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PERBEDAAN SENSITIVITAS BAKTERI PENYEBAB FARINGITIS AKUT TERHADAP ANTIBIOTIK AMOKSISILIN- ASAM KLAVULANAT DAN KLINDAMISIN DI POLI THT RSUP NTB
ABSTRAK
PERBEDAAN SENSITIVITAS BAKTERI PENYEBAB FARINGITIS AKUT TERHADAP ANTIBIOTIK AMOKSISILIN- ASAM KLAVULANAT DAN KLINDAMISIN DI POLI THT RSUP NTB
Nabila Wahida*, Hamsu Kadriyan**, Siti Rahmatul Aini ***
*Mahasiswa Fakultas Kedokteran, Universitas Mataram, email: [email protected]
**Dosen Spesialis Telinga, Hidung dan Tenggorok Fakultas Kedokteran Unviersitas Mataram
***Dosen Farmasi Fakultas Kedokteran Universitas Mataram
Pendahuluan : Berdasarkan penelitian yang dilakukan olek Ihsan dkk tahun 2010 di Basrah, dari 120 pasien yang menderita OMSK (Oitis Media Supuratif Kronis), 54,2% laki-laki dan 45,8% wanita dengan ratio 1,2:1. Dari penilitian V.K.Poorey tahun 2002 menunjukan bahwa sensitifias bakteri penyebab OMSK terhadap ciprofloksasin mencapai 81%. Selanjutnya klindamisin memiliki sensitiftas terbesar terhadap bakteri Staphylococus aureus dan memiliki resistensi terbesar terhadap bakteri Proteus mirabilis, Pseudomonas aeruginosa, Pseudomonas sp, Enterobacter sp dan Stomatococus sp. Penelitian diatas masih bersifat observasi tanpa dilakukan analisis data perbedaan sensitifitas.
Metodologi Penelitian : Penelitian ini dilakukan dengan metode cross sectional analytic. Sampel adalah pasien Poli THT Rumah Sakit Umum Provinsi NTB yang terdiagnosis OMSK yang memenuhi kriteria inklusi dan ekslusi dengan jumlah 34 sampel. Subjek diambil dari cairan telinga dan dimasukan kedalam media transport kemudian dilakukan pembiakan bakteri menggunakan media agar darah. Selanjutnya dilakukan identifikasi jenis bakteri dan uji sensitifitas untuk melihat zona hambat bakteri. Data yang diperoleh diolah dengan uji Chi-Square apabila distribusi data memenuhi syarat dan uji Fisher apabila distribusi data tidak memenuhi syarat.
Hasil : Dari penelitian ini bekteri yang paling banyak ditemukan adalah Pseudomonas aeruginosa. Senstifitas bakteri penyebab OMSK terhadap ciprofloksasin menunjukan angka 61,76% , sedangkan klindamisin memiliki angka reistensi lebih dari 50%.
Simpulan : Didapatkan perbedaan yang signifikan terhadap sensitifitas antibiotik ciprofloksasin dan klindamisin terhadap bakteri penyebab OMSK.
Kata Kunci : OMSK, sensitifitas, ciprofloksasin, klindamisin, bakteri penyebab OMSK.
ABSTRACT
THE SENSITIVITY DIFFERENCE BETWEEN BACTERIA CAUSING CHRONIC SUPPURATIVE OTITIS MEDIA ON CIPROFLOXACIN AND CLINDAMICIN ANTIBIOTICS AT THE WEST NUSA TENGGARA PROVINCE GENERAL HOSPITAL
Nabila Wahida, Hamsu Kadriyan, and Siti Rahmatul Aini
Background : Based on research conducted by Ihsan et al 2010 in Basrah, of the 120 patients who suffered COSM (Otitis Media suppurative Chronic), 54.2% were men and 45.8% were women with ratio of 1,2:1. Based on study by VK Poorey 2002 showed sesitivity of the bacteria that causes COSM to ciprofloxacin was 81%. While, clindamycin has the greatest sensitivity to Staphylococus aureus bacteria and has the greatest resistance to the bacteria Proteus mirabilis, Pseudomonas aeruginosa, Pseudomonas sp, Enterobacter sp and Stomatococus sp. The research above were observational without focusing on analysis the differences of the sensitivity.
Method : This research was used cross sectional analytic method. Samples were patients in Poly THT General Hospital of West Nusa Tenggara Province diagnosed COSM with inclusion and exclusion criteria and total samples was 34. The subject was taken from the ear fluid and inserted into the transport media then performed bacterial cultures using blood agar. Then performed identification of bacteria type and continued with sensitivity test to see bacterial inhibition zone. The data obtained were processed with the Chi-Square test if data distribution is qualified and Fisher test if the data distribution is not eligible.
Result : Most commonly bacteria found was Pseudomonas aeruginosa. Sensitifity of bacteria causing COSM to ciprofloxacin was 61.76%, while resistance to clindamycin was more than 50%.
Conclution : There was a significant difference on antibiotic sensitivity between ciprofloxacin and clindamycin to the bacteria causing COSM.
Key Words : COSM, sensitivity, ciprofloxacin, clindamycin, bacteria causing COSM.
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