PEMERIKSAAN MIKROBIOLOGI PADA ASPERGILOSIS PULMONAL

Authors

  • Rifta Sari Program Studi Mikrobiologi Klinik, Fakultas Kedokteran, Universitas Indonesia
  • Ahmad Arfan Program Studi Mikrobiologi Klinik, Fakultas Kedokteran, Universitas Indonesia
  • Anis Karuniawati Program Studi Mikrobiologi Klinik, Fakultas Kedokteran, Universitas Indonesia
  • Budi Haryanto Program Studi Mikrobiologi Klinik, Fakultas Kedokteran, Universitas Indonesia

DOI:

https://doi.org/10.31004/prepotif.v10i1.54309

Keywords:

aspergilosis pulmonal, microbiological evaluation, lung disease

Abstract

Aspergilosis pulmonal merupakan infeksi jamur oportunistik yang disebabkan oleh Aspergillus spp. dan memiliki spektrum klinis luas, mulai dari bentuk alergi, kronik, hingga invasif yang mengancam jiwa. Peningkatan jumlah pasien imunokompromais, penyakit paru kronis, serta penggunaan kortikosteroid jangka panjang berkontribusi terhadap meningkatnya insidensi aspergilosis paru. Diagnosis penyakit ini masih menjadi tantangan karena gejala klinis dan temuan radiologis sering tidak spesifik serta menyerupai penyakit paru lain, seperti tuberkulosis dan keganasan paru. Artikel ini bertujuan untuk mengkaji secara komprehensif pemeriksaan mikrobiologi pada aspergilosis pulmonal, meliputi pemeriksaan mikroskopis langsung, kultur jamur, identifikasi spesies, uji kepekaan antijamur, pemeriksaan serologi, serta deteksi molekuler. Metode yang digunakan adalah studi kepustakaan dengan pendekatan deskriptif naratif terhadap literatur ilmiah nasional dan internasional sepuluh tahun terakhir. Hasil kajian menunjukkan bahwa pemeriksaan mikrobiologi memegang peranan penting dalam menunjang diagnosis aspergilosis pulmonal, namun harus diinterpretasikan bersama data klinis dan radiologis untuk membedakan kolonisasi, kontaminasi, dan infeksi aktif. Cairan bronchoalveolar lavage (BAL) merupakan spesimen terbaik untuk berbagai metode diagnostik. Kombinasi pemeriksaan kultur, serologi, dan biomarker jamur seperti galaktomanan dapat meningkatkan akurasi diagnosis dan membantu penatalaksanaan yang tepat.

References

Abdel Gawad, K. M. (2021). Aspergillus fumigatus and Aspergillosis. American Journal of Biomedical Science & Research, 14(6), 495–499. https://doi.org/10.34297/AJBSR.2021.14.002043

Barnes, R. A., White, P. L., Morton, C. O., Rogers, T. R., Cruciani, M., Loeffler, J., & Donnelly, J. P. (2018). Diagnosis of aspergillosis by PCR: Clinical considerations and technical tips. Medical Mycology, 56(suppl_1), S60–S72. https://doi.org/10.1093/mmy/myx091

Cadena, J., Thompson, G. R., & Patterson, T. F. (2021). Aspergillosis. Infectious Disease Clinics of North America, 35(2), 415–434. https://doi.org/10.1016/j.idc.2021.03.008

Denning, D. W. (2024). Global incidence and mortality of severe fungal disease. The Lancet Infectious Diseases, 24(7), e428–e438. https://doi.org/10.1016/S1473-3099(23)00692-8

Earle, K., Valero, C., Conn, D. P., Vere, G., Cook, P. C., Bromley, M. J., Bowyer, P., & Gago, S. (2023). Pathogenicity and virulence of Aspergillus fumigatus. Virulence, 14(1). https://doi.org/10.1080/21505594.2023.2172264

Gaffney, S., Kelly, D. M., Rameli, P. M., Kelleher, E., & Martin‐Loeches, I. (2023). Invasive pulmonary aspergillosis in the intensive care unit: current challenges and best practices. APMIS, 131(11), 654–667. https://doi.org/10.1111/apm.13316

Garcia-Vidal, C., Peghin, M., Cervera, C., Gudiol, C., Ruiz-Camps, I., Moreno, A., Royo-Cebrecos, C., Roselló, E., de la Bellacasa, J. P., Ayats, J., & Carratalà, J. (2015). Causes of Death in a Contemporary Cohort of Patients with Invasive Aspergillosis. PLOS ONE, 10(3), e0120370. https://doi.org/10.1371/journal.pone.0120370

Jenks, J. D., Miceli, M. H., Prattes, J., Mercier, T., & Hoenigl, M. (2020). The Aspergillus Lateral Flow Assay for the Diagnosis of Invasive Aspergillosis: an Update. Current Fungal Infection Reports, 14(4), 378–383. https://doi.org/10.1007/s12281-020-00409-z

Lamoth, F., & Calandra, T. (2022). Pulmonary aspergillosis: diagnosis and treatment. European Respiratory Review, 31(166), 220114. https://doi.org/10.1183/16000617.0114-2022

