Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs

Tuberculosis (TB) is an airborne infectious disease caused by Mycobacterium tuberculosis. Indonesia ranks third in the number of global TB cases. Studies in Indonesia show reduced levels of Hb, Ht, MCV, MCH, and leukocytosis in newly diagnosed and untreated TB patients, with 60% having anemia. The c...

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Main Authors: Ririh Jatmi Wikandari, Surati, Siti Nuryani, Sistoyono
Format: Article
Language:Indonesian
Published: Poltekkes Kemenkes Yogyakarta 2024-12-01
Series:Jurnal Teknologi Laboratorium
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Online Access:https://teknolabjournal.com/index.php/Jtl/article/view/486
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author Ririh Jatmi Wikandari
Surati
Siti Nuryani
Sistoyono
author_facet Ririh Jatmi Wikandari
Surati
Siti Nuryani
Sistoyono
author_sort Ririh Jatmi Wikandari
collection DOAJ
description Tuberculosis (TB) is an airborne infectious disease caused by Mycobacterium tuberculosis. Indonesia ranks third in the number of global TB cases. Studies in Indonesia show reduced levels of Hb, Ht, MCV, MCH, and leukocytosis in newly diagnosed and untreated TB patients, with 60% having anemia. The combined use of hematologic markers to assess inflammatory response before and after treatment still needs further investigation.This study was conducted in several Puskesmas in Semarang to determine the hematological profile of tuberculosis patients before and after 1 month of treatment. This study used a quasi-experimental design with one-group pre-test and post-test methods. The study population included all TB patients in the third area of the Puskesmas. Non-probability sampling technique with quota sampling is used to select a sample, consisting of newly diagnosed TB patients (aged 20-60 years, both male and female, and not cases of retreatment). A total of 30 samples were taken (10 from each Puskesmas). Analysis of blood samples is performed using the automated hematology device Sysmex (KX21-N). Data were analyzed using SPSS Version 25 with descriptive statistics and paired t-test was used to compare hematologic profiles before and after treatment. The results showed that anemia often occurred in tuberculosis patients and the number of patients who experienced anemia after treatment decreased from 16 patients to 13 patients. The study also found significant changes in white blood cell (p = 0.004) and platelet (p = 0.005) counts in tuberculosis patients before and after treatment. The increase in white blood cell count after treatment shows clinical improvement, while the decrease in platelets may be due to the action of anti-tuberculosis drugs. Normocytic normochromic anemia is the most common form of anemia in tuberculosis patients before treatment, while microcytic hypochromic anemia is more common after 1 month of treatment.
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language Indonesian
publishDate 2024-12-01
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series Jurnal Teknologi Laboratorium
spelling doaj-art-48c5f5dcd4b04aec9eef24d567be44872025-01-03T15:40:12ZindPoltekkes Kemenkes YogyakartaJurnal Teknologi Laboratorium2338-56342580-01912024-12-0113213514410.29238/teknolabjournal.v13i2.486438Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugsRirih Jatmi Wikandari0Surati1Siti Nuryani2Sistoyono3Department of Health Analysis, Polytechnic Ministry of Health, Semarang, IndonesiaDepartment of Health Analysis, Polytechnic Ministry of Health, Semarang, IndonesiaDepartment of Medical Laboratory Technology, Polytechnic Ministry of Health, Yogyakarta, IndonesiaDepartment of Medical Laboratory Technology, Polytechnic Ministry of Health, Yogyakarta, IndonesiaTuberculosis (TB) is an airborne infectious disease caused by Mycobacterium tuberculosis. Indonesia ranks third in the number of global TB cases. Studies in Indonesia show reduced levels of Hb, Ht, MCV, MCH, and leukocytosis in newly diagnosed and untreated TB patients, with 60% having anemia. The combined use of hematologic markers to assess inflammatory response before and after treatment still needs further investigation.This study was conducted in several Puskesmas in Semarang to determine the hematological profile of tuberculosis patients before and after 1 month of treatment. This study used a quasi-experimental design with one-group pre-test and post-test methods. The study population included all TB patients in the third area of the Puskesmas. Non-probability sampling technique with quota sampling is used to select a sample, consisting of newly diagnosed TB patients (aged 20-60 years, both male and female, and not cases of retreatment). A total of 30 samples were taken (10 from each Puskesmas). Analysis of blood samples is performed using the automated hematology device Sysmex (KX21-N). Data were analyzed using SPSS Version 25 with descriptive statistics and paired t-test was used to compare hematologic profiles before and after treatment. The results showed that anemia often occurred in tuberculosis patients and the number of patients who experienced anemia after treatment decreased from 16 patients to 13 patients. The study also found significant changes in white blood cell (p = 0.004) and platelet (p = 0.005) counts in tuberculosis patients before and after treatment. The increase in white blood cell count after treatment shows clinical improvement, while the decrease in platelets may be due to the action of anti-tuberculosis drugs. Normocytic normochromic anemia is the most common form of anemia in tuberculosis patients before treatment, while microcytic hypochromic anemia is more common after 1 month of treatment.https://teknolabjournal.com/index.php/Jtl/article/view/486hematological; tuberculosis; anti tuberculosis drugs; intensive phase; anemia.
spellingShingle Ririh Jatmi Wikandari
Surati
Siti Nuryani
Sistoyono
Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
Jurnal Teknologi Laboratorium
hematological; tuberculosis; anti tuberculosis drugs; intensive phase; anemia.
title Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
title_full Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
title_fullStr Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
title_full_unstemmed Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
title_short Hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti-TB drugs
title_sort hematological profile of pulmonary tuberculosis patients before and after 1 month of taking anti tb drugs
topic hematological; tuberculosis; anti tuberculosis drugs; intensive phase; anemia.
url https://teknolabjournal.com/index.php/Jtl/article/view/486
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