Review Article: Analysis of Drug-Related Problems (DRPs) in Diarrheal Disease Therapy
Authors
Diouf Maulana Dwi Putranto , Dea Riski Pebrianti , Nabila Destia Zaneta , Tuhfatul Ulya , Raisya Hasina , Tri Purma SariDOI:
10.29303/jbt.v25i4a.10968Published:
2025-12-22Issue:
Vol. 25 No. 4a (2025): Special IssueKeywords:
Diarrhea, Drug relatedrelated Problem, pediatric patients, TherapyArticles
Downloads
How to Cite
Downloads
Metrics
Abstract
Diarrhea is one of the most common diseases in children and has the potential to cause various complications if not treated properly. Inappropriate treatment can trigger Drug Related Problems (DRPs) that affect the effectiveness of therapy. To identify and analyze the types of Drug Related Problems (DRPs) and recommended interventions in the treatment of diarrhea to support safe, effective, and rational drug use. A literature review was conducted by searching the PubMed and Google Scholar databases. A total of 10 articles that met the inclusion criteria were analyzed. The most common types of DRPs found were indications without therapy (7-45%), inappropriate dosing (both underdose 8-27% and overdose 7-35%), therapy without indication (10-85%), and drug interactions (12-56%). The main problems lie in the inaccuracy of clinical evaluation and irrational drug administration. DRPs in the treatment of childhood diarrhea are still common and have an impact on patient outcomes. Optimizing the role of pharmacists through medication reviews, dose adjustments, monitoring potential drug interactions, and educating health workers are key strategies for minimizing DRPs and improving treatment success.
References
Adhiningsih, Y. R., Athiyyah, A. F., & Juniastuti, J. (2019). Acute Diarrhea in Children Under-5 Years at Tanah Kali Kedinding Primary Health Care Surabaya. Jurnal Ilmiah Kesehatan (JIKA), 1(2), 96–101. https://doi.org/10.36590/JIKA.V1I2.31
Afqary, M., Kurnia H, G., & Sischa, S. (2019). Evaluasi Drug Related Problems (DRPs) Pengobatan Diare Pada Pasien Balita Di Instalasi Rawat Inap Rumah Sakit Azra Bogor. Jurnal Farmamedika (Pharmamedica Journal), 4(2), 54–61. https://doi.org/10.47219/ath.v4i2.81
Amelia, R., Hasanuddin, S., & Nasir, N. H. (2025a). Analisis Drug Related Problems Penggunaan Antibiotik Pada Pasien Anak dengan Diare di BLU RSUD Kabupaten Bombana Periode Januari – Juli Tahun 2023. Jurnal Pharmacia Mandala Waluya, 4(1), 45–55. https://doi.org/10.54883/JPMW.V4I1.244
Amelia, R., Hasanuddin, S., & Nasir, N. H. (2025b). Analisis Drug Related Problems Penggunaan Antibiotik Pada Pasien Anak dengan Diare di BLU RSUD Kabupaten Bombana Periode Januari – Juli Tahun 2023 Analysis of Drug Related Problems Use of Antibiotics in Child Patients with Diarrhea in BLU RSUD Bombana Dis. Jurnal Pharmacia Mandala Waluya, 4(1), 45–55.
