Skrining Talasemia Beta Minor pada Pelajar SMK di Kecamatan Ciamis
Doni Setiawan(1*), Atun Farihatun(2), Ary Nurmalasari(3)
(1) Program Studi Teknologi Laboratorium Medik, Sekolah Tinggi Ilmu Kesehatan Muhammadiyah, Ciamis, Jawa Barat
(2) Program Studi Teknologi Laboratorium Medik, Sekolah Tinggi Ilmu Kesehatan Muhammadiyah, Ciamis, Jawa Barat
(3) Program Studi Teknologi Laboratorium Medik, Sekolah Tinggi Ilmu Kesehatan Muhammadiyah, Ciamis, Jawa Barat
(*) Corresponding Author
Abstract
Latar Belakang: Frekuensi talasemia beta minor di Indonesia mencapai 6–10%. Talasemia beta minor bersifat asimtomatik sehingga peran deteksi dini perlu dilakukan untuk mencegah kelahiran talasemia mayor. Pemeriksaan hematologi telah diketahui dan teruji dapat digunakan untuk skrining talasemia beta minor pada populasi beresiko. Meningkatnya penderita talasemia beta mayor di Kabupaten Ciamis dikarenakan belum maksimalnya skrining dilakukan.
Tujuan: Mengetahui frekuensi talasemia beta minor pada pelajar SMK di Kecamatan Ciamis.
Metode: Penelitian ini menggunakan metode deskriptif kuantitatif, dengan teknik cross‑sectional, yang telah dilakukan sejak bulan Maret‑Juni 2020. Subjek penelitian adalah pelajar SMK di Kecamatan Ciamis. Parameter pemeriksaan yang digunakan untuk skrining talasemia beta minor adalah MCV, Indeks Men3er, Indeks RDW, dan OTOFT.
Hasil: Dari seluruh pelajar yang mengisi kuesioner sebanyak 238 pelajar, hanya 60 pelajar yang bersedia dan memenuhi kriteria penelitian. Hasil pemeriksaan parameter skrining talasemia beta minor didapatkan 5 (8,3%) pelajar MCV < 80 fL, 3 (5%) pelajar Indeks Men8er <13, Indeks RDW < 220 6 (10%) pelajar dan 9 (15%) pelajar dengan OTOFT positif.
Kesimpulan: Pada penelitian ini ditemukan 3 (5%) pelajar sebagai talasemia beta minor.
Keywords
Full Text:
PDFReferences
Alyumnah, P., Ghozali, M., & Dalimoenthe, N. Z. (2016). Suspected Beta Thalassemia Minor Screening in Jatinangor High School Students. Jurnal Sistem Kesehatan, 1(3), 133–138. http://jurnal.unpad.ac.id/jsk_ikm/article/download/10358/4731
Atlanta, H., Drive, U., & Quinn, C. T. (2017). Gene and Cell Therapies for Beta-Globinopathies. In P. Malik & J. Tisdale (Eds.), Adv Exp Med Biol (Vol. 1013). Springer New York. https://doi.org/10.1007/978-1-4939-7299-9_
Ayu NP, R. (2015). Indeks RDW dan Mentzer sebagai Uji Skrining Diagnosis Thalassemia. Majority, 4(7), 7–12. https://juke.kedokteran.unila.ac.id/index.php/majority/article/view/1440_
Bain, B. J. (2014). Hematologi: Kurikulum Inti (A. S. Y.Joko Suyono, Ferdy Sandra (ed.)). EGC._
Brancaleoni, V., Di Pierro, E., Motta, I., & Cappellini, M. D. (2016). Laboratory diagnosis of thalassemia. International Journal of Laboratory Hematology, 38, 32–40. https://doi.org/10.1111/ijlh.12527
Galanello, R., & Origa, R. (2010). Beta-thalassemia. Orphanet Journal of Rare Diseases, 5(1), 11. https://doi.org/10.1186/1750-1172-5-11_
Goodnough, L. T., & Schrier, S. L. (2014). Evaluation and management of anemia in the elderly. American Journal of Hematology, 89(1), 88–96. https://doi.org/10.1002/ajh.23598_
Hapsari, A. T., & Rujito, L. (2015). Uji Diagnostik Indeks Darah dan Identifikasi Molekuler Karier Talasemia β pada Pendonor Darah di Banyumas. Jurnal Kedokteran Brawijaya, 28(3), 233–237. https://doi.org/10.21776/ub.jkb.2015.028.03.13
