Association Between Vitamin D Levels With Mdr-Tb Patients With Household Contacts And Healthy People As Comparison

N. Herlina, Bintang Yinke Magdalena Sinaga, P. Siagian, E. Mutiara
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Abstract

Abstract Background: The high incidence of pulmonary tuberculosis (TB) progressing into multidrugresistant TB (MDR-TB) has become a serious concern and caused a high mortality rate. The incidence of MDR-TB was 3.3% of new cases and 20% of cases of recurrent treatment. Low levels of vitamin D is a predisposing factor of MDR-TB, and family members in contact with the patient also show risk of infection. Currently, there is no study that compares vitamin D levels between MDR-TB patients and their household contact. Method: This is a case control study, with the number of samples of each group (MDR-TB patients, household contact, healthy controls) 40 subjects, respectively. Each member of each group were checked for vitamin D levels using enzyme-linked immunosorbent assay (ELISA) technique. Result: Mean levels of vitamin D in MDR-TB patients are 32.21, contact families 31.7 and healthy controls 26.86. There is a significant relationship between vitamin D levels and MDR-TB incidence (p=0.006). Conclusion : There was no significant association between vitamin D deficiency level with MDRTB. Vitamin D insufficiency was a protective factor for MDR-TB than in healthy control.  
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维生素D水平与耐多药结核病家庭接触者和健康人群的关系比较
背景:肺结核(TB)发展为耐多药结核病(MDR-TB)已成为一个严重的问题,并造成了高死亡率。耐多药结核病的发病率占新发病例的3.3%,占复发治疗病例的20%。维生素D水平低是耐多药结核病的一个诱发因素,与患者接触的家庭成员也有感染风险。目前,没有研究比较耐多药结核病患者与其家庭接触者之间的维生素D水平。方法:采用病例对照研究,每组(耐多药结核病患者、家庭接触者、健康对照)样本数量分别为40例。使用酶联免疫吸附试验(ELISA)技术检查各组成员的维生素D水平。结果:耐多药结核病患者的平均维生素D水平为32.21,接触者家庭为31.7,健康对照组为26.86。维生素D水平与耐多药结核病发病率之间存在显著关系(p=0.006)。结论:维生素D缺乏水平与耐多药结核病无显著相关性。与健康对照组相比,维生素D不足是耐多药结核病的保护因素。
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