Larkin, P. M. K., Multani, A., Beaird, O. E., Dayo, A. J., Fishbein, G. A., & Yang, S. (2020). A Collaborative Tale of Diagnosing and Treating Chronic Pulmonary Aspergillosis, from the Perspectives of Clinical Microbiologists, Surgical Pathologists, and Infectious Disease Clinicians. Journal of Fungi, 6(3), 106. https://doi.org/10.3390/jof6030106

Lass-Flörl, C. (2019). How to make a fast diagnosis in invasive aspergillosis. Medical Mycology, 57(Supplement_2), S155–S160. https://doi.org/10.1093/mmy/myy103

Latgé, J.-P., & Chamilos, G. (2019). Aspergillus fumigatus and Aspergillosis in 2019. Clinical Microbiology Reviews, 33(1). https://doi.org/10.1128/CMR.00140-18

Patterson, T. F., Thompson, G. R., Denning, D. W., Fishman, J. A., Hadley, S., Herbrecht, R., Kontoyiannis, D. P., Marr, K. A., Morrison, V. A., Nguyen, M. H., Segal, B. H., Steinbach, W. J., Stevens, D. A., Walsh, T. J., Wingard, J. R., Young, J.-A. H., & Bennett, J. E. (2016). Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 63(4), e1–e60. https://doi.org/10.1093/cid/ciw326

Rozaliyani, A., Rosianawati, H., Handayani, D., Agustin, H., Zaini, J., Syam, R., Adawiyah, R., Tugiran, M., Setianingrum, F., Burhan, E., Kosmidis, C., & Wahyuningsih, R. (2020). Chronic Pulmonary Aspergillosis in Post Tuberculosis Patients in Indonesia and the Role of LDBio Aspergillus ICT as Part of the Diagnosis Scheme. Journal of Fungi, 6(4), 318. https://doi.org/10.3390/jof6040318

Russo, A., Tiseo, G., Falcone, M., & Menichetti, F. (2020a). Pulmonary Aspergillosis: An Evolving Challenge for Diagnosis and Treatment. Infectious Diseases and Therapy, 9(3), 511–524. https://doi.org/10.1007/s40121-020-00315-4

Russo, A., Tiseo, G., Falcone, M., & Menichetti, F. (2020b). Pulmonary Aspergillosis: An Evolving Challenge for Diagnosis and Treatment. Infectious Diseases and Therapy, 9(3), 511–524. https://doi.org/10.1007/s40121-020-00315-4

Stein, M., Tran, V., Nichol, K. A., Lagacé‐Wiens, P., Pieroni, P., Adam, H. J., Turenne, C., Walkty, A. J., Normand, A., Hendrickx, M., Piarroux, R., & Karlowsky, J. A. (2018). Evaluation of three MALDI ‐ TOF mass spectrometry libraries for the identification of filamentous fungi in three clinical microbiology laboratories in Manitoba, Canada. Mycoses, 61(10), 743–753. https://doi.org/10.1111/myc.12800

Takazono, T., & Izumikawa, K. (2018). Recent Advances in Diagnosing Chronic Pulmonary Aspergillosis. Frontiers in Microbiology, 9. https://doi.org/10.3389/fmicb.2018.01810

Tobin EH, Gilotra TS, & Baradhi KM. (n.d.). Aspergilloma.

Ullmann, A. J., Aguado, J. M., Arikan-Akdagli, S., Denning, D. W., Groll, A. H., Lagrou, K., Lass-Flörl, C., Lewis, R. E., Munoz, P., Verweij, P. E., Warris, A., Ader, F., Akova, M., Arendrup, M. C., Barnes, R. A., Beigelman-Aubry, C., Blot, S., Bouza, E., Brüggemann, R. J. M., … Cornely, O. A. (2018). Diagnosis and management of Aspergillus diseases: executive summary of the 2017 ESCMID-ECMM-ERS guideline. Clinical Microbiology and Infection, 24, e1–e38. https://doi.org/10.1016/j.cmi.2018.01.002

van de Veerdonk, F. L., Gresnigt, M. S., Romani, L., Netea, M. G., & Latgé, J.-P. (2017). Aspergillus fumigatus morphology and dynamic host interactions. Nature Reviews Microbiology, 15(11), 661–674. https://doi.org/10.1038/nrmicro.2017.90

Wahyuningsih, R., Adawiyah, R., Sjam, R., Prihartono, J., Ayu Tri Wulandari, E., Rozaliyani, A., Ronny, R., Imran, D., Tugiran, M., Siagian, F. E., & Denning, D. W. (2021). Serious fungal disease incidence and prevalence in Indonesia. Mycoses, 64(10), 1203–1212. https://doi.org/10.1111/myc.13304

Wiederhold, N. P. (2023). Antifungal Susceptibility of Yeasts and Filamentous Fungi by CLSI Broth Microdilution Testing (pp. 3–16). https://doi.org/10.1007/978-1-0716-3155-3_1

Downloads

Published

2026-02-13

How to Cite

Sari, R., Arfan, A., Karuniawati, A., & Haryanto, B. (2026). PEMERIKSAAN MIKROBIOLOGI PADA ASPERGILOSIS PULMONAL. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 10(1), 175–185. https://doi.org/10.31004/prepotif.v10i1.54309

Issue

Section

Articles