Hsieh, Y. P., Chang, C. C., Kor, C. T., Yang, Y., Wen, Y. K., & Chiu, P. F. (2017). Mean corpuscular volume and mortality in patients with CKD. Clinical Journal of the American Society of Nephrology, 12(2), 237–244. https://doi.org/10.2215/CJN.00970116_
Hu, Z. (2016). Red blood cell distribution width: a promising index for estimating activity of autoimmune disease. Journal of Laboratory and Precision Medicine, 1(4), 4–4. https://doi.org/10.21037/jlpm.2016.10.02_
Jameel, T., Baig, M., Ahmed, I., Hussain, M. B., & Alkhamaly, M. bin D. (2017). Differentiation of beta thalassemia trait from iron deficiency anemia by hematological indices. Pakistan Journal of Medical Sciences, 33(3), 665–669. https://doi.org/10.12669/pjms.333.12098_
Maharani, E. A., & Astuti, D. (2014). Penghitungan Indeks Formula Eritrosit Pada Uji Saring Thalasemia Minor. Jurnal Ilmu Dan Teknologi Kesehatan, 2(1), 53–59. http://ejurnal.poltekkesjakarta3.ac.id/index.php/jitek/article/download/124/92_
Miri-Moghaddam, E., & Sargolzaie, N. (2014). Cut off determination of discrimination indices in differential diagnosis between iron deficiency anemia and β- thalassemia minor. International Journal of Hematology-Oncology and Stem Cell Research, 8(2), 27–32._
Noor, F. A., Sultana, N., Bhuyan, G. S., Islam, T., Hossain, M., Shekhar, H. U., Qadri, F., Qadri, S. S., & Mannoor, K. (2020). Nationwide carrier detection and molecular characterization of β -thalassemia and hemoglobin E variants in Bangladeshi population. Orphanet Journal of Rare Diseases, 15(15), 1–12. https://doi.org/10.1186/s13023-020-1294-z_
Nuinoon, M., Kruachan, K., Sengking, W., Horpet, D., & Sungyuan, U. (2014). Thalassemia and Hemoglobin E in Southern Thai Blood Donors. Advances in Hematology, 2014, 1–6. https://doi.org/10.1155/2014/932306_
Patel, P., Sarda, N., Arora, R., & Gaikwad, H. (2015). Comparative evaluation of NESTROFT and RDW as screening tests for beta thalassemia trait in pregnancy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 4(2), 424. https://doi.org/10.5455/2320-1770.ijrcog20150427_
Penman, B. S., Gupta, S., & Weatherall, D. J. (2015). Epistasis and the sensitivity of phenotypic screens for beta thalassaemia. British Journal of Haematology, 169(1), 117–128. https://doi.org/10.1111/bjh.13241_
Pour, M. N., Hagh, M. F., Akbari, A. A. M., Feyzi, A. A. H. P., & Malaki, M. (2015). Genetic Variation Impacts in Patients with Major Beta-Thalassemia. Iranian Journal of Public Health, 44(5), 722–723. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537638/_
Qazi, R. A., Shams, R., Hassan, H., & Asif, N. (2014). Screening for Beta Thalassemia Trait. Journal of Rawalpindi Medical College, 18(1), 158–160. https://pdfs.semanticscholar.org/b18d/dfcf8b46b38402fbd3c769c7114b9bb3f8f9.pdf_
Rahayu, Y., Mulyadi, E., & Waluyo, J. (2016). Family Support in Compliance Therapy in Patients with Thalassemia in Ciamis District Hospital in 2015. Mutiara Medika, 16(2), 52–56. https://journal.umy.ac.id/index.php/mm/article/download/4451/3515_
Rahim, F., & Keikhaei, B. (2009). Better differential diagnosis of iron deficiency anemia from beta-thalassemia trait. Turkish Journal of Hematology, 26(3), 138–145. http://www.journalagent.com/tjh/pdfs/TJH_26_3_138_145.pdf_
Rejeki, D. S. S., Pradani, P., Nurhayati, N., & Supriyanto, S. (2014). Model Prediksi Kebutuhan Darah untuk Penderita Talasemia Mayor. Kesmas: National Public Health Journal, 8(7), 295. https://doi.org/10.21109/kesmas.v0i0.368_
