Gambaran Methicillin Resistant Staphylococcus aureus (MRSA) Pada Petugas Kesehatan RSUD Wangaya Kota Denpasar

Ida Bagus Oka Suyasa

doi:10.33992/m.v8i1.1074

Authors

Ida Bagus Oka Suyasa Poltekkes Kemenkes Denpasar, Indonesia

DOI:

https://doi.org/10.33992/m.v8i1.1074

Abstract

Background.Â Â Â Â Â Â Â Methicillin Resistant Staphylococcus aureus (MRSA) is a Staphylococcus aureus bacterium that is immune to penicillin isoxazoyl antibiotics such as methicillin, oxacillin and flucloxacillin. Staphylococcus aureus is one of the normal flora of the anterior nares and skin, which can be pathogenic when the patient's immune condition is deteriorating.

Purpose. to determine the percentage of Methycillin Resistant Staphylococcus aureus (MRSA) in health staff at Wangaya District Hospital in Denpasar.

Method. type of research is descriptive research design with Cross Sectional. The results of nasal swabs were implanted on MSA media and then catalase and coagulase tests were performed. The methicillin resistance test is carried out if after a positive catalase test and a positive coagulase test. If found MRSA will be continued by sensitivity test with antibiotics based on CLSI.

Results.Â found five isolates of Staphylococcus aureus (11.36%), one MRSA isolate (2.27%), sensitive antibiotics were Tetracyclin, Cephazolin, Trimethroprim, Amikacin, Ciprofloxacin, Doxycycline, Ofloxacine and Levofloxacine.

Conclusion. One MRSA isolate (2.27%) founded from nasal swabs of health staff at Wangaya District Hospital in Denpasar.

References

Fatimah S, Nadifah F dan Burhandin I. 2016. Uji daya hambat ekstrak etanol kubis (Brassica oleracea var. capitata f. alba) terhadap bakteri Staphylococcus aureus secara in vitro. Biogenesis. 4(2): 102-106. Doi 10.24252/bio.v4i2.2515

Madigan, M.T., J.M. Martinko, D.A. Stahl and D.P. Clark. 2012. Brock biologu of mcroorganism 13Th Ed. Benjamin Cummings, San Fransisco : xxvii+1155hlm

Brown, D.F.J., Edwards, D.I. and Hawkey, P.M. (2005). Guidelines for laboratory diagnosis and susceptibility testing of methicilin- resistant Staphylococcus aureus (MRSA). JAC ;56:1000- 18.

Agustino, L. (2008). Dasar - dasar Kebijakan Publik Ctakan kedua. Bandung: Alfabeta.

Chen CJ and Huang YC. (2014). New epidemiology of Staphylococcus aureus infection in Asia. Clin Microbiol Infect. 20(7) : 605-606.

Planta, Pablito M.,Armi Grace G Laino, MD, Ma. Noreen B. Alqueza, Liza M. Gonzales, MD. 2012. Nasal Carriage of Staphylococcus aureus among Pediatric Health Care Workers in Pediatric Intensive Care Unit. J.of PIDSP.13:1 44-50.

Nurhani dan E.S. Lestari, 2010. Perbedaan Prevalensi dan Pola Resistensi Staphylococcus aureus Pada Tiga Sekolah Dasar SDN Pandean Lamper 02, SD Kristen II YSKI dan SD Manyaran 01 di Kota Semarang, Skripsi, UNDIP

Rijal KR, Pahari N, Shrestha BK, Nepal AK, Paudel B, Mahato P, et al. Prevalence of methicillin resistant Staphylococcus aureus in school children of Pokhara. Nepal Med Coll J, 2008; 10(3): 192-195

WHO, 2015. Draft Global Action Plan on Antimicrobial Resistance. Geneva, Switzerland.

Mahmudah, R., T.U. Soleha dan C.N. Ekowati, 2013. Identifikasi MRSA Pda Tenaga Medis dan Paramedis di Ruang ICU dan Ruang Perawatan Bedah RSUD Abdul Moeloek. Medical Journal of Lampung University Volume 2 No 4 Februari 2013 : 70-78.

Yuwono, 2010, Pandemi Resistensi Antimikroba: Belajar dari MRSA, Jurnal Kedokteran dan Kesehatan, 1 (42), 2837â€“2850

Meta, D.T., R. Endriani, L.P. Sembiring, 2014. Identifikasi dan Resistensi Bakteri MRSA dari Ulkus Diabetikum Derajat I dan II Wagner di Bagian Penyakit Dalam RSUD Arifin Achmad. Fakultas Kedokteran Universitas Riau, Pekanbaru. Jurnal Online Mahasiswa Fakultas Kedokteran Univ Riau, Pekanbaru, Vol 1, No 2. ISSN: 2355-6889.

Lestari, E.S., Severin J.A, Verbrugh H.A. 2009. Antimicrobial resistance among pathogenic bacteria in Southeast Asia: a review. Rotterdam: Department of Medical Microbiology and Infectious Diseases, 2:17-62.