Overview of Nutritional Status in Pulmonary Tuberculosis Patients Undergoing Outpatient Treatment at Tk.II Iskandar Muda Hospital Banda Aceh
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Abstract
Tuberculosis (TB), caused by Mycobacterium Tuberculosis (MTB) and transmitted through the air, primarily affects the lungs. In Aceh Province, the reported TB cases reached 41,596. Nutritional status is a pivotal factor influencing TB occurrence, as malnutrition can compromise immune function, increasing susceptibility to MTB. This study assesses TB patients' nutritional status based on BMI, malnutrition risk, and body weight changes during therapy. As quantitative research with a descriptive cross- sectional study design, the study used the medical records of outpatient pulmonary TB patients at the Pulmonary & TB-DOTS Polyclinic of TK—II Iskandar Muda Banda Aceh Hospital, who underwent intensive phase therapy from January to December 2023. Malnutrition risk screening utilizes the Malnutrition Universal Screening Tools (MUST) instrument. The study revealed a high prevalence of pulmonary TB cases, particularly among individuals aged 17-25. Based on the MUST instrument, patients over 60 showed a high risk of malnutrition, with the average patient having a MUST score of 3 (indicating high risk). Most patients experienced a significant increase in body weight during the intensive treatment stage. Weight gain significantly contributes to the success of tuberculosis treatment, influencing positive changes in the nutritional status of pulmonary tuberculosis patients.
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Copyright (c) 2024 Rosi Mega Safitri, Hendra, Iflan, Kyaw Ko Ko Htet
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References
Agustian, M.D. and Masria, S. (2022) ‘Hubungan Usia, Jenis Kelamin dan Tingkat Pendidikan dengan
Kejadian TB Paru di Wilayah Kerja Puskesmas Cibadak Kabupaten Sukabumi’, in Bandung
Conference Series: Medical Science, pp. 1120–1125.
Bagcchi, S. (2023) ‘WHO’s global tuberculosis report 2022’ DOI: https://doi.org/10.1016/S2666-5247(22)00359-7
, The Lancet Microbe, 4(1), p. e20.
Ter Beek, L. et al. (2021) ‘Malnutrition assessment methods in adult patients with tuberculosis: a DOI: https://doi.org/10.1136/bmjopen-2021-049777
systematic review’
, BMJ open, 11(12), p. e049777.
Chandrasekaran, P. et al. (2017) ‘Malnutrition: modulator of immune responses in tuberculosis’ DOI: https://doi.org/10.3389/fimmu.2017.01316
,
Frontiers in immunology, 8, p. 262869.
Cheng, J. et al. (2020) ‘Incidence and risk factors of tuberculosis among the elderly population in China: DOI: https://doi.org/10.1186/s40249-019-0614-9
a prospective cohort study’
, Infectious Diseases of Poverty, 9(01), pp. 64–76.
Dabitao, D. et al. (2022) ‘Sex differences in active pulmonary tuberculosis outcomes in Mali, West DOI: https://doi.org/10.4269/ajtmh.21-1141
Africa’
, The American Journal of Tropical Medicine and Hygiene, 107(2), p. 433.
Dong, Z. et al. (2022) ‘Age-period-cohort analysis of pulmonary tuberculosis reported incidence, China, DOI: https://doi.org/10.1186/s40249-022-01009-4
-2020’
, Infectious Diseases of Poverty, 11(04), pp. 62–71.
Guo, X. et al. (2022) ‘Nutrition and clinical manifestations of pulmonary tuberculosis: a cross-sectional
study in Shandong province, China’
, Asia Pacific Journal of Clinical Nutrition, 31(1), pp. 41–48
Indonesia, P.D.P. (2011) ‘Pedoman diagnosis dan penatalaksanaan tuberkulosis di Indonesia’
, Jakarta:
PDPI, pp. 1–21.
Kemenkes, R.I. (2013) ‘Pedoman nasional pelayanan kedokteran tata laksana tuberkulosis’
, Jakarta:
Kementerian Kesehatan RI [Preprint].
Kementerian Kesehatan Republik Indonesia (2018) ‘Laporan Nasional Riset Kesehatan Dasar’
,
Kementerian Kesehatan RI, pp. 1–582.
Ma, J.-J. et al. (2022) ‘Prevalence and prognostic significance of malnutrition risk in patients with DOI: https://doi.org/10.3389/fpubh.2022.1039661
pulmonary tuberculosis: A hospital-based cohort study’
, Frontiers in Public Health, 10, p.
Martial, N.T., Mubarik, S. and Yu, C. (2021) ‘Long-term trends of tuberculosis incidence and mortality in DOI: https://doi.org/10.1038/s41598-021-95967-8
four central African countries’
, Scientific reports, 11(1), p. 16624.
Norman, K., Haß, U. and Pirlich, M. (2021) ‘Malnutrition in older adults—recent advances and DOI: https://doi.org/10.3390/nu13082764
remaining challenges’
, Nutrients, 13(8), p. 2764.
Nursyfah, L. and Muflihah, H. (2023) ‘Perubahan Berat Badan Selama Pengobatan Tuberkulosis Paru’, in
Bandung Conference Series: Medical Science, pp. 197–201.
Nyarko, R.O. et al. (2021) ‘Tuberculosis a globalized disease’ DOI: https://doi.org/10.22270/ajprd.v9i1.898
, Asian Journal of Pharmaceutical
Research and Development, 9(1), pp. 198–201.
Ockenga, J. et al. (2023) ‘Tuberculosis and malnutrition: The European perspective’ DOI: https://doi.org/10.1016/j.clnu.2023.01.016
, Clinical Nutrition,
(4), pp. 486–492.
Sabiti, F.B., Febrinasari, N. and Aulia, I. (2021) ‘Kepatuhan penggunaan obat anti tuberkulosis fase
intensif terhadap perubahan nilai sputum BTA dan berat badan di Puskesmas Bandarharjo
Semarang’
, Borneo Journal of Pharmascientech, 5(1), pp. 31–38.
Sakthivadivel, V., Gaur, A. and Geetha, J. (2023) ‘Tuberculosis in elderly population: A cross-sectional
comparative study’
, The International Journal of Mycobacteriology, 12(1), pp. 38–42.
Thamaria, N. (2017) ‘Bahan Ajar Gizi Penilaian Status Gizi’
, Kementerian Kesehatan Republik Indonesia
[Preprint].
Wagnew, F. et al. (2024) ‘Impacts of body weight change on treatment outcomes in patients with DOI: https://doi.org/10.1038/s41598-023-51026-y
multidrug-resistant tuberculosis in Northwest Ethiopia’
, Scientific Reports, 14(1), p. 508. DOI: https://doi.org/10.1016/0141-0229(92)90146-F