Anggraini, D., & Kumala, O. (2022). Diare Pada Anak. Scientific Journal, 1(4), 311–319. https://doi.org/10.56260/SCIENA.V1I4.60
Apriani, D. G. Y., Putri, D. M. F. S., & Widiasar, N. S. (2022). Gambaran Tingkat Pengetahuan Ibu Tentang Diare Pada Balita Di Kelurahan Baler Bale Agung Kabupaten Jembrana Tahun 2021. Journal of Health and Medical Science, 1(3), 15–26. https://pusdikra-publishing.com/index.php/jkes/article/view/714
Aprianita, A., Sari, L., & Amirus, K. (2016). Hubungan Hygiene Ibu Dan Sanitasi Lingkungan Dengan Kejadian Diare Pada Balita Di Puskesmas Kedondong Kabupaten Pesawaran 2015. Jurnal Dunia Kesmas, 5(1), 32. https://doi.org/10.33024/JDK.V5I1.454
Aprilia, L., Puspitasari, C. E., Andanalusia, M., Eka Puspitasari, C., & Andanalusia, M. (2025). Evaluasi Terapi Pada Kasus Diare Balita Di Puskesmas Rensing Kabupaten Lombok Timur Tahun 2021. Jurnal Farmamedika (Pharmamedica Journal), 10(1), 8–17. https://doi.org/10.47219/ath.v9i2.342
Asyikin, H. A., Farmasi, J., Kemenkes, P., Makassar, R. I., Asyhari, H., & Asyikin. (2017). Identifikasi Drug Releated Problem’s (DRPs) Pada Pasien Diare Di Perawatan Anak Rsud Pangkep Sulawesi Selatan. Media Farmasi, 13(2), 1576–1580. https://doi.org/https://doi.org/10.32382/mf.v13i2.787 AB
Ayu, G., Saputri, R., Perangin Angin, M., & Fitriana, R. (2024). Evaluasi Drug Related Problems (DRPS) Pada Pasien Di Ruang Anak Rawat Inap Di Rumah Sakit Imanuel Bandar Lampung Dengan Diagnosa Diare. Jurnal Ilmiah Wahana Pendidikan, 10(20), 693–701. https://doi.org/10.5281/ZENODO.14457592
Chen, Y., Xiang, Q., & Liu, L. (2021). Comparison of antibiotic-associated diarrhea caused by cefoperazone/sulbactam or piperacillin/tazobactam in neurosurgery patients. The Journal of International Medical Research, 49(5), 03000605211019661. https://doi.org/10.1177/03000605211019661
Damayanti, F., & Septiyana, R. (2024). Identification of Drug Related Problems (DRPs) in the Treatment of Diarrhea in Pediatric Patients. SAINS INDONESIANA, 2(6), 1–10. https://sidig.online/index.php/sainsindonesiana/article/view/91
Darmayanti, E. Y., Puspitasari, C. E., Hasina, R., & Puspitasari, C. E. (2021). Profil Drug Related Problems (DRPs) Penggunaan Antibiotik pada Pasien Anak dengan Diare Infeksi di RSUD Provinsi NTB Tahun 2018. Jurnal Sains Dan Kesehatan, 3(3), 500–504. https://doi.org/10.25026/jsk.v3i3.428
Desta, B. K., Assimamaw, N. T., & Ashenafi, T. D. (2017). Knowledge, Practice, and Associated Factors of Home-Based Management of Diarrhea among Caregivers of Children Attending Under-Five Clinic in Fagita Lekoma District, Awi Zone, Amhara Regional State, Northwest Ethiopia, 2016. Nursing Research and Practice, 2017, 8084548. https://doi.org/10.1155/2017/8084548
Jap, A. L. S., & Widodo, A. D. (2023). View of Diare Akut pada Anak yang Disebabkan oleh Infeksi. J Kdokt Meditek. https://doi.org/https://doi.org/10.36452/jkdoktmeditek.v27i3.2068
Liang, D., Wang, L., Liu, S., Li, S., Zhou, X., Xiao, Y., Zhong, P., Chen, Y., Wang, C., Xu, S., Su, J., Luo, Z., Ke, C., & Lai, Y. (2024). Global Incidence of Diarrheal Diseases—An Update Using an Interpretable Predictive Model Based on XGBoost and SHAP: A Systematic Analysis. Nutrients , 16(18). https://doi.org/10.3390/nu16183217
