The Effect of Vitamin C Supplementation on Chest X-Rayimprovementin Pulmonary Tuberculosis Patients During Intensive Phase in Medan
DOI:
https://doi.org/10.36497/jri.v40i2.105Keywords:
chest X-ray, vitamin C, pulmonary tuberculosisAbstract
Backgrounds: Tuberculosis (TB) is still a public health problem in the world.Vitamin C is a water-soluble micronutrient, protects the host from reactive oxygen and reactive nitrogen intermediates generated during mycobacterial infection, involved in the synthesis of collagen, iron transport, and acts as physiological antioxidant. Vitamin C plays role in killing Mycobacterium tuberculosis by fenton reaction. This study was to determine the effect of vitamin C supplementation on chest X-ray (CXR) improvement in pulmonary TB patients during intensive phase. Methods: This was a quasy experimental study with single blind-randomized controlled trial design. Subjects were divided into 2 groups, first group was pulmonary TB patients treated with anti tuberculosis drugs (ATD) plus vitamin C and the second group was treated with ATD plus placebo. This study was conducted in several public health center in Medan City. The subjects were pulmonary TB patients with positive AFB sputum in intensive phase from December 2017 to May 2018. Data were analized using t-test dependent. Results: From 80 total subjects, 53 males (66%) and 27 females (34%). After 2 months of treatment, improvements in CXR images were found in the ATD plus vitamin C group, about 21 subjects (52.5%) had no more lesions on CXR, while the same condition was found on 15 subjects (37.5%) in the placebo group. Conclusion: Vitamin C supplementation in pulmonary TB provided better improvements of CXR images. (J Respir Indo. 2020; 40(2): 82-7)Downloads
References
Kementerian Kesehatan Republik Indonesia. Profil Kesehatan RI. Jakarta: Kementerian Kesehatan Republik Indonesia, 2015. p.160-162-167. Available from: http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-Indonesia-2015.pdf
Papathakis P, Piwoz E. Nutrition and tuberculosis: a review of the literatureand considerations for TB control programs. USAID. 2010:1-55.
Grobler L, Nagpal S, Sudarsanam TD, Sinclair D. Nutritional supplements for people being treated for active tuberculosis. Cochrane Database of Systematic Reviews. 2016:1-199.
Cegielski JP, McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and experimental animals. Int J Tuberc Lung Dis. 2004;8:286–98.
Vilche`ze C, Hartman T, Weinrick B, Jacobs WR. Mycobacterium tuberculosis is extraordinarily sensitive to killing by a vitamin C-induced Fenton reaction. Nature Communications. 2013;4:1881.
Pawar BD, Suryakar AN, Khandelwal AS. Effect of micronutrients supplementation on oxidative stress and antioxidant status in pulmonary tuberculosis. Biomedical Research. 2011;22(4):455-9.
Sikri K, Batra SD,Taneja NK, Nandi M, Priyanka K, et al.The pleiotropic transcriptional response of Mycobacterium tuberculosis to vitamin C is robust and overlaps with the bacterial response to multiple intracellular stresses. Microbiology. 2015;161:739–53.
Taneja NK, Dhingra S, Mittal A, Naresh M, Tyagi JS. Mycobacterium tuberculosis transcriptional adaptation, growth arrest and dormancy phenotype development istriggered by vitamin C. PloS ONE. 2010;5:1-13.
Pusat Data dan Informasi Kementerian Kesehatan RI (InfoDATIN). TUBERKULOSIS: Temukan Obati Sampai Sembuh. Jakarta: Kementerian Kesehatan RI, 2012.
Selvaraj P, Vidyarani M, Alagarasu K, Prabhu AS, Narayanan PR, et al. Regulatory role of promoter and 3' UTR variants of vitamin D receptor gene on cytokine response in pulmonary tuberculosis. J Clin Immunol. 2008;28:306-13.
Haddad MD, Mitruka K, Oeltmann JE, Johns EB, Navin TR. Characteristics of tuberculosis cases that started outbreaks in the United States, 2002–2011. Emerg Infect Dis. 2015;21:508-10.
Allotey P, Gyapong M. Gender in tuberculosis research. Int J Tuberc Lung Dis. 2008;12:831-6.
Kementerian Kesehatan Republik Indonesia. Badan Penelitian dan Pengembangan Kesehatan. 2010.
Blanquer R, Rodrigo T, Casals M, Ruiz Manzano J, García-García JM, et al. Resistencia a fármacos antituberculosos de primera línea en spaña durante 2010–2011. Estudio RETUBES. Arch Bronconeumol. 2015;51:24-30.
Pacier C, Martirosyan DM. Vitamin C: optimal dosages, supplementation and use in disease prevention. Functional Foods in Health and Disease. 2015;5:89-107.
Downloads
Additional Files
Published
Issue
Section
License
- The authors own the copyright of published articles. Nevertheless, Jurnal Respirologi Indonesia has the first-to-publish license for the publication material.
- Jurnal Respirologi Indonesia has the right to archive, change the format and republish published articles by presenting the authors’ names.
- Articles are published electronically for open access and online for educational, research, and archiving purposes. Jurnal Respirologi Indonesia is not responsible for any copyright issues that might emerge from using any article except for the previous three purposes.