Relationship between Quantitative C-Reactive Protein (CRP) Levels and Leukocyte Counts in Pulmonary Tuberculosis Infection Patients at Arifin Achmad Regional Hospital
Main Article Content
Arniat Christiani Telambanua
Ressi Oktaviani
Adewirli Putra
Pulmonary tuberculosis is a chronic infectious disease caused by Mycobacterium tuberculosis. C-reactive protein (CRP) and leukocyte count are indicators that can reflect the severity of infection in pulmonary TB patients. This study aims to analyze the relationship between quantitative CRP levels and leukocyte counts in pulmonary tuberculosis patients. This study is an observational analytical study with a cross-sectional approach conducted on 30 pulmonary TB patients at Arifin Achmad Hospital, Pekanbaru who met the inclusion and exclusion criteria. Data on CRP levels and leukocyte counts were obtained through laboratory examinations, while demographic data were taken from patient medical records. Normality and linearity tests were performed before correlation analysis using linear regression tests. The average CRP level of patients was 84.14 ± 91.59 mg/L, with the lowest level of 0.71 mg/L and the highest of 316.7 mg/L. The mean number of leukocytes was 10,481 ± 4,625.53 mm³, with the lowest number of 3,190 mm³ and the highest of 21,310 mm³. The results of the bivariate analysis showed no significant relationship between CRP levels and leukocyte counts in pulmonary TB patients (p = 0.378). There was no significant correlation between quantitative CRP levels and leukocyte counts in pulmonary tuberculosis patients at Arifin Achmad Hospital Pekanbaru. Further research with larger samples and longitudinal designs is needed to further explore the relationship between these two variables and their implications in the management of pulmonary TB.
Amalia, D. et al., 2020. Hubungan kadar C-reactive protein dengan Laju Endap Darah pada penderita Tuberkulosis Paru di wilayah kerja Puskesmas alas barat Jurnal Kesehatan Andalas, 9(2), 218 – 223.
Anggraeni Novitasari, Putri, Fitriani Kahar, and Irnawati., 2022. “Gambaran Kepositifan Basil Tahan Asam Pasien Diagnosis Klinis Tuberculosis Paru Di Balai Kesehatan Masyarakat Semarang.” Jurnal Laboratorium Medis 4(2): 95–
Bastian,Meyrita Birka Yolanda.,2023.”Korelasi Jumlah Leukosit terhadap Kadar CRP pada Penderita Penyakit Tuberkulosis.” Jurnal JHAST vol. 1No 1:1-5. Bastiandarwin51@yahoo.com
Dicky, Y. W., & Ahmad, H. R. 2019. Pemeriksaan Jumlah Sel Leukosit Pada Penderita Tuberkulosis Paru di UPT Kesehatan Paru Masyarakat, Dinas Kesehatan Provinsi Sumatera Utara. Jurnal Analis Laboratorium Medik. 4(2): 31–35
Ergiana, S.D. et al. 2022 ‘Hubungan Kadar C-Reactive Protein dengan Jumlah Leukosit Penderita Tuberkulosis Paru pada Fase Pengobatan 0 dan 2 Bulan di BKPM Purwokerto’, Jurnal Surya Medika, 8(2), pp. 62–77. Available at: https://doi.org/10.33084/jsm.v8i2.3482.
Frances, K.Widman. 2009. Tinjauan Klinis Atas Pemeriksaan hasil laboratorium.Penerbit Buku Kedokteran EGC: Jakarta
Isbaniah, F. et al., 2021. Tuberkulosis: Dokter Paru Indonesia. Jakarta
Garna B Karnen, Rengganis Iris. 2010. Imonologi Dasar. Ed IX. Balai Penerbit FKUI: Jakarta
Giyartika, F., & Keman, S. (2020). The Differences of Improving Leukosit inRadiographers at Islamic Hospital Jemursari Surabaya. Jurnal Kesehatan Lingkungan,12(2), 97.https://doi.org/10.20473/jkl.v12i2.2020.97-106
Geni L, Panjaitan LMR,. 2019 Hubungan Kadar Procalcitonin (PCT) dengan C- Reactive Protein (CRP) Pada Pasien Infeksi di Rumah Sakit Pluit. Anakes Jumlah Anal Kesehatan;5(1):74-81
Gilang Nugraha,S.Si,M.Sic,(2017).Panduan Pemeriksaan Laboratorium hematologi Dasar:Jakarta
Kemenkes RI. 2020. Strategi Nasional Penanggulangan Tuberkulosis di Indonesia 2020-2024. Pertemuan Konsolidasi Nasional Penyusunan STRANAS TB, 135.
Kemenkes RI. 2021. Profil Kesehatan Indonesia 2021 InPusdatin.Kemenkes.Go.Id.
Lestari, N.P.W.A. et al. 2022 ‘Perbedaan Usia Dan Jenis Kelamin Terhadap Ketuntasan Pengobatan Tb Paru Di Puskesmas Di Kota Kupang’, Cendana Medical Journal, 10(1), pp.24–31.
Mabrouk, ME. 2017. Differential Count And Total White Blood Cells Among Tuberculosis Patients Under Treatment Attending Kenana Hospital In White Nile State. Journal of Blood Disorders. 4(1): 4–7.
Magdalena Kase.2023. Hubungan C-Reactive Protein(CRP)dan jumlah Leukosit Pada Pasien Tuberkulosis Paru yang mengkomsumsi Obat anti Tuberkulosis di Pukesmas Oesapa,Tesis Diploma,Poltekes Kemenkes Kupang
Munawaroh, N.F., Prihandono, D.S. and Saputri, M.J. 2023 ‘Gambaran Kadar C- Reaktive Protein (CRP) pada Penderita Tuberkulosis Paru di Puskesmas Sidomulyo Samarinda’, Anakes : Jurnal Ilmiah Analis Kesehatan, 9(2), pp. 121–130. Available at: https://doi.org/10.37012/anakes.v9i2.1691.
