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Materi Program PPRA PDF
Materi Program PPRA PDF
ANTIMIKROBA DI INDONESIA
HASIL CAPAIAN DAN TARGET KE DEPAN
HARI PARATON
KOMITE PENGENDALIAN RESISTENSI ANTIMIKROBA
ERA PRE-
ANTIBIOTIK
BEHAVIOUR AMR
ANTIBIOTIC ERA
NSCC
NRL
TWG 1-5
• PERMENKES no 8/2015, PPRA RS
• PERMENKES .......... Faskes pratama/Puskesmas
• Sosialisasi organissi profesi/ PERSI/IAI/
• Pelatihan RS rujukan nasional, propinsi, regional, swasta.
• KPRA-SNARS 2018
• Surveilans
AMU SURVEILLANCE
ANTIBIOTIC QUALITATIVE ANALISIS
6 TEACHING HOSPITALS - 2016
100
100
OBGYN BEDAH
80 80
60 60
40 40
20 20
0 0
0 I II III A IV V VI 0 I II III IV V VI
RS A RS B
Mengapa bisa terjadi
RS C RS D RS E RS F RS A RS B RS C RS D RS E RS F
40 40 WHO/
35 PPRA
30 26- ESBL
28 56%
20 RSDS
RSDS
10 9 AMRI
0
N
2000 2005 2010 2013 2016
BAKTERI
RESISTEN
MISUSE / OVERUSE
• Resistance is
unresponsiveness to
antimicrobial agents
in standard doses TRANSMISION
AMR MORBIDITY
MORBIDITAS & MORTALITAS
USA
23.000
• HAI > 30% 300 juta
• 40-60% Thailland
preventable 38.000
70 juta
• MDRO INA
135.000
Lyons, WHRA, 2010) 256 juta
• Kegagalan terapi.
• Kegagalan operasi
canggih, kompleks
• menimbulkan beban
morbiditas, mortalitas,
kecacatan
• COST
REGULASI , PELATIHAN DAN
DUKUNGAN
Mengapa
klinisi sulit
menggunakan
antibiotik
secara tepat?
PPRA DI RUMAH SAKIT
• PREVALENSI HAI • LAB. MIKRO
? • SDM MK
• GL KHUSUS HAI • SURVEILLANCE
HAI AMR
TRANS
MISI AB • LEADERSHIP
• PNPK/PPG/CP
• DALIN
• ASP
• CUCI TANGAN
• AUDIT
• ISOLASI
• HE AB
RESTRICTION
HARAPAN: Peresepan Antibiotik di
Kalangan Klinisi Semakin bijak
HARAPAN: Healthcare-
Associated Infection
Semakin Turun (25%)
HARAPAN
KENDALI HIGH QUALITY HEALTH CARE
cases
Safe/Quality
ALOS
Beaya
unsafe Prosedur/IC
antibiotic U
tenaga/wakt
u
Morbiditas
Mortalitas
Medikolegal
Sembuh
PPRA bukan Profit Centre,
tetapi Cost Saving
HARAPAN
Pemahaman AMR dan Antibiotik bijak
semakin meningkat diantara klinisi.
HARAPAN: Turunnya Prevalensi AMR
Nasional
70
60 60
50
presentage
40 40 40
35 ESBL
30
28 25
20
10 9
0
2000 2005 2010 2013 2016 2018 2020
TERIMA
KASIH