Pengaruh Kitosan secara Topikal terhadap Penyembuhan Luka Bakar Kimiawi pada Kulit Rattus norvegicus

Barii Hafidh Pramono, Rizqi Afrian Jamaludin Husein, Sri Tasminatun, Aditiya Pramudya Wardono

Abstract


Kontak antara kulit dengan zat kimia iritatif seperti asam sulfat dapat menyebabkan luka bakar kimiawi. Senyawa yang telah diteliti efektif mempunyai kemampuan mengakselerasi proliferasi sel, migrasi sel PMN, daya antiinfeksi, dan bersifat basa adalah kitosan. Penelitian ini bertujuan untuk menganalisis pengaruh kitosan secara topikal terhadap penyembuhan luka bakar kimiawi pada kulit tikus putih terinduksi asam sulfat. Penelitian eksperimental invivo, sebanyak 30 ekor tikus dibagi enam kelompok (kontrol tanpa perlakuan, kontrol vaselin, kontrol Bioplacenton®, salep kitosan dosis 1,25%, 2,5%, dan 5%). Luka bakar kimiawi diinduksi dengan 0,1 ml asam sulfat 75%. Data dianalisis dengan metode ANAVA dilanjutkan uji Tuckey. Waktu sembuh paling cepat adalah kelompok salep kitosan dosis 2,5% (20,2±2 ,9 hari) dan yang paling lama adalah kelompok kontrol tanpa perlakuan (30,4±4 ,8 hari). Pemberian salep kitosan dosis 1,25%, 2,5%, dan 5% signifikan mempercepat waktu sembuh dibandingkan kontrol tanpa perlakuan dan vaselin. Salep kitosan 2,5% paling signifikan mempercepat waktu sembuh dibandingkan kontrol tanpa perlakuan dan vaselin (p=0,003; p=0,006). Persentase penyembuhan kelompok salep kitosan 1 ,25%, 2,5%, dan 5% mempunyai kurva peningkatan persentase lebih tinggi dari semua kelompok kontrol. Salep kitosan 2,5% signifikan meningkatkan persentase penyembuhan dibandingkan semua kelompok kontrol termasuk kontrol positif® ( p=0,

 

 

Contact between skin with chemicals substance such as sulfuric acid can cause chemical burns. A compound that had been researched effective have ability to accelerate cell proliferation, migration of PMN cells, the anti-infective, and the base pH is Chitosan. The aims is to determine the effect of topical chitosan on chemical burn healing in skin rat induced sulfuric acid. Experimental in-vivo with  30 female rats divided into six groups (control without treatment, Vaseline control, Bioplacenton® control, Chitosan ointment 1.25%, 2.5%, and 5% dose). Chemical burn was induced with 0.1 ml of 75% sulfuric. Data were analyzed by Anova method continued with Tuckey test. The results of healing time which fastest was Chitosan ointment 2.5% (20.2±2.9 days) and which longest was control without treatment group (30.4±4.8 days). Chitosan ointment 1.25%, 2.5%, and 5% dose significantly accelerated healing time compared with without treatment and Vaseline control groups. Chitosan ointment 2.5% most significantly accelerated the healing time compared with without treatment and Vaseline control (p=0.003 p=0.006). The healing percentage of Chitosan ointment 1.25%, 2.5%, and 5% dose have higher percentage increasing curve than all control groups. Chitosan ointment 2.5% dose significantly increased the healing percentage than all control groups including positive control (p=0.008). It was concluded that chitosan have an influence on the healing of chemical burn.

 


Keywords


kitosan; luka bakar kimiawi; penyembuhan luka; persentase penyembuhan; waktu sembuh; chitosan; chemical burn; wound healing; healing percentage; healing time

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References


Wasitaatmadja, S.M. Ilmu Penyakit Kulit dan Kelamin: Anatomi Kulit. Jakarta: Balai Penerbit FKUI. 2007.

Corwin, E.J. Buku Saku Patofisiologi, Edisi 1. Jakarta: EGC. 2001.

Sularsito, S.A. dan Djuanda, S. Ilmu Penyakit Kulit dan Kelamin: Dermatitis. Jakarta: Balai Penerbit FKUI. 2007.

Moenajat, S.B. Luka Bakar dan Penanganannya. Jakarta: Balai Penerbit FKUI. 2003.

American College of Surgeons. Advance Trauma Life Support ® For Doctors 7th Edition. Chicago, USA. 2004.

