Drug Related Problems (DRPs) pada Pasien Mata Rawat Inap: Kajian Potong Lintang Retrospektif selama Dua Tahun
Statistik artikel
Data OJS dan sumber sitasiTayangan dan unduhan adalah aktivitas yang tercatat di OJS; pemrosesan statistik dapat tertunda. Tanda — berarti angka dari sumber tersebut belum tersedia. Cari di Google Scholar
Isi Artikel Utama
Abstrak
Masalah terkait obat (drug related problems/DRPs) pada pasien mata rawat inap dapat memengaruhi efektivitas dan keamanan terapi. Penelitian ini bertujuan untuk mengidentifikasi karakteristik DRPs pada pasien mata rawat inap di RSU X Tangerang periode September 2022–Agustus 2024. Desain penelitian ini adalah retrospektif dengan pendekatan cross-sectional terhadap 178 pasien yang memenuhi kriteria inklusi. Identifikasi DRP dilakukan menggunakan klasifikasi Pharmaceutical Care Network Europe (PCNE) versi 9.1 melalui telaah resep, data klinis, dan catatan pengobatan. Analisis dilakukan secara deskriptif digunakan untuk menentukan kejadian DRP. Hasil menunjukkan bahwa sebagian besar pasien berusia 18–60 tahun (71,9%), perempuan (55,1%), tanpa komorbid (82,0%), dan menerima rata-rata lima obat selama perawatan. Terdapat empat kasus DRP (2,2%) yang terdiri atas satu kasus efektivitas terapi (P1.2) 25% dan tiga kasus keamanan obat (P2.1) 75%. Penyebab utama meliputi penggunaan obat dengan kontraindikasi meskipun sesuai pedoman (C1.2) 50%, kombinasi obat tidak tepat (C1.4) 25%, dan ketidakpatuhan pasien (C7.1) 25%. Rendahnya angka DRP kemungkinan disebabkan oleh durasi rawat inap singkat serta dominasi terapi topikal yang memiliki risiko efek sistemik rendah. Hasil ini menegaskan pentingnya peran apoteker klinis dalam pemantauan terapi untuk mencegah DRP pada pasien mata rawat inap.
Rincian Artikel
Terbitan
Bagian

Artikel ini berlisensiCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Cara Mengutip
Referensi
PCNE. PCNE Classification for Drug-Related Problems V9.1. PCNE Assoc 2020;1:22–8.
Tasaka Y, Tanaka A, Yasunaga D, Asakawa T, Araki H, Tanaka M. Potential drug-related problems detected by routine pharmaceutical interventions: safety and economic contributions made by hospital pharmacists in Japan. J Pharm Heal Care Sci 2018;4:1–11. https://doi.org/10.1186/s40780-018-0125-z.
Jung-Poppe L, Nicolaus HF, Roggenhofer A, Altenbuchner A, Dormann H, Pfistermeister B, et al. Systematic Review of Risk Factors Assessed in Predictive Scoring Tools for Drug-Related Problems in Inpatients. J Clin Med 2022;11. https://doi.org/10.3390/jcm11175185.
Pramotesiri P, Putthipokin K, Ruangritchankul S. Drug Related Problems among Older Inpatients at a Tertiary Care Setting. J Clin Med 2024;13. https://doi.org/10.3390/jcm13061638.
Çakir A, Memiş H, Gün ZÜ, Biçakcioğlu M. Evaluation of Drug-Related Problems of Intensive Care Unit Patients by Clinical Pharmacists: A Retrospective Study. Turkish J Pharm Sci 2024;21:274–83. https://doi.org/10.4274/tjps.galenos.2023.44459.
Ahmed NA, Fouad EA, El-Asheer OM, Ghanem ASM. Pharmaceutical interventions for drug-related problems in the neonatal intensive care unit: incidence, types, and acceptability. Front Pharmacol 2024;15:1–14. https://doi.org/10.3389/fphar.2024.1391657.
Endalifer BL, Kassa MT, Ejigu YW, Ambaye AS. Polypharmacy, Drug–Drug Interactions, and Potentially Inappropriate Medications Among Older Adults: A cross-sectional study in Northeast Ethiopia. Front Public Heal 2025;13:1–8. https://doi.org/10.3389/fpubh.2025.1525079.
Zhao L, Sun YJ, Pan ZQ. Topical Steroids and Antibiotics for Adult Blepharokeratoconjunctivitis (BKC): A Meta-Analysis of Randomized Clinical Trials. J Ophthalmol 2021;2021. https://doi.org/10.1155/2021/3467620.
Farkouh A, Frigo P, Czejka M. Systemic side effects of eye drops: A pharmacokinetic perspective. Clin Ophthalmol 2016;10:2433–41. https://doi.org/10.2147/OPTH.S118409.
