ANALISIS GAMBARAN KADAR ANTI STREPTOLISIN O (ASTO) PADA PENDERITA TONSILITIS DI PUSKESMAS SUKARAMI KOTA PALEMBANG

Latar Belakang: Tonsilitis adalah peradangan pada tonsil palatina, bagian dari
cincin Waldeyer di tenggorokan, yang bisa dikarenakan oleh infeksi virus maupun
bakteri. Pemeriksaan ASTO merupakan suatu pemeriksaan darah yang digunakan
untuk mendeteksi keberadaan antibodi terhadap antigen yang dihasilkan oleh
Streptococcus grup A. Tujuan Penelitian: Mengetahui analisis gambaran kadar
Anti Streptolisin O (ASTO) pada penderita tonsilitis di Puskesmas Sukarami Kota
Palembang. Metode Penelitian: Penelitian bersifat deskriptif observasional dengan
teknik pengambilan sampel accidental sampling. Sampel penelitian sebanyak 30
penderita. Pemeriksaan kadar ASTO menggunakan metode aglutinasi latex
menggunakan reagen latex glory. Hasil Penelitian: Distribusi kadar ASTO positif
satu 30%, positif dua 6,7%, positif tiga 16,7% dan negatif 46,6%. Berdasarkan

kategori umur, kadar ASTO positif mayoritas pada remaja 77% dibandingkan anak-
anak 35,3%. Berdasarkan jenis kelamin, kadar ASTO positif mayoritas pada laki-
laki 58,4% dibandingkan perempuan 50%. Berdasarkan frekuensi infeksi tonsilitis,

kadar ASTO positif mayoritas pada frekuensi infeksi tonsilitis berulang 100%
dibandingkan tidak berulang 30%. Kesimpulan: Kadar ASTO positif mayoritas
ditemukan pada kelompok remaja dibanding anak-anak, mayoritas ditemukan pada
laki-laki dibanding perempuan, serta mayoritas ditemukan pada infeksi tonsilitis
berulang dibanding tidak berulang. Saran: Disarankan pada penderita tonsilitis
untuk rutin memeriksakan kadar ASTO dan pada klinisi untuk mendiagnosis
didukung dengan pemeriksaan ASTO.

Background: Tonsillitis is an inflammation of the palatine tonsils, part of the
Waldeyer ring in the throat, that can be caused by a viral or bacterial infection.
ASTO test is a blood test used to detect the presence of antibodies to antigens
produced by group A Streptococcus. Research Objective: To find out the analysis
of the overview of Anti-Streptolysin O (ASTO) levels in tonsillitis patients at the
Sukarami Health Center, Palembang City. Research Method: The research is
observational descriptive with accidental sampling techniques. The research
sample was 30 patients. ASTO levels were checked using the latex agglutination
method using latex glory reagents. Study Results: The distribution of positive ASTO
levels was 30%, positive two 6.7%, positive three 16.7% and negative 46.6%. Based
on age categories, the majority of positive ASTO levels in adolescents are 77%
compared to 35.3% in children. Based on gender, the majority of positive ASTO
levels were in males at 58.4% compared to females at 50%. Based on the frequency
of tonsillitis infection, the majority of ASTO levels were positive at the frequency of
100% recurrent tonsillitis infection compared to 30% non-recurrence.
Conclusions: The majority of positive ASTO levels were found in adolescents
compared to children, the majority were found in males compared to females, and
the majority were found in recurrent rather than non-recurrent tonsillitis infections.
Advice: It is recommended for people with tonsillitis to regularly check for ASTO
levels and for clinicians to diagnose supported by ASTO testing.