Jurnal Respirologi Indonesia
Jurnal Respirologi Indonesia (JRI) is an online and printed scientific publication of the Indonesian Society of Respirology (ISR). The journal is published thrice-monthly within a year (January, April, July and October). The journal is focused to present original article, article review, and case report in pulmonary and critical care medicine.
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<![CDATA[The Effect of Pulmonary Rehabilitation on The Duration of Antibiotic Switches, IL-10 Levels and PEFR Values in Hospitalized Community Pneumonia Patients ]]>
<![CDATA[Mariyatul Khiptiyah]]>;
<![CDATA[Iin Noor Chozin]]>;
<![CDATA[Suryanti Dwi Pratiwi]]>;
<![CDATA[Rahmad Rahmad]]>;
<![CDATA[Harun Al Rasyid]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.129
<![CDATA[Background: Pneumonia is an acute inflammation of the lung parenchyma and ranked third of 30 causes of death in the world. WHO estimates the death caused by pneumonia is 1.6 million per year. Long duration of antibiotic switches is associated with increased morbidity, nosocomial infections and costs of healthcare. This study aims to assess the effect of pulmonary rehabilitation with the duration of antibiotic switches and interleukin-10 (IL-10) levels of pneumonia patients in non-intensive care thus pulmonary rehabilitation can be routinely use as adjuvant therapy. Methods: The study was conducted in May-November 2019 at Saiful Anwar Hospital Malang, with 40 pneumonia patients in the non-intensive care and divided in two groups which contains of 20 patients. This study uses consecutive simple random sampling. In treatment group, pulmonary rehabilitation consists of breathing exercise, effective cough techniques, clapping, postural drainage and breathing muscle exercises with spirometry incentive tools. The pulmonary rehabilitation treatment was done by Medical Rehabilitation Department of Saiful Anwar Malang Hospital. IL-10 levels and PEFR values on the zero and fifth days of treatment were measured. Results: The duration of antibiotic switches received pulmonary rehabilitation was shorter 5.05 days (P]]>
<![CDATA[Risk Factors of Very Severe Pneumonia Incidence in Children ]]>
<![CDATA[Retno Asih Setyoningrum]]>;
<![CDATA[Hedi Mustiko]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.147
<![CDATA[Background: Childhood pneumonia is a significant cause of mortality and morbidity in developing countries. About 7-13% of childhood pneumonia present with very severe pneumonia with a high risk of mortality. Identification of risk factors is necessary for early intervention and better management. Methods: Analytic observational study with a cross-sectional approach was conducted with subjects of pneumonia patients aged 2-59 months admitted in Respirology Ward and PICU Department of Pediatrics Dr. Soetomo Surabaya from January 2017 to December 2018. Results: A total of 253 were roled in this study. Group with very severe pneumonia are 140 patients and 113 patients with severe pneumonia. Independent risk factors were analysed by chi-square test and Continuity Correction. Independent risk factors that intluence the incidence of very severe pneumonia in infants and children are patient's age (PR=1.365;P=0.009;95% confidence interval (CI)=1.089-1.712), low birth weight (PR=1.380;P=0.010;95% CI=1.115-1,708), prematurity (PR=1,412;P=0.007;95% CI=1,141-1,747), exclusive breastfeeding (PR=1,434;P=0.007;95% CI=1,093-1,880), nutritional status (PR=2,412;P]]>
<![CDATA[The Correlation of Body Mass Index with Sputum Conversion Time in MDR-TB Patients Undergoing Treatment with Short Term Regimen at H. Adam Malik Medan General Hospital ]]>
<![CDATA[Diana Santy]]>;
<![CDATA[Parluhutan Siagian]]>;
<![CDATA[Bintang Yinke Magdalena Sinaga]]>;
<![CDATA[Putri C Eyanoer]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.130
