cryptosporidiosis pada manusia dan hewan (cryptosporidiosis in humans and animals)
TRANSCRIPT
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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K_Y^PE[^E_I@IE[I[ ^B@B FBLQ[IB @BL MAXBL
JACEF^EJ I
[APIBXBL ^QP_B [YBMALLY [B[XIYBLPI
IFB[ [_I LQ_MBYBPI
[AJECBM ^B[KB[B_DBLBIL[PIPQP ^A_PBLIBL OEHE_
?>22
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
2[ybm [^ ap bc, ?>22 2[ybm [^ ap bc, ?>22 2[ybm [^ ap bc, ?>22
K_Y^PE[^E_I@IE[I[ ^B@B FBLQ[IB @BL MAXBL
[apibxbl ^qprb [ybm# Ally [b{xiyblpi# Ifb{ [ri Lqrmbybpi
^[ Ja{ambpbl Fb{ybrbjbp Waparilar[ajecbm b{kb{brdblb Il{pipqp arpblibl Oeher
I, ^AL@BMQCQBL
Ky~pe{~ei`ie{i{ -ji~pe{~ei`ie{i{) b`bcbm {qbpq ~alybjip teele{i{ yblh
pahecelh ja `bcbf jacef~ej xbparoela`i{ab{a{ yblh `i{aobojbl ecam ~epeteb
Kry~pe{~eri`iqf{~, Ky~pe{~ei`ie{i{ falyaobojbl ilgaj{i ~b`b q{q{ mbcq{ yblh
falyaobojbl `iba bjqp ~b`b fblq{ib `bl maxbl, ^apbfb jbci `ipafqjbl ~b`b
cbfoqlh `bl q{q{ mbcq{ pijq{ ecam Pytta ~b`b pbmql 29>8 -[ilbfoacb ?>>=)#
{a`blhjbl jb{q{ ~b`b fblq{ib ~apbfb jbci `ipafqjbl ~b`b pbmql 2987 yblh
falyablh blbj&blbj q{ib ; pbmql `alhbl jab`bbl iffqlekef~apal `bl yblh
falhalbi eblh `axb{b `alhbl ifflqlekef~refi{a, ^b`b pbmql 2987 {bf~bi
`alhbl 29=? jb{q{ ~b`b fblq{ib dbblh `icb~ejbl, ^b`b pbmql 29=? `icb~ejbl
jalbijbl jadb`ibl ilgaj{i {akbb `b{pi{ {apacbm `ijapbmqi Ky~pe{~ei`ie{i{ b`bcbm
{qbpq ilgaj{i e~epqli{pij yblh `b~bp padb`i ~b`b ~al`aipb BI@[,
[~a{ia{ qpbfb yblh falyaobojbl ilgaj{i ~b`b fblq{ib `bl oilbpblh
b`bcbm Kry~pe{~eri`iqf ~brwqf, Ky~pe{~ei`e{i{ oamb{ic `ii`alpigijb{i ~b`b 28>
{~a{ia{ oilbpblh# `iblpbblyb bybf# jbcjql# bldilh# jq`b# oboi# `efob# pijq{ cib#
oqqlh# ijbl `bl a~pica -Kmil ?>>>: [bi` ?>>;: [ilbfoacb ?>>=), ^b`b qfqflyb
faq~bjbl ilgaj{i bjqp dblhjb ~al`aj yblh ` ipqcbjb l {a kbb gakbc &ebc
{apb {ailh dqhb `ipqcbjbl facbcqi fbjblbl bpbq {qfoa bi yblh
pajelpbfilb{i eekyp{ `bi {~a{ia{ Kry~pe{~eri`iqfbpbq facbcqi jelpbj
`alhbl eblh yblh pailgaj{i `alhbl ~alybjip ili {apb ~afqjbbl
cilhjqlhbl {a~ap i jecbf alblh yblh pajelpbfilb{i eekyp{, Ilgaj{i
padb`i b~boicb papacbl eekyp{ fbpblh yblh `ijacqbjbl oa{bfb ga{a{
me{~a{ yblh pailgaj{i, Hadbcb ~alybjip yblh p ifoqc ~b`b qfqflyb
`iba# fqbc# `bl fqlpbm# {apb jbf ~aqp, ^b`b eblh yblh {i{paf
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
?[ybm [^ ap bc, ?>22 ?[ybm [^ ap bc, ?>22 ?[ybm [^ ap bc, ?>22
jajaobcbl pqoqmlyb obij# hadbcb ili pi`bj oapbmbl caoim cbfb `bl
{afoqm `alhbl {al`iilyb# lbfql ~b`b ~al`aipb iffqlekef~efi{a -{a~api
~al`aipb BI@[) hadbcb {afbjil fafoqqj `bl {qcip `i{afoqmjbl jbalb {i{paf~apbmblbl pqoqm yblh {q`bm q{bj,
II, BHAL ^ALYAOBO
Ky~pe{~ei`ie{i{ ~b`b qfqflyb `i{aobojbl ecam Kry~p{~eri`iqf
~brwqf, ^epeteb ili oa{igbp ilpb{acqca# lbfql aj{pb{ipe~cb{fb
oblybj `ipafqjbl `i obxbm fafobl pacqb yblh facb~i{i
~afqjbbl {ac ~b`b cbfoqlh `bl q{q{ mbcq{, Eekyp{ faq~bjbl
{pb`iqf ilgajpig yblh oblybj `ipafqjbl ~b`b ga{a{ fblq{ib bpbq
maxbl yblh pailgaj{i, ^epeteb ili faficiji qjqbl dbqm caoim jakic `bi~b`b
jej{i`ib `bl faficiji jafbf~qbl qlpqj facajbp ~b`b {ac cb~i{bl q{q{ mbcq{ `bl
faq{bj fije~mici# bjiobplyb bjbl falhmbfobp ~e{a{ ~alyab~bl `i q{q{,
-Kmepibm ?>>=), Eekyp{ kry~pe{~eri`iqf oaoalpqj oqcbp mbf~i ewbc#
oaqjqbl 0&7 f `bl oi{b `ijaciqjbl `alhbl bhi%jmbfi dijb pi`bj `icbjqjbl
~alhakbpbl `alhbl oalb -Kmil ?>>>), Japijb fbpblh# eekyp{ pa`ii `bi
af~bp {~ee{ip yblh p i`bj {acbcq pac imbp# agbjpi c # pa`ii `bi 2&=
hblqca yblh faleldec# `bl `icb~i{i ecam `qb `il`ilh yblh paobc
-_eoap{ ap bc, ?>>1),
Hbfob 2, Eekyp{ Kry~pe{~eri`iqf{~,
Eekyp{ qfqflyb `b~bp mi`q~ cbfb `i bi pafb{qj `i cbqp# papb~i
p i`bj `b~bp oapbmbl mi`q~ ~b`b ~alhailhbl -Keej ' Fb{el 2997),
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
;[ybm [^ ap bc, ?>22 ;[ybm [^ ap bc, ?>22 ;[ybm [^ ap bc, ?>22
Eekyp{ oapbmbl ~b`b cilhjqlhbl yblh cafobo `bl `ilhil, Eekyp{ `b~bp
mi`q~ `i cilhjqlhbl yblh dacaj `bcbf xbjpq yblh cbfb, Eekyp{ {blhbp a{i{pal
pamb`b~ `a{ilgajpbl jifib yblh `ihqlbjbl qlpqj faldalimjbl `bl `i{ilgaj{i bifilqf, Jce bpbq felejcebfil `i~acq jbl jel{alpb{i => fh%c qlpqj
ilbjpiwb{i 9>! `alhbl xbjpq jelpbj 9> falip, ^bb{ip ili p i`bj
falhbcbfi ilbjpiwb{i {akbb {af~qlb `alhbl cbqpbl ;! {e`iqf
