ASPEK FARMAKOLOGIS ANTIBAKTERI TOPIKAL DI BIDANG DERMATOLOGI
DOI:
https://doi.org/10.33820/mdvi.v52i4.571Keywords:
absorption, topical antibiotics, dermatology, side effects, ressitanceAbstract
Antibakteri topikal banyak digunakan dalam bidang dermatologi karena memiliki risiko efek samping sistemik lebih rendah dibandingkan antibakteri sistemik. Tinjauan pustaka ini menjelaskan aspek farmakologis antibakteri topikal, termasuk faktor-faktor yang memengaruhi absorpsi, risiko resistensi, dan efek sampingnya. Setidaknya, terdapat 20 faktor yang dapat memengaruhi absorpsi dari obat topikal, yang terdiri dari karakteristik obat, intensitas pajanan, serta kondisi kulit pengguna. Angka resistensi terhadap antibakteri topikal bervariasi tergantung jenis antibakteri yang digunakan. Resistensi ini berdampak negatif pada keberhasilan terapi pasien dan berpotensi menyebar ke populasi yang lebih luas. Resistensi dapat terjadi di tingkat populasi akibat penggunaan yang tidak rasional, maupun di tingkat individu akibat penggunaan berulang. Efek samping antibakteri topikal umumnya berupa reaksi alergi, namun beberapa obat misalnya benzoil peroksida dapat menyebabkan iritasi, sementara penggunaan perak sulfadiazin berisiko mengakibatkan akumulasi perak. Oleh karena itu, penggunaan antibakteri topikal secara rasional dengan mempertimbangkan profil farmakologis penting untuk menurunkan risiko resistensi, meningkatkan keberhasilan pengobatan, dan meminimalkan efek samping
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References
1. Van Beek MJ, Swerlick RA, Daveluy S, Kaye T, Aninos A, Burns A, et al. The 2023 Annual Report of DataDerm: The database of the American Academy of Dermatology. J Am Acad Dermatol. 2024;91(5):904–9.
2. BPOM. Peraturan Badan Pengawas Obat dan Makanan Nomor 24 Tahun 2021 Tentang Pengawasan Pengelolaan Obat, Bahan Obat, Narkotika, Psikotropika, dan Prekursor Farmasi di Fasilitas Pelayanan Kesehatan. [Disitasi 20 Januari 2025]. Dapat diunduh di: https://jdih.pom.go.id/download/rule/1303/24/2021
3. Rosa R, de Paula Baptista R, Tran TT, Cifuentes RO, Manzanillo K, Rosello G, et al. Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) harboring mupirocin and biocide resistance genes in a large health care system. Am J Infect Control. 2025;53(1):105–9.
4. Brunton LL, Hilal-Dandan R, Knollmann BC. Goodman & Gilman’s The Pharmacological Basis of Therapeutics. 13th ed. USA: McGraw-Hill; 2018.
5. Law RM, Ngo MA, Maibach HI. Twenty Clinically Pertinent Factors/Observations for Percutaneous Absorption in Humans. Am J Clin Dermatol. 2020;21(1):85–95.
6. Gupta AK, Talukder M, Venkataraman M, Bamimore MA. Minoxidil: a comprehensive review. J Dermatolog Treat. 2022;33(4):1896–906.
7. Zhu M, Su H, Bao Y, Li J, Su G. Experimental determination of octanol-water partition coefficient (KOW) of 39 liquid crystal monomers (LCMs) by use of the shake-flask method. Chemosphere. 2022;287(Pt 4):132407.
8. Katsarou S, Makris M, Vakirlis E, Gregoriou S. The Role of Tight Junctions in Atopic Dermatitis: A Systematic Review. J Clin Med. 2023;12(4):1538.
9. Dallo M, Patel K, Hebert AA. Topical Antibiotic Treatment in Dermatology. Antibiotics (Basel). 2023;12(2):188.
10. Bonamonte D, De Marco A, Giuffrida R, Conforti C, Barlusconi C, Foti C, et al. Topical antibiotics in the dermatological clinical practice: Indications, efficacy, and adverse effects. Dermatol Ther. 2020;33(6):e13824.
11. Bandyopadhyay D. Topical Antibacterials in Dermatology. Indian J Dermatol. 2021;66(2):117–25.
12. Koyanagi S, Koizumi J, Nakase K, Hayashi N, Horiuchi Y, Watanabe K, et al. Increased frequency of clindamycin-resistant Cutibacterium acnes strains isolated from Japanese patients with acne vulgaris caused by the prevalence of exogenous resistance genes. J Dermatol. 2023;50(6):793–9.
13. Legiawati L, Halim PA, Fitriani M, Hikmahrachim HG, Lim HW. Microbiomes in Acne Vulgaris and Their Susceptibility to Antibiotics in Indonesia: A Systematic Review and Meta-Analysis. Antibiotics (Basel). 2023;12(1):145.
14. Karadag AS, Aslan Kayıran M, Wu CY, Chen W, Parish LC. Antibiotic resistance in acne: changes, consequences and concerns. J Eur Acad Dermatol Venereol. 2021;35(1):73–8.
15. Dessinioti C, Katsambas A. Antibiotics and Antimicrobial Resistance in Acne: Epidemiological Trends and Clinical Practice Considerations. Yale J Biol Med. 2022;95(4):429–43.
16. Hajikhani B, Goudarzi M, Kakavandi S, Amini S, Zamani S, van Belkum A, et al. The global prevalence of fusidic acid resistance in clinical isolates of Staphylococcus aureus: a systematic review and meta-analysis. Antimicrob Resist Infect Control. 2021;10(1):75.
17. Wang S, Yang Z, Liu Y, Zhao MT, Zhao J, Zhang H, et al. Application of topical gentamicin-a new era in the treatment of genodermatosis. World J Pediatr. 2021;17(6):568–75.
18. Reynolds RV, Yeung H, Cheng CE, Cook-Bolden F, Desai SR, Druby KM, et al. Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol. 2024;90(5):1006.e1-1006.e30.
19. Kreft B, Wohlrab J. Contact allergies to topical antibiotic applications. Allergol Select. 2022;6:18–26.
20. de Groot A. Allergic Contact Dermatitis From Topical Drugs: An Overview. Dermatitis. 2021;32(4):197–213.
21. Iswati ET, Handayani E, Subrata SA, Masithoh RF, Wahyuningtyas ES, Nugroho SHP, et al. Silver sulfadiazine therapy for the management of burns. Br J Community Nurs. 2025;30(Sup3):S8–14.
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