<![CDATA[Background: It was estimated about 10.4 million incidence of TB cases worldwide, of which 580,000 were MDR TB cases in 2015, however, only 125,000 were successfully found and treated. The World Health Organization (WHO) issued a recommendation of 9-11 month Short Term Regimen (STR) guideline that could provide satisfactory results in terms of successfull outcome, easier to control and also low-cost. The study aimed to analyze the correlation between Body Mass Index (BMI) and sputum conversion time in MDR TB patients undergoing treatment with STR and to determine the final treatment outcome using STR at H. Adam Malik Medan General Hospital, North Sumatra, Indonesia. Methods: This was a case series study of a total 76 MDR TB patients undergoing treatment using STR. Samples were obtained from medical record of the pulmonary isolation ward and MDR TB clinic at H. Adam Malik Medan General Hospital. Data were analyzed descriptively to identify the trend in sputum conversion from nine months of treatment. Results: The number of patients with normal BMI was 51.3% higher than those of low, very low and high BMI. The time to sputum conversion occured in the second month of treatment. All groups of BMI categories experienced conversions and normal BMI was higher in number. At the end of the treatment evaluation, the cure rate was 44.8%, the drop out was 28.9%, the regimen change was15.8%, died 9.2%, and moved 1.3%. Conclusion: There was a significant correlation between BMI and sputum conversion time in MDR TB patients. Good nutritional status was a predictor of treatment success.]]>
<![CDATA[Differences of Malondialdehyde (MDA) Levels in Blood of Pulmonary Tuberculosis Sufferers with Diabetes Mellitus, Pulmonary Tuberculosis without Diabetes Mellitus and Healthy People in Medan ]]>
<![CDATA[Eka Suhartika]]>;
<![CDATA[Zainuddin Amir]]>;
<![CDATA[Bintang Yinke Magdalena Sinaga]]>;
<![CDATA[Putri C Eyanoer]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.124
<![CDATA[Background: The imbalance between oxidants and antioxidants in the body can increase Malondialdehyde (MDA) in patients with pulmonary TB and type 2 DM, which causes cell damage and worsens the disease. The body has a protective mechanism from damage caused by increased MDA through enzymatic antioxidants such as SOD and vitamin E. This study aimed to examine the difference in MDA levels in the blood of pulmonary TB patients with type 2 DM, pulmonary tuberculosis without type 2 DM and healthy people in Medan, Indonesia. Methods: This was an analytical study using a case-control approach by measuring MDA levels in pulmonary TB with type 2 DM patients, pulmonary TB patients and healthy people who were treated at H. Adam Malik General Hospital, Community Health Centers, and GP’s practice in Medan for 4 months. Blood samples were taken and examined using the ELISA kit. Data were then analyzed using the Kruskal Wallis and Mann Whitney tests. Results: There were 75 patients recruited in the study in which 45 were males (60%) and 30 were females (40%). The age group found the most was 31-40 years with normal BMI (76%). The highest MDA level was found in the TB+DM group at 12.42 nmol/ml compared to the TB patients (3.75 nmol/ml) and healthy people (3.01 nmol/ml). Conclusion: There were no statistically significant differences in MDA levels although there was a difference found in the MDA levels among the three groups with MDA level in TB+DM group was shown to be the highest.]]>
<![CDATA[Sensitivity Comparison of Pleural Fluid and Serum Neutrophil to Lymphocyte Ratio (NLR) Values in Exudative Pleural Effusion Patients ]]>
<![CDATA[Indra Barata]]>;
<![CDATA[Zainuddin Amir]]>;
<![CDATA[Parluhutan Siagian]]>;
<![CDATA[Putri C Eyanoer]]>;
<![CDATA[Zulfikar Lubis]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.131
