Gambaran pola peresepan obat diare pada anak
DOI: https://doi.org/10.56922/pti.v6i3.3831
Childhood Diarrhea Community Health Centers Drug Rationality Prescribing Patterns
Abstract
Background: Diarrhea remains a common health issue among children and can lead to dehydration or even death if not managed appropriately. The World Health Organization (WHO) and the Ministry of Health of the Republic of Indonesia recommend the use of oral rehydration salts (ORS) and zinc as the primary treatment for childhood diarrhea. However, variations in prescribing patterns that do not fully align with treatment guidelines are still observed in primary healthcare settings.
Purpose: To identify patterns of diarrhea medication prescribing for children, as well as the appropriateness of treatment regimens based on WHO and Ministry of Health guidelines.
Method: This descriptive observational study employed a retrospective approach using secondary data specifically prescriptions and medical records from pediatric patients aged 1-11 years diagnosed with diarrhea. The study was conducted at the Public Health Center (Puskesmas) X in Gianyar, Bali. A sample of 52 subjects was selected based on inclusion and exclusion criteria.
Results: The most frequently prescribed single therapy was oral rehydration (21 prescriptions; 40.38%), while the most common combination therapy consisted of micronutrients and oral rehydration (8 prescriptions; 15.38%). An assessment of therapeutic appropriateness based on WHO and Indonesian Ministry of Health guidelines revealed that 39 prescriptions (75%) were compliant, whereas 13 prescriptions (25%) were non-compliant.
Conclusion: Prescribing patterns for antidiarrheal medication in children largely align with treatment guidelines. However, an evaluation of rational drug use particularly regarding the use of antibiotics and antidiarrheals is still required.
Downloads
References
Albana, R. Y. F., & Reza, R. A. L. G. (2026). Type of Feeding and Age Group with the Incidence of Diarrhea in Infants Aged 0-6 Months. Jurnal Ilmiah Kesehatan (JIKA), 8(1), 66-77.
An’nisa’a, N. F., Arfah, A. I., Fattah, N., Darma, S., Rasfayanah, R., & Puspitasari, A. (2025). Gambaran kasus diare pada anak di Rumah Sakit Ibnu Sina Makassar. Holistik Jurnal Kesehatan, 19(3), 571-577.
Anggraini, D., & Kumala, O. (2022). Diare pada anak. Scientific Journal, 1(4), 311-319.
Cerlyawati, H., & Hartini, E. (2025). Studi analitik observasional: pengaruh sanitasi lingkungan terhadap kejadian diare pada balita stunting di Desa Kalongan, Ungaran Timur Kabupaten Semarang pada tahun 2023. Jurnal Kesehatan Lingkungan Indonesia, 24(1), 68-74.
Fadhilah, A. H. (2025). Peta persebaran kasus diare menurut kepadatan penduduk di Provinsi Bali Tahun 2020-2022. Jurnal Riset Rumpun Ilmu Kedokteran, 4(1), 38-50.
Heryansari, R. N., Garna, H., & Hartati, J. (2026). Karakteristik anak usia 0-1 tahun yang menderita diare infeksi di RSUD Welas Asih Bandung. In Bandung Conference Series: Medical Science (Vol. 6, No. 1, pp. 515-522).
Hidayat, R., Heriani, H., Rukaya, B. E., & Puspasari, A. (2025). Gambaran pola peresepan obat pada pasien diare non-spesifik di Puskesmas Karang Rejo Kota Tarakan periode Januari-Juni 2024. Journal Borneo, 5(1), 9-17
Indah, I. P. I., Deviana, G. N. P., & Tresna, A. N. L. (2023). Pola peresepan obat antidiare pada pasien anak di puskesmas x tabanan. Journal Pharmactive, 2(1), 32-38.
Kamrin, & Azim, L. O. L. (2026). Gambaran kejadian diare pada anak di Puskesmas Poasia Kota Kendari. Jurnal Penelitian Sains dan Kesehatan Avicenna, 5(1), 33–41.
Kementerian Kesehatan Republik Indonesia (2021) Pedoman pengelolaan obat rusak dan kadaluwarsa di fasilitas pelayanan kesehatan dan rumah tangga, Kementerian Kesehatan Republik Indonesia. Diakses dari: https://farmalkes.kemkes.go.id/unduh/pedoman-pengelolaan-obat-rusak-dan-kedaluwarsa/
Lutfiyah, E., Irfandi, A., Sangadji, N. W., & Shorayasari, S. (2024). Gambaran karakteristik lingkungan dan pengetahuan ibu tentang diare di lingkungan kerja Puskesmas Kibin Kabupaten Serang tahun 2024. Indonesian Journal of Health Science, 4(6), 629–634.
Mahmud, I., Das, S., Khan, S. H., Faruque, A. S. G., & Ahmed, T. (2020). Gender disparity in care-seeking behaviours and treatment outcomes for dehydrating diarrhoea among under-5 children admitted to a diarrhoeal disease hospital in Bangladesh: an analysis of hospital-based surveillance data. BMJ Open, 10(9), e038730.
Misrofah, L. N., Nurcahyo, H., & Febriyanti, R. (2021). Gambaran tingkat pengetahuan ibu terhadap penggunaan oralit dan zinc pada kasus diare di puskesmas petarukan (Doctoral dissertation, Politeknik Harapan Bersama Tegal).
Ponirah, P., & Harini, R. (2022). Faktor-faktor yang berhubungan dengan kejadian diare pada balita usia 0-60 bulan. Malahayati Nursing Journal, 4(12), 3460-4567.
Samiyati, M., Suhartono, S., & Dharminto, D. (2019). Hubungan sanitasi lingkungan rumah dengan kejadian diare pada balita di wilayah kerja Puskesmas karanganyar kabupaten pekalongan. Jurnal Kesehatan Masyarakat, 7(1), 388-395.
Sariyanti, D. A. C. W., Asdiwinata, I. N., & Resiyanthi, N. K. A. (2026). Gambaran tingkat pengetahuan anak usia sekolah dasar tentang diare di SD Negeri 4 Sidan. Sains Medisina, 4(3), 328-332.
Sufa, F., Darmawan, A., Shafira, N. N. A., Nofrienis, R., & Kusdiyah, E. (2021). Gambaran peresepan obat pada pasien diare di Puskesmas Jambi Kecil Tahun 2020. Journal of Medical Studies, 1(2), 23-30.
World Health Organization. (2024). Diarrhoeal disease. World Health Organization. Diakses dari: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
Wulandari, A. (2020). Gambaran penggunaan obat diare di puskesmas gimpu kecamatan kulawi selatan. Jurnal Farmaku (Farmasi Muhammadiyah Kuningan), 5(1), 19-24.
Zhavira, N., Putri, Y. H., & Oktiarni, D. (2024). Pola peresepan obat antidiare pada pasien balita di salah satu klinik anak di Kota Bengkulu. Jurnal Sains dan Kesehatan Darussalam, 4(1), 45-51.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 JOURNAL OF Pharmacy and Tropical Issues
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
