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Abstrak

Pulmonary tuberculosis is a disease caused by Mycobacterium tuberculosis. C-Reactive Protein (CRP) is produced in the body by the liver in response to inflammation caused by Mycobacterium tuberculosis infection. CRP as the main mediator of the non-specific immune system, and the concentration will increase to 1000 times higher than normal value in the event of tissue injury or infection. The aim of this study was to determine the comparison of CRP levels to the phase of anti-tuberculosis drug administration in pulmonary tuberculosis patients. The study was conducted by cross sectional study with a semi-quantitative method in June - July 2020 in Purwokerto Community Lung Health Center. The number of samples as much as 24 TB patients which is 12 TB patients in 0 month and 12 TB patients in 6 months. Data were analyzed by Mann Whitney Test. The mean rank in 0 month was 18.08 with median (min-max) 12 (12-24) mg / dL, whereas mean rank for 6 months was 6.92 with median (mix-max) was 0 (0- 12) mg / dL. Serum CRP levels in pulmonary TB patients in the 0-month treatment phase are higher than CRP levels in the 6-month treatment phase (p = 0,000).

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Referensi

  1. Aini, Nurmawan, & Jumari, U. (2020). Hubungan Antara Kadar Laju Endap Darah (LED) dengan Kadar C-Reaktif Protein (CRP) Pada Penderita Tuberkulosis (TBC) di Wilayah Kerja Puskesmas Alas Barat. Jurnal Analis Medika Biosains (JAMBS), 7(1), 34–41.
  2. Annisa, N., & Hastono, S. P. (2019). Pengaruh Kategori Pengobatan Terhadap Keberhasilan Pengobatan Pasien Tuberkulosis. Jurnal Kesehatan Manarang, 5(2), 64. https://doi.org/10.33490/jkm.v5i2.127
  3. Bedell, R. A., van Lettow, M., Meaney, C., Corbett, E. L., Chan, A. K., Heyderman, R. S., Anderson, S. T., Åkesson, A., Kumwenda, M., Zachariah, R., Harries, A. D., & Ramsay, A. R. (2018). Predictive value of C-reactive protein for tuberculosis, bloodstream infection or death among HIV-infected individuals with chronic, non-specific symptoms and negative sputum smear microscopy. Tropical Medicine and International Health, 23(3), 254–262. https://doi.org/10.1111/tmi.13025
  4. Ding, R., & Zhang, H. (2018). Effect of linezolid on serum PCT, ESR, and CRP in patients with pulmonary tuberculosis and pneumonia. Medicine, 97(37), 1–4.
  5. Kalma. (2018). Studi Kadar CRP pada Penderita Diabetes Melitus Tipe 2. Media Analis Kesehatan, 1.
  6. Kemenkes RI. (2018). Infodatin Tuberkulosis. www.who.int/gho/mortality_burden_disease/cause_death/top10/en/
  7. Mardiah, A. (2019). Skrining Tuberkulosis (Tb) Paru Di Kabupaten Banyumas Provinsi Jawa Tengah. Jurnal Kedokteran, 4(1), 694. https://doi.org/10.36679/kedokteran.v4i1.62
  8. Martins, C., De Castro Gama, A. C., Valcarenghi, D., & De Borba Batschauer, A. P. (2014). Markers of acute-phase response in the treatment of pulmonary tuberculosis. Jornal Brasileiro de Patologia e Medicina Laboratorial, 50(6), 428–433. https://doi.org/10.5935/1676-2444.20140052
  9. Pansey, P., Shukla, S., & Acharya, S. (2017). Serum C-Reactive Protein (CRP)-A Dependent Prognostic Marker in Pulmonary Tuberculosis. International Journal of Contemporary Medical Research ISSN, 4(10), 2393–2915. www.ijcmr.com
  10. Shaikh, M. K., Samo, J. A., Devrajani, B. R., Shah, S. Z. A., Shaikh, S., & Shaikh, I. (2012). C-Reactive Protein in Patients with Pulmonary Tuberculosis. World Applied Sciences Journal, 17(2), 140–144.
  11. Sharma, R. K., Sharma, R., Sharma, N., Sandhu, R., Sharma, A., Mahajan, C., & Neki, N. S. (2016). Study of the Serum Levels of C-Reactive Proteins as an Indicator of Disease Activity in Pulmonary Tuberculosis and Monitoring Response to Treatment. Annals of International Medical and Dental Research, 2(6), 23–27. https://doi.org/10.21276/aimdr.2016.2.6.ME6
  12. Sianturi, R. (2014). Analisis Faktor Yang Berhubungan Dengan Kekambuhan TB Paru (Studi Kasus di BKPM Semarang Tahun 2013). Unnes Journal of Public Health, 3(1), 1–10. https://doi.org/10.15294/ujph.v3i1.3157
  13. Soedarsono, S., & Subiantoro, M. C. (2019). Changes of CRP serum levels in pulmonary TB patients with AFB smear-positive sputum before and two months after receiving anti-tuberculosis drug treatment. Indian Journal of Tuberculosis, 66(1), 134–138. https://doi.org/10.1016/j.ijtb.2018.07.007
  14. Solihah, L., Nurlaela, C., & Ahmarita, K. S. (2017). Pemeriksaan C-Reaktif Protein (CRP) Pada Penderita Tuberkulosis Paru di RSUD dr.Soekardjo. E-Journal Mucis, 4, 9–15.
  15. Tahumuri, A., Wongkar, M., & Rotty, L. (2017). Gambaran Laju Endap Darah dan C Reactive Protein Pada Pasien Tuberkulosis Paru di Manado 2016. Jurnal Kedokteran Klinik, 1(3), 16–20.
  16. Utji, R., & Harun, H. (2012). Kuman Tahan Asam. In Staf Pengajar Fakultas Kedokteran UI (Ed.), Buku Ajar Mikrobiologi Kedokteran Edisi Revisi (pp. 227–238). Binarupa Aksara Publisher.
  17. WHO. (2020). Global Tuberculosis Report. In World Health Organization.
  18. Wyczalkowska-Tomasik, A., Czarkowska-Paczek, B., Zielenkiewicz, M., & Paczek, L. (2016). Inflammatory Markers Change with Age, but do not Fall Beyond Reported Normal Ranges. Archivum Immunologiae et Therapiae Experimentalis, 64(3), 249–254. https://doi.org/10.1007/s00005-015-0357-7