mi~ejceip `bl Eekyp{ `b~bp oapbmbl milhhb ; {bf~bi 0 oqcbl `bcbf
cbqpbl ?#1! ~epb{{iqf oikefbp -[bi` ?>>8),
Kry~p{~eri`iqf{~, faficiji {i{paf jcb{ig ijb{i {aobhbi oaijqp4
Hbfob ?, Pbj{elefi Kry~pe{~eri`iqf4 {jafb {a`amblb# falqldqjjbl mqoqlhbl`alhbl {~a{ia{ fa`i{ ~alpilh cbillyb -Kb{afea ap bc, 29=1),
III, P_BL[FI[I ^ALYBJIP
Pbl{fi{i ~alybjip facbcqi qpa gajbc&ebc# ybipq ~alqcbbl `bi eblh jaeblh# `bi oilbpblh ja eblh# facbcqi bi `bl ~alqcbbl facbcqi fbjblbl bjiobp
pil`bjbl yblh jqblh mihiali{ {amilhhb pajelpbfilb{i ga{a{ yblh falhbl`qlh
Eekyp{ ky~pe{~ei`iqf, Eekyp{ faq~bjbl {pb`iqf ilgajpig yblh `b~bp
falyaobojbl ~alybjip ~b`b fblq{ib `bl maxbl, ^bb{ip falhilgaj{i {ac a~ipac
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
0[ybm [^ ap bc, ?>22 0[ybm [^ ap bc, ?>22 0[ybm [^ ap bc, ?>22
{bcqbl ~alkalbbl `bl {ajbci xbjpq `bcbf {ijcq{ mi`q~lyb `b~bp falyaobojbl
bqpeilgaj{i ~b`b fblq{ib -Kmil ?>>>: L[X Mabcpm @a~bpfalp ?>>2: [ilbfoacb
?>>=: K@K ?>22),
@bcbf ~e{a{ pbl{fi{i ~alybjip Kry~pe{~eri`iqf {~ faficiji {ijcq{ mi`q~
{aobhbi oarijqp# Eekyp{ yblh pacbm falhbcbfi {~eqcb{i falhbl`qlh af~bp
{~ee{ip `ijacqbjbl oa{bfb ga{a{ il`iwi`q yblh pailgaj{i `bl fqlhjil facbcqi
qpa yblh cbil {a~api {aja{i {bcqbl ~albgb{bl, Pbl{fi{i Kry~pe{~eri`iqf
~brwqf`bl Kry~pe{~eri`iqf mefili{ padb`i facbcqi jelpbj `alhbl bi yblh {q`bm
pajelpbfilb{i, Xbobm `i B[ oblybj padb`i `i pbfbl bi# jecbf alblh qfqf `bl
~q{bp ~acbyblbl qfqf yblh pacbm pajelpbfilb{i ga{a{ fblq{ib bpbq maxbl yblh
pailgaj{i, [apacbm papacbl bpbq pami`q~ ecam me{~a{# padb`i aj{ipb{i# - # )
af~bp {~ee{ip `ijacqbjbl `bi {apib~ Eekyp{ falafoq{ {ac a~ipac# q{q{ `bl
dbilhbl yblh cbil {a~api {bcqbl ~albgb{bl, - # ) [~ee{ip `b~bp oajafoblh
faldb`i pe~eteip# jafq`ibl falhbcbfi fqcpi~cijb{i b{aj{qbc -[kmiteheli bpbq
faeheli yblh falhmb{icjbl fael pi~a I, Faeteip yblh `imb{icjbl `bi fael
pi~a I `b~bp faailgaj{i {ac `bl falhqcblh jafobci {ijcq{ b{aj{qbc bpbq
falhilgaj{i {ac `bl oajafoblh faldb`i fael pi~a II, Pib~ fael pi~a II bjbl
fafoaob{jbl 0 oqbp faeteip `iybjili obmxb mblyb faeteip pi~a II yblh bjbl
oajafoblh falhbcbfi fqcpi~cijb{i {aj{qbc -hbfapeheli) fijehbfelp `bl
falhmb{icjbl fbjehbfelp , Fijehbfap yblh jacqb `bi fijehbfelp bjbl
fafoqbmi fbjehbfelp yblh fbpblh `bl falhmb{icjbl tyhep # yblh bjbl
oajafoblh faldb`i Eekyp{ oa`il`ilh paobc # `bl Eekyp{ oa`il`ilh pi~i{ ,
Eekyp{ bjbl oa{~eqcb{i oajafoblh faldb`i {~ee{ip yblh ilgajpig, Jacqblyb
{~ee{ip `bi Eekyp{ oa`il`ilh pi~i{ bjbl falyaobojbl bqpeilgaj{i, [afalpbb
Eekyp{ yblh oa`il`ilh paobc bjbl `ijacqbjbl facbcqi ga{a{ `bl b~boicb papacbl
{ahab bjbl falhilgaj{i me{~a{ cbillyb -Kmal ap bc, ?>>?: _eoap ap bc, ?>>1:
[ilbfoacb ?>>=: K@K ?>22: @^@} ?>22),
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
1[ybm [^ ap bc, ?>22 1[ybm [^ ap bc, ?>22 1[ybm [^ ap bc, ?>22
Hbfob ;, [ijcq{ mi`q~ Kry~pe{~eri`iqf{~,
IW, A^I@AFIECEHIKy~pe{~ei`ie{i{ faq~bjbl ~alybjip al`afij yblh mbf~i padb`i `i
{acqqm `qlib paqpbfb `i lahbb lahbb oajafoblh, Eekyp{ Kry~pe{~eri`iqf {~
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
7/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
7[ybm [^ ap bc, ?>22 7[ybm [^ ap bc, ?>22 7[ybm [^ ap bc, ?>22
fq`bm `ipafqjbl `i cilhjqlhbl {ajipb paqpbfb bi ~afqjbbl {a~api 4 {qlhbi#
`blbq# {acejbl `bl bi pahalblh, Mbc ili `i{aobojbl Kry~pe{~eri`iqf {~faficiji
oafbkbf fbkbf a{aweb {a~api qlhhb{ `bl oqqlh# ijbl# a~pic# fbfbcib jakic-pijq{# jqkilh# bldilh) `bl fbfbcib oa{b -paqpbfb {b~i `bl `efob# jq`b# jbfoilh#
oboi) -Kmil ?>>>: [bi` ?>>;: Gbya ?>>0: [ilbfoacb ?>>=),
Xbobm Ky~pe{~ee`ie{i{ yblh ~bcilh pajalbc padb`i `i Ficxbqjaa
-Xi{kel{il) ~b`b pbmql 299; yblh falhilgaj{i caoim `bi 0>>,>>> eblh -Failmb`p
ap bc, 2997: [ilbfoacb ?>>=), [aoblybj ;&8! ~alyaobo `iba `i lahbb
oajafoblh b`bcbm `i{aobojbl ecam Kry~pe{~eri`iqf{~, @bcbf {qbpq ~alacipibl#
`icb~ejbl obmxb blhjb ~awbcal{i Ky~pe{~ei`ie{i{ `i B{ib `bl Bgijb
fb{ilh &fb{ilh b`bcbm 0#9! `bl 2>#0 !, [acbil ipq# Ky~pe{~ei`ie{i{ dqhb `ijalbci
{aobhbi prbwacar{ ibrrmeab, @i lahbb `alhbl pilhjbp {blipb{i yblh pi`bj e~pifbc#
~alya`ibbl {qfoa bi yblh pajelpbfilb{i# `bl jelpbj `alhbl maxbl# faf~qlybi
i{ije yblh pilhhi pailgaj{i `alhbl ~bb{ip ili -Failmb`p ap bc),
[qfoa 4 Hbcfa{ ap bc, ?>>;
Hbfob 0, @i{pioq{i jb{q{ Ky~pe{~ei`ie{i{ `i [~blyec 2991 & ?>>?
