Studi Potensi Interaksi Obat pada Pasien Fraktur di RSUD Tarakan Jakarta

Authors

  • Annisa Farida Muti Universitas Pembangunan Nasional "Veteran" Jakarta
  • Asri Yani Institut Sains dan Teknologi Nasional
  • Refdanita Refdanita Institut Sains dan Teknologi Nasional

DOI:

https://doi.org/10.30595/pharmacy.v17i2.7471

Keywords:

Drug Interaction Facts, ortopedi, pasien fraktur, potensi interaksi obat

Abstract

Fraktur adalah suatu patahan yang terjadi di dalam kontinuitas struktur tulang. Fraktur dapat berupa retakan, pengisutan atau pecahnya korteks, bahkan patahan yang sempurna dimana fragmen tulang yang dihasilkan mungkin akan berada di tempatnya atau keluar dari tempatnya. Pasien fraktur merupakan kelompok beresiko yang dapat mengalami interaksi obat akibat penggunaan regimen kombinasi multiobat. Penelitian ini bertujuan untuk mengetahui interaksi obat-obat potensial pada pasien fraktur di Instalasi Rawat Inap RSUD Tarakan Jakarta tahun 2018. Penelitian ini merupakan penelitian observasional dengan metode cross sectional dan pengambilan data menggunakan data sekunder secara retrospektif dari rekam medis pasien. Data interaksi obat-obat potensial diidentifikasi menggunakan Drug Interaction Facts meliputi jenis mekanisme dan tingkat keparahan terjadinya interaksi obat. Hasil penelitian menunjukkan bahwa dari 123 pasien terdapat 85 pasien yang mengalami interaksi obat-obat potensial (69,1%) dengan jumlah kasus sebanyak 436 kasus. Kejadian interaksi obat-obat potensial terbanyak adalah mekanisme farmakodinamika sebanyak 345 kasus (79,1%) dan tingkat keparahan moderat sebanyak 255 kasus (58,5%). Interaksi obat-obat potensial yang paling banyak terjadi adalah asam mefenamat-ketorolak sebanyak 37 kasus (8,5%).

References

Abubakar, A.R., Chedi, B.A.Z., Mohammed, K.G., and Haque, M. 2015. Drug Interaction and Its Implication in Clinical Practice and Personalized Medicine. National Journal of Physiology, Pharmacy and Pharmacology, 5(5):343-349. http://dx.doi.org/10.5455/njppp.2015.5.2005201557

Arain, A.A., Ali, S.M. and Khanzada, M.H. 2018. Bone Fractures and Analgesia: Figures from the Orthopedic Emergency. Orthopedics and Rheumatology Open Access Journal, 10(1):001-004. http://dx.doi.org/10.19080/OROAJ.2018.10.555778

Asmadi. 2008. Konsep Dasar Keperawatan. Jakarta: Penerbit Buku Kedokteran EGC

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. 2018. Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan RI

Bajracharya, N., Swaroop, A.M., Rajalekshmi, S.G., Viswam, S.K., Mahewsari, E. 2018. Incidence of Drug-Drug Interactions among Patients Admitted to the Department of General Medicine in a Tertiary Care Hospital. J Young Pharm, 10(4):450-455

Baxter, K. 2010. Stockley’s of Drug Interactions, 9th ed., USA: Pharmaceutical Press

Becker, M.L., Kallewaard, M., Caspers, P.W., Visser, L.E., Leufkens, H.G., and Stricker, B.H. 2007. Hospitalisations and Emergency Department Visits due to Drug–Drug Interactions: A Literature Review. Pharmacoepidemiol Drug Saf, 16(6):641–651. https://doi.org/10.1002/pds.1351

Bhanderi, D.J. and Choudhary, S. 2008. A Study of Occurrence of Domestic Accidents in Semi-Urban Community. Indian Journal of Community Medecine, 33(2):104-106. https://dx.doi.org/10.4103%2F0970-0218.40878

Bhagavathula AS, Berhanie A, Tigistu H, Abraham Y, Getachew Y, Khan TM, et al. Prevalence of Potential Drug-Drug Interactions among Internal Medicine Ward in University of Gondar Teaching Hospital, Ethiopia. Asian Pac J Trop Biomed. 4(1):204-8. https://doi.org/10.12980/apjtb.4.2014c1172

