ABSTRAKStaphylococcus aureus (S.aureus) merupakan penyebab penting infeksi serius di rumah sakit maupun komunitas di seluruh dunia. Pengobatan infeksi S.aureus menjadi semakin kompleks karena munculnya strain methicillin-resistant S.aureus (MRSA) strain. Meskipun begitu, ampisilin masih direkomendasikan sebagai antibiotik pada terapi infeksi S.aureus di rumah sakit Malang. Sementara itu ampisilin dapat dikonsumsi secara bebas di masyarakat. Penelitian ini dilakukan untuk menguji efektifitas ampisilin terhadap isolat S. aureus dari rumah sakit dan komunitas. Tes sensitivitas dilakukan dengan tube dilution method untuk mengukur kadar hambat minimum (KHM) pada setiap isolat dengan berbagai konsentrasi yaitu 0 µg/ml, 1,25 µg/ml, 2,5 µg/ml, 5 µg/ml, 10 µg/ml, 20 µg/ml, dan 40 µg/ml. Hasil menunjukkan bahwa KHM pada isolat rumah sakit lebih rendah (≥ 2,5 µg/ml) dibandingkan isolate komunitas (≥ 20 µg/ml). Hasil uji regresi linier menunjukkan hubungan yang lemah antara peningkatan dosis ampisilin dan pertumbuhan koloni S. aureus baik pada isolat rumah sakit (r=-0,651, p<0,05) maupun komunitas (r=-0,489, p<0,05). Dapat disimpulkan bahwa S.aureus di rumah sakit dan komunitas resisten dengan ampisilin, dengan tingkat resistensi lebih tinggi pada komunitas. : 0 µg/ml, 1,25 µg/ml, 2,5 µg/ml, 5 µg/ml, 10 µg/ml, 20 µg/ml, dan 40 µg/ml. This study showed resulted that the MIC value of ampicillin to clinical isolates and community isolates was ≥2,5 µg/ml and ≥20 µg/ml, respectively. The simple linier regression revealed the inadequate correlation between ampicillin concentration and the number of bacterial growth of clinical isolates and community isolates (r=-0,651, p<0,05 and r=-0,489, p<0,05, respectively). It can be concluded that the S.aureus originated from hospital and community were resistant to ampicillin with higher resistance level in community isolates. Kata Kunci: Ampisilin, antibiotic sensitivity test, Staphylococcus aureus ABSTRACT Staphylococcus aureus (S.aureus) is recognized as an important pathogen causes serious infection in hospital and community worldwide. Treatment of S.aureus infection becomes more complicated because the emerging of methicillinresistant S.aureus (MRSA) strain. However, ampicillin is still recommended as antibiotic therapy to S.aureus infection in hospital around Malang city, Indonesia. Meanwhile Ampisillin is freely consumed in the community. This study aimed to evaluate the effectiveness of ampicillin toward hospital and community isolates of S.aureus. The antibiotic sensitivity test was performed by tube dilution method to determine the minimum inhibition concentration (MIC) value of ampicillin to each type of isolates with the concentration of ampicillin as follows
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