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
8[ybm [^ ap bc, ?>22 8[ybm [^ ap bc, ?>22 8[ybm [^ ap bc, ?>22
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
=[ybm [^ ap bc, ?>22 =[ybm [^ ap bc, ?>22 =[ybm [^ ap bc, ?>22
Pboac 2, Cb~ebl eqpoabj Ky~pe{~ei`ie{i{ `i [~blyec 2991 & ?>>;
Pbmql Paf~bpDqfcbm yblh
paaj{~e{Jb{q{ Xbjpq
[qfoa
~alqcbblJapablhbl
2998 [ajecbm ?>> 77 Ejpeoa[qfoa
biGbicqa%bcpabpiel{
299= [ajecbm 129 7? B~icJelpbfilb{i
il{pbcb{i
299=$ Mepac ?1>> ; Dqci Pqi{
2999 [ajecbm 2;= ;7 Ejpeoa
?>>>Paf~bpQfqf
81> Dblqbi[qfoa
biJelpbfilb{i bi
~apblibl
?>>> Paf~bpQfqf 2>> Fai [qfoabi
^alhecbmbl bi
yblh pi`bjpajelpec
?>>>$ Mepac ?1 Faijecbfalblh
Pqi{
?>>> [ajecbm 01 2; Ejpeoa
?>>2 ^iklik => 1 Dqci [qfqPi`bj `icbjqjbl
~alhecbmbl~b`b bi
?>>;$ Mepac ?>>> ;92 Dqci[qfoa
biPqi{
?>>;$ Mepac 0 Dqci Pqi{[qfoa 4 Hbcfa{ ap bc, ?>>;
$ Cb~ebl eqpoabj{ ecam Aqre~abl {qrwaiccblka {arwika{,Kbpbpbl 4 Pi`bj b`b eqpoabj{ Ky~pe{~ei`ie{i{ yblh `icb~ejbl Pma Kalpe Lbkielbc `a
A~i`afiecehb il Fb`i` `qilh 2991# 2997 e ?>>?,
W, HADBCB JCILI[ ^B@B FBLQ[IB @BL MAXBL
B, Kry~pe{~eri`ie{i{ ^b`b Maxbl
^b`b Maxbl Kry~pe{~eri`iqf{~, `b~bp falyaobjbl jaqhibl `iblpbblyb#
`iba# bleaj{ib# `bl ~alqqlbl oabp ob`bl ~b`b maxbl {akbb ajelefi yblh
paqpbfb ~b`b gb{a laelbpq{ -Fbm`i ' Bci ?>>?), [adqfcbm 2 2> eeky{p `bi
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
10/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
9[ybm [^ ap bc, ?>22 9[ybm [^ ap bc, ?>22 9[ybm [^ ap bc, ?>22
Kry~pe{~eri`iqf {~, `b~bp falifoqcjbl ilgaj{i ~b`b maxbl -[bi` ?>>;),
Ki~pe{~ei`ie{i{ `ipafqjbl mbf~i ~b`b {afqb jacef~ej {b~i obmjbl ~b`b
capq~bl laelbpbc alpaipi{ `alhbl hadbcb `iba `i [kepcbl`ib ~b`b pbmql ?>>; ~bcilhpilhhi `i{aobojbl ecam kry~pe{~iri`ib -;1!) {a`blhjbl jej{i`ib mblyb ;! -Fb{el '
Kbc`ew ?>>1)# `i ~apalbjbl {b~i ~abm `i Oemafib _a~qocij Kaje `ipafqjbl
~awbcal{i yblh pilhhi -2=#?!) ~b`b {b~i `alhbl qfq 2? 2= oqcbl -El`bkjewb
ap bc, ?>>9), Obq&obq ili `icb~ejbl ~b`b ~a`ap {b~i ~abm ~b&`i{b~im `i Kmilb
`alhbl {bf~ac =>2 ga{a{ `bi pqdqm `babm `i ^ewil{i Malbl yblh `i~aij{b eeky{p
Kry~pe{~eri`iqf `i~aecam pilhjbp ilgaj{i ja{acqqmbl b`bcbm ?2#1!# `alhbl
~apalbjbl `i ]il}iblh faficiji ~awbcal{i papilhhi -0>!) -Xblh ap bc, ?>22),
Oahipq~qcb `i qfilbl{ib ~b`b {bf~ac jepebl `iba `bi ?1= ~a`ap ~b&`i{b~im -2&;> mbi) `bi 9 ~apalbjbl yblh pacapbj `i jbxb{bl Oblbp# _qfblib# yblh `i~aij{b
{akbb fije{je~i{ pamb`b~ jaoab`bl eeji{pb Kry~pe{~eri`iqf# {akbb
ja{acqqmbl 71 -?1!) {bf~ac `ipafqjbl ~e{ipig, ^a{alpb{a ilgaj{i caoim pilhhi
pakbpbp ~b`b ~a`ap oaq{ib blpbb = `bl 20 mbi `iobl`ilhjbl `alhbl jbpahei q{ib
cbillyb -2&8# =&20# 21&?2 `bl ??&;> mbi: ~ 3>#>1) -Ifa ap bc, ?>22),
Ilgaj{i Kry~pe{~eri`iqf{~, ~b`b blbj {b~i qfqflyb padb`i `alhbl ~bpehal
alpaij cbillyb -Pti~ei 29=;), Hbfobbl jcili{ yblh fqlkqc `bi cb~ebl cb~blhbl
b`bcbm {bcbm {bpq `bi `iba ilhbl {bf~bi oabp padb`i ~b`b ~a`ap oaq{ib blpbb 2
{bf~bi 0 filhhq -Kmepibm ?>>=: Pept ap bc, ?>>1)# `alhbl feoi`ipb{ yblh pilhhi
`bl fepbcipb{ yblh al`bm, Blbj {b~i yblh caoim fq`b `icb~ejbl bjbl
pa~alhbqm `alhbl ~alybjip pa{aoqp {apacbm 0 mbi `bl yblh caoim yblh caoim pqb
b`bcbm ?7 mbi, ^alybjip `b~bp oacblh{qlh blpbb ? `bl 20 mbi# bpb&bpb b`bcbm 8
mbi: jafq`ibl `b~bp fqlkqc cbhi {apacbm ~afqcimbl, Pilhjbp jafbpibl ~b`b ~a`ap
pakbpbp {aoa{b 27!# pbl`b&pbl`b jcili{ falkbjq~ `iba ~a{i{pal# `ami`b{i# `bl
jacafbmbl, Ky~pe{~ei`ie{i{ dqhb `icb~ejbl pacbm fafoai jelpioq{i ~b`b apiecehi
{il`ef# /Kbkma}ib ~b`b blbj Cafoq/ `i Oacbl`b -Pti~ei 29=;),
^b`b blbj `efob# Xbobm ~apbfb padb`i ~b`b 0> `bi 0= blbj `efob yblh
`i~acimbb {akbb bpigi{ibc `bcbf xbjpq 1 {bf~bi 2? mbi jacbmibl# `ibfblb
jafq`ibl 27 `iblpbblyb falilhhbc, Kry~pe{~eri`iqf{~, pa`apaj{i ~b`b 2> `bi 27
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
2>[ybm [^ ap bc, ?>22 2>[ybm [^ ap bc, ?>22 2>[ybm [^ ap bc, ?>22
{bf~ac pildb yblh pacbm `i~aij{b# `bl obhibl mi{pecehi{ yblh `ibfoic `bi icaqf
