Making antibiograms resulting from bacterial resistance to various antibiotics in

collaboration with laboratory staff of Clinical Pathologists and Hospital

Infection Prevention and Control (PPIRS) teams
4.1.2. Socialization of understanding and awareness of the problem of
antimicrobial resistance is carried out every month for medical staff and
employees of Awal Bros Hospital Batam
4.1.3 Socialization of understanding and awareness of the problem of antimicrobial
resistance is carried out every day for patients and patients' families,
especially inpatients
4.1.4 Control the use of antibiotics at Awal Bros Hospital Batam by assessing the
appropriateness of the use of antibiotics in the "reserve" category in
inpatients with Gyssens classification
4.1.5 Surveillance of antibiotic use patterns at Awal Bros Hospital Batam by:
a. Monitor and assess the accuracy of prophylactic antibiotic administration in
surgical cases
b. Monitor and assess the evaluation of antibiotic use in ICU/ICCU/PICU, NICU,
Pandoria, Ophyris, Magnolia, Ursinia, Ramonda Torenia and Solandra
qualitatively and quantitatively. In the advanced stages of ICU/ICCU/PICU and
Ophyris money, an Antimicrobial Stewardship / PGA program will be carried
out.
c. Monitor and assess the evaluation of antibiotic use in sepsis cases
qualitatively
4.1.6 Surveillance of antimicrobial resistance patterns together with the Hospital
Infection Prevention and Control Committee (PPIRS ) at Awal Bros Hospital
Batam, especially against Multi Drug Resistant Organism (MDRO) bacteria,
among others: bacteria producing Extended Spectrum Beta Lactamase
(ESBL) , Methicilin Resistant Staphylococcus aureus (MRSA), Carbapenemase
Resistant Enterobacteriaceae (CRE), Clostridium difficile and other pan-
resistant bacteria
4.1.7. Conducting an Integrated Infectious Disease Study Forum
 4.1.8. Regular meetings of KPRA.
4.1.9Establish quality indicators that are integrated with the quality indicators of the
Quality and Patient Safety Committee, including quality data on antibiotic
use, data on the quantity of antibiotic use and the implementation of an
integrated infectious disease study forum.
4.1.10 Conducting Antimicrobial Stewardship (PGA) evaluations

Timeliness of prophylactic antibiotic administration in cholecystectomy and exploratory laparatomy

Accuracy of Prophylactic Antibiotic Types in Cholecystectomy and Exploratory Laparatomy

Achievement
Target
Period
Numerator
Denumerator
Average

Accuracy of Antibiotic Administration in ICU/ICCU/PICU Qualitatively with the Gyssens Category

The relationship between the administration of prophylactic antibiotics and the incidence of
surgical wound infection at the hospital early bros batam period 25 May to 30 September 2022

Clean contaminated

Number of Clean and Clean Contaminated Operations Period 25 May to 31 August 2022

Number of cases per Medical Staff Group

Ears Nose Throat

General Surgery, Oncology Surgery, Digestive Surgery

Neurosurgery

CardioVascular Thorax Surgery

Paediatric Surgery

Oral Surgery

Plastic Surgery

Number of doctors

Total Clean and Clean Contaminated Operations

Percentage of the number of cases given prophylactic antibiotics according to regulations

 None of the patients observed up to 30 days postoperatively developed Surgical Wound Infection
in Cholecystectomy and Exploratory Latestology

The accuracy of the use of Reserve antibiotics qualitatively with the Gyssens category

Hospital Director

Chairman of Antimicrobial Resistance Control Committee

Secretary

Training and Education Coordinator

Coordinator for Surveillance and Research

Antimicrobial Management Coordinator

Antimicrobial Utilization Team