Roth, I. L., Lachover, B., Koren, G., Levin, C., Zalman, L., & Koren, A. (2018). Detection of β -Thalassemia Carriers by Red Cell Parameters Obtained from Automatic Counters using Mathematical Formulas. Mediterranean Journal of Hematology and Infectious Diseases, 10(December 2017), 1–10._
RSUD Ciamis. (2019). Data Kunjungan pasien Thalassemia Tahun 2018-2019._
Salim, Y., Sukartini, N., & Setiawati, A. (2018). Erythrocyte Indices To Differentiate Iron Deficiency Anemia From Β Trait Thalassemia (Indeks Eritrosit untuk Membedakan Anemia Defisiensi Besi dengan Thalassemia β Trait). Indonesian Journal of Clinical Pathology and Medical Laboratory, 23(1), 50. https://doi.org/10.24293/ijcpml.v23i1.1184_
Sarwani, D., Rejeki, S., Pradani, P., Nurhayati, N., Kedokteran, F., Kesehatan, I., Jenderal, U., & Sains, F. (2012). Model Prediksi Kebutuhan Darah untuk Penderita Talasemia Mayor Blood Need Prediction Model for Mayor Thalassemia Patients. Jurnal Kesehatan Masyarakat Nasional Vol., 8(7), 295–300._
Siswandari, W., Rujito, L., Indriani, V., & Djatmiko, W. (2019). Mentzer Index Diagnostic Value in Predicting Thalassemia Diagnosis. IOP Conference Series: Earth and Environmental Science, 255, 012004. https://doi.org/10.1088/1755-1315/255/1/012004_
Sumantri, N. I., Setiawan, D., & Sazali, A. (2017). Exon globin mutation of β-thalassemia in Indonesian ethnic groups: A bioinformatics approach. In N. K. & S. F. Robert Hofstra (Ed.), Advances in Biomolecular Medicine - Proceedings of the 4th BIBMC (Bandung International Biomolecular Medicine Conference) 2016 and the 2nd ACMM (ASEAN Congress on Medical Biotechnology and Molecular Biosciences) 2016 (pp. 99–104). CRC Press Taylor & Francis Grup. https://doi.org/10.1201/9781315208619-23_
Sumera, A., Ahmed, S., Ali, S. A., & Khanani, R. (2012). Evaluation of NESTROFT as a marker of differentiation between β- thalassemia trait & iron deficiency anemia. International Journal of Collaborative Research on Internal Medicine and Public Health, 4(8), 1560–1566. https://internalmedicine.imedpub.com/evaluation-of-nestroft-as-a-marker-of-differentiationbetween--thalassemia-trait--iron-deficiency-anemia.php?aid=6331_
Tari, K., Alikhani, S., Abbaszadehdibavar, M., Kianinodeh, F., Karam, F., & Atashi, A. (2018). Evaluation of the sensitivity and specificity of MCH and MCV for screening of Beta thalassemia minor. International Journal of BioMedicine and Public Health, 1(4), 184–187. https://doi.org/10.22631/ijbmph.2018.119048.1021_
Vehapoglu, A., Ozgurhan, G., Demir, A. D., Uzuner, S., Nursoy, M. A., Turkmen, S., & Kacan, A. (2014). Hematological indices for differential diagnosis of beta thalassemia trait and iron deficiency anemia. Anemia, 2014, 1–7. https://doi.org/10.1155/2014/576738_
Walski, T., Chludzińska, L., Komorowska, M., & Witkiewicz, W. (2014). Individual Osmotic Fragility Distribution: A New Parameter for Determination of the Osmotic Properties of Human Red Blood Cells. BioMed Research International, 2014(January 2014), 1–6. https://doi.org/10.1155/2014/162102
DOI: https://doi.org/10.22146/jkesvo.57621
Article Metrics
Abstract views : 7040 | views : 5841Refbacks
- There are currently no refbacks.
Copyright (c) 2020 Jurnal Kesehatan Vokasional
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Kesehatan Vokasional with registered number ISSN 2541-0644 (print), ISSN 2599-3275 (online) published by the Departement of Health Information Management and Services, Vocational College, Universitas Gadjah Mada