`efob fbpi falhjelgifb{ijbl `ibhle{i{, ^b`b xbobm cbil# ?>> aje `efob
falyq{qi `bi pepbc 1;? falhbcbfi `iba `bl 1= jafq`ibl falilhhbc, Blbj @efobblpbb = `bl 2? mbi q{ib ~ajafoblhbl falhbcbfi `iba yblh falhbjiobpjbl
jafbpibl# obij `bcbf ? {bf~bi ; mbi jafq`ibl bpbq {acbfb ~afqcimbl {apacbm
{bjip milhhb 8 mbi -Pti~ei 29=;), ^alacipibl `i QJ falqldqjjbl Kry{pe{~eri`iqf
~brwqf {blhbp ~alpilh ~b`b `iba laelbpbc `efob `bl jbxblbl `efob cqb{ `i
Ilhhi{# fa{ji~ql {~a{ia{ cbil `bi Kry~pe{~eri`iqf{~ dqhb `ipafqjbl ~b`b `efob,
@efob# `bl blbj `efob ~b`b jmq{q{lyb# papb~ mbq{ `iblhhb~ {aobhbi {qfoa
ilgaj{i K, ~brwqfobhi fblq{ib -Fqacca&@eocia{ ap bc, ?>>=),
Kry~pe{~eri`iqf {~, `icb~ejbl pacbm pa`apaj{i ~b`b blbj jbfoilh fbpi
yblh falhbcbfi `iba -Fb{el ap bc, 29=2) `bl `bcbf jbxblbl ?9 blbj&blbj
falyq{qi yblh fal`aipb `iba oabp ?2# `bl ; jafq`ibl falilhhbc -Pti~ei ap bc,
29=?), Blbj&blbj jbfoilh yblh pajalb oaq{ib blpbb 1 `bl ?2 mbi `bl `iba
oacblh{qlh {acbfb ; {bf~bi 8 mbi, Pa`b~bp pqdqm jb{q{ jbfoqm {a{bbp {apacbm
~afqcimbl, Blbj jbfoilh yblh caoim jakic `b~bp fal`aipb qlpqj xbjpq yblh caoim
cbfb `bl caoim alpbl qlpqj jafobci pailgaj{i `iobl`ilhjbl jbfoilh yblh caoim pqb,
Obhibl q{q{ yblh `i~aij{b `bi `qb blbj jbfoilh yblh fbpi falqldqjjbl
ehbli{fa yblh facajbp ~b`b oq{m oe`a alpae{ip `bl `bi ca{i fqje{b {bfb
`alhbl Ky~pe{~ei`iqf {~, yblh `ipafqjbl ~b`b ~a`ap `bl blbj `efob -Pti~ei
29=;),
Kri~pe{~eri`iqf {~, dqhb pacbm `icb~ejbl pa`apaj{i ~b`b qlhhb{
~alblhjbbl `i Ob{ic, [bf~ca [aoblybj 977 `bi 2= jacqbhb oqqlh `ijqf~qcjbl
`bl `i~aecam 08 -0#=7!) {bf~ac ~e{ipig -Lbjbfqb ap bc, ?>>9), ^b`b jbcjql `bl
oqqlh fabj `icb~ejbl padb`i ilgaj{i {bcqbl ~alb~b{bl bpb{# Ilgaj{i `ijbipjbl
`alhbl pbl`b&pbl`b jcili{ ~alb~b{bl `bi oaobhbi pilhjbp ja~bbmbl, @bcbf
oaoab~b jb{q{# ehbli{fa pacimbp facajbp ~b`b fqje{b elhhb mi`qlh `bl
{bcqbl ~alb~b{bl, Ilgaj{i pacimbp `bcbf albf jbxblbl yblh oaoa`b `bcbf ?
oqcbl, Feoi`ipb{ `bl fepbcipb{ `bcbf {bpq jb{q{ lbij ja ;> `bl ?>! -Pti~ei
29=;), [bcbm {bpq `bi ;> blbj bybf fabj yblh falilhhbc `i {ajipb q{ib ? filhhq
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
12/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
22[ybm [^ ap bc, ?>22 22[ybm [^ ap bc, ?>22 22[ybm [^ ap bc, ?>22
bjiobp ~alybjip ~alb~b{bl pacbm `iqdi, Ehbli{fa `ipafqjbl facajbp ~b`b
~afqjbbl jeldqlhpiwb# mi`qlh# {ilq{# `bl a~ipac pbjab -Fb{el apbc, 29=2), ^b`b
~alacipibl cbil `icb~ejbl ~b`b oqqlh `ipafqjbl ~alybjip `iba `alhbl pilhjbpjafbpibl yblh al`bm ~b`b jbcjql qfq 2> {bf~bi 20 mbi bjiobp ilgaj{i
Ky~pe{~ei`iqf ~b`b q{q{ mbcq{, Ilgaj{i b{ifpefbpij `bi jcebjb ~b`b `qb oae
fabm# oq{b gboikiq{ ~b`b pihb bybf `bl q{q{ oa{b `bi {bcbm {bpq blh{b
`efa{pik -Pti~ei 29=;),
Ilgaj{i qfqf Kry~pe{~eri`iqf {~, `ibfbpi ~b`b cifb blbj jq`b Bbo
iffqle`agi{ial{i `alhbl `iba yblh `i~ajibjbl pacbm falilhhbc jbalb ilgaj{i
b`alewibc, ^b`b blbj jq`b Kry~pe{~eri`iqffacajbp ~b`b `il`ilh ~aqp fbq~ql
~b`b {acqqm q{q{ mbcq{ `bl q{q{ oa{b# ~b`b {bcqbl af~a`q# jblpqlh af~a`q#
`bl {bcqbl ~blhjab{ qpbfb, @i~ajibjbl obmxb jab`bbl ifqle`agi{ial{i `bcbf
blbj jq`b falilhjbpjbl jaalpblbl pamb`b~ ilgaj{i -Pti~ei 29=;),
Kry~pe{~eri`iqf ~brwqf dqhb `ijapbmqi `ipafqjbl ~b`b blbj jq`b `i Lax Yej#
Bfaijb {aijbp# faajb oablhhb~bl obmxb ky~pe{~ei`ie{i{ jq`b mbq{
`i~apifoblhjbl {aobhbi {qfoa teele{i{ -Oqpel ap bc, ?>2>), K, ~brwqf pacbm
`ii`alpigijb{i {aobhbi bhal ilgaj{i qpbfb xbobm `iba `i B[ `iblpbblyb ~b`b {b~i#
jbfoilh# `efob `bl oboi -Kmepibm ?>>=),Ky~pe{~ei`ie{i{ dqhb `icb~ejbl `bcbf
`qb ma{q{ felyap afbdb# {bcbm {bpq yblh fbpi fal`b`bj `alhbl alpaejecipi{
oabp `bl yblh ja`qb fal`aipb `iba ~a{i{pal, ^alybjip yblh oamqoqlhbl
`alhbl ilgaj{i Kry~pe{~eri`iqf{~ dqhb `idacb{jbl `bcbf qcb# `bcbf {bpq jb{q{
falyaobojbl hb{pipi{ mi~apegi jeli{ `i 20 a~pic `axb{b -Pti~ei 29=;),
Ky~pe{~ee`iqf dqhb `ipafqjbl ~b`b ga{a{ jacilki yblh `ipalbjjbl `i ^ewil{i
Malbl# Kmilb `alhbl pilhjbp ~awbcal{i Ky~pe{~ei`ie{i{ bpb&bpb b`bcbm ;#0!