Samadi B, Lundstrom M, Zetterberg M, Nilsson I, Montan P, Behndig A, et al. Anti-inflammatory treatment after cataract surgery in Sweden: Changes in prescribing patterns from 2010 to 2017. BMJ Open Ophthalmol 2021;6:1–6. https://doi.org/10.1136/bmjophth-2020-000635.
Ayalew MB, Tegegn HG, Abdela O. Drug Related Hospital Admissions; A Systematic Review of the Recent Literatures. Bull Emerg Trauma 2019;7:339–46. https://doi.org/10.29252/beat-070401.
Anggriani A, Utami P, Lisni I. Kajian Potensi Interaksi Obat Pada Pasien Glaukoma di Salah Satu Rumah Sakit di Bandung. J Sains Dan Kesehat 2016;1:226–35.
Husna I, Ramatillah DL, Anggraeni YD. Evaluasi Efek Samping Penggunaan Obat Tetes Mata Kortikosteroid Pada Pasien Pasca Operasi Di Instalasi Farmasi Rumah Sakit Mata Jakarta Eye Center Kedoya. Arch Pharm 2019;1:41.
Endalifer BL, Ayta YD, Tsigie AW, Wondmkun YT, Kassa MT, Amare GG, et al. Drug-therapy-related problems and pharmacist interventions in the medical ward in northeast Ethiopia: focus on types, acceptability, and impacts. Front Pharmacol 2025;16:1–12. https://doi.org/10.3389/fphar.2025.1558864.
Larasati N, Satibi S, Kristina SA, Lazuardi L. The Association between Drug-Related Problems and Length of Stay of Type 2 Diabetes Mellitus Patients. Malaysian J Med Sci 2024;31:162–73. https://doi.org/10.21315/mjms2024.31.4.13.
Watanabe JH, McInnis T, Hirsch JD. Cost of Prescription Drug–Related Morbidity and Mortality. Ann Pharmacother 2018;52:829–37. https://doi.org/10.1177/1060028018765159.
Guo B, Lu P, Chen X, Zhang W, Chen R. Prevalence of dry eye disease in Mongolians at high altitude in China: The Henan eye study. Ophthalmic Epidemiol 2010;17:234–41. https://doi.org/10.3109/09286586.2010.498659.
Keay L, Ren K, Nguyen H, Vajdic C, Odutola M, Gyawali R, et al. Risk factors common to leading eye health conditions and major non-communicable diseases: a rapid review and commentary. F1000Research 2022;11:1289. https://doi.org/10.12688/f1000research.123815.1.
Usama F, Khokhar AR. Frequency of Diabetes Mellitus in Cataract Patients Visiting Civil Hospital, Karachi. Al-Shifa J Ophthalmol 2025;21:135–40.
American Diabetes Association. Microvascular complications and foot care: Standards of medical care in diabetes—2021. Diabetes Care 2021;44:S151–67. https://doi.org/10.2337/dc21-S011.
Asroruddin M, Nora RLD, Edwar L, Sjamsoe S, Susiyanti M. Various factors affecting the bacterial corneal ulcer healing: A 4-years study in referral tertiary eye hospital in Indonesia. Med J Indones 2015;24:150–5. https://doi.org/10.13181/mji.v24i3.1044.
Lu LJ, Chen X, Adelman RA. Clinical Etiologies, Microbial Spectrum, Antibiotic Susceptibilities, and Visual Acuity Outcomes of Acute Endophthalmitis. J Ocul Pharmacol Ther 2020;36:534–9. https://doi.org/10.1089/jop.2018.0074.
Mahabadi N, Gurnani B, Czyz CN. Bacterial Endophthalmitis. StatPearls 2024. https://doi.org/10.1007/s11908-009-0042-2.
Abdullah M, Khan MS, Latif S, Waqas HM, Khan MA, Sharjeel M. Comparison of The Efficacy of Starting Antibiotic Medications with Debridement of Ulcer Versus Antibiotics Alone in Cases of Bacterial Corneal Ulcer - A Randomized Control Trial 2025.
Ministry of Health Malaysia. National Antimicrobial Guideline. Natl Antimicrob Guidel 2012:6–7.
Permenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2021 tentang Pedoman Penggunaan Antibiotik. 2021.
Haddad J El, Sabbakh N Al, Macaron MM, Shaaban H, Bourdakos NE, Shi A, et al. NSAIDs and Corticosteroids for the Postoperative Management of Age-Related Cataract Surgery: A Systematic Review and Meta-analysis. Am J Ophthalmol 2024;260:1–13. https://doi.org/10.1016/j.ajo.2023.09.027.
Holland EJ, Fingeret M, Mah FS. Use of Topical Steroids in Conjunctivitis: A Review of the Evidence. Cornea 2019;38:1062–7. https://doi.org/10.1097/ICO.0000000000001982.