Bratzler, D.W., Dellinger, E.P., Olsen, K.M., et al. 2013. Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery. American Society of Health-System Pharmacists, 70(3):195–283. https://doi.org/10.2146/ajhp120568

Chigblo, P., Lawson, E., Tidjani, I.F., Padonou, A., Nezien, C.T., Goukodadja, O., Madougou, S., Akue, A.H. 2017. Epidemiology of Fractures in a Tropical Country. European Scientific Journal, 13(24):416-426. DOI: 10.19044/esj.2017.v13n24p416

Desiartama, A. dan Aryana, I.G.N. 2017. Gambaran Karakteristik Pasien Fraktur Femur Akibat Kecelakaan Lalu Lintas pada Orang Dewasa di Rumah Sakit Umum Pusat Sanglah Denpasar Tahun 2013. E-Jurnal Medika, 6 (5):1-4.

Faizah, A.K., Hardyono, dan Najih, A. 2018. Analisis Keparahan Interaksi Obat-Obat Potensial Di Apotek Daerah Pesisir Pantai Surabaya. Journal of Pharmacy Science and Technology, 1(1):1-7.

Fakhrurrizal, A. 2015. Pengaruh Pembidaian Terhadap Penurunan Rasa Nyeri Pada Pasien Fraktur Tertutup di Ruang IGD Rumah Sakit Umum Daerah A.M. Parikesit Tenggarong. Jurnal Ilmu Kesehatan, 3(2):1-10.

Furquan, Q.M., Solangi, N.A., Chachar, M.B., Khamisani, G.M., Ahmed, M.W., et al. 2015. Intra-articular Distal Radius Fractures; Functional Outcomes of Percutaneous Kirschner Wire Fixation and Short Arm Cast in Patients of 20-70 years. The Professional Medical Journal, 22(7):944-948.

Gillespie, W.J. and Walenkamp, G.H.I.M. 2010. Antibiotic Prophylaxis for Surgery for Proximal Femoral and Other Closed Long Bone Fractures. Cochrane Database of Systematic Reviews, Issue 3, Art, No: CD000244. https://doi.org/10.1002/14651858.CD000244

Hartshorn, E.A. and Tatro, D.S. 2012. Principles of Drug Interactions. In: Tatro DS (Eds.), Drug Interaction Facts. California: Wolters Kluwel Health Inc.

Ignatavicius, D.D. and Workman, M.L. 2013. Medical Surgical Nursing: Patient-Centered Collaborative Care (7th ed). St.Louis: Elsevier Saunders.

Irianto, K.A., Rianto, D., Sukmajaya, W.P., dan Alina, O. 2019. Geriatric Fractures in Single Orthopedic Hospital: The Role of Domestic Fall and Comprehensive Geriatric Assessment. Bali Medical Journal, 8(2):480-485. https://dx.doi.org/10.15562/10.15562/bmj.v8i2.1432

Jabeen, T., Khader, M.A., Babu, A.V.K., Rao, A.S. 2020. Study Of Potential Drug Interactions Among Eight Major Departments-General Medicine, Orthopedics, Gynecology, Pulmonology, General Surgery, Psychiatry, Otolaryngology And Dermatology Of A Tertiary Care Teaching Hospital In Southern India. Int J Pharm Pharm Sci, 12(6):59-67. https://doi.org/10.22159/ijpps.2020v12i6.37704

Kementerian Kesehatan Republik Indonesia (Kemenkes RI). 2011. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2406/MENKES/PER/2011 tentang Pedoman Umum Penggunaan Antibiotik. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia (Kemenkes RI). 2016. Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit. Jakarta: Kementerian Kesehatan Republik Indonesia.

