Deteksi Mikrobiota Plasenta Menggunakan PCR 16s rRNA Pada Persalinan Preterm
https://doi.org/10.33860/jik.v15i4.793
Keywords:
Plasenta, Mikrobiota, gen 16S rRNA, PretermAbstract
Persalinan preterm adalah persalinan sebelum gestasi 37 minggu. Penelitian ini bertujuan untuk mendeteksi bakteri dalam plasenta yang paling sering muncul dan besar risiko terhadap kejadian persalinan preterm menggunakan PCR 16S rRNA. Desain penelitian adalah hybrid dengan desain cross sectional study dan case kontrol. Pengambilan sampel dilakukan dengan teknik purposive sampling pada ibu bersalin di Rumah Sakit Khusus Daerah Ibu dan Anak Siti Fatimah Makassar, Rumah Sakit Ibu dan Anak Siti Khadija I Makassar, dan Rumah Sakit Umum Daerah Kota Makassar pada Juni sampai Agustus 2019. Sampel penelitian terdiri dari 50 plasenta ibu bersalin, yang terdiri dari 25 ibu bersalin preterm (kasus) dan 25 ibu bersalin aterm (kontrol). Hasil analisa nucleotide BLAS, didapatkan bakteri Stenotrophomonas maltophilia (36,0%) merupakan bakteri modus tertinggi yang muncul pada plasenta preterm dan terdapat hubungan yang signifikan (p-value=0.039) terhadap kejadian persalinan preterm dengan nilai OR = 5.905 yang berarti ibu yang terinfeksi bakteri Stenotrophomonas maltophilia mempunyai risiko 5.905 kali untuk mengalami persalinan preterm, kemudian bakteri Acinetobacter sp. (12,0%) sedangkan modus tertinggi yang muncul pada plasenta aterm adalah bakteri Pseudomonas sp (21,7%) dan Bacillus (13%). Terdapat mikrobiota pada plasenta persalinan aterm maupun plasenta preterm, dan bakteri Stenotrophomonas maltophilia merupakan bakteri modus tertinggi yang muncul pada plasenta preterm dengan nilai OR = 5.905 yang berarti ibu yang terinfeksi bakteri Stenotrophomonas maltophilia mempunyai risiko 5.905 kali lipat untuk mengalami persalinan preterm
References
Abaraya M, Seid S, Ibro S. Determinants of preterm birth at Jimma University Medical Center, southwest Ethiopia. Pediatr Heal Med Ther. 2018;Volume 9:101–7.
Ardissone AN, De La Cruz DM, Davis-Richardson AG, Rechcigl KT, Li N, Drew JC, et al. Meconium microbiome analysis identifies bacteria correlated with premature birth. PLoS One. 2014;9(3):1–8.
Doyle RM, Harris K, Kamiza S, Harjunmaa U, Ashorn U, Nkhoma M, et al. Bacterial communities found in placental tissues are associated with severe chorioamnionitis and adverse birth outcomes. PLoS One. 2017;12(7).
Sweeney EL, Kallapur SG, Gisslen T, Lambers DS, Chougnet CA, Stephenson SA, et al. Placental Infection with Ureaplasma species is Associated with Histologic Chorioamnionitis and Adverse Outcomes in Moderately Preterm and Late-Preterm Infants. J Infect Dis. 2016;213(8):1340–7.
Cunningham, Leveno, Bloom, Hauth, Rouse, Spong. Obstetri Williams. In: Obstetri Wiliams. 2014. p. 81–4.
Wandita S. Nutrisi pada Bayi Prematur. Kumpul Makal Pertem Ilm Tah Ilmu Kesehat Anak VIII. 2016;180–6.
Global T, Report A, March of Dimes, PMNCH S the C, WHO, Eds CP Howson, MV Kinney JLWHOG. WHO 2012 Born too soon. CP Howson, MV Kinney, JE Lawn Eds World Heal Organ Publ Geneva. 2012;13(5):1–126.
Sulistiarini D, Berliana M. Faktor-faktor yang Mempengaruhi Kelahiran Prematur di Indonesia: Analisis Data Riskesdas 2013. Dan Lingkung. 2016;109.
Stout MJ, Conlon B, Landeau M, Lee I, Bower C, Zhao Q, et al. Identification of intracellular bacteria in the basal plate of the human placenta in term and preterm gestations. Am J Obstet Gynecol. 2013;208(3):226.e1-226.e7.
Wang X, Buhimschi CS, Temoin S, Bhandari V, Han YW, Buhimschi IA. Comparative Microbial Analysis of Paired Amniotic Fluid and Cord Blood from Pregnancies Complicated by Preterm Birth and Early-Onset Neonatal Sepsis. PLoS One. 2013;8(2).
Aagaard K, Ma J, Antony KM, Ganu R, Petrosino J, Versalovic J. The placenta harbors a unique microbiome. Sci Transl Med. 2014;6(237):1–22.
Pelzer E, Gomez-Arango LF, Barrett HL, Nitert MD. Review: Maternal health and the placental microbiome. Placenta [Internet]. Elsevier Ltd; 2017;54:30–7. Available from: http://dx.doi.org/10.1016/j.placenta.2016.12.003
Kuperman AA, Koren O. Antibiotic use during pregnancy: How bad is it? BMC Med [Internet]. BMC Medicine; 2016;14(1):1–7. Available from: http://dx.doi.org/10.1186/s12916-016-0636-0
Jones HE, Harris KA, Azizia M, Bank L, Carpenter B, Hartley JC, et al. Differing prevalence and diversity of bacterial species in fetal membranes from very preterm and term labor. PLoS One. 2009;4(12).
Cao B, Stout J, Lee I, Mysorekar U. Placental microbiome and its role in preterm birth. Neoreviews. 2014;15(12):e537–45.
Parnell LA, Briggs CM, Mysorekar IU. Maternal microbiomes in preterm birth: Recent progress and analytical pipelines. Vol. 41, Seminars in Perinatology. 2017. p. 392–400.
Leiby JS, McCormick K, Sherrill-Mix S, Clarke EL, Kessler LR, Taylor LJ, et al. Lack of detection of a human placenta microbiome in samples from preterm and term deliveries. Microbiome. 2018;6(1):196.
Ardissone AN, De La Cruz DM, Davis-Richardson AG, Rechcigl KT, Li N, Drew JC, et al. Meconium microbiome analysis identifies bacteria correlated with premature birth. PLoS One. 2014;9(3).
Koleva PT, Kim JS, Guttman DS, Sears MR, Becker AB, Mandhane PJ, et al. Impact of maternal overweight during pregnancy on the newborn gut microbiome. Birth Defects Res Part A - Clin Mol Teratol. 2015;103(5):378.
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