No Association between Malnutrition and AFB Status of Pulmonary Tuberculosis

Shafa Medina Ismayani, Apen Afgani Ridwan, Mirasari Putri

Abstract


Pulmonary TB remains a major health problems of the world. The classification divided into Positive and Negative AFB smears. Malnutrition (undernutrition) is one of the risk factors for TB that can affect the host immunity, conversely TB infection may cause malnutrition and worsening the outcome. Objective of this study was to analyze relationship between malnutrition and AFB status of pulmonary TB in RSUD Al-Ihsan Bandung period April-June 2017. This was an observational analytic study using cross sectional method. Data obtained from medical records of pulmonary TB patients in RSUD Al-Ihsan Bandung period April-June 2017, using 87 samples with cosecutive sampling method and chi-square statistic test. Dominant category malnurtrition in pulmonary TB was mild malnutrition with average BMI 18.19 kg/m2. The result of statistic test for correlation between malnutrition and AFB status of pulmonary tuberculosis in RSUD Al-Ihsan Bandung period April-June 2017 showed that p-value (0.091) <0.05. Conclusion, there wasn’t a significant relationship between malnutrition and AFB status of pulmonary tuberculosis in RSUD Al-Ihsan Bandung period April-June 2017, so further study may be needed. Hopefully all substance can provide more intensive treatment to malnourished patients related of risk factors for pulmonary TB.


Keywords


Body Mass Index, Malnutrition, Pulmonary Tuberculosis

References


Direktorat Jendral Pengendalian Penyakit dan Penyehatan Lingkungan. Pedoman Nasional Pengendalian Tuberkulosis. Katalog Dalam Terbitan : Kementerian Kesehatan Nasional. 2014. p. 1–210.

World Health Organization. WHO Global Tuberculosis Report 2016. 2016;214.

PDPI. Pedoman Penatalaksanaan TB (Konsensus TB). Perhimpun Dr Paru Indones. 2011;1–55.

Longo DL, Kasper DL, Jameson JL, Fauci AS, Fauci AS, Hauser SL, et al. Harrison’s principles of internal medicine. - 18th ed. 2012.

L K, Escott-Stum S. Krause’s, Food and Nutrition Therapy. 2008. 865-872 p.

World Health Organization. Malnutrition: quantifying the health impact at national and local levels. Environ Burd Dis Ser. 2005;12(12):43.

International Food Policy Research Institute. Global Nutrition Report 2016: From Promise to Impact: Ending Malnutrition by 2030. 2016;1–26.

Dodor EA. Evaluation of Nutritional Status of New Tuberculosis Patients At the Effia- Kwanta Regio Al Hospital. Ghana Med J. 2008;42(1):22–8.

Pakasi TA, Karyadi E, Dolmans WM V, Van Der Meer JWM, Van Der Velden K. Malnutrition and socio-demographic factors associated with pulmonary tuberculosis in Timor and Rote Islands, Indonesia. Int J Tuberc Lung Dis. 2009;13(6):755–9.

Jawetz, Melnick A. Medical_Microbiology 24th Ed. 2007. p. 302–12.

Chan J, Tian Y, Tanaka KE, Tsang MS, Yu K, Salgame P, et al. Effects of protein calorie malnutrition on tuberculosis in mice. Proc Natl Acad Sci U S A. 1996;93(25):14857–61.

Walpole SC, Prieto-Merino D, Edwards P, Cleland J, Stevens G, Roberts I. The weight of nations: an estimation of adult human biomass. BMC Public Health. 2012;12(1):439.

eLife. A century of trends in adult human height. Elife. 2016;5:1–29.

Dargie B, Tesfaye G, Worku A. Prevalence and associated factors of undernutrition among adult tuberculosis patients in some selected public health facilities of Addis Ababa , Ethiopia : a cross- sectional study. BMC Nutr. 2016;1–9.

Leung CC, Lam TH, Chan WM, Yew WW, Ho KS, Leung G, et al. Lower risk of tuberculosis in obesity. Arch Intern Med. 2007;167(12):1297–304.

Palomino JC, Martin A, Portaels F, Cathode RM, Rüsch-Gerdes S, Pfyffer GE, et al. Mycobacteriology Laboratory Manual. 2007;37(3):607–10.

Benjamin Caballero, Linday Allen AP. Encyclopedia of Human Nutrition. Vol. 2 Edition, Elseivier Academic Press. 2005. 287-293 p.

Kumar, Abbas, Faustro, Aster. Robin and Cotran Pathologic Basis of Disease 8th Edition. 2010. 664-674 p.

Chang SW, Pan WS, Lozano Beltran D, Oleyda Baldelomar L, Solano MA, Tuero I, et al. Gut Hormones, Appetite Suppression and Cachexia in Patients with Pulmonary TB. PLoS One. 2013;8(1):1–7.

Gebrecherkos T, Gelaw B, Tessema B. Smear positive pulmonary tuberculosis and HIV co-infection in prison settings of North Gondar Zone, Northwest Ethiopia. BMC Public Health. 2016;16(1):1091–101.




DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.8318

Flag Counter    Â