Evaluation of antibiotic use and bacterial profile in Burn Unit Patients at the dr. Soetomo General Hospital

The high inaccuracy of antibiotic prescribing in Dr. Soetomo General Hospital Surabaya, Indonesia, is one of the factors triggering the increasing prevalence of antibiotic-resistant pathogenic bacteria. The World Health Organization (WHO) showed that bacterial resistance to antibiotics was a threat to people's health around the world. Burn injuries are susceptible to infection and need appropriate antibiotics. The purpose of this study was to obtain a germ map for our burn patients and to evaluate the antibiotic therapy that had been used to treat them. This was a descriptive observational study, conducted in the Burn Unit at the Dr. Soetomo General Hospital. The study used data from burn patients who were treated there from February to May 2018. The patients' medical records, records of drug usage (antibiotics) and culture results data (bacterial sensitivity test for antibiotics) were examined. Total antibiotic usage was calculated using the Defined Daily Dose (DDD) method per 100 days. The quality of antibiotic usage was assessed using the Gyssens method. Bacterial profile was obtained from culture swab. According to our findings, the most widely used antibiotic is ceftazidim with DDD / 100 days of 22.25. Based on the qualitative analysis using the Gyssens method, 33.3% were in category VI-0. The most common bacteria obtained from the swabs were Bacillus cereus and Acinetobacter baumanni, found in 12% of the patients. Antibiotics are still not used wisely in the Burn Unit at the Dr. Soetomo General Hospital.