Analisis Kadar Imunoglobulin Gamma (IgG) Pada Penderita TB Paru Menggunakan Metode Enzym Linked Immunosorbent Assay (Elisa)
Keywords:
Darah, ELISA, IgG, Mycobacterium tuberculosis, Paru-paruAbstract
Tuberkulosis (TB) adalah suatu penyakit menular yang diakibatkan oleh bakteri Mycobacterium tuberculosis, dengan paru-paru sebagai lokasi utama serangannya, menyebabkan penurunan berat badan, demam, batuk, rasa nyeri di dada, kesulitan bernapas; berkurangnya nafsu makan, kelelahan, berkeringat dan dahak yang mengandung darah. Ketika tubuh terpapar Mycobacterium tuberculosis, sistem kekebalan memproduksi antibodi IgG yang berikatan dengan antigen bakteri, membentuk kompleks antigen-antibodi. Maka tujuan penelitian ini yaitu untuk mengetahui kadar Imunoglobulin Gamma (IgG) pada Penderita TB Paru menggunakan Metode Enzym Linked Immunosorbent Assay (ELISA). Metode penelitian ini menggunakan jenis observasi laboratorik dengan menggunakan desain cross sectional study. Sampel yang digunakan yaitu sampel darah penderita TB paru yang menjalani pengobatan dengan teknik purposive sampling. Hasil dari pengujian akan dipresentasikan melalui tabel dan gambar dengan pendekatan deskriptif dan juga menggunakan analisis bivariate dengan uji statistik berbantuan aplikasi SPSS 25. Hasil yang diperoleh yaitu tidak ada perbedaan signifikan dalam kadar Imunoglobulin Gamma (IgG) antara pasien Tuberkulosis Paru yang positif dan negatif, menggunakan metode ELISA dengan nilai signifikansi p=0,311. Sehingga kadar Imunoglobulin Gamma (IgG) pada pasien Tuberkulosis Paru tidak menunjukkan perubahan yang signifikan antara kelompok yang positif dan negatif berdasarkan analisis menggunakan metode ELISA.
References
Wahyuni, C. U., Manurung, I. F. E., Astutik, E., & Saputra, F. F. (2023). Penemuan Kasus Tuberkulosis pada ODHA di NTT: Intergarasi Pendekatan Keluarga dan Dukungan Lokal. Airlangga University Press.
Adigun, R., & Singh, R. (2023). Tuberculosis. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441916/
Nasution, J. D., Elfira, E., & Faswita, N. W. (2023). Pencegahan Penularan Tuberkulosis Paru. Eureka Media Aksara. https://repository.penerbiteureka.com/media/publications/563058-pencegahan-penularan-tuberkulosis-paru-fd984e84.pdf
Dwipayana, I. M. G. (2022). Mengenali Gambaran Penyakit Tuberkulosis Paru Dan Cara Penanganannya. Widya Kesehatan, 4(1), 1–14. https://doi.org/10.32795/widyakesehatan.v4i1.2806
Kakhki, R. K., Neshani, A., Sankian, M., Ghazvini, K., Hooshyar, A., & Sayadi, M. (2019). The short-chain dehydrogenases/reductases (SDR) gene: A new specific target for rapid detection of Mycobacterium tuberculosis complex by modified comparative genomic analysis. Infection, Genetics and Evolution, 70(1), 158–164. https://doi.org/10.1016/j.meegid.2019.01.012
Husen, A. H., Nur Afiah, A. S., Soesanti, S., & Tempola, F. (2022). Deteksi Dini Resiko Tuberkulosis di Kota Ternate: Pelacakan dan Implementasi Algoritma Klasifikasi. Jurnal CoSciTech (Computer Science and Information Technology), 3(2), 217–225. https://doi.org/10.37859/coscitech.v3i2.3986
Sidik, A. P., & Mayasari, N. (2021). Mendeteksi Penyakit Tuberculosis Dengan Algoritma Bayes. JSI: Jurnal Sistem Informasi (E-Journal), 13(2), 2021. https://ejournal.unsri.ac.id/index.php/jsi/article/view/15541
Jilani, T. N., Avula, A., Gondal, A. Z., & Siddiqui, A. H. (2023). Active Tuberculosis. StatPearls Publishing. ncbi.nlm.nih.gov/books/NBK513246/#:~:text=In pulmonary tuberculosis%2C the most,night sweats are commonly reported.