Departemen Kesehatan RI. Riset Kesehatan Dasar (Riskesdas) 2007: Laporan Nasional. Jakarta. 2008.

Cox, R.D. Chemical Burns. 2008. Diakses 12 Januari 2009, dari http://emedicine.medscape. com/article/769336-overview

Khasim, B. Trauma Wajah, Luka Bakar dan Luka Avulsi. Cermin Dunia Kedokteran, Edisi Khusus. 1992; 80: 31-34.

Shelma R., Paul, W. and Sharma C.P. Chitin Nanofibre Reinforced Thin Chitosan Films for Wound Healing Application. Trends Biomaterials and Artificial Organs, 2008; 22 (2): 111115.

Kojima, K., Okamoto, Y., Kojima, K., Miyatake, K., Fujise, H., Shigemasa, Y., dkk. Effects of Chitin and Chitosan on Collagen Synthesis in Wound Healing. J Vet Med Sci, 2004; 66 (12): 1595-1598.

Sezer, D.A., Hatipoglu, F., Cevher, E., Ogurtan, Z., Bas, A.L. & Akbuga, J. Chitosan Film Containing Fucoidan as a Wound Dressing for Dermal Burn Healing: Preparation and In Vitro/In Vivo Evaluation. AAPS PharmSciTech, 2007; 8 (2): Article 39.

Paul, W. and Sharma, C.P. Chitosan and Alginate Wound Dressings: A Short Review. Trends Biomaterial, 2004; 18 (1): 18-23.

Okamoto, Y., Shibazaki, K., Minami, S., Matsuhashi, A., Tanioka, S. and Shigemasa, Y. Evaluation of Chitin and Chitosan on Open Wound Healing in Dogs. J Vet Med Sci. 2003; 57 (5): 851-4.

Mori, T. Study on The Mechanisms of Wound Healing Acceleration by Chitin and Chitosan. Jpn J Vet Res, 1998; 46 (2-3): 113-114.

Minami, S. Mechanisms of Wound Healing Acceleration by Chitin and Chitosan. Jpn. J Vet Res, 1997; 44 (4) 218-219.

Burkatovskaya, M., Tegos, G.P., Swietlik E., Demidova, T.N, Sactano A.P. and Hamblin M.R. Use of Chitosan Bandage to Prevent Fatal Infections Developing from Highly Contaminated Wounds in Mice. Biomater. 2006; 27 (22): 4157-4164.

Ramisz, A.B., Pajak, A.W., Pilarczyk, B., Ramisz, A., Laurans, L. Antibacterial and Antifungal Activity of Chitosan. ISAH 2005 - Warsaw, Poland, 2005; 2: 406-408.

Masami, I., Hiromichi, O., Rui, I., Masahiro, N., Kiyotaka, W., Seiichi, K., dkk. Effect of Liquid Chitosan in Wound Healing of Cattle. J Clin Vet Med, 2002; 20 (2):46-49.

Park, J.W., Choi, K.H. and Park, K.K. Acid Base Equilibria and Related Properties of Chitosan. Bulletin of Koreans Chemical Society, 1983 ; 4 (2): 68-72.

Chiba, Y., Kamada, A., Sugashima, S., Taya, K., Matsubuchi, S., Saito, T., dkk. Effects of Intravenous Administration of Chitosan Oligosaccharide on the Wound Healing Process of Oral Mucosal Injury in Mice. Ohu University Dental Journal. 2006; 33 (4): 207-213

Jinab, Y., Lingab, P.X., Heb, Y.L. and Zhangab, T.M. Effects of Chitosan and Heparin on Early Extension of Burns. Burns. 2006; 33 (8): 10271031.

Romo T, Pearson JM, Yalamanchili H, Zoumalan RA. Wound Healing, Skin. Medscape Web site. emedicine.medscape.com/ article/884594-overview. Accessed January 5, 2009.

Azad, A.K., Sermsintham, N., Chandrkrachang, S. and Stevens W.S. Chitosan Membrane as a Wound Healing Dressing: Characterization and Clinical Application. J Biomed Mat Res. 2004; 69 (2): 216-22.

Mizuno, K., Yamamura, K., Yano, K., Osada, T., Saeki, S., Takimoto, N., dkk. Effect of Chitosan Film Containing Basic Fibroblast Growth Factor on Wound Healing in Genetically Diabetic Mice. J. of Biomed Mat Res. 2002 ; 64A (1): 177-181.




DOI: https://doi.org/10.18196/mmjkk.v12i3.1046

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