`bl yblh papilhhi ~b`b jacilki q{ib 2&; oqcbl -2>#9!) -[mi ap bc, ?>2>),
O, Kry~pe{~eri`ie{i{ ^b`b Fblq{ib
Kry~pe{~eri`iqf {~~bcilh qfqf ~alyaobo `iba `i blpbb blbj&blbj yblh
pilhhbc `i `babm oajafoblh `ifblb {blipb{ilyb oqqj, Mbc ili dqhb jb`blhjbcb
padb`i `iblpbb xi{bpbxbl yblh oajqldqlh ja oaoab~b `babm, Eblh `alhbl
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
13/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
2?[ybm [^ ap bc, ?>22 2?[ybm [^ ap bc, ?>22 2?[ybm [^ ap bc, ?>22
{i{paf jajaobcbl pqoqm cafbm# paqpbfb faajb yblh falhi`b~ BI@[# fq`bm
pajalb ky~pe{~ei`ie{i{ `bl {ailhjbci ~alybjiplyb ~bbm# oacblh{qlh cbfb
Ilgaj{i ky~pe{~ei`ie{i{ oib{blyb oa{igbp ilgaj{i bjqp dblhjb ~al`aj# lbfql `b~bpfaldb`i ~bbm `bl {qcip `i{afoqmjbl ~b`b blbj&blbj `bl il`iwi`q `alhbl
iffqlekef~efi{a` -{a~api ~b{ial BI@[) -Kb{afea ap bc, 29=1), ^b`b fblq{ib#
ib bjbl papb~ oab`b `i q{q{ paobxbm `bl `b~bp oapbmbl `i{blb {bf~bi cifb
oqcbl, ^b`b fblq{ib# dali{ Ky~pe{~ei`iqf qpbfb ~alyaobo ~alybjip b`bcbm K,
~brwqf`bl K, mefili{ -{aoacqflyb K, ~brwqf halepi~ 2), K, kbli{# K, gaci{# K,
facabhri`i{# `bl K, fqri{ dqhb `b~bp falyaobojbl ~alybjip ~b`b fblq{ib -Kmil
?>>>),
Hadbcb qpbfb ~b`b fblq{ib b`bcbm iba kbi ifblb ~b`b blbj&blbj padb`i
oaqcblh jbci# dbblh `i{apbi `bbm `bl caqje{ip# `bl ~b`b qfqflyb `i`bmqcqi
`alhbl bleaj{ib `bl fqlpbm, @iba `iijqpi `alhbl {bjip `bl jbf ~b`b ~aqp# {apb
dijb oacblh{qlh cbfb bjbl oacbldqp `alhbl ~alqqlbl oabp ob`bl bjiobp
jahbhbcbl bo{eo{i `bl ~alilhjbpbl {aja{i q{q{ mbcq{ -Kmil ?>>>: [bi` ?>>;:
L[X Mabcpm @a~bpfalp ?>>2: [ilbfoacb ?>>=), [a`blhjbl hadbcb yblh dbblh
padb`i b`bcbm fbcbi{a qfqf# `afbf# pi`bj lbg{q fbjbl# fqlpbm, Hadbcb oajqblh
`bl bjbl micblh `bcbf xbjpq jqblh `bi ;> mbi ~b`b eblh yblh {akbb
ifqlecehi{ {ambp -Kmil ?>>>), Eblh yblh ifqlipb{lyb al`bm-iffqlekef~refi{a`)# paqpbfb ~b{ial BI@[# ~al`aipb ifqlejef~efbi{
jelhalipbc# ~al`aipb jblja# ~b{ial yblh fal`b~bp pbl{~cblpb{i ehbl {apb eobp
ifqle{q~a{ig# pqoqm faajb pi`bj fbf~q fafoa{imjbl ~bb{ip# `bl ~alybjip
kal`aqlh bjbl oacblh{qlh caoim cbfb faldqq{ ja jab`bbl jcili{ gqcfilbl yblh
oabjmi `alhbl jafbpibl -Kmil ?>>>: [bi` ?>>;: K@K ?>22), Hadbcb jeca{i{pipi{
oi{b padb`i ~b`b ilgaj{i {bcqbl af~a`q# mqoqlhbl blpbb ilgaj{i {bcqbl
~albgb{bl `bl hadbcb jcili{ yblh `ipifoqcjbl pi`bj dacb{ -Kmil ?>>>),
Fb{b iljqob{i pi`bj `ijapbmqi `alhbl ~b{pi: jib&jib blpbb 2 2? mbi -Kmil
?>>>: [ilbfoacb ?>>=)# `alhbl bpb&bpb {ajipb 8 mbi, Eblh `alhbl {i{paf
jajaobcbl pqoqm yblh obij fqlhjil pi`bj falqldqjjbl hadbcb# bpbq ilgaj{i ili bjbl
{afoqm `alhbl {al`iilyb -[bi` ?>>;)# pi`bj `ijapbmqi `alhbl dacb{ b~bjbm `b~bp
padb`i ailgaj{i bpbq ilgaj{i cbpal `alhbl abjpiwb{i, Eblh&eblh `alhbl hblhhqbl
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
14/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
2;[ybm [^ ap bc, ?>22 2;[ybm [^ ap bc, ?>22 2;[ybm [^ ap bc, ?>22
ifqlipb{ jajaobcbllyb {ahab `b~bp ~qcim jafobci ~b`b {bbp ~alyaobo
ifqle{q~a{i -{a~api fbclqpi{i bpbq ilgaj{i ecam wiq{ yblh oaqcblh padb`i {a~api
kbf~bj) pacbm `i{afoqmjbl -Kmil ?>>>), ^b`b ~al`aipb BI@[ `alhbl hbfobbljcili{ yblh oawbib{i `bl `b~bp padb`i fb{b pbl~b hadbcb: ilgaj{i ky~pe{~ei`iqf
~bwqf oib{blyb oapbmbl {aqfq mi`q~: jib&jib ?! `bi ~al`aipb BI@[ yblh
`icb~ejbl K@K Bpcblpb falhbcbfi ilgaj{i `alhbl Ky~pe{~ei`ie{i{ ~b`b {bbp
`i`ibhle{b BI@[: ~alhbcbfbl `bi qfbm {bjip yblh fabxbp ~al`aipb BI@[
falqldqjjbl obmxb 2> ?>! `bi ~al`aipb BI@[ fal`b~bpjbl ilgaj{i
Ky~pe{~ei`ie{i{ oaoab~b {bbp {apacbm fal`aipb BI@[ -Kmil ?>>>),
[acbil ~b`b Pbjpq{ ilpa{pilbc yblh faq~bjbl paf~bp qpbfb#
Kry~pe{~eri`iqf {~,dqhb pa`b~bp ~b`b paf~bp cbil ybipq ~bq# pacilhb obhibl
palhbm# {bcqbl af~a`q# ~bljab{# `bl cbfoqlh# {amilhhb ky~pe{~ei`ie{i{ dqhb
`b~bp padb`i {akbb aj{pbilpa{pilbc ybipq ~b`b {bcqbl af~a`q# ~blkab{# `bl
{bcqbl ~albgb{bl `bl {al`i, Oiccibry kry~pe{~eri`ie{i{ b`bcbm fbliga{pb{i yblh
pa{ailh `bi ky~pe{~ei`ie{i{ aj{pbilpa{pilbc yblh padb`i ~b`b ~al`aipb BI@[,
Ilgaj{i Kry~pe{~eri`iqf{~, yblh `idqf~bi ~b`b q{q{ mbcq{ `bl {bcqbl af~a`q
`ilbfbjbl `alhbl BI@[&b{{ekibpa` kmecblhie~bpmy, Kry~pe{~eri`ie{i{ ~b`b
{bcqbl af~a`q oib{blyb pa`b~bp ~b`b ~al`aipb `alhbl dqfcbm K@0 jqblh `bi
1> {ac%ff;
`bl oamqoqlhbl `alhbl falilhjbplyb blhjb jafbpibl, Pbl`b `blhadbcb Oiccibry kry~pe{~eri`ie{i{ b~bp oaq~b bkbckqceq{ kmecaky{pipi{# {kcae{ilh
