Azitromisin Peroral sebagai Pilihan Terapi Tonsilitis

  • Ni'ma Nabila Putri Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Lampung
Keywords: azythromycin, chronic, tonsillitis

Abstract

Tonsilektomi untuk tatalaksana tonsilitis dikaitkan dengan risiko signifikan perdarahan primer dan sekunder, serta prosedurnya yang bersifat invasif. Azitromisin merupakan antibiotik kelas makrolida yang telah disetujui di lebih dari 100 negara di seluruh dunia untuk pengobatan berbagai infeksi yang didapat dari komunitas, termasuk infeksi saluran pernapasan, saluran genitourinari, dan kulit. Oleh karena itu, literatur review ini bertujuan untuk mengetahui efek dari pemberian azitromisin sebagai pilihan terapi untuk tatalaksana tonsililitis. Artikel ini ditulis menggunakan metode literature review yang dilakukan melalui literature searching dari berbagai jurnal baik nasional serta internasional dari tahun 2009 – 2021, dan dipilih 17 artikel. Penulis mendapatkan referensi dari database NCBI, Pubmed dan Google Scholar dengan kata kunci yang digunakan dalam penelusuran antara lain ‘azythromycin, chronic dan tonsillitis’. Dari artikel yang didapatkan selanjutnya dianalisis dengan    metode systemic literature review. Berbagai hasil penelitian menunjukkan azitromisin sebagai pilihan terapi untuk tonsilitis, tidak hanya efektif melawan bakteri patogen saluran pernapasan atas yang paling umum seperti streptokokus grup A, S. pneumoniae, H. influenzae dan M. catarrhalis, tetapi juga memiliki profil keamanan yang baik. Namun harus dilakukan penelitian lebih lanjut terkait pemberian azitromisin pada tonsilitis di masa mendatang.

References

Abdel-Naby Awad, O. G. (2020). Echinacea can help with Azithromycin in prevention of recurrent tonsillitis in children. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 41(4). https://doi.org/10.1016/j.amjoto.2019.102344

Day, M. J., Spiteri, G., Jacobsson, S., Woodford, N., Amato-Gauci, A. J., Cole, M. J., Unemo, M., Indra, A., Huhlescu, S., vanden Berghe, W., Crucitti, T., Hunjak, B., Nemeth Blažić, T., Kubele, J., Zákoucká, H., Žemličková, H., Berthelsen, L., Cowan, S., Hoffmann, S., … Irvine, N. (2018). Stably high azithromycin resistance and decreasing ceftriaxone susceptibility in Neisseria gonorrhoeae in 25 European countries, 2016. BMC Infectious Diseases, 18(1), 1–8. https://doi.org/10.1186/S12879-018-3528-4/FIGURES/3

Donde, S., Mishra, A., & Kochhar, P. (2014). Azithromycin in Acute Bacterial Upper Respiratory Tract Infections: An Indian Non-Interventional Study. Indian Journal of Otolaryngology and Head and Neck Surgery, 66(SUPPL.1), 225–230. https://doi.org/10.1007/s12070-011-0437-x

el Hennawi, D. E. D., Geneid, A., Zaher, S., & Ahmed, M. R. (2017). Management of recurrent tonsillitis in children. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 38(4), 371–374. https://doi.org/10.1016/j.amjoto.2017.03.001

el Hennawi, D. E. D. M., & Ahmed, M. R. (2016). Quality of life after tonsillectomy versus azithromycin. Interventional Medicine and Applied Science, 8(4), 141–146. https://doi.org/10.1556/1646.8.2016.4.2

Feleszko, W., Marengo, R., Antonio, |, Vieira, S., & Ratajczak, K. (2019). Immunity-targeted approaches to the management of chronic and recurrent upper respiratory tract disorders in children. Clinical Otolaryngology, 44, 502–510. https://doi.org/10.1111/coa.13335

Georgalas, C. C., Tolley, N. S., & Narulla, A. (2014, April 22). Tonsillitis. BMJ Clinical Evidence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4106232/pdf/2014-0503.pdf

