REVIEW ARTIKEL
LEEK SAMPING PEMBERIAN SERUM ANTI BISA ULAR PADA
'KASUS GIGITAN ULAR.
THE SIDE EFFECT OF ANTIVENIN ADMINISTRATION IN|
TENVENOMATION CASES
Yanuarton
"Bagiantimu Peayabit Dalam, Fakullas Kedokteran Hewvan, Universitas Gadjah Mada, Yogyakarta
mall: yanuark@yahoo.com.
ABSTRACT
‘Snake bites are the common cause of morbidity and morality in ropical countries, especially in South East
‘Asian countries. The mumber cases of sake bites were approximately 2.5 milion pe yeas resulting in 125,000,
‘eats. There ae about 3000 species of snakes inthe world known to dale, out of which 300 species are
poisonous. The specifi treatment of envenoming isthe dminstaton of antivenin. Treatment in a hospital
‘emergency department or intensive care unit ivolves the adainisaton of antvenin. Aven, ls known as
sativenom, maybe monovalent or polyvalent However thee are oem ndesimble side effects tobe considered
Inthis review, we evaluated the side effet administration of antvenin envenomation ass. Based on he study
‘of research resulls ean be oneluded thatthe adverse reactions that may arte i acute allegic anaphylactic
reaction and hives are usally il, Until now, ani snake venom serum isthe mest effective therapy for
Poisonous nak bite cases because the ue ofan sone venom serum can reduce the mtality rate sakebite
viotms. Porter research is needed on the ype, dosage, rout of administtion of anti sauke venom serum ad
the appropriate useof premedication o minimize theriskoside effects the we ofan snake venom serum.
Key words: snakebite, atveni, monovalent polyvalent
ADSTRAK
ass git ula merapakanpenyebob um merbiditas dat mortals di nepsra-negara opis eras
i Asia Tenggara. Juma Kasus gigitan ula dipekiakan mencpai 25 ula kas per tb, dengan ang
emtian mencapa sitar 125.000 ja. Samp seat in, terdapat 3000 spesics ular di duns, 300 spesies
iataranya adalah ular beracun, Pengobatan ses pada kasus gigitan la adalah dengan pembeian serum,
‘ant bisa ular atau anivenn. Pongobacaa di Rua Sakit maupan Ruang Gawat Dara sell melibatkan
‘penggunaan serum ani ist lst. Secim ant isa lar saw disebut jugs antiveinntivenom, miagkin
‘monovalen atau povalen. Narn demika, has dipertimbangkan baba tapi dengan serum ant bis lar
biasanya menimbuikan fk samping yang dak ikehendaki.Tuissn ii betyjunn wnt mengevalsi fee
26sping ya
imbul abut pemborian serum ant bisa lar pada ksusgigitan wl Benasckn kin as
Iss penelitian dpa dsmplkan bahwa reaksiefeksamping yang mngkin ib alo raksooalasis
ler’ skit dan riaria yang biasanya bers ingan. Sampsi sat in serum et bis lar merypaka esp
yangpaling eft un kausggitan wlarbebis karen penggunaan serum ai bisa ular mampumenurunksn
‘ingkat moraltas Korba pigitan ula Diperoan peneitanlebi lanjut mengeaa tps, dsis, ate pemberian
Serum ant bisa ular dan penggunsanpremediasi yang opt utuk menperkoslisiko eek smping penganaan
serum anbisaular,
Kata kunepgitan la antivenin monovalen,polvaen
PENDAHULUAN
Kematian dan Inks akibat giaitan ular beri,
‘ead i hampieslurubagian dni, tertama di
‘pian dunia yang bein rpis (Gute, dk
2006 ; rund dan Sashidha, 2007), Kass git
lr yang dilspokan diselara dunia diperakan
‘mencapai 300.000 orang pe tabu, dengan aneka
‘ematian mencapai 50.000 sampai 10.090 orang.
‘Menuret Mathew dn Gera (2004), jumlsh Kass
siiton ular, bik yang terdata maypun tidak erdata
Aiprkizakan meneapai $ juta orang per tahun,
dengan angka kematan mencapa 100.000 oan,
(Data