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HUBUNGAN DURASI KONTAK HARIAN DAN LAMA KERJA TERHADAP KOLONISASI ESCHERICHIA COLI PENGHASIL EXTENDED SPECTRUM BETA LACTAMASE (ESBL-EC) PADA PETERNAK AYAM DI DESA UNGGAS TERUWAI, KABUPATEN LOMBOK TENGAH

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ABSTRAK
HUBUNGAN DURASI KONTAK HARIAN DAN LAMA KERJA
TERHADAP KOLONISASI ESCHERICHIA COLI PENGHASIL
EXTENDED SPECTRUM BETA LACTAMASE (ESBL-EC) PADA
PETERNAK AYAM DI DESA UNGGAS TERUWAI, KABUPATEN
LOMBOK TENGAH
Sonya Ananda Ellya John, Eustachius Hagni Wardoyo, Eva Triani
Latar Belakang: Kolonisasi ESBL-Ec merupakan salah satu permasalahan
kesehatan global yang penting. Transmisi antar host atau transmisi zoonosis dapat
terjadi pada lingkungan peternakan, termasuk peternakan unggas. Peternak ayam
merupakan individu yang berisiko mengalami kolonisasi ESBL-Ec akibat paparan
kerja. Penelitian ini bertujuan untuk mengetahui hubungan durasi kontak harian dan
lama kerja terhadap kolonisasi ESBL-Ec pada peternak ayam di Desa Unggas
Teruwai.
Metode: Penelitian ini merupakan studi potong lintang yang dilakukan di Desa
Unggas Teruwai. Subjek yang memenuhi kriteria inklusi yaitu 1) peternak ayam
intensif yang bersedia menjadi subjek penelitian dengan menandatangani surat
persetujuan 2) berusia ≥18 tahun, dan 3) bersedia menjawab pertanyaan
menggunaan kuisioner dan menyerahkan swab rektal, dimasukan ke dalam subjek
penelitian. Pada penelitian ini dilakukan swab rektal dan validasi kuisioner.
Identifikasi E.coli di laboratorium diikuti dengan tes fenotip ESBL.
Hasil: Total subjek penelitian berjumlah 51 orang dengan rerata usia 42,7 tahun,
yang mana 54,9% berjenis kelamin laki-laki. Terdapat 19 peternak ayam (37,3%)
yang positif memiliki kolonisasi ESBL-Ec. Hasil penelitian menunjukkan bahwa
kejadian kolonisasi ESBL-Ec lebih tinggi pada subjek penelitian dengan durasi
kontak harian ≥2 jam/hari (45,5% vs 31%), namun perbedaan ini tidak signifikan
secara statistik (p=0,291; 95% CI). Di sisi lain, hasil penelitian menunjukkan
terdapat hubungan yang signifikan antara lama kerja dengan kejadian kolonisasi
ESBL-Ec (p=0,024; OR=4,25; 95% CI). Subjek penelitian dengan lama kerja ≥3
tahun memiliki kecenderungan risiko 4,25 kali lebih besar.
Kesimpulan: Lama kerja memiliki hubungan yang signifikan terhadap kolonisasi
ESBL-Ec pada peternak ayam intensif di Desa Unggas Teruwai. Adapun angka
kolonisasi ESBL-Ec lebih tinggi pada subjek penelitian dengan durasi kontak
harian ≥2 jam/hari, namun perbedaan ini tidak signifikan secara statistik.
Kata kunci: ESBL-Ec, peternak ayam, durasi kontak harian, lama kerjaix
ABSTRACT
THE ASSOCIATION BETWEEN DURATION OF DAILY CONTACT
AND WORKING PERIOD TO EXTENDED-SPECTRUM BETA
LACTAMASE-PRODUCING ESCHERICHIA COLI COLONIZATION IN
POULTRY WORKERS FROM TERUWAI POULTRY VILLAGE,
CENTRAL LOMBOK
Sonya Ananda Ellya John, Eustachius Hagni Wardoyo, Eva Triani
Background: ESBL-Ec colonization is one of the significant global health
problems. Interhost transmission of ESBL-Ec or so called zoonoses transmission is
occurs on farm, including on poultry farm has been studied. Poultry workers are the
ones at risk of ESBL-Ec colonization from their chicken due to occupational
exposure. The study aimed to identify the association between duration of daily
contact and working period to ESBL-Ec colonization in poultry workers from
Teruwai Poultry Village.
Method: A cross-sectional study, conducted in Teruwai Poultry Village. The
subjects who met these inclusion criteria 1) intensive poultry farmers that agree to
become subjects by signing the consent form 2) older than 18 years old and 3)
willing to fill the questionnaire and give the rectal swab were included. Fecal swab
and a validated questionnaire was obtained. Laboratory identification of
Escherichia coli was followed by phenotipic ESBL test.
Result: The total subjects were 51 poultry workers with a mean age of 42,7 years,
and 54,9% of subjects were male. There were a total of 19 poultry workers (37,3%)
who tested positive for ESBL-Ec colonization. This study showed a higher ESBLEc colonization incidence in subjects who had ≥2 hours/day of daily contact (45,5%
vs 31%), although it was not statistically significant (p=0.291; 95% CI). In contrast,
there was a significant association between working period and the incidence of
ESBL-Ec colonization (p=0,024; OR=4.25; 95%CI). The subjects who had ≥3
years of working period had a 4,25 times higher risk tendency of ESBL-Ec
colonization.
Conclusion: The association between duration of working and the colonization of
ESBL-Ec in intensive poultry workers in the Teruwai Poultry Village was
statistically significant. The ESBL-Ec colonization rate was higher in subjects who
had ≥2 hours/day of daily contact, although it was not statistically significant.
Key Words: ESBL-Ec, poultry worker, duration of daily contact, working period

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Ketersediaan

Informasi Detail

Judul Seri

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No. Panggil

862

Penerbit

Mataram : Fakultas Kedokteran Universitas Mataram., 2020

Deskripsi Fisik

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Bahasa

Indonesia

ISBN/ISSN

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Klasifikasi

NONE

Tipe Isi

-

Tipe Media

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Tipe Pembawa

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Edisi

-

Subjek

KTI
KTI PSPD

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