Prevalence Of Suspected Beta Thalassemia Minor Based On Screening With Mentzer Index And Red Distribtion Width In Students Of Smp Negeri 7 Pujut

Authors

  • Larasita Prameswari Fakultas Kedokteran Universitas Mataram
  • Linda Silvana Sari
  • Ima Arum Lestarini

DOI:

https://doi.org/10.29303/jku.v9i2.417

Keywords:

screening, beta thalassemia minor, Mentzer index, Red Distribution Width index

Abstract

Background : Beta thalassemia is blood disorder that it often found in Indonesia with high frequency of beta thalassemia carrier genes around 3 to 10%. Thalassemia has not been cured, but can be prevented by screening of thalassemia to identify individuals with beta minor thalassemia in population. The purpose of this study was to determine prevalence of anemia and prevalence of suspected beta thalassemia minor in students of SMP Negeri 7 Pujut based on Mentzer index and Red Distribution Width index.

Methode: This study was an quantitative descriptive design with cross sectional approach. Total number of 130 students of SMP Negeri 7 Pujut were recruited with proportional random sampling stratified technique. Screening of beta thalassemia minor by calculating erythrocyte index of anemia blood samples using Mentzer index and Red Distribution Width index. Mentzer index was calculated by dividing Mean Corpuscular Volume (MCV) by Red Blood Count (RBC). RDW index was calculated by by multiplying MCV by RDW and divided by RBC.

Result: According to data analysis, prevalence of anemia in students was 16.9% based on Hb concentrations for diagnosis anaemia based on WHO. Prevalence of suspected beta thalassemia minor was 0% based on Mentzer index and 4,6% based on RDW index.

Conclusion: Prevalence of anemia in students was 16.9% based on Hb concentrations for diagnosis of anaemia WHO and prevalence of suspected beta thalassemia minor was 4,6% based on RDW index.

References

1. Wynn, R, Bhat, R, Monagle, P. Pediatric Hematology: A Practical Guide. 1st ed. United Kingdom: Cambridge University Press. 2017;
2. Husna, N et al. Prevalence and Distribution of Thalassemia Trait Screening. J Med Sci. 2017;49(3):106-113.
3. Galanello, R. Beta Thalasemia. In: Old, J (ed.) Prevention of Thalassemias and Other Haemoglobin Disorders. 2nded. vol 1. Nicosia: Thalassemia International Federation. 2013;
4. Kemenkes RI. Pedoman Nasional Pelayanan Kedokteran Tatalaksana Thalasemia. Jakarta: Kemenkes RI. 2018;
5. Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Provinsi Nusa Tenggara Barat. 2007;
6. Jha, R, Jha, S. Beta Thalssemia - A Review. Journal of Pathology of Nepal.2014;4:663-671.
7. Idrus, A dkk. Thalasemia. Buku Ajar Ilmu Penyakit Dalam. 4thed. vol 2. Jakarta: Interna Publisher. 2015;
8. Kristiana, RH, Widyastiti, NS, Setiawan, EK. Uji Sensitivitas dan Spesifisitas Mentzer Index, Red Distribution Width Index dan Green and King Index Terhadap Diagnosis Talasemia Beta Minor dan Anemia Defisiensi Besi. Jurnal Kedokteran Diponegoro. 2018;7(2):787-800.
9. Alyumnah, P, Ghozali, M, Dalimoentho, NZ. Skrining Thalassemia Beta Minor pada Siswa SMA di Jatinangor[Skripsi]. Bandung: Universitas Padjadjaran. 2016;
10. Suarsana, I N dkk. Etnografi Dusun Sade, Desa Rembitan, Lombok Tengah, Nusa Tenggara Barat. Denpasar: Universitas Udayana. 2015;
11. Merten, M. Keeping It in The Family: Consanguineous Marriage and Inherited Disease. 2019;1-3.
12. Dahlan, MS. Besar Sampel dalam Penelitian Kedokteran dan Kesehatan. 4th ed. Jakarta: Epidemiologi Indonesia; 2016.
13. World Health Organization. Haemoglobin Concentrations for the Diagnosis of Anaemia and Assessment of Severity. Vitamin and Mineral Nutrition Information System. 2011. Available from: <http://www.who.int/vmnis/indicators/haemoglobin.pdf>
14. Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas). Jakarta: Kemenkes RI. 2013;
15. Yunawan, AK, Dwiriani, CM. Faktor-faktor yang Mempengaruhi Status Anemia Siswa Siswi SMA di Perkotaan dan Pedesaan [Skripsi]. Bogor: Institut Pertanian Bogor. 2014;
16. Permaesih, D, Herman, S. Faktor-faktor yang Mempengaruhi Anemia pada Remaja. Buletin Penelitian Kesehatan. 2005;33(4):162-171.
17. Dewan Jaminan Sosial Nasional (DJSN). Jawa Barat Pengidap Thalasemia Tertinggi YTI dan POPTI Audiensi dengan DJSN[Internet]. 2018. Available from: <https://djsn.go.id/berita/detail/jawa-barat-pengidap-thalasemia-tertinggi-yti-dan-popti-audiensi-dengan-djsn>
18. Matos, JF et al. RDW as Differential Parameter Between Microcytic Anemias in "Pure" and Concomitant Forms. Jornal Brasileiro de Patologia e Medicina Laboratorial. 2015;51(1):22-27.
19. Burdick, CO, Ntaios, G, Rathod, D. Separating Thalassemia Trait and Iron Deficiency by Simple Inspection. American Journal of Clinical Pathology. 2009;131(3):444-445.

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Published

2020-08-12

How to Cite

Prameswari, L., Silvana Sari, L. ., & Arum Lestarini, I. . (2020). Prevalence Of Suspected Beta Thalassemia Minor Based On Screening With Mentzer Index And Red Distribtion Width In Students Of Smp Negeri 7 Pujut. Jurnal Kedokteran, 9(2), 124–135. https://doi.org/10.29303/jku.v9i2.417

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Research