Sugito. (2022). Pengaruh Pendidikan Kesehatan Tuberculosis pada Masyarakat Terhadap Kesadaran Deteksi Dini Penyakit Tuberculosis. TSCD3Kep Journal, 7(9), 54–65. https://ejournal.annurpurwodadi.ac.id/index.php/TSCD3Kep/article/view/338/346
WHO. (2022a). Global Ruberculosis Report 2022: Case notifications. https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022/tb-diagnosis-treatment/3-1-case-notifications
Kementerian Kesehatan Republik Indonesia. (2023). Deteksi TBC Capai Rekor Tertinggi di Tahun 2022. https://www.kemkes.go.id/article/view/23033100001/deteksi-tbc-capai-rekor-tertinggi-di-tahun-2022.html#:~:text=Penyakit tuberkulosis (TBC) di Indonesia,dengan 11 kematian per jam
Dinkes Pemprov Sulsel. (2021). Profil Kesehatan Tahun 2021.
Ma, Z., Ji, X., Yang, H., He, J., Zhang, Q., Wang, Y., Wang, Z., & Chen, C. (2020). Screening and evaluation of Mycobacterium tuberculosis diagnostic antigens. European Journal of Clinical Microbiology and Infectious Diseases, 39(10), 1959–1970. https://doi.org/10.1007/s10096-020-03951-3
Napiórkowska-Baran, K., Kołtan, S., Zalewska, J., Ziętkiewicz, M., Kucharski, M., Pałgan, K., Alska, E., Tykwińska, M., Coblewska, P., & Bartuzi, Z. (2019). Determination of antibodies in everyday practice. Part I-Properties of antibodies. Alergia Astma Immunologia, 24(2), 51–58. https://www.termedia.pl/Journal/-18/pdf-36512-10?filename=Determination.pdf
Gupta, A. (2019). Comprehensive Biochemistry for Dentistry. In Comprehensive Biochemistry for Dentistry. https://doi.org/10.1007/978-981-13-1035-5
Siagian, E. (2018). Immunology. Uwais Inspirasi Indonesia.
Hermann, C., & King, C. G. (2021). TB or not to be: what specificities and impact do antibodies have during tuberculosis? Oxford Open Immunology, 2(1), 1–10. https://doi.org/10.1093/oxfimm/iqab015
Li, Z., Yi, Y., Luo, X., Xiong, N., Liu, Y., Li, S., Sun, R., Wang, Y., Hu, B., Chen, W., Zhang, Y., Wang, J., Huang, B., Lin, Y., Yang, J., Cai, W., Wang, X., Cheng, J., Chen, Z., … Ye, F. (2020). Development and clinical application of a rapid IgM-IgG combined antibody test for SARS-CoV-2 infection diagnosis. Journal of Medical Virology, 92(9), 1518–1524. https://doi.org/10.1002/jmv.25727
Gong, S., & Ruprecht, R. M. (2020). Immunoglobulin M: An Ancient Antiviral Weapon – Rediscovered. Frontiers in Immunology, 11(1), 1–9. https://doi.org/10.3389/fimmu.2020.01943
Alhajj, M., Zubair, M., & Farhana, A. (2023). Enzyme Linked Immunosorbent Assay. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK555922/
