PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL

CA-MRSA infection is important health problem, especially in HIV-infected patients. Colonization of CA-MRSA in the anterior nares is a predisposing factor for infection with identical strain. In HIV-infected patients, CD4+ T cell number is the best indicator of relative stage of the disease. In HIV-...

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Main Authors: , dr. Yuliana Laksmini, , dr. Fajar Waskito, MKes, Sp.KK(K)
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2012
Subjects:
ETD
_version_ 1826045166120599552
author , dr. Yuliana Laksmini
, dr. Fajar Waskito, MKes, Sp.KK(K),
author_facet , dr. Yuliana Laksmini
, dr. Fajar Waskito, MKes, Sp.KK(K),
author_sort , dr. Yuliana Laksmini
collection UGM
description CA-MRSA infection is important health problem, especially in HIV-infected patients. Colonization of CA-MRSA in the anterior nares is a predisposing factor for infection with identical strain. In HIV-infected patients, CD4+ T cell number is the best indicator of relative stage of the disease. In HIV-infected patients, there were deficiency of innate and adaptive immune system, especially occurred when the number of CD4+ T cell falls < 200/µl. The aim of this study was to compare the occurence of anterior nares CA- MRSA colonization between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl. Design of this study is cross-sectional. Specimen of nasal swab taken from HIV patients in outpatient clinic. Identification was performed by inoculation on blood agar at 37°C for 18-24 hours and Gram staining to identify Staphylococcus sp. Staphylase test was done to identify S.aureus. Finally, identification of MRSA was performed with cefoxitin disk on Mueller Hinton Agar using Kirby-Bauer method. Result : ninety-four participants included on this study, consist of 69,1% men and 30,9% women, mean of age was 34,1 ± 7,8 years old. Colonization of CA-MRSA was found in 14 (14,9%) patients. The occurrence of nares anteriores CA-MRSA colonization between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl was not statistically different(p=0,082). Colonization of CA-MRSA was associated with receiving cotrimoxsazole [p 0,026, CI 0,811(0,726-0,905)]. Conclusion : The occurence of nares anteriores CA-MRSA colonization in our HIV population was high and it didn�t differ significantly between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl.
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spelling oai:generic.eprints.org:974752016-03-04T08:49:42Z https://repository.ugm.ac.id/97475/ PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL , dr. Yuliana Laksmini , dr. Fajar Waskito, MKes, Sp.KK(K), ETD CA-MRSA infection is important health problem, especially in HIV-infected patients. Colonization of CA-MRSA in the anterior nares is a predisposing factor for infection with identical strain. In HIV-infected patients, CD4+ T cell number is the best indicator of relative stage of the disease. In HIV-infected patients, there were deficiency of innate and adaptive immune system, especially occurred when the number of CD4+ T cell falls < 200/µl. The aim of this study was to compare the occurence of anterior nares CA- MRSA colonization between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl. Design of this study is cross-sectional. Specimen of nasal swab taken from HIV patients in outpatient clinic. Identification was performed by inoculation on blood agar at 37°C for 18-24 hours and Gram staining to identify Staphylococcus sp. Staphylase test was done to identify S.aureus. Finally, identification of MRSA was performed with cefoxitin disk on Mueller Hinton Agar using Kirby-Bauer method. Result : ninety-four participants included on this study, consist of 69,1% men and 30,9% women, mean of age was 34,1 ± 7,8 years old. Colonization of CA-MRSA was found in 14 (14,9%) patients. The occurrence of nares anteriores CA-MRSA colonization between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl was not statistically different(p=0,082). Colonization of CA-MRSA was associated with receiving cotrimoxsazole [p 0,026, CI 0,811(0,726-0,905)]. Conclusion : The occurence of nares anteriores CA-MRSA colonization in our HIV population was high and it didn�t differ significantly between HIV-infected patients with CD4+T cell< 200/µl and � 200/µl. [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , dr. Yuliana Laksmini and , dr. Fajar Waskito, MKes, Sp.KK(K), (2012) PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54308
spellingShingle ETD
, dr. Yuliana Laksmini
, dr. Fajar Waskito, MKes, Sp.KK(K),
PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title_full PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title_fullStr PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title_full_unstemmed PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title_short PERBEDAAN FREKUENSI KOLONISASI COMMUNITY ACQUIREDMETHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS PADA NARES ANTERIOR PASIEN HUMAN IMMUNODEFICIENCY VIRUS DENGAN KADAR SEL T CD4+ < 200 SEL/μL DAN � 200 SEL/μL
title_sort perbedaan frekuensi kolonisasi community acquiredmethicillin resistant staphylococcus aureus pada nares anterior pasien human immunodeficiency virus dengan kadar sel t cd4 200 sel i 1 4l dan a�¥ 200 sel i 1 4l
topic ETD
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AT drfajarwaskitomkesspkkk perbedaanfrekuensikolonisasicommunityacquiredmethicillinresistantstaphylococcusaureuspadanaresanteriorpasienhumanimmunodeficiencyvirusdengankadarseltcd4200seli1⁄4ldana200seli1⁄4l