Baudouin C, Aragona P, Messmer EM, Tomlinson A, Calonge M, Boboridis KG, et al. Role of hyperosmolarity in the pathogenesis and management of dry eye disease: Proceedings of the ocean group meeting. Ocul Surf 2013;11:246–58. https://doi.org/10.1016/j.jtos.2013.07.003.
Al-Azayzih A, Kanaan RJ, Altawalbeh SM. Assessment of Drug-Related Problems and Health-Related Quality of Life Domains in Elderly Patients with Type 2 Diabetes Mellitus. Ther Clin Risk Manag 2023;19:913–28. https://doi.org/10.2147/TCRM.S434235.
Garin N, Sole N, Lucas B, Matas L, Moras D, Rodrigo-Troyano A, et al. Drug related problems in clinical practice: a cross-sectional study on their prevalence, risk factors and associated pharmaceutical interventions. Sci Rep 2021;11:1–11. https://doi.org/10.1038/s41598-020-80560-2.
Kurtov M, Kilić P, Ikić L, Kurtov K, Dorčić G, Vodanović M, et al. Ciprofloxacin-Induced Anaphylactic Reaction Followed by Negative Provocation Test in Response to Levofloxacin: A Case Report. Med 2023;59:10–5. https://doi.org/10.3390/medicina59101784.
Jain SP, Jain PA. Bullous, fixed drug eruption to ciprofloxacin: A case report. J Clin Diagnostic Res 2013;7:744–5. https://doi.org/10.7860/JCDR/2013/4757.2901.
Hendera; Suryana BP. Gastrointestinal Tolerability of Diclofenac Sodium and Meloxicam in Osteoarthritis Patient. Folia Medica Indones 2014;51:35–9.
Dalugama C, Pathirage M, Kularatne SAM. Delayed presentation of severe rhabdomyolysis leading to acute kidney injury following atorvastatin-gemfibrozil combination therapy: A case report. J Med Case Rep 2018;12:1–5. https://doi.org/10.1186/s13256-018-1685-0.
Olagbemide OJ, Omosanya OE, Ayodapo AO, Agboola SM, Adeagbo AO, Olukokun TA. Family support and medication adherence among adult type 2 diabetes: Any meeting point? Ann Afr Med 2021;20:282–7. https://doi.org/10.4103/aam.aam_62_20.
Horii T, Momo K, Yasu T, Kabeya Y, Atsuda K. Determination of factors affecting medication adherence in type 2 diabetes mellitus patients using a nationwide claim-based database in Japan. PLoS One 2019;14:1–12. https://doi.org/10.1371/journal.pone.0223431.
Kirkman MS, Rowan-Martin MT, Levin R, Fonseca VA, Schmittdiel JA, Herman WH, et al. Determinants of adherence to diabetes medications: Findings from a large pharmacy claims database. Diabetes Care 2015;38:604–9. https://doi.org/10.2337/dc14-2098.
Dubald M, Bourgeois S, Andrieu V, Fessi H. Ophthalmic drug delivery systems for antibiotherapy- A review. Pharmaceutics 2018;10. https://doi.org/10.3390/pharmaceutics10010010.
del Amo EM. Topical ophthalmic administration: Can a drug instilled onto the ocular surface exert an effect at the back of the eye? Front Drug Deliv 2022;2. https://doi.org/10.3389/fddev.2022.954771.
Huiskes VJB, van den Ende CHM, Kruijtbosch M, Ensing HT, Meijs M, Meijs VMM, et al. Effectiveness of medication review on the number of drug-related problems in patients visiting the outpatient cardiology clinic: A randomized controlled trial. Br J Clin Pharmacol 2020;86:50–61. https://doi.org/10.1111/bcp.14125.
Setiawati MK, Yasin NM, Pramantara IDP. Pengaruh Intervensi Apoteker terhadap Tingkat Bahaya Drug-Related Problems pada Pasien Geriatrik Rawat Inap. J Manaj DAN PELAYANAN Farm (Journal Manag Pharm Pract 2021;11:201. https://doi.org/10.22146/jmpf.66776.
Sagita VA, Bahtiar A, Andrajati R. Evaluation of a clinical pharmacist intervention on clinical and drug-related problems among coronary heart disease inpatients: A pre-experimental prospective study at a general hospital in Indonesia. Sultan Qaboos Univ Med J 2018;18:e81–7. https://doi.org/10.18295/squmj.2018.18.01.013.
Albayrak A, Özbalcı D. Determination of drug-related problems in the hematology service: a prospective interventional study. BMC Cancer 2024;24:1–8. https://doi.org/10.1186/s12885-024-12291-w.





