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Yulia Miftahul Janna
"ABSTRAK
Tesis ini bertujuan untuk mengevaluasi waktu respon terapi vorikonazol topikal yang dikombinasikan dengan injeksi vorikonazol intrastromal, dan natamisin topikal pada keratitis Fusarium kelinci. Penelitian ini adalah penelitian uji klinis terandomisasi dengan dua kelompok terapi yaitu injeksi tunggal vorikonazol intrastroma dikombinasi dengan vorikonazol topikal dibandingkan dengan natamisin topikal terapi tunggal. Terapi berlangsung selama 21 hari dengan evaluasi klinis pada minggu pertama, kedua, ketiga serta pemeriksaan mikologi awal dan akhir terapi.Hasil penelitian menggambarkan tidak terdapat perbedaan bermakna antara natamisin dan vorikonazol dalam waktu memperbaiki gambaran klinis ataupun pada hasil pemeriksaan mikologi. Peneliti menyarankan untuk penelitian lanjutan dengan menambahkan jumlah injeksi vorikonazol intrastroma.

ABSTRACT
This thesis aims to evaluate the response time topical and intrastromal injection of voriconazole versus topical natamycin Fusarium keratitis in rabbit. This study has two treatment groups, single intrastroma voriconazole injection combined with topical voriconazole compared with a single topical natamycin therapy. The therapy lasted for 21 days with clinical evaluation in the first, second, third week along with pre and post therapy mycological examination. There are no significant differences between natamycin and voriconazole in time to improve the clinical picture or on mycological examination. The authors suggest for follow up studies by adding the number of intrastromal voriconazole injection, keratitis Fusarium, voriconazole, natamycinintrastroma voriconazole injections"
2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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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
cover
Tessa Humaira Anindya
"Latar Belakang: Infeksi kornea yang disebabkan oleh jamur dapat menyebabkan
kerusakan yang lebih berat dibandingkan infeksi bakteri dikarenakan kemampuan jamur
untuk menembus kornea hingga ke bilik mata depan atau sklera. Antijamur tetes yang
tersedia secara komersil hanya natamisin yang memiliki penetrasi rendah. Vorikonazol
sebagai alternatif anti jamur dapat digunakan secara intrastromal untuk mempertahankan
kadar pada kornea. Penggunaan injeksi intrastromal vorikonazol secara tunggal maupun
serial banyak dilaporkan dalam bentuk laporan kasus dan terdapat variasi dalam hal dosis
dan frekuensi serta teknik pemberian.
Tujuan: Mengetahui perbandingan efektivitas pemberian kombinasi vorikonazol topikal
1% dan intrastromal 0.05% secara tunggal dan serial dibandingkan dengan natamisin
topikal 5% sebagai terapi keratitis jamur yang disebabkan oleh jamur Fusarium sp pada
kelinci.
Metodologi: Penelitian ini merupakan uji eksperimental tersamar dengan randomisasi
terhadap kelompok hewan coba kelinci New Zealand White (NZW) dengan desain empat
kelompok. Masing-masing kelompok terdiri dari 3 kelinci. Kelompok pertama mendapat
terapi kombinasi tetes vorikonazol 1% tiap jam dan injeksi intrastromal vorikonazol
0.05% yang diberikan 1 kali pada hari 1. Kelompok ke-dua mendapatkan terapi
kombinasi tetes vorikonazol 1% tiap jam dan injeksi intrastromal vorikonazol 0.05%
yang diberikan 2 kali pada hari 1 dan 7. Kelompok ke-tiga mendapatkan terapi
kombinasi tetes vorikonazol 1% tiap jam dan injeksi intrastromal vorikonazol 0.05%
yang diberikan 3 kali pada hari 1, 7 dan 14. Kelompok ke-empat mendapatkan
monoterapi tetes natamisin 5% tiap jam.
Hasil: Hasil penelitian ini menunjukan perbaikan secara klinis berdasarkan luas defek,
luas infiltrat, kedalaman keratitis dan tinggi hipopion pada semua kelompok yang
mendapatkan terapi injeksi vorikonazol maupun natamisin. Pada akhir terapi masih
didapatkan hifa jamur positif secara kualitatif pada 1 kelinci yang mendapatkan injeksi
intrastromal 1 kali dan 1 kelinci dengan terapi natamisin.