<![CDATA[Background: Delay in diagnosis and non-compliance to tuberculosis (TB) treatment will increase the risk of MDR TB. WHO recommends GeneXpert as a diagnostic tool, however, the availability is still an obstacle and this tool is not owned by many health facilities. The Neutrophil-Lymphocyte Ratio (NLR) value was thought to be used to estimate the likelihood of TB cases. This study aimed to assess the sensitivity comparison of pleural fluid and serum NLR values in patients with pleural effusion at H. Adam Malik Medan General Hospital. Methods: This was an analytical study with a diagnostic test design, by calculating the sensitivity and specificity of pleural fluid and serum NLR. The sample was calculated by comparing the absolute neutrophil count and the absolute lymphocyte count from both pleural fluid and serum. Results: The sample of this study was 78 patients. In this study, pleural fluid NLR with a cut off value of 2.2 showed a sensitivity of 74% and specificity of 28%, whereas serum NLR with a cut off value of 7.0 produced a sensitivity of 53% and specificity of 68%. Conclusion: The sensitivity of pleural fluid NLR was greater than that of serum, while the specificity of serum NLR was more superior than that of pleural fluid.]]>
<![CDATA[Asthma in Pregnancy: Mechanism and Clinical Implication ]]>
<![CDATA[Triya Damayanti]]>;
<![CDATA[Sri Pudyastuti]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.125
<![CDATA[Asthma in pregnancy can influence clinical status of an asthma patient. Study showed that one third of asthma patients were worsening, one third stable and one third improving. During pregnancy, lung function, ventilation pattern and gas diffusion are influenced by biochemistry (hormonal) and mechanic. Mechanism in pregnancy with asthma including hypoxia, inflammation, corticosteroids therapy, history of exacerbation, smoking mother and changes in placenta function. Hormonal status during pregnancy is different with non-pregnancy woman which hormonal level changes through the pregnancy time. Those changes can influence lung function in pregnancy. Treatment of asthma in pregnancy is giving optimal asthma therapy, therefore it can improve asthma control, also the quality of life of a mother and her fetus during pregnancy.]]>
<![CDATA[Effect of Lower Extremity Exercise on The Borg Scale in Chronic Obstructive Pulmonary Disease ]]>
<![CDATA[Ghamal Arif Hanafiah]]>;
<![CDATA[Amira P Tarigan]]>;
<![CDATA[Pandiaman Pandia]]>;
<![CDATA[Putri C Eyanoer]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.141
<![CDATA[COPD patients tend to experience complaints shortness of breath, limb muscle fatigue and distress in an effort in activities that result in a decrease in quality of life and inhibit daily activities. This situation will eventually cause the patients to experience fatigue faster and fall into a deconditioning state. The Borg scale is a way to measure the intensity level of physical activity using a ratio scale size. This study aimed to assess the effect of lower limb endurance training on the Borg Scale of COPD patients. A quasi-experimental study conducted on 20 patients with COPD group C and D which underwent lower extremity resistance training. The Borg scale was assessed before and after training, with statistical analysis performed by the Mann Whitney-Test. There was an effect on lower extremity resistance training on the Borg Scale of COPD patients in the form of a significant decrease in the Borg Scale value where in the effort parameters. Before training, the Borg Scale score of COPD patients was 9 and 15, decreased to 1 and 13 after training. While tired feet, before training was 5 which decreases to 3 after training and shortness of breath, before training is 7 which decreases to 4 after training. There is a significant improvement in the value of the Borg Scale of COPD patients after undergoing a lower limb endurance training program. There were no significant Borg scale differences between Group C and Group D after undergoing a lower limb endurance training program.]]>
<![CDATA[The Comparison Between Risk Factors of Invasive Candidiasis and 1,3-β-D-Glucan in Septic Pneumonia ]]>
<![CDATA[Dwi Rosa Eka Agustina]]>;
<![CDATA[Ungky Agus Setyawan]]>;
<![CDATA[Teguh Rahayu Sartono]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.132