Mboi, N., Syailendrawati, R., Ostroff, S. M., Elyazar, I. R. F., Glenn, S. D., Rachmawati, T., Nugraheni, W. P., Ali, P. B., Trisnantoro, L., Adnani, Q. E. S., Agustiya, R. I., Laksono, A. D., Aji, B., Amalia, L., Ansariadi, A., Antriyandarti, E., Ardani, I., Ariningrum, R., Aryastami, N. K., … Mokdad, A. H. (2022). The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Global Health, 10(11), e1632–e1645. https://doi.org/10.1016/S2214-109X(22)00371-0
Nemeth, V., & Pfleghaar, N. (2022). Diarrhea. Treasure Island (FL), 151.e1-154.e1. https://doi.org/10.1016/B978-0-323-75929-8.00036-8
Ningsih, L. F., Setiadi, A. P., Rahem, A., Brata, C., Wibowo, Y. I., Setiawan, E., & Halim, S. V. (2021). Apa yang direkomendasikan apoteker untuk tatalaksana diare akut pada anak? Sebuah survei di wilayah timur Kota Surabaya. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 11(1), 39. https://doi.org/10.22146/jmpf.59719
Noprizon, Rikmasari, Y., & Halim, A. (2019). Drug Related Problems pada Pasien Anak Gastroenteritis Akut (GEA) di Instalasi Rawat Inap RSUD Dr. H.M. Rabain Muara Enim. Jurnal Ilmiah Bakti Farmasi, 4(1). https://ejournal.stifibp.ac.id/index.php/jibf/article/view/45
Rahmah, F. W., Rahyuningsih, N., & Priatna, M. (2022). DRPs (Drug Related Problems) pada Pengobatan Diare Akut Pasien Rawat Inap Rumah Sakit Jasa Kartini Tasikmalaya. Prosiding Seminar Nasional Diseminasi Hasil Penelitian Program Studi S1 Farmasi, 2(1), 55–66. https://ejurnal.universitas-bth.ac.id/index.php/PSNDP/article/view/965
Reiza, Z., & Cholisoh, Z. (2024). Drug Related Problems (DRPs) Penggunaan Antibiotik Profilaksis pada Bedah Ortopedi. MAHESA : Malahayati Health Student Journal, 4(4), 1627–1638. https://doi.org/10.33024/MAHESA.V4I4.14364
Saputri, G. A. R., Angin, M. P., & Fitriana, R. (2024). Evaluasi Drug Related Problems (DRPS) Pada Pasien Di Ruang Anak Rawat Inap Di Rumah Sakit Imanuel Bandar Lampung Dengan Diagnosa Diare. Jurnal Ilmiah Wahana Pendidikan, 10(20), 693–701.
Setyoningsih, H., Latifah, S. N., Adiningsih, R., & Wijaya, H. M. (2024). Identifikasi Drug Related Problems (DRPs) Pada Kasus Diare Anak Pasien Rawat Jalan di UPT. Puskesmas X Kudus. Jurnal Farmasi & Sains Indonesia, 7(2), 78–85. https://doi.org/10.52216/jfsi.vol7no2p78-85
Wilkins, T., & Sequoia, J. (2017). Probiotics for Gastrointestinal Conditions: A Summary of the Evidence - PubMed. Am Fam Physician. https://pubmed.ncbi.nlm.nih.gov/28762696/
License
Copyright (c) 2025 Diouf Maulana Dwi Putranto, Dea Riski Pebrianti, Nabila Destia Zaneta, Tuhfatul Ulya, Raisya Hasina, Tri Purma Sari

This work is licensed under a Creative Commons Attribution 4.0 International License.

Jurnal Biologi Tropis is licensed under a Creative Commons Attribution 4.0 International License.
The copyright of the received article shall be assigned to the author as the owner of the paper. The intended copyright includes the right to publish the article in various forms (including reprints). The journal maintains the publishing rights to the published articles.
Authors are permitted to disseminate published articles by sharing the link/DOI of the article at the journal. Authors are allowed to use their articles for any legal purposes deemed necessary without written permission from the journal with an acknowledgment of initial publication to this journal.
























