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Hasil Pencarian

Ditemukan 2 dokumen yang sesuai dengan query
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Alia Arianti
"ABSTRAK
Tesis ini bertujuan menilai perbandingan efektivitas injeksi intravitreal
vorikonazol 100 µg/0.1 mL dengan amfoterisin B 5 µg/0.1 mL pada endoftalmitis
akibat Aspergillus flavus di hewan coba kelinci. Uji eksperimental tersamar acak
dilakukan pada 15 kelinci albino New Zealand white yang terbagi menjadi tiga
kelompok, yaitu kelompok vorikonazol, amfoterisin B, dan kontrol. Parameter
yang dinilai adalah perubahan klinis, pemeriksaan mikologi, dan perubahan
histopatologi jaringan. Perubahan skor klinis di akhir evaluasi tidak berbeda
bermakna antara kelompok vorikonazol dengan amfoterisin B, namun respons
klinis cenderung lebih baik pada kelompok vorikonazol. Jumlah koloni jamur
terkecil dan berbeda bermakna didapatkan pada kelompok amfoterisin B. Tidak
didapatkan perbedaan bermakna pada rerata nilai histopatologi jaringan kedua
kelompok, namun derajat inflamasi cenderung lebih ringan pada kelompok vorikonazol.ABSTRACT
The purpose of this study was to compare the efficacies of intravitreal 100 µg voriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in an
exogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimental
study was conducted on 15 albino New Zealand white rabbits, which latter allocated into three different
treatment group of voriconazole, amphotericin B, and control. Clinical grading were performed at multiple times, while mycology analysis and histopathological examination were performed at 10 days
after treatment. No significant change in clinical grading was found between the
treatment group, but voriconazole group showed better response tendency. The smallest number of fungal colony forming unit was found significantly in the
amphotericin B group. No significant difference was found, however, between the mean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µg
voriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in an
exogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimental
study
was
conducted
on
15
albino
New
Zealand
white
rabbits,
which
latter
allocated
into
three
different
treatment
group
of
voriconazole,
amphotericin
B,
and control. Clinical grading were performed at multiple times, while
mycology analysis and histopathological examination were performed at 10 days
after treatment. No significant change in clinical grading was found between the
treatment group, but voriconazole group showed better response tendency. The
smallest number of fungal colony forming unit was found significantly in the
amphotericin B group. No significant difference was found, however, between the
mean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µg
voriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in an
exogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimental
study
was
conducted
on
15
albino
New
Zealand
white
rabbits,
which
latter
allocated
into
three
different
treatment
group
of
voriconazole,
amphotericin
B,
and control. Clinical grading were performed at multiple times, while
mycology analysis and histopathological examination were performed at 10 days
after treatment. No significant change in clinical grading was found between the
treatment group, but voriconazole group showed better response tendency. The
smallest number of fungal colony forming unit was found significantly in the
amphotericin B group. No significant difference was found, however, between the
mean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. ;The purpose of this study was to compare the efficacies of intravitreal 100 µg
voriconazole and 5 µg amphotericin B treatment against Aspergillus flavus in an
exogenous endophthalmitis model in rabbit eyes. A randomized, controlledexperimental
study
was
conducted
on
15
albino
New
Zealand
white
rabbits,
which
latter
allocated
into
three
different
treatment
group
of
voriconazole,
amphotericin
B,
and control. Clinical grading were performed at multiple times, while
mycology analysis and histopathological examination were performed at 10 days
after treatment. No significant change in clinical grading was found between the
treatment group, but voriconazole group showed better response tendency. The
smallest number of fungal colony forming unit was found significantly in the
amphotericin B group. No significant difference was found, however, between the
mean histopathological score of the two treatment groups, but the tendency of a lower inflammation score was shown in voriconazole group. "
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Elisabeth Irma Dewi K.
"Endoftalmitis merupakan kegawatdaruratan dibidang mata yang bila tidak ditangani cepat akan mengalami penurunan tajam penglihatan bahkan kebutaan. Fasilitas vitrektomi sebagai terapi baku emas jarang tersedia di RS begitupula antibiotika (seftazidim) intra vitreal belum tersedia secara komersil dengan dosis yang sesuai, sehingga perlu diracik dan dapat berisiko meningkatkan kontaminasi atau kesalahan pengenceran. Tujuan mencari alternatif antibiotika intra vitreal untuk pengobatan endoftalmitis akibat Pseudomonas aeruginosa. Metode menggunakan dua belas kelinci New Zealand White terbagi dua kelompok (n=6). Dibentuk endophthalmitis dengan injeksi intra vitreal P. aeruginosa 2x105 CFU/0,1mL. Kelompok A mendapat intra vitreal levofloksasin 0,5% 0,1mL dan kelompok B mendapat intra vitreal seftazidim 2,25 mg/0,1 mL setelah 24 jam inokulasi bakteri. Penilaian klinis dilakukan hari ke-1 hingga ke-6. Pada hari ke-6 dilakukan pemeriksaan mikrobiologi dan histopatologik.
Hasil selisih skor klinis hari ke-1 dan 6 kedua kelompok tidak menunjukkan perbedaan yang bermakna. Terdapat 2 kelinci mengalami perbaikan di kelompok levofloksasin namun secara statistik tidak bermakna. Penghitungan jumlah bakteri memberikan hasil kelompok A dan kelompok B mengalami penurunan menjadi 1,5x102 (4x101-7,3x103) CFU/0,1mL dengan hasil yang tidak berbeda bermakna begitu pula dengan skor pemeriksaan histopatologik. Kesimpulan yang didapatkan injeksi intra vitreal tetes mata levofloksasin 0,5% 0,1mL sama efektif dengan seftazidim dan dapat dijadikan alternatif dalam terapi endoftalmitis akibat P. aeruginosa.

The purpose of this study was to find and evaluate intravitreal 0.5% levofloxacin as an alternative treatment for Pseudomonas aeruginosa endophthalmitis in an experimental model. Twelve New Zealand White rabbits were divided into two groups (n = 6 in each). Vitreous cavity of the right eye was inoculated with 2x105 CFU / 0,1mL of Pseudomonas aeruginosa suspension. Group A treated with intravitreal 0.5% levofloxacin and group B received intravitreal injection of 2.25 mg / 0.1 mL ceftazidime. Results showed mean clinical assessment scores in both groups were similar at 24 hours after inoculation (p> 0.05). Clinical score at day 1 and day 6 do not show any significant difference. Two rabbits experienced improvement in the levofloxacin group but there was no statistically significant difference. The number of microbiological bacteria results in group A and group B were decreased to 1,5x102 (4x101-7,3x103) CFU/ 0,1mL, but microbiological analysis and histopathological scoring demonstrated no statistically significant difference between both group (for each, P>0,05). The conclusion in this sudy was intra vitreal 0,5% levofloxacin ophthalmic appeared to be effective in the treatment of Pseudomonas aeruginosa endophthalmitis in rabbits, but was not superior to intravitreal ceftazidime administration. Therefore, intravitreal 0,5% levofloxacin may be a useful alternative to ceftazidime for Pseudomonas aeruginosa endophthalmitis.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library