Kesimpulan: Kombinasi vorikonazol topikal dan injeksi vorikonazol intrastromal secara
serial menunjukan perbaikan klinis setara dengan natamisin topikal. Dalam hal daya
eliminasi jamur kombinasi vorikonazol topikal dan injeksi vorikonazol intrastromal
secara serial menunjukan hasil lebih baik dibandingkan terapi natamisin topikal dan
injeksi tunggal.

Background: Fungal corneal infections can cause more damage than bacterial infections
due to the fungus's ability to penetrate the cornea to the anterior chamber or sclera.
Natamycin is the only commercially available antifungal drops which has low
penetration. Voriconazole as an antifungal alternative can be used intrastromally to
maintain corneal concentration. The use of single or serial intrastromal voriconazole
injections is widely reported in the form of case reports and there are variations in terms
of dosage and frequency and administration techniques.
Objective: Comparing the effectiveness of topical voriconazole 1% combined with
intrastromal 0.05% single and serial compared to 5% topical natamycin as fungal keratitis
therapy caused by Fusarium sp in rabbits.
Methods: This research is an experimental test by randomizing a group of New Zealand
White (NZW) rabbit animals with a four-group design. Each group consists of 3 rabbits.
The first group received combination therapy of voriconazole drops 1% every hour and
intrastromal injection of 0.05% voriconazole given once on day 1. The second group
received combination therapy of voriconazole drops 1% per hour and intrastromal
injection of voriconazole 0.05% given 2 times on day 1 and 7. The third group received
combination therapy of voriconazole drops 1% every hour and intrastromal injection of
0.05% voriconazole given 3 times on days 1, 7 and 14. The fourth group received
monotherapy with 5% natamycin drops hourly.
Results: The results of this study showed clinical improvement based on corneal defect
size, infiltrate size, keratitis depth and height of hypopyon in all groups receiving
voriconazole and natamycin injection therapy. At the end of the therapy, fungal hyphae
were found in 1 rabbit who received 1 times intrastromal injection and 1 rabbit with
natamycin therapy.
Conclusion: The combination of topical voriconazole and serial intrastromal injection
shows clinical improvement equivalent to topical natamycin. In terms of the fungal
elimination, topical voriconazole and serial intrastromal injection is superior than topical
natamisin therapy and single injection."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2020
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Salman Azis Nizami
"Candida sp. Berbagai spesies Candida seperti; C.albicans, C.glabrata, C,parapsilosis, C.tropicalis, C.keyfr, C.lusitaniae dan C.krusei. Saat ini, kandidiasis meningkat akibat tingginya individu dengan defisiensi imun, penyakit kronik, transplantasi dan faktor lainnya. Beberapa obat dilaporkan mengalami resistensi. Fluconazole merupakan salah
satu lini pertama pada kandidiasis. Beberapa studi melaporkan fluconazole mengalami resistensi terhadap C. krusei. Voriconazole merupakan golongan azole terbaru yang mempunyai sensitifitas lebih tinggi terhadap C.krusei. Tujuan: Penelitian ini bertujuan untuk mengetahui sensitifitas fluconazole dan voriconazole terhadap C.krusei Metode: Penelitian ini menggunakan data sekunder dari rekam medik pasien kandidiasis di RSCM tahun 2013-2018 yang sudah diuji difusi cakram untuk pengujian sensitifitas dengan total sampel adalah 249. Hasil: Uji sensitifitas menunjukkan perbedaan yang bermakna antara fluconazole dengan voriconazole dengan rincian 191 isolat diuji dengan fluconazole 50.26% sensitif, 2.09% Susceptible Dose Dependent (SDD), dan 47.64% resisten sementara dengan voriconazole menunjukkan 100% sensitif dari 58 sampel (p< 0.05). Hasil dari penelitian, voriconazole
lebih sensitif dari fluconazole terhadap Candida krusei. Kesimpulan: C.krusei lebih sensitif terhadap voriconazole karena memiliki kemampuan
resistensi secara intrinsik terhadap fluconazole.
