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ARTIKEL ASLI
PROPORSI KEPOSITIVAN DAN POLA RESISTENSI PROPIONIBACTERIUM ACNES TERHADAP ANTIBIOTIK ORAL PASIEN AKNE VULGARIS TIPE SEDANG DAN BERAT
Sa’da Barira, Aryani Sudharmono, Untung Sidhi Pratomo
Departemen Ilmu Kesehatan Kulit dan Kelamin FK Universitas Indonesia/RS dr. Cipto Mangunkusumo, Jakarta
ABSTRAK

Latar belakang. Akne vulgaris (AV) adalah suatu penyakit peradangan kronik folikel pilosebaseus, mengenai 85% orang pada kelompok usia 12-24 tahun. Kolonisasi Propionibacterium acnes (PA) merupakan salah satu faktor utama yang berperan dalam timbulnya inflamasi pada AV. Antibiotik oral digunakan untuk menurunkan jumlah PA serta menurunkan produksi enzim dan faktor kemotaktik oleh PA.
Tujuan. Mengetahui proporsi kepositivan dan pola resistensi PA terhadap antibiotik oral pada pasien AV tipe sedang dan berat di Divisi Dermatologi Kosmetik Departemen Ilmu Kesehatan Kulit Kelamin Rumah Sakit Cipto Mangunkusumo (IKKK RSCM).
Subyek dan metode. Dilakukan pengambilan spesimen serta isolasi dan identifikasi PA pada 50 pasien, sedangkan pemeriksaan resistensi PA terhadap antibiotik oral hanya dilakukan pada 19 pasien.
Hasil. Jumlah subyek penelitian (SP) 50 orang, terdiri atas 16 laki-laki dan 34 perempuan. Delapan puluh enam persen pasien berusia kurang dari 25 tahun. Kuman PA hanya tumbuh pada 38% pasien. Kuman PA paling sensitif terhadap doksisiklin dan minosiklin (94,7%) serta paling resisten terhadap eritromisin (63,2%).
Kesimpulan. Proporsi kepositivan PA pada akne vulgaris pada penelitian ini hanya 38%. Kuman PA paling sensitif terhadap doksisiklin dan minosiklin serta paling resisten terhadap eritromisin.
Kata kunci. Akne vulgaris, P. acnes, resistensi antibiotik.

ABSTRACT

Background. Acne vulgaris (AV) is a chronic inflammatory disease of the pilosebaceous follicles, affecting approximately 85% of individuals between the ages of 12-24 years. Propionibacterium acnes (PA) colonization is a main factor that can induce inflammation in AV. Oral antibiotics have been used to reduce PA colonization and their products.
Aim. To determine the proportion and pattern of oral antibiotic-resistant PA in moderate and severe AV patients at the Cosmetic Dermatology Division of Dermatology and Venereology Department Cipto Mangunkusumo Hospital.
Subjects and methods. Specimen collection, isolation and identification of PA was done on 50 patients.Only 19 patients was examined for oral antibiotic-resistant PA.
Results. Fifty eligible subjects were recruited, consisting of  16 males and 34 females. Eighty six percent of the patients were under 25 years old. The growth of PA was found in only 38% patients. P. acnes was  most sensitive to doxycycline and minocycline (94.7%), and most resistant to erythromycin (63.2%).
Conclusion. The proportion of PA in acne vulgaris in this study was only 38%. P. acnes was most sensitive to doxycycline and minocycline, and most resistant to erythromycin.
Keywords. Acne vulgaris, P. acnes, antibiotic resistance.


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