A Study on Arsik Dali Ni Horbo Intake and Sputum Conversion in Pulmonary Tuberculosis Patients on Standard Therapy / Konsumsi Arsik Dali Ni Horbo dan Konversi Sputum pada Pasien Tuberkulosis Paru yang Mendapatkan Terapi Standar

Pulmonary tuberculosis remains an important public health problem in Indonesia. Standard treatment with anti-tuberculosis drugs is the main component in reducing bacterial load and preventing transmission; however, nutritional support is also needed to assist patient recovery. Arsik Dali Ni Horbo is a traditional Batak local food made from buffalo milk and has the potential to serve as dietary support for tuberculosis patients. This study aimed to determine the difference in sputum acid-fast bacilli counts before and after the consumption of Arsik Dali Ni Horbo among pulmonary tuberculosis patients receiving standard therapy. This study used a quasi experimental design without a control group, using a one-group pretest-posttest approach. The sample consisted of 30 adult pulmonary tuberculosis patients diagnosed between September and December at UPT Puskesmas Helvetia, Medan City. The intervention consisted of consuming 100 grams of Arsik Dali Ni Horbo per serving, four times per week for one month. Acid fast bacilli data before and after the intervention were obtained through laboratory examinations. Data were analyzed using univariate and bivariate analyses, with a dependent t test performed after the data were confirmed to be normally distributed. The results showed that the mean AFB count before the intervention was 6.93 ± 1.51, while the mean AFB count after the intervention was 6.57 ± 1.19. The mean reduction in AFB count was 0.37, with a p-value of 0.046. This study showed a significant difference in AFB counts before and after the consumption of Arsik Dali Ni Horbo, although the magnitude of the reduction was relatively small.

Tuberkulosis paru masih menjadi masalah kesehatan masyarakat yang penting di Indonesia. Pengobatan standar dengan obat anti tuberkulosis merupakan komponen utama dalam menurunkan jumlah bakteri dan mencegah penularan, namun dukungan asupan gizi juga diperlukan untuk membantu pemulihan pasien. Arsik Dali Ni Horbo merupakan makanan lokal masyarakat Batak berbahan dasar susu kerbau yang berpotensi menjadi dukungan pangan bagi pasien tuberkulosis. Penelitian ini bertujuan untuk mengetahui perbedaan jumlah kuman Basil Tahan Asam (BTA) sputum sebelum dan sesudah konsumsi Arsik Dali Ni Horbo pada pasien tuberkulosis paru yang mendapatkan terapi standar. Penelitian ini menggunakan desain kuasi eksperimen tanpa kelompok kontrol dengan pendekatan one group pretest posttest design. Sampel penelitian sebanyak 30 pasien tuberkulosis paru dewasa yang didiagnosis pada bulan September sampai Desember di UPT Puskesmas Helvetia Kota Medan. Intervensi diberikan berupa konsumsi Arsik Dali Ni Horbo sebanyak 100 gram setiap kali konsumsi, empat kali seminggu selama satu bulan. Data BTA sebelum dan sesudah intervensi diperoleh melalui pemeriksaan laboratorium. Analisis data dilakukan secara univariat dan bivariat menggunakan uji t dependen setelah data dinyatakan berdistribusi normal. Hasil penelitian menunjukkan rata-rata jumlah kuman BTA sebelum intervensi sebesar 6,93 ± 1,51 dan sesudah intervensi sebesar 6,57 ± 1,19. Terdapat penurunan rata-rata BTA sebesar 0,37 dengan nilai p = 0,046. Penelitian ini menunjukkan terdapat perbedaan jumlah kuman BTA sebelum dan sesudah konsumsi Arsik Dali Ni Horbo, meskipun besar penurunannya relatif kecil.