Candida sp. Various species of Candida such as; C. albicans, C. glabrata, C. parapsilosis, C. tropicalalis, C. keyfr, C. lusitaniae and C. krusei. Currently, candidiasis is increasing due to the high number of individuals with immunodeficiency, chronic disease, transplantation and other factors. Several drugs have been reported to be resistant. Fluconazole is one of the the first line of treatment for candidiasis. Several studies reported that fluconazole was resistant to C. krusei. Voriconazole is the newest azole group that has a higher sensitivity to C. krusei. Objective: This study aims to determine the sensitivity of fluconazole and voriconazole to C.krusei Methods: This study used secondary data from the medical records of candidiasis patients at the RSCM in 2013-2018 which had been tested for disc diffusion for sensitivity testing with a total sample of 249. Results: Test sensitivity showed a significant difference between fluconazole and voriconazole with details of 191 isolates tested with fluconazole 50.26% sensitive, 2.09% Susceptible Dose Dependent (SDD), and 47.64% resistant while with voriconazole showed 100% sensitivity from 58 samples (p < 0.05). The results of the study, voriconazole more sensitive than fluconazole to Candida krusei. Conclusion: C. krusei is more sensitive to voriconazole because it has the ability to
intrinsic resistance to fluconazole."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
S-pdf
UI - Skripsi Membership  Universitas Indonesia Library
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Parida Oktama Putri
"Jamur Candida merupakan penyebab infeksi paling banyak ditemukan pada manusia. Spesies paling sering menyebabkan kandidiasis yaitu Candida albicans. Saat ini, insidensi infeksi kandidiasis semakin meningkat. Candida adalah penyebab utama keempat infeksi darah di rumah sakit, dan di Amerika Serikat, angka kematian akibat kandidemia mencapai 40 per tahun. Tujuan penelitian ini untuk mengetahui pola kepekaan Candida albicans dan Candida non albicans terhadap vorikonazol secara in vitro dari rekam medis 2010-2015 di Laboratorium Mikologi Departemen Parasitologi FKUI. Penelitian ini menggunakan studi cross-sectional. Pemilihan sampel menggunakan metode total sampling, data diproses menggunakan SPSS dan dianalisis menggunakan uji Fisher. Dari 546 sampel, hasil uji kepekaan Candida albicans terhadap vorikonazol menunjukkan 407 isolat sensitif 99,8 dan 1 isolat resisten 0,2. Uji kepekaan Candida non albicans terhadap vorikonazol menunjukkan 136 isolat sensitif 98,6 dan 2 isolat resisten 1,4 . Tidak terdapat perbedaan p=0,159 pola kepekaan Candida albicans dan Candida non albicans terhadap vorikonazol. Vorikonazol memilki aktivitas yang tinggi di dalam in vitro sehingga memberikan hasil yang baik untuk mengeradikasi Candida yang resisten terhadap flukonazol. Sebagai kesimpulan, tidak terdapat perbedaan pola kepekaan Candida albicans dan Candida non albicans terhadap vorikonazol.

Candida is the cause of most infections found in humans, mostly Candia albicans. Candida is the fourth leading cause of blood infection in hospitals, and in the United States, the death rate from Candidaemia reached 40 in year. The aim of this research is to determine the Candida albicans and Candida non albicans susceptibility profile in vitro to voriconazoleof the medical record 2010 2015 at the Mycology Laboratory of the Departement of Parasitology Faculty of Medicine University of Indonesia. This study uses a Cross sectional study. The sample selection was done with total sampling method. Data was processed using SPSS and analyzed using Fisher's test. From 546 samples, the susceptibility profile of Candida albicans are 407 samples 99.8 sensitive and 1 sample 0.2 resistant. Susceptibility profile of Candida non albicans are 136 samples 98.6 sensitive and 2 sample 1.4 resistant. The result indicated no significant association p 0.159 between susceptibility profile of Candida albicans and Candida non albicans to voriconazole. Voriconazole has high in vitro activities so as to provide good results to eradicate the Candida resistant to fluconazole. In conclusion, there are no significant association between Candida albicans and Candida non albicans susceptibility profile to voriconazole.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
S-Pdf
UI - Skripsi Membership  Universitas Indonesia Library