Xiang, J., Yan, M., Li, H., Liu, T., Lin, C., Huang, S., & Shen, C. (2020). Evaluation of Enzyme-Linked Immunoassay and Colloidal Gold-Immunochromatographic Assay Kit for Detection of Novel Coronavirus (SARS-Cov-2) Causing an Outbreak of Pneumonia (COVID-19). MedRxiv, 1(1), 1–13. https://www.medrxiv.org/content/10.1101/2020.02.27.20028787v1%0Ahttps://www.medrxiv.org/content/10.1101/2020.02.27.20028787v1.abstract
Sakamoto, S., Putalun, W., Vimolmangkang, S., Phoolcharoen, W., Shoyama, Y., Tanaka, H., & Morimoto, S. (2018). Enzyme-linked immunosorbent assay for the quantitative/qualitative analysis of plant secondary metabolites. Journal of Natural Medicines, 72(1), 32–42. https://doi.org/10.1007/s11418-017-1144-z
Haghdoost, M., Nazmi, P. A., & I, H. O. O. (2021). Correlation of Serum Levels of Vitronectin, Malondialdehyde and Hs-CRP With Disease Severity in Coronary Artery Disease. Jurnal of Research: Clinical Medicine, 9(1), 1–4. https://doi.org/10.15171/jcvtr.2015.24
Infantes-Lorenzo, J. A., Dave, D., Moreno, I., Anderson, P., Lesellier, S., Gormley, E., Dominguez, L., Balseiro, A., Gortázar, C., Dominguez, M., & Salguero, F. J. (2019). New serological platform for detecting antibodies against Mycobacterium tuberculosis complex in European badgers. Veterinary Medicine and Science, 5(1), 61–69. https://doi.org/10.1002/vms3.134
Abduh, M., Alawiyah, T., Apriansyah, G., Sirodj, R. A., & Afgani, M. W. (2022). Survey Design: Cross Sectional dalam Penelitian Kualitatif. Jurnal Pendidikan Sains Dan Komputer, 3(1), 31–39. https://doi.org/10.47709/jpsk.v3i01.1955
Creswell, J. W. (2008). Educational Research: Planning, Conducting and Evaluating, Quantitative and Qualitative Research (3rd ed.). Pearson Education.
Izza, N. C., Nurdin, Tanjung, R., Sulung, N., & Efriza. (2023). Metodologi Penelitian Kesehatan: Pendekatan Kuantitatif dan Kualitatif. Get Press Indonesia. https://books.google.co.id/books?id=2anXEAAAQBAJ
Firdausi, S., Pujiastuti, P., & Probosari, N. (2023). Hubungan Usia dan Jenis Kelamin Dengan Kejadian Penyakit Periodontal Pada Pasien Poli Gigi Puskesmas Arjasa Kabupaten Jember Tahun 2020. STOMATOGNATIC - Jurnal Kedokteran Gigi, 20(2), 140. https://doi.org/10.19184/stoma.v20i2.44014
Purnomo, H. D., Arianto, A. T., & Widayat, A. W. (2021). Perbedaan Kebutuhan Morfin PCA Pascalaparatomi antara Infiltrasi Ketamin dan Infiltrasi Levobupivakain. Jurnal Anestesi Perioperatif, 9(3), 142–149. https://doi.org/10.15851/jap.v9n3.2493
Firdaus, V. R., & Fahrizqi, E. B. (2023). Hubungan Antara Kekuatan Otot Lengan Dan Koordinasi Mata-Tangan Dengan Kemampuan Passing Bawah Pada Peserta Ektrakurikuler Bola Voli Sma Negeri 2 Kalianda. Journal Of Physical Education, 4(1), 8–13.
