 56-65 years (28.846%). The most used drug class was antacids (60.448%), and the dosage form that was mostly used was tablets (40.299%). The most used single drug was antacids (51.923%), while the most used drug combination was antacids and omeprazole (23.077%). The accuracy of drug selection and the accuracy of indications were 100% correct, the accuracy of the dosage was 59.62% correct, the accuracy of the time interval for drug administration was 71% correct, and the accuracy of the duration of drug administration was 9.62% correct.