<![CDATA[Background: Invasive candidiasis (IC) occurs in immunocompromised and immunocompetent patients. It represents the 4th bloodstream infection in the ICU. Selection of patient characteristics based on risk factors in the 1,3-β-D-Glucan (BDG) examination provided a learning value in IC screening. The aim of this study was to assess the comparison of risk factors for IC and BDG levels using a cut off value of ≥80 pg/dl. Method: this cross-sectional study was conducted in 40 patients with septic pneumonia in ICU who had the risk factors of IC (multifocal colonization, broad-spectrum antibiotics, long term use of corticosteroids, and lymphocyte status) at Saiful Anwar Malang General Hospital. Results: There were 40 patients with risk factors of IC had positive BDG, but only 1 patient (2,5%) had candidemia and 14 patients (35%) had Candida sp from sputum culture. Comparison of BDG levels between group which used broad-spectrum antibiotics and those that did not wassignificant (P=0.020). Rank Spearman linear regression of the lymphocyte]]>
<![CDATA[Occupational Asthma in Hospital Healthcare Worker ]]>
<![CDATA[Rahmad Budianto]]>;
<![CDATA[Tri Wahju Astuti]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.126
<![CDATA[Occupational asthma is defined as an adult onset of asthma triggered by specific exposures or combinations from the workplace. Occupational asthma is classified into a sensitizer-induced occupational asthma or allergic occupational asthma caused by exposure or sensitization by a causative agents induced by immunological reactions; and irritant-induced occupational asthma or non-allergic occupational asthma caused by agents that are irritative to the airway. Occupational asthma can occur in health workers at hospitals. In the hospital there are various exposure of agents, medicines, and health equipments which can induce the asthma symptoms for health workers. The diagnosis of occupational asthma established by history taking, physical examination, supporting examination (spirometry, bronchial hyper-responsiveness test, exhaled nitric oxide, and immunological tests), and biomarker test. Management of occupational asthma includes principle management by avoiding exposure, pharmacological therapy, and immunotherapy. Precautions taken by primary, secondary (medical surveilance) and tertiary prevention (prevention of disability through worker’s compensation system).]]>
<![CDATA[The Effect of Thymoquinone on Interleukin-8 Levels, %FEV1 and CAT Scores in Chronic Obstructive Pulmonary Disease ]]>
<![CDATA[Levana Kasumadewi]]>;
<![CDATA[Suradi Suradi]]>;
<![CDATA[Ana Rima Setijadi]]>
<![CDATA[ Jurnal Respirologi Indonesia Vol 40, No 4 (2020) ]]>
Publisher : <![CDATA[Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR) ]]>
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DOI: 10.36497/jri.v40i4.145
<![CDATA[Background: Chronic obstructive pulmonary disease (COPD) is a characterized by respiratory symptoms and persistent airway obstruction due to alveoli and/or airway abnormalities caused by continuous exposure to harmful particles or gases. Airway inflammation plays an important role in the pathogenesis of COPD. Nigella sativa, known as habbatusauda, contains thymoquinone, which has an anti-inflammatory effect. Airway inflamation improvement was measured based on decreased plasma IL-8 level, maintain the optimization of %FEV1 value and clinical improvement based on the decreased CAT score. Methods: The pretest and posttest experimental clinical trial was carried out in 40 patients with stable COPD in the pulmonology outpatient clinics of Dr. Moewardi Surakarta and dr. Soehadi Prijonegoro Sragen Hospital from 29 June to 3 August 2019. Subjects were grouped into treatment group (n=20) receiving standard therapy along with thymoquinone oil capsules 500 mg/day and placebo group (n=20) receiving standard therapy only for 30 days. Results: The study revealed statistically insignificant decreases of IL-8 level (P=0.052) and %FEV1 value (P=0.943) in the treatment group, while CAT score showed significant decreases in the treatment group (P=0.0005). Conclusion: Thymoquinone administration reduce inflammation as it can lower IL-8 level and improves the clinical condition of patients with stable COPD based on a decrease in CAT score.]]>