Khandeparkar, A. and Rataboli, P.V. 2017. A study of harmful drug–drug interactions due to polypharmacy in hospitalized patients in Goa Medical College. Perspect Clin Res, 8(4):180–186. doi: 10.4103/picr.PICR_132_16

Liang, W., and Chikritzhs, T. 2016. The Effect of Age on Fracture Risk: A Population-Based Cohort Study. Journal of Aging Research, 2016. https://doi.org/10.1155/2016/5071438

Lopez-Arquilos, A. and Rubio-Romero, J.C. 2016. Analysis of Workplace Accidents in Automotive Repair Workshops in Spain. Safety and Health at Work, 7(3). https://doi.org/10.1016/j.shaw.2016.01.004

Lukman dan Ningsih, N. 2009. Asuhan Keperawatan Klien dengan Gangguan Sistem Musculoskeletal. Jakarta: Salemba Medika

Mandagi, C.A.F., Bidjuni, H., dan Hamel, R.S. 2017. Karakteristik yang Berhubungan dengan Tingkat Nyeri pada Pasien Fraktur di Ruang Bedah Rumah Sakit Umum GMIM Bethesda Tomohon. E-journal Keperawatan (e-Kp), 5(1)

Nayagam, S. 2010. Principles of Fractures. In: Solomon, L., Warwick, D. and Nayagam, S. Editors. Apley's System of Orthopedics and Fractures (9th ed). London: Hodder Arnold

Noorisa, R., Apriliwati, D., Aziz, A., and Bayusentono, S. 2017. The Characteristic of Patients With Femoral Fracture In Department Of Orthopaedic And Traumatology RSUD Dr. Soetomo Surabaya 2013-2016. Journal of Orthopaedi & Traumatology Surabaya, 6(1):1-11

Ramadhani, R.P., Romadhona, N., Djojosugito, M.A., Dyana, E.H., dan Rukanta, D. 2019. Hubungan Jenis Kecelakaan dengan Tipe Fraktur pada Fraktur Tulang Panjang Ekstremitas Bawah. Jurnal Integrasi Kesehatan & Sains, 1(1):32-35

Ramya, B.G., Sai, M.Ch., Aparna, K., Vikas, P.N., Shikha, S., Abbulu, K. 2018. Study of drug-drug interactions: a potential need for safe and effective usage of drugs in a teritary care hospital. IOSR J Pharm, 8(4):24-9

Sjamsuhidajat dan Jong, W.D. 2010. Buku Ajar Ilmu Bedah Edisi 3. Jakarta: Penerbit Buku Kedokteran EGC

Solanki, N. and Patel, Y. 2018. Drug Utilization Pattern and Drug Interaction Study of Antibiotics Prescribed to Orthopedic Patients in Private Hospital. Archives of Pharmacy Practice, 10(4):114-117

Sulistiani, N.D., Ardana, M., dan Fadraersada, J. 2018. Studi Penggunaan Analgesik dan Antibiotik pada Pasien Fraktur. Proceeding of The 8th Mulawarman Pharmaceuticals Conferences, ISSN 2614-4778 (pp. 89-96). Samarinda: Fakultas Farmasi Universitas Mulawarman

Takaoka, S., Yamaguchi, T., Tanaka, K., Morita, M., Yamamoto, M., Yamauchi, M., Yano, S., Sugimoto, T. 2013. Fracture Risk is Increased by The Complication of Hypertension and Treatment with Calcium Channel Blockers in Postmenopausal Women with Type 2 Diabetes. Journal of Bone and Mineral Metabolism, 31(1):102-109. https://doi.org/10.1007/s00774-012-0389-6

Tana, L. dan Ghani, L. 2015. Determinan Kejadian Cedera pada Kelompok Pekerja Usia Produktif di Indonesia. Buletin Penelitian Kesehatan, 43(3):183-194. http://dx.doi.org/10.22435/bpk.v43i3.4346.183-194

Tatro, D.S. 2012. Drug Interaction Facts: Facts and Comparison, California: Wolters Kluwer Health

Ye, Z., Lu, H., and Liu, P. 2017. Association between Essential Hypertension and Bone Mineral Density: A Systematic Review and Meta-Analysis. Oncotarget, 8(40):68916–68927. https://dx.doi.org/10.18632%2Foncotarget.20325

Downloads

Published

2020-12-31

How to Cite

Muti, A. F., Yani, A., & Refdanita, R. (2020). Studi Potensi Interaksi Obat pada Pasien Fraktur di RSUD Tarakan Jakarta. PHARMACY: Jurnal Farmasi Indonesia (Pharmaceutical Journal of Indonesia), 17(2), 317–331. https://doi.org/10.30595/pharmacy.v17i2.7471