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Lembar Pengesahan
USULAN SKRIPSI
Dibuat untuk memenuhi syarat mencapai gelar Sarjana Farmasi pada Fakultas
Farmasi Uneversitas Airlangga
2019
Oleh:
Dra. Esti Hendradi, Apt., M.Si., Ph.D. Dr. Tutiek Purwanti, Dra., M.Si., Apt
NIP. 195711141987032001 NIP. 195710021986012001
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DAFTAR ISI
Halaman
HALAMAN JUDUL........................................................................................
LEMBAR PENGESAHAN..............................................................................
DAFTAR ISI....................................................................................................
DAFTAR TABEL............................................................................................ vii
DAFTAR GAMBAR........................................................................................ viii
DAFTAR LAMPIRAN....................................................................................
DAFTAR SINGKATAN..................................................................................
BAB I PENDAHULLUAN
1.1.............................................................................. Latar Belakang
....................................................................................................1
1.2........................................................................ Rumusan Masalah
....................................................................................................7
1.3.......................................................................... Tujuan Penelitian
....................................................................................................8
1.4........................................................................ Manfaat Penelitian
....................................................................................................8
BAB II TINJAUAN PUSTAKA
2.1...................................... Tinjauan tentang Penyakit Tuberkulosis
2.1.1. Definisi Tuberkulosis.......................................................
2.1.2. Patogenesis dan Penularan Tuberkulosis.........................
2.1.3. Terapi Tuberkulosis......................................................... 10
2.1.4. Perkembangan Obat Tuberkulosis.................................. 14
2.2........................................................... Tinjauan tentang Probiotik
2.2.1. Definisi Probiotik............................................................. 15
2.2.2. Macam-macam Probiotik................................................. 15
2.2.3. Sifat Probiotik.................................................................. 16
2.2.4. Bakteri Asam Laktat (BAL)............................................ 17
2.2.5. Proses Fermentasi ........................................................... 17
2.2.6. Probiotik untuk Pengobatan Tuberkulosis ...................... 19
2.3............................................ Tinjauan tentang Mikroenkapsulasi
2.3.1. Definisi Mikroenkapsulasi............................................... 19
2.3.2. Tujuan Mikroenkapsulasi................................................ 20
2.4.......................................................... Tinjauan tentang Mikrosfer
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2.4.1. Definisi Mikrosfer........................................................... 21
2.4.2. Tipe Mikrosfer................................................................. 22
2.4.3. Teknik Pembuatan Mikrosfer.......................................... 24
2.5............................................................. Tinjauan tentang Polimer
2.5.1. Definisi Polimer .............................................................. 30
2.5.2. Polimer Alginat................................................................ 30
2.6.............................. Tinjauan tentang Bahan Penyambung Silang
2.6.1. Tinjauan tentang Kalsium Klorida................................... 33
2.6.2. Reaksi Sambung Silang................................................... 34
2.7..................................................... Tinjauan tentang Lioprotektan
..................................................................................................35
2.8.......................................................... Tinjauan tentang Liofilisasi
2.8.1. Definisi Liofilisasi .......................................................... 36
2.8.2. Tahapan Freeze Drying .................................................. 36
2.9......................... Faktor yang Mempengaruhi Pelepasan Probiotik
..................................................................................................38
2.10...................................................Tinjauan Uji Daya Antibakteri
.................................................................................................40
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Biomassa Sel Kering........................................................ 53
4.6.10 Evaluasi Karakteristik Mikrosfer.....................................
4.7 Analisis Data
4.7.1 Hasil Bentuk dan Permukaan Partikel.............................
4.7.2 Kandungan Lengas..........................................................
4.7.3 Hasil Uji Viabilitas Probiotik Biomassa Kering Setelah
Mikroenkapsulasi.............................................................
4.7.4 Hasil Uji Aktivitas Daya Hambat....................................
DAFTAR PUSTAKA.......................................................................................
LAMPIRAN.....................................................................................................
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DAFTAR TABEL
Halaman
II.1. Obat anti tuberkulosis lini pertama ...................................................... 12
II.2. Kisaran dosis obat anti tuberkulosis lini pertama bagi pasien dewasa... 12
II. 3. Keuntungan dan kerugian macam-macam metode enkapsulasi............ 29
IV. 1. Formula Mikrosfer Probiotik BAL Biomassa Sel Kering dengan
Konsentrasi Natrium Alginat yang berbeda....................................... 53
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DAFTAR GAMBAR
Halaman
2.1. Skematik umum dari proses fermentasi (Stanbury et al., 1995) .............. 18
2.2 Sistem enkapsulasi : (a) Tipe Reservoir, (b) Tipe Matriks, dan (c)
Tipe Matriks Coated (Burgain et al., 2011). ............................................. 20
2.3. Prosedur emulsifikasi (Burgain et al., 2011)............................................ 26
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DAFTAR LAMPIRAN
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DAFTAR SINGKATAN
μm = microgram
BB = Berat badan
E = Etambutol
g = gram
H = Isoniazid
IL-12 = Interleukin-12
INF- γ = Interfenon γ
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ISTC = International Standard for Tuberculosis Care
kg = kilogram
LM = Light microscopy
M = Molar
MC = Moisture Content
mg = miligram
nm = nanometer
R = Rifampisin
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RR-TB = Resisten Rifampisin Tuberkulosis
S = Streptomisin
TB = Tuberkulosis
Z = Pirazinamid
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