kmecblhipi{ `bl ma~bpipi{ yblh falifoqcjbl jacqmbl lyai ~aqp jblbl bpb{# fqbc#
fqlpbm# `bl `afbf, ^b`b ~afaij{bbl cboebpeiqf `idqf~bi cawac bcjbcil
~me{~mbpb{a -BC^) yblh oib{blyb falilhjbp# `afijibl dqhb `alhbl cawac {aqf
oiciqoil `bl cawac pbl{bfilb{a -[ilbfoacb ?>>=),
^b`b {bcqbl ~albgb{bl# hadbcb `b~bp oaq~b {a{bj lbgb{# xmaatilh# obpqj#
`bl {abj, ^qcfelbry kry~pe{~eri`ie{i{ili `b~bp bpbq pi`bj `i{apbi `alhbl `iba, G,
^bcfi ap bc, `bcbf [ilbfoacb ?>>=# facb~ejbl obmxb jb{q{ ~b`b {a{aeblh
~al`aipb BI@[ `alhbl ^qcfelbry kry~pe{~eri`ie{i{ pbl~b b`blyb hadbcb&hadbcb
yblh faciobpjbl {bcqbl ~alkalbbl, Obmjbl ~b`b ~alfaij{bbl ga{a{ pi`bj
`idqf~bi eeji{pb, Ky~pe{~ei`ie{i{ ~b`b {al`ipacbm `icb~ejbl ecam [ilh ap bc,
-?>>;) `bcbf [ilbfoacb -?>>=)# facb~ejbl {aoqbm jb{q{ ~b`b {aeblh blbj cbji&
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
15/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
20[ybm [^ ap bc, ?>22 20[ybm [^ ap bc, ?>22 20[ybm [^ ap bc, ?>22
cbji yblh iffqlekef~apalp oaqfq = pbmql# `alhbl hadbcb&hadbcb ilpa{pilbc
kry~pe{~eri`ie{i{{acbfb 2; oqcbl, Ilwa{pb{i ~epeteb `iiilhi `alhbl hadbcb bpmipi{
yblh faciopjbl oaoab~b ~a{al`ibl `i xbjpq&xbjpq yblh oaoa`b -fihbpeybpmipi{), Hadbcb&hadbcb falhmicblh {akbb {~elpbl {apacbm ?> oqcbl oa{bfb
`alhbl mb{ic ~afaij{bbl ga{a{ yblh lahbpig pamb`b~ Kry~pe{~eri`iqf-[ilbfoacb
?>>=),
WI, PAJLIJ @IBHLE[B
@ibhle{b Ky~pe{~ei`ie{i{ `icbjqjbl `alhbl ~afaij{bbl {bf~ac ga{a{
~al`aipb {acbfb oaoab~b mbi `alhbl oaoab~b pajlij# `iblpbblyb facbcqi
~axblbbl bki`&gb{p {pbililh# @iakp Gcqea{kalp Blpioe`y Z@GBV `bl Altyfa
Iffqleb{{by{ qlpqj fal`apaj{i jaoab`bbl blpihal Kry~pe{~eri`iqf {~,
^alhhqlbbl fape`a fecajqca {a~api ^K_ `icbjqjbl qlpqj fal`apaj{i
Ky~pe{~ei`iqf {bf~bi ja cawac {~a{ia{ -K@K ?>22),
Hbfobr ;, jiri4Eekyp{ Kry~pe{~eri iqf {~`alhbl ~axblbbl Tiamc&Laac{el fe`igijb{ibki`&gb{p, jblbl4 Eekyp{ Kry~pe{~eri`iqf{~`alhbl {bgblil -xxx,k`k,hew)
WII, ^ALHEOBPBL
Ky~pe{~ei`ie{i{ oa{igbp {acg&cifipa` ~b`b eblh yblh ifqlejef~apal
`b~bp {afoqm {al`ii pbl~b ~alheobpbl, ^alheobpbl {~a{igij qlpqj
Ky~pe{ei`ie{i{ pi`bj b`b# ami`b{i pacbm paoqjpi agajpig# ~afoaibl blpioe`i ~b{ig
`bl blpioiepij {bbp ili {a`blh `bcbf ~alacipibl, Faajb yblh `bcbf ~alheobpbl
http://www.cdc.gov/http://www.cdc.gov/http://www.cdc.gov/ -
7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
16/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
21[ybm [^ ap bc, ?>22 21[ybm [^ ap bc, ?>22 21[ybm [^ ap bc, ?>22
`alhbl eobp ifqle{q~a{ig# {aobijlyb falhmalpijbl ~alheobpbl ipq qlpqj
{afalpbb bpbq falhqblhi `e{i{lyb dijb fafqlhjiljbl -Kmil ?>>>: [ilbfoacb
?>>=),
@iba `b~bp `ibpb{i `alhbl ~afoaibl kbibl yblh kqjq~ qlpqj falkahbm
`ami`b{i, Eobp blpi&`iba# ybipq Lipbte}bli`a -G@B&b~rrewa`) `ioaijbl qlpqj
falhqblhi hadbcb `iba, ^b`b ~al`aipb BI@[# pab~i blpi&apewibc mbq{ `ioaijbl
qlpqj falilhjbpjbl {pbpq{ ifql `bl falhqblhi hadbcb&hadbcb Ky~pe{~ei`ie{i{
-K@K ?>22),
WIII, ^ALKAHBMBL @BL ^ALHAL@BCIBL
^alilhjbpbl myhiala ~a{elbc faq~bjbl kbb yblh agajpig `bcbf
~alkahbmbl ~alybjip Ky~pe{~ei`ie{i{, Qlpqj falkahbm ilgaj{i ~alybjip ili# `b~bp
`icbjqjbl oaoab~b cblhjbm ~alkahbmbl mbq{ `iblpbblyb4
b, Myhiala ~a{elbc yblh e~pifbc,
o, Falkahbm ~alhhqlbbl bi yblh pajelpbfilb{i `alhbl Eekyp{
Ky~pe{~ei`iqf,
k, ^afblb{bl bi {bf~bi fal`i im `bl `igicipb{i dijb ~alhhqlbbl bi yblh
pajelpbfilb{i pi`bj `b~bp `ikahbm,
`, Falkahbm jel{qf{i fbjblbl yblh pajelpbfilb{i `alhbl Eekyp{,
a, A}prb kbra{bbp facbjqjbl ~adbcblbl,
g, Falkahbm pa~b~b `alhbl ga{a{{bbp bjpiwipb{ {aj{qbc -K@K ?>>9),
^alhal`bcibl ~alybjip `b~bp `icbjqjbl facbcqi ~alhbxb{bl ~al`aipb#
jelpbj `bl cilhjqlhbl {ajipb# {aobhbi oaijqp 4
b, Cb~ebl ja~b`b il{pbl{i ja{ambpbl {apaf~bp: jb{q{ `icb~ejbl ja il{pbl{ija{ambpbl {apaf~bp `alhbl kbb yblh ~bcilh ~bjpi{# jacb{ ;O -cimbp palpblh
~acb~ebl ~alybjip falqcb),
o, I{ecb{i obhi ~al`aipb yblh `ibxbp `i _qfbm [bjip# `icbjqjbl pil`bjbl
jaxb{~b`bbl alpaij `bcbf falblhbli ga{a{# oahipq dqhb pamb`b~
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7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
17/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
27[ybm [^ ap bc, ?>22 27[ybm [^ ap bc, ?>22 27[ybm [^ ap bc, ?>22
fqlpbmbl `bl {~ai {apb {bqlh oblpbc `bl obdq yblh pajelpbfilb{i: eblh