Jorgensen, D. M. (2009). Single-dose extended-release oral azithromycin vs. 3-day azithromycin for the treatment of group A β-haemolytic streptococcal pharyngitis/tonsillitis in adults and adolescents: A double-blind, double-dummy study. Clinical Microbiology and Infection, 15(12), 1103–1110. https://doi.org/10.1111/j.1469-0691.2009.02718.x

Keenan, J. D., Bailey, R. L., West, S. K., Arzika, A. M., Hart, J., Weaver, J., Kalua, K., Mrango, Z., Ray, K. J., Cook, C., Lebas, E., O’Brien, K. S., Emerson, P. M., Porco, T. C., & Lietman, T. M. (2018). Azithromycin to Reduce Childhood Mortality in Sub-Saharan Africa. New England Journal of Medicine, 378(17), 1583–1592. https://doi.org/10.1056/nejmoa1715474

Li, D., & Wang, Y. (2021). Safety of azithromycin in pediatric infectious diseases: a clinical systematic review and meta-analysis. Translational Pediatrics, 10(10), 2594–2601. https://doi.org/10.21037/tp-21-444

Li, P., Jiang, G., & Shen, X. (2019). Evaluation of 3-day azithromycin or 5-day cefaclor in comparison with 10-day amoxicillin for treatment of tonsillitis in children. Canadian Journal of Physiology and Pharmacology, 97(10), 939–944. https://doi.org/10.1139/cjpp-2019-0087

Oshikoya, K. A., Wharton, G. T., Avant, D., van Driest, S. L., Fenn, N. E., Lardieri, A., Doe, E., Sood, B. G., Taketomo, C., Lieu, P., Yen, L., & McMahon, A. W. (2019). Serious Adverse Events Associated with Off-Label Use of Azithromycin or Fentanyl in Children in Intensive Care Units: A Retrospective Chart Review. In Pediatric Drugs (Vol. 21, Issue 1, pp. 47–58). Springer International Publishing. https://doi.org/10.1007/s40272-018-0318-9

Qiu, J. L., Huang, L., Shao, M. Y., Chai, Y. N., Zhang, H. J., Li, X. F., Sun, X. X., Zhao, Q. Y., Duan, F., & Zhai, W. S. (2020). Efficacy and safety of azithromycin combined with glucocorticoid on refractory Mycoplasma pneumoniae pneumonia in children: A PRISMA-compliant systematic review and meta-analysis. Medicine, 99(22), e20121. https://doi.org/10.1097/MD.0000000000020121

Tita, A. T. N., Szychowski, J. M., Boggess, K., Saade, G., Longo, S., Clark, E., Esplin, S., Cleary, K., Wapner, R., Letson, K., Owens, M., Abramovici, A., Ambalavanan, N., Cutter, G., & Andrews, W. (2016). Adjunctive Azithromycin Prophylaxis for Cesarean Delivery. New England Journal of Medicine, 375(13), 1231–1241. https://doi.org/10.1056/nejmoa1602044

van Brusselen, D., Vlieghe, E., Schelstraete, P., de Meulder, F., Vandeputte, C., Garmyn, K., Laffut, W., van de Voorde, P., van Brusselen, D., Vlieghe, E., Schelstraete, P., de Meulder, F., & Laffut, W. (2014). Streptococcal pharyngitis in children: to treat or not to treat? J Pediatr, 173, 1275–1283. https://doi.org/10.1007/s00431-014-2395-2

Windfuhr, J. P., Toepfner, N., Steffen, • Gregor, Waldfahrer, • Frank, & Berner, • Reinhard. (2016). Clinical practice guideline: tonsillitis I. Diagnostics and nonsurgical management. European Archives of Oto-Rhino-Laryngology, 273(4), 973–987. https://doi.org/10.1007/s00405-015-3872-6

Zhou, P., Wang, X., Zhang, X., Xu, B., Tong, X., Zhou, W., Shen, K., & Zhai, S. (2021). Recommendations on off-label use of intravenous azithromycin in children. International Journal of Clinical Practice, 75(7). https://doi.org/10.1111/ijcp.14010

Published
2022-05-01
How to Cite
Putri, N. (2022). Azitromisin Peroral sebagai Pilihan Terapi Tonsilitis. Jurnal Penelitian Perawat Profesional, 4(2), 575-580. https://doi.org/10.37287/jppp.v4i2.789