Mansyur, Siti Isdayanti, Aisyah Hadi Ramdani, and Kurniawan Santoso,2018.”Hubungan Bakteri Mycobacterium Tuberculosis dengan Nilai Laju Endap Drah (LED) dan Milai Rasio Neutrofil Limfosit (RNL) pada Penderita Tuberkulosis Baru di Puskesmas Se-Kota Kediri.”Jurnal Prosiding Seminar Nasional Sains, Teknologi Dan Analis 161-165.
Nurmawan, N., Aini, A., & Ustiawaty, J. 2020. Hubungan Antara Kadar Laju Endap Darah (LED) Dengan Kadar C-Reaktiv Protein (CRP) Pada Penderita Tuberkulosis (TBC) Di Wilayah Kerja Puskesmas Alas Barat. Jurnal Analis Medika Biosains (JAMBS), 7(1), 34. 30
Permana, A. 2020. Gambaran Kadar Hemoglobin (Hb) Dan Leukosit Pada Penderita Tb Paru Dengan Lamanya Terapi OAT (Obat Anti Tuberculosis) Di Rumah Sakit Islam Jakarta Cempaka. Anakes : Jurnal Ilmiah Analis Kesehatan. 6(2): 136–143.
Purwanto, D. S., & Astrawinata, D. A. W. 2019. Pemeriksaan Laboratorium sebagai Indikator Sepsis dan Syok Septik. Jurnal Biomedik (Jbm), 11(1), 1. https://doi.org/10.35790/jbm.11.1.2019.23204 Profil P2P Dinkes Kota Pekan baru. 2022.
Profil Dinas Kesehatan Kota Pekan baru. Retrieved from Profil Dinas Kesehatan Kota Pekan baru.
Prof. Dr.Soekidjo Notoatmodjo. 2018. Metodologi Penelitian Kesehatan, Publisher; Jakarta: PT.Rineka cipta.
Rampa, E., Fitrianingsih, & Sinaga, H. 2020. Hasil Pemeriksaan Leukosit, Trombosit Dan Hemoglobin Pada Penderita Tuberkulosis Yang Mengkonsumsi OAT Di RSAL Dr. Soedibjo Sardadi Kota Jayapura. Global Health Science (GHS). 5(2): 78–83.
Rasyid, A., & Amalia, D 2021. Korelasi Jumlah Limposit Absolut dan Nilai CRP Kuantitatif terhadap Derejat Keparahan Penyakit pda Pasien Covid-19 Di RSUP Dr.M. Djamil Padang Jurnal Kesehatan Andalas,10(2), 121-126
Ristanti, E. 2017 Analisis Faktor yang Mempengaruhi Kejadian Tuberkulosis Paru, Occupational Medicine. Universitas Airlangga.
Shaikh, muhammad khalid, Samo, javed akhtar, Devrajani, bikha ram, Shah, syed zulfiquar ali, Shaikh, S., & Shaikh, I. 2012. C-Reactive Protein In Patients With Pulmonary Tuberculosis. World Applied Sciences Journal. 17(2): 140–144.
Shameem, M., Fatima, N., Ahmad, A., Malik, A., & Husain, Q. 2017. Correlation Of Serum CReactive Protein With Disease Severity In Tuberculosis Patients. Open Journal of Respiratori Diseases. 95–100.
Sigalingging, I. N. et al., 2019. Pengaruh pengetahuan, sikap, riwayat kontak dan kondisi rumah terhadap kejadian TB Paru di wilayah kerja UPTD Puskesmas Hutarakyat Kabupaten Dairi Tahun 2019. Jurnal Ilmiah Simantek. vol. 3(3): 87–99.
Sitanggang, A.S. 2019 ‘Program studi analis kesehatan politeknik kesehatan kemenkes kupang 2019’, Karya Tulis Ilmiah, pp. 1–50.
Sunarmi, S. and Kurniawaty, K. 2022 ‘Hubungan Karakteristik Pasien Tb Paru Dengan Kejadian Tuberkulosis’, Jurnal ’Aisyiyah Medika, 7(2), pp. 182–187. Available at: https://doi.org/10.36729/jam.v7i2.865.
Sutrisna, M. and Elsi Rahmadani. 2022 ‘Hubungan Usia dan Jenis Kelamin dengan TB MDR’, Sehat Rakyat: Jurnal Kesehatan Masyarakat, 1(4), pp. 370–376. Available at: https://doi.org/10.54259/sehatrakyat.v1i4.1168.
Sproston, N.R., & Ashworth, J.J,2018. Role of C-Reactive Protein at sites of Inflammation and Infection. Frontiers in innunologi,9, 743
Wibowo, BF., et al., 2018. Hubungan pemeriksaan LED dan CRP pada penegakkan diagnosis spondilitis TB di RSUP dr. M. Djamil Padang tahun 2014-2016. Hub pemeriksaan LED dan CRP pada penegakkan diagnosis Spondilitis Tb di RSUP dr M Djamil Padang tahun 2014-2016. Majalah Kedokteran Andalas. 2018;41(2):69-77
Kadar C-Reaktif Protein dapat menggambarkan tingkat keparahan penyakit dan harus digunakan sebagai indikator utama untuk pemantauan penyakit (Wang, 2020)
World Health Organization (WHO). Global Tuberculosis Report 2022. Geneva; 2022
World Health Organization (WHO). WHO Global Tuberculosis Report 2021. Geneva; 2021.
World Health Organization (WHO). Global tuberculosis report. Geneva; 2020 31
World Health Organization (WHO). 2020. Global Tuberculosis Report 2020.