yblh pailgaj{i pi`bj `iidiljbl falblhbli fbjblbl `bl fabxbp ~b{ial yblh
`ibxbp `i _qfbm [bjip `bl pi`bj `i~ajalbljbl fabxbp ~b{ial yblh`ibxbp `i paf~bp {~a{igij: ~al`aipb b{if~pefbpij yblh oajadb ~b`b oi`blh
~ajadbbl yblh {al{ipig pi`bj `iidiljbl cbhi oajadb {bf~bi faajb {afoqm,
k, ^alajblbl palpblh jaoib{bbl falkqki pblhbl `alhbl oalb,
`, @i{ilgaj{i {aalpbj4 `icbjqjbl pamb`b~ ga{a{ `bl obblh&obblh yblh
pajelpbfilb{i `alhbl ga{a{, ^b`b fb{ybbjbp fe`al `alhbl {i{paf
dbfobl {blipa# ga{a{ `b~bp `ioqblh cblh{qlh ja {bcqbl ~afoqblhbl pbl~b
~acq i`i{ilgaj{i,
a, @i{ilgaj{i `b~bp `icbjqjbl `alhbl ~afblb{bl milhhb 01 EK {acbfb 1 ?>
falip# 7> EK {acbfb ? falip bpbq `i{ilgaj{i jifib `alhbl 2> ! kbibl
gefbcil bpbq 1 ! bffelib# kbb&kbb pa{aoqp kqjq~ agajpig,
g, Ilwa{pihb{i jelpbj bpbq {qfoa ilgaj{i facbcqi ~afaij{bbl fije{je~i{
pamb`b~ ga{a{ blhhepb qfbm pblhhb `bl jelpbj cbil yblh `ikqihbi#
paqpbfb eblh&eblh pbl~b hadbcb, Pamb`b~ faajb yblh jelpbj `alhbl
maxbl palbj `bl oilbpblh ~acimbbbl `imbq{jbl dqhb qlpqj `icbjqjbl
~afaij{bbl, Dijb `ikqihbi ~alqcbbl padb`i facbcqi bi# ~alybilhbl bi`bcbf dqfcbm {bf~ac yblh oa{b `b~bp `icbjqjbl qlpqj facimbp b`blyb
Eekyp{ ~b`b bi,
^alblhhqcblhbl xbobm ybipq `alhbl facbjqjbl ilwa{pihb{i a~i`afiecehi{
pamb`b~ jb{q{ yblh oajacef~ej yblh padb`i ~b`b {qbpq `babm bpbq il{pipq{i
papalpq qlpqj falhapbmqi {qfoa ilgaj{i `bl kbb&kbb ~alqcbbllyb: ~alyaci`ijbl
jafqlhjilbl {qfoar ~alqcbrbl Keffel {eqrka# {a~arpi {brblb rajrab{i bir# bir
filqf# {q{q falpbm bpbq fbjblbl bpbq filqfbl yblh ~epal{ibc pakafb `bl
facbjqjbl q~byb ~alkahbmbl `bl ~afoablpb{bl yblh fq`bm `i pab~jbl, Q~byb
qlpqj falkahbm ~alqcbbl `bi eblh ja eblh bpbq `bi oilbpblh ja fblq{ib
falajbljbl ~b`b q~byb jaoa{imbl ~aeblhbl `bl ~afoqblhbl ga{a{ yblh
{blipa,
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
28[ybm [^ ap bc, ?>22 28[ybm [^ ap bc, ?>22 28[ybm [^ ap bc, ?>22
I], JA[IF^QCBL
Ky~pe{~ei`ie{i{ faq~bjbl teele{i{ yblh pahecelh ja `bcbf jacef~ej
xbparoela `i{ab{a,
^alybjip ili falyaobojbl `iba bjqp obij ~b`b maxbl fbq~ql fblq{ib,
^alybjip ili `b~bp {afoqm {al`ii papb~i `b~bp faldb`i jeli{ paqpbfb ~b`b
~al`aipbiffqlekef~refi{a`{a~api ~al`aipb BI@[,
^alheobpbl {akbb {~a{igij pi`bj b`b `bl oaq~b pab~i {q~epig {bdb,
^alhal`bcibl `bl ~alkahbmbl caoim `iqpbfbjbl `alhbl ~alilhjbpbl
{blipb{i `bl mihiala ~a{elbc,
], @I[JQ[I
B~b ~aa`bbl ilgaj{i Kry~pe{~eri`iqf{~, `bl Aifarib{~, Falhb~b yblh
pafb{qj gee` oerla `bl afarhilh `i{ab{a b`bcbm Kry~pe{~eri`iqf {~, oqjbl
Aifarib{~,5
Dbxbo 4
Kry~pe{~eri`iqf {~, faficiji fbkbf fbkbf a{aweb {a~api qlhhb{#oqqlh# ijbl#a~pic# pijq{# bldilh# jqkilh# {b~i# jbfoilh# `efob# jq`b `bl fblq{ib
[a`blhjbl Aifarib {~, faficiji ilblh yblh {~a{igij oib{blyb oaoa`b pib~ {~a{ia{
`bl jaoblybjbl ~bpehal ~b`b maxbl ~acimbbbl {a~api bybf -Aifaribpalaccb)#
jacilki -Aifarib ~argerbl{)# ijbl {b`il -Aifarib {br`ilba)# `efob# jbfoilh# {b~i
`bl oboi, ^b`b fblq{ib oib{blyb Aifarib {~, mblyb caxbp {bdb `i{bcqbl
~alkalbbl yblh `i{aoqp ~b{{blp,
Eeji{pb ~b`b Aifarib {~, pa`ii `bi af~bp {~eeji{pb `bl pib~ {~eeji{pb
oai{i `qb {~eeteip, B~boicb eeji{pb papacbl fbjb `i q{q{ mbcq{ `ica~b{jbl
{~eeji{pb, B~boicb jel`i{i pi`bj fafqlhjiljbl -oqjbl ilblh {~a{igijlyb) fbjb
Aifarib {~, bjbl caxbp {bdb `bl pi`bj falhilgaj{i, [a`blhjbl ~b`bKry~pe{~eri`iqf {~, `ifblb eeji{pblyb pi`bj faficiji {~eeji{pb papb~i cblh{qlh
{~eeteip, B~boicb eeji{pb papacbl fbjb# `i q{q{ mbcq{ {~eeteip yblh oab`b
`bcbf eeji{pb oi{b cblh{qlh jacqb `bl fb{qj ja a~ipac q{q{ jakic fafoalpqj
pegeteip `bl {apaq{lyb bjbl oacblh{qlh {a{qbi {ijcq{ mi`q~lyb,
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
2=[ybm [^ ap bc, ?>22 2=[ybm [^ ap bc, ?>22 2=[ybm [^ ap bc, ?>22
@BGPB_ ^Q[PBJB
Oqpel BD# @W Li`bf# PJ `abal# J Fipkmacc# @@ Oexfbl# C ]ibe, ?>2>, Pma~awbcalka eg Ky~pe{~ei`iqf# bl` i`alpigikbpiel eg pma Ky~pe{~ei`iqf
me{a halepy~a il gebc{ il Lax Yej [pbpa, Wap ^brb{ipec28042;9200,
Kb{afea @^# _C [bl`{# B Kqy, 29=1, Kry~pe{~eri`iqf {~akia{ b /lax/ mqfbl
~bpmehal, D Kcil ^bpmec;=42;?2&2;;7,
ZK@KV Kalpa ge @i{ab{a Kelpec bl` ^awalpiel, ?>22,
Kry~pe{~eri`iqf, Z pamqoqlh oajbcbV, mpp~4%%xxx,k`k,hew%
~bb{ipa{%ky~pe% Z?0 Ejpeoa ?>22V,
Kmil D# a`ipe, ?>>>, Fblqbc ~afoablpb{bl ~alybjip falqcb, Zpamqoqlh oajbcbV
mpp~4%%lyefbljbl`ql,pi~e`,kef%{ipaoqic`akelpalp%{ipaoqic`agica{%fblqbcU~?
