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Influence of zinc supplementation in eosinophil nasal mucous count and quality of life in moderate to severe persistent allergic rhinitis patient in ENT clinic Dr. Kariadi hospital Semarang in November 2016 until January 2017

Abstract

Background : Allergic rhinitis is an inflammation in nasal mucous caused by allergen exposure. Eosinophil has a role the allergic reaction. Examination of eosinophil nasal mucus is a cytologic  investigation to diagnose AR. Zink is a micro, and essential nutrient with anti- inflammatory effect