Studi Penggunaan dan Rasionalitas Obat pada Terapi Pasien Infeksi Menular Seksual di Rumah Sakit Umum Daerah Kabupaten Fakfak

Abstract

Background: Sexually transmitted infections (STIs) are medical conditions caused by various pathogens, including bacteria, viruses, parasites, protozoa, and fungi, which are primarily transmitted through sexual contact. In Papua Barat Province, the prevalence of STIs has emerged as a critical public health concern. The region’s complex geographical landscape and limited infrastructure present substantial challenges to the effective prevention and control of these infections. Addressing these issues requires comprehensive strategies that consider both the epidemiological aspects of STIs and the unique contextual factors affecting healthcare acces in the region. Objective: This study aims to identify and analyse drug utilization and the rationality of drug in the therapy of sexually transmitted infections at the Regional general Hospital of Fakfak Regency, in accordance with the 2016 Natiobal for Management of Sexually Transmitted Infection Therapy. Method: This Study was a non-experimental, descriptive study with a quantitative approach, with data were collected retrospectively using medical records from the year 2023. The data were then analysed using a descriptive, analytical design and processed with Microsoft Excel in the form of percentages. Results: The results of the study indicate the occurrence of five types of sexually transmitted infections, namely syphilis, congenital syphilis, hepatitis B, oral candidiasis, and Human Immunodeficiency Virus (HIV). The highest prevalence was observed in the 21-25 age group, comprising 36 individuals (22.36%), and the majority being female, accounting for 123 individuals (77.36%). The results of the rationality assessment of drug use showed indication accuracy in 150 individuals (94.34%), appropriate drug selection in 107 individuals (55.97%), and correct dosing in 63 individuals (39.62). Conclusion: According to the results obtained in this study, it can be concluded that drug utilization at Regional General Hospital of Fakfak Regency still demonstrates a significant tendency toward irrationality, indicating that the principles of rational drug use have not been comprehensively implemented.