f,~`g Z?1 Ejpeoa ?>22V,
Kmepibm [, ?>>=, @iba ^b`b Blbj [b~i4 Bhal ^alyaobo# @ibhle{b# `bl
^albhhqcblhbl, @i `bcbf4 @ixyblpe J# A Xilb# B ^iyblpi# C Lbpbcib# P
Mabxbpi# O ^qxbl`byb# a`ipe, ^re{i`ilh ^re{~aj Il`q{pri [b~i ^arbm
Falqdq ^ar`bhblhbl Oaob{b ?>?>: Dbjbpb# ?2 B~ic ?>>=, Oehe4 ^q{bp
^alacipibl `bl ^alhafoblhbl ^apalbjbl, mcf ;;7&;0;,
Keej# H Fbl{el, 2997, Pe~ikbc `i{ab{a, 2997,A` ja&?>, Cel`el4 XO
[bql`a{# 2?4=;&?=,
Z@^@}V Cboebpei I`alpig ikbpil ^bb{ipa{eg ^qocik Mabcpm Kelkal,
?>22, Ki~pe{~ii`ie{i{, Z pamqoqlh oajbcbV, mpp~4%%xxx,`~`,k`k,hew%`~`}%mpfc%Ky~pe{~ei`ie{i{,mpf Z?1 Ejpeoa ?>22V,
Hbcfa{ B# Likecbq B# Boelb B# Hefi{ A# Hqfb F# [fipm&^bcfa B, ?>>;,
Ky~pe{~ei`ie{i{ eqpoabj il Oipi{m peqi{p{ xme {pbya` bp b mepac il
Fbdekb# [~bil, Aqre{qrwaiccblka Xaajcy ?>>;: 8-;;)420%>=%?>>;,
mpp~4%%xxx,aqe{qwaiccblka,eh%ax%?>>;%>;>=20,b{~
Medcylh# L,# bl` O,L, Dal{al, 29==, _a{~ibpey ky~pe{~ei`ie{i{ il MIW ~e{ipiwa
~bpialp{, Cblkap ii, 19>&192,
Ifa J# CF Ceoe# E Fbpe{# K ^e~a{kq# K Halkmi# H @bboq{, ?>22, Fecakqcb
kmbbkpai{bpiel eg Ky~pe{~ei`iqf i{ecbpa{ gef ~a&xabla` kbcwa{ il_efblib4 I{ pmaa bl bkpqbc i{j eg teelepik ilgakpiel{5 Wap ^brb{ipec
2=24;?2;?0,
http://www.eurosurveillance.org/ew/2003/030814.asphttp://www.eurosurveillance.org/ew/2003/030814.asphttp://www.eurosurveillance.org/ew/2003/030814.asp -
7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)
20/21
Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe
?>22
29[ybm [^ ap bc, ?>22 29[ybm [^ ap bc, ?>22 29[ybm [^ ap bc, ?>22
Jeke{mi{# [, B,# F, C, Kioqci# P, A, @bwi{# D, P, Milpel# F,[ai~# bl` D, H, Oblxacc,
29=0, Ilpa{pilbc bl` ~qcfelby ky~pe{~ei`ie{i{ il bl lgblp xipm {awaa
kefoila` iffqla `agikialky, D ^a`ibp Hb{prealparec Lqpr;4209&21,
LJ ' LM Bci, ?>>?, Ky~pe{~ei`ie{i{ bfelh blifbc mbl`ca{ bl` pmai ciwa{pekj il
ob{bm# Ibr, A Bgr Fa` D89-2>)411>&11;,
Fb{el _X# XD Mbpcay# C Picp, 29=2, Ilpa{pilbc ky~pe{~ei`ie{i{ il b ji` hebp, Bq{p
Wap D184;=7&;==
Fb{el# K ' H, Kbc`ex, ?>>1, Pma kelpec bl` fblbhafalp eg kbcg `ibmab il oaag
ma`{, Pakmlikbc Lepa -PL) 187, [q~~epilh pma cbl`&ob{a` il`q{pia{ ge
ewa b kalpqy -[BK) Xa{p Fbil{ _eb`# A`iloqhm AM9 ;DH, [BK a{aiwa{
{q~~ep gef pma [keppi{m A}akqpiwa alwielfalp bl` _qbc Bggbi{
@a~bpafal,
Failmb`p ^C# @^ Kb{afea# JO Ficca, 2997, A~i`afiecehik B{~akp{ eg MqfblKy~pe{~ei`ie{i{ bl` pma _eca eg Xbpaoela Pbl{fi{{iel, A~i`afiec _aw
2=-?)422=&2;7,
Fqacca&@eocia{ @# F Hica{# J Acxil# _^ [fipm# GB Kcigpel&Mab`cay# _F Kmbcfa{,
?>>=, @i{pioqpiel eg Kry~pe{~eri`iqf {~akia{ il {maa~ il pma QJ, Wap
^brb{ipec2104?20?29,
Lbjbfqb BB# @K [ifea{# _H Blpqla{# @K `b [icwb# FW Faiaca{, ?>>9, Fecakqcb
kmbbkpaitbpiel eg Kry~pe{~eri`iqf {~~, gef gakbc {bf~ca{ eg oi`{ ja~p il
kb~piwipy il Obtic, Wap ^brb{ipec27740812,
L[X Mabcpm @a~bpfalp, ?>>2, Ky~pe{~ei`ie{i{, Fqcpikqcpqrbc Keffqlikbpiel:@EM&8221, mpp~4%%xxx,fmk{,mabcpm,l{x,hew,bq%~qocikbpielU~`g{%8221%@EM&
8221&IL@,~`g Z?1 Ejpeoa ?>22V,
El`bkjewb T# F Jwbk# O [bj# @ Jwapelewb# F _e{p , ?>>9, ^awbcalka bl`
fecakqcb kmbbkpaitbpiel eg Kry~pe{~eri`iqf{~~, il `biy kbppca il [eqpm
Oemafib# pma Ktakm _a~qocik, Wap ^brb{ipec2714202200,
_eoap C[# D Dblewy D# H@ [kmfi`p, ?>>1, Gel`bpiel eg ^bb{ipecehy,
A` ja&8# Lax Yej4 Pma Fk Hbx&Mic c Kef~blia{,
[bi` LI, ?>>;, ^alkafbbl bi filqf `bl `bf~bjlyb pamb`b~ ja{ambpbl,
Zpamqoqlh oajbcbV mpp~4%%xxx,jacbi,o~~p,he,i`%^qocijb{i%OqjqBiFilqf%OBO2^ALKAFB_BL,~`g Z?1 Ejpeoa ?>22V,
[bi` LI, ?>>8, @a{ilgaj{i qlpqj ~e{a{ ~alhecbmbl bi filqf, DBI;-2)421&?=,
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Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila
[ajecbm b{kb{bdblbIl{pipqpa ^apblibl Oehe
?>[ybm [^ ap bc, ?>22 ?>[ybm [^ ap bc, ?>22 ?>[ybm [^ ap bc, ?>22
[mi ap bc, ?>2>, G dibl# K Cw# K Lilh# C Tmblh# ] _al# PJ @abal# L Ci# F Ri# C ]ibe,
^awbcalka# halapik kmbbkpai{pik# bl` teelepik ~epalpibc eg Kry~ep{~ere`iqf
{~a{ia{ kbq{ilh ilgakpiel il gbf booip{ il Kmilb, D Kcil Fikreoiec
0=-9)4;?7;;?77,
[ilbfoacb BM, ?>>=, Ki~pe{~ei`ie{i{, Q[ a&_a{~e{ipery, [qfbpab Qpbb4
@a~bpafal ^bb{ipecehi# Gbjqcpb{ Ja`ejpabl# Qliwa{ipb{ [qfbpab Qpbb,
Pept&Xiccibf{ CB# O@ Dbwia# [X Fbpil# JA Ca{cia# B[ ^aahila, ?>>1, ^awbcalka
eg Kry~pe{~eri`ie{i{ ~brwqf ilgakpiel il {eqpm xa{parl Elpbrie bl` ip{
b{{ekibpiel xipm `ibmab il laelbpbc `biy kbcwa{, Kbl Wap D074;09&;12,
Pti~ei [# D Cb{al# F [fipm# _ Cqhgc, 29=?, @ibmeab il hebp ji`{ bppioqpa` pe
Ky~pe{~ei`iqf ilgakpiel, Wap _ak2224;1&;7,
Pti~ei [, 29=;, Ky~pe{~ei`ie{i{ il Blifbc{ bl` Mqfbl{, Fikreoiec _aw084=0&97
Xblh _# M Xblh# Y [ql# C Tmblh# G Dibl# F Ri# K Lilh# C ]ibe, ?>22,
Kmbbkpai{pik{ eg Kry~pe{~eri`iqfPbl{fi{{iel il ^axabla` @biy Kbppca
il Malbl# Kmilb, D Kcil Fikreoiec09-;)42>88&2>=?,
Xiccibf C, Kqalp bl` Cylla [, Hbkib, 2992, Ky~pe{~ei`ie{i{, Kcil Fikreoiec _aw
;?1&;1=,