Sri A. F. Kusuma
Fakultas Farmasi, Universitas Padjadjaran

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Deteksi Gen Resistensi Kloramfenikol (cat) pada Pseudomonas aeruginosa Isolat Klinik dengan Metode Polymerase Chain Reaction Tiana Milanda; Lisa K. Dewi; Sri A. F. Kusuma
Indonesian Journal of Clinical Pharmacy Vol 3, No 4 (2014)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (7009.279 KB) | DOI: 10.15416/ijcp.2014.3.4.141

Abstract

Pseudomonas aeruginosa adalah bakteri oportunistik Gram negatif yang menyebabkan infeksi pada mata, telinga, kulit, tulang, sistem saraf pusat, saluran pencernaan, sistem peredaran darah, jantung, sistem pernapasan, dan saluran kemih. Kloramfenikol saat ini tidak lagi digunakan sebagai obat pilihan karena banyaknya kasus resistensi terhadap antibiotik tersebut. Penelitian ini bertujuan untuk mendeteksi keberadaan gen resistensi kloramfenikol pada P. aeruginosa isolat klinik. Bakteri ini diisolasi dari nanah pasien otitis eksternal di Rumah Sakit Dr. Hasan Sadikin (RSHS) Bandung. Metode Polymerase Chain Reaction (PCR-koloni maupun PCR-DNA) digunakan untuk mendeteksi gen resistensi tersebut. Elektrogram dari produk PCR menunjukkan bahwa resistensi P. aeruginosa isolat klinik disebabkan oleh gen cat (317 pb). Berdasarkan hasil penelitian ini, gen cat dapat digunakan untuk mendeteksiresistensi antibiotik kloramfenikol pada pasien otitis eksternal.Kata kunci: cat, gen resistensi kloramfenikol, polymerase chain reaction, Pseudomonas aeruginosa Detection of Chloramphenicol Resistance Genes (cat) in Clinical Isolates of Pseudomonas aeruginosa with Polymerase Chain Reaction MethodPseudomonas aeruginosa is an opportunistic Gram negative bacteria, which may cause infection in eyes, ears, skin, bones, central nervous system, gastrointestinal tract, circulatory system, heart, respiratorysystem, and urinary tract. Recently, chloramphenicol is no longer used as the main option of the therapy due of its resistance case. The aim of this research was to detect the presence of gene which is responsible to chloramphenicol resistance in clinical isolates of P. aeruginosa. These bacteria isolated from pus of external otitis patients in Hasan Sadikin Hospital in Bandung City. Polymerase Chain Reaction (PCR) method (colony-PCR and DNA-PCR) were performed to detect this resistance gene. Electropherogram from PCR products showed that the chloramphenicol resistance in clinical isolates of P. aeruginosa was caused by cat gene (317 bp). Based on this research, cat gene may be used to detect the chloramphenico resistance in patients with external ostitis.Key words: cat, chloramphenicol resistance gene, polymerase chain reaction, Pseudomonas aeruginosa
Pengaruh Kontaminasi Mikroba terhadap Kualitas Obat Antituberkulosis Racikan di Bandung Angga P. Kautsar; Sri A. F. Kusuma; Kartini Kurniawati; Syahidah Binti Ab. Razak
Indonesian Journal of Clinical Pharmacy Vol 2, No 2 (2013)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (569.635 KB)

Abstract

Berdasarkan profil tuberkulosis (TBC) Indonesia dari World Health Organization (WHO), total kasus baru penyakit TBC pada tahun 2011 adalah 313.601 kasus dan 8,9% melibatkan anak-anak di bawah 15 tahun. Tingkat kesembuhan TBC pada anak dipengaruhi terutama oleh kualitas pengobatan Obat Anti Tuberkulosis (OAT) yang diberikan. Pertimbangan pemberian obat dalam bentuk racikan tersebut karena perhitungan dosis dapat disesuaikan dengan berat badan dan umur anak secara lebih tepat. Tujuanpenelitian ini adalah mengukur pengaruh kontaminasi mikroba terhadap kualitas OAT racikan guna meningkatkan efek terapi yang diharapkan dan mencegah kegagalan pengobatan TBC. Uji kontaminasi mikroba menggunakan Metode Angka Lempeng Total (ALT). Hasil uji menunjukkan kondisi kadar kontaminasi mikroba seluruhnya dalam kategori memenuhi syarat. Kualitas obat racik menunjukkan 82% masuk dalam kategori cukup baik, dan 18% masuk dalam kategori baik. Kata kunci: Tuberkulosis, proses peracikan, Metode Angka Lempeng TotalEffect of Microbes Contamination in Quality of Compounding Antitubeculosis Drugs in BandungBased on The Indonesia’s TBC profile from WHO, total of TBC new cases in year 2011 is 313.601 cases and 8.9% involve children under age of 15. TBC cure rate for pediatric patient was influenced primarily by the quality of antituberculosis medicine given. Consideration of drug delivery in the form of compoundedmedicine because the dose can be calculated and adjust base on weight and age of the pediatric patient. The qualities of compounded medicine need to be monitored in order to increase the expected therapeutic effect and to prevent TBC treatment failure. Survey has been carried out in the level of microbecontaminations test using Total Plate Count Method (TPC). From the TPC test, all of the microbe contaminations tests (100%) show qualified levels of contaminations. Both of the results, the qualitiesof compounded medicine shows 82% categorize as good and 18% as very good.Key words: Tuberculosis, compounding processes, Total Plate Count Method