Krisdianilo, V., Rizky, V. A., Sa’adah Siregar, A., Rahayu, I., Kesehatan, M., Lubuk, P., Korespondensi, P. :, & Visensius, K. (2023). Real time polymerase chain reaction assay (RT-PCR) sebagai tes cepat mycobacterium tuberculosis dari sampel dahak pasien tuberculosis. Journal of Medical Surgical Concerns, 2(1), 1–5. https://e-jurnal.iphorr.com/index.php/msc/article/view/371/444
Fink, A. L., & Klein, S. L. (2018). The evolution of greater humoral immunity in females than males: implications for vaccine efficacy. Current Opinion in Physiology, 6(1), 16–20. https://doi.org/10.1016/j.cophys.2018.03.010
Dehmi, M., Yusuf, A., & Juhanto, A. (2021). Analisis Pengaruh Metode Penyuluhan (Ceramah) dan pemberian Edukasi Minum Obat Pada Penderita Tb Paru. Jurnal Ilmiah Kesehatan Sandi Husada, 10(2), 511–518. https://doi.org/10.35816/jiskh.v10i2.636
Adane, A., Damena, M., Weldegebreal, F., & Mohammed, H. (2020). Prevalence and Associated Factors of Tuberculosis among Adult Household Contacts of Smear Positive Pulmonary Tuberculosis Patients Treated in Public Health Facilities of Haramaya District, Oromia Region, Eastern Ethiopia. Tuberculosis Research and Treatment, 2020, 1–7. https://doi.org/10.1155/2020/6738532
Susilawati, T. N., & Larasati, R. (2019). A recent update of the diagnostic methods for tuberculosis and their applicability in indonesia: A narrative review. Medical Journal of Indonesia, 28(3), 284–291. https://doi.org/10.13181/mji.v28i3.2589
Fahruddin, Haedar, N., Santosa, S., & Wahyuni, S. (2019). Uji kemampuan tumbuh isolat bakteri dari air dan sedimen Sungai Tallo terhadap logam timbal (Pb). Jurnal Ilmu Alam Dan Lingkungan, 10(2), 58–64.
Swanepoel, J., Van Zyl, G., Hesseling, A. C., Johnson, S. M., Moore, D. A. J., & Seddon, J. A. (2023). Human Cytomegalovirus Immunoglobulin G Response and Pulmonary Tuberculosis in Adolescents: A Case-Control Study. Open Forum Infectious Diseases, 10(11), 1–6. https://doi.org/10.1093/ofid/ofad487
Consonni, F., Chiti, N., Ricci, S., Venturini, E., Canessa, C., Bianchi, L., Lippi, F., Montagnani, C., Giovannini, M., Chiappini, E., Galli, L., Azzari, C., & Lodi, L. (2022). Unbalanced serum immunoglobulins in clinical subtypes of pediatric tuberculosis disease. Frontiers in Pediatrics, 10(1), 1–9. https://doi.org/10.3389/fped.2022.908963
Mar’iyah, K., & Zulkarnain. (2021). Patofisiologi penyakit infeksi tuberkulosis. In Prosiding Seminar Nasional Biologi, 7(1), 88–92. http://journal.uin-alauddin.ac.id/index.php/psb
Gindeh, A., Owolabi, O., Donkor, S., & Sutherland, J. S. (2020). Mycobacterium tuberculosis-specific plasmablast levels are differentially modulated in tuberculosis infection and disease. Tuberculosis, 124(8), 1–5. https://doi.org/10.1016/j.tube.2020.101978
Fatahillah, H., Andarini, I., & Hidayah, D. (2022). Hubungan Imunisasi BCG dengan Tuberkulosis Paru pada Anak Balita di RSUD Dr.Moewardi. Plexus Medical Journal, 1(1), 18–23. https://doi.org/10.20961/plexus.v1i1.15
Hu, Y., Liu, M., Hu, H., Yang, H., Qin, L., Hu, Z., Zhu, C., & Liu, Z. (2021). Accuracy of multitarget indirect enzyme-linked immunoassay assay for detection of tuberculosis antibody. Annals of Translational Medicine, 9(23), 1731–1731. https://doi.org/10.21037/atm-21-5598
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