Latar belakang: Tonsilitis kronis merupakan salah satu bentuk infeksi yang paling banyak terdapat pada anak-anak maupun dewasa. Kegagalan terapi antibiotika dalam mengeradikasi bakteri penyebab tonsilitis kronis ini masih menjadi perdebatan dan dihubungkan dengan keberadaan biofilm pada tonsil. Biofilm memiliki peran dalam infeksi kronis dan rekurensi dari tonsilitis kronis. Tujuan: Mengetahui gambaran biofilm bakteri aerob pada usapan tonsil dengan metode tube pada penderita tonsilitis kronis. Metode: Penelitian ini merupakan penelitian deskriptif yang dilakukan terhadap 96 responden. Setiap sampel dilakukan pemeriksaan swab tonsil dan kultur bakteri aerob kemudian dilanjutkan pemeriksaan biofilm dengan metode tube menggunakan crystal violet (0,1%) dan dibandingkan dengan kontrol. Data dianalisis secara statistik menggunakan komputer serta disajikan dalam bentuk tabel. Hasil: Terdapat 64,7% dari total bakteri pada usapan tonsil mengandung biofilm. Kesimpulan: Lebih dari separuh sampel terdapat biofilm bakteri aerob pada usapan tonsil dengan metode tube pada penderita tonsilitis kronis. Background: Chronic tonsillitis is one of the most common infections in children and adults. Failure of antibiotic therapy in eradicating the bacteria that cause chronic tonsillitis is still being debated and is associated with the presence of biofilm on the tonsils. Biofilms play a role in chronic infections and recurrence of chronic tonsillitis. Purpose: To determine aerobic bacterial biofilm on tonsil swabs with tube method in patients with chronic tonsillitis. Methods: This was a descriptive study conducted on 96 respondents. Each sample underwent tonsillar swab and aerobic bacterial culture, followed by examination of the biofilm with tube method using crystal violet (0.1%) and compared with controls. Data were analyzed statistically using computer program, and presented in a tabular form. Results: There were 64.7% of total bacteria in tonsil swabs containing biofilm. Conclusion: More than half of the whole samples contained aerobic bacterial biofilms on tonsil swabs with tube method in patients with chronic tonsillitis.
AbstrakKasus aspirasi benda asing selalu memberikan tantangan bagi dokter spesialis Telinga Hidung Tenggorok Kepala dan Leher (THT-KL). Aspirasi benda asing lebih sering terjadi pada anak-anak khususnya pada umur 1-3 tahun dan jarang terjadi pada dewasa. Aspirasi peluit pada anak merupakan kasus yang banyak terjadi pada golongan benda asing anorganik. Untuk menegakkan diagnosis aspirasi benda asing diperlukan ketajaman anamnesis, pemeriksaan fisik dan hasil radiografi. Bronkoskopi merupakan teknik yang digunakan sebagai alat diagnostik dan terapeutik pada kasus aspirasi benda asing. Kasus aspirasi peluit pada tiga orang anak (2 laki-laki dan 1 perempuan) telah dilaporkan dan ditatalaksana menggunakan teknik bronkoskopi kaku. Kata kunci: Aspirasi benda asing, benda asing peluit, bronkoskopi AbstractForeign body aspiration continues to provide challenges for otorhinolaryngologists. Foreign body aspiration is more common in children, especially at the age of 1-3 years and rarely occurs in adults. Whistle aspiration in children is a case that occurs in many inorganic foreign body type. The diagnosis of foreign body aspiration based on discernment anamnesis, physical examination and radiographic results. Bronchoscopy is a technique that is used as a diagnostic and therapeutic tool in cases of foreign body aspiration.Cases of whistle aspiration in 3 children (2 males and 1 female)was reported and treated using rigid bronchoscopy technique. Arial 9 italic Keywords: foreign body aspiration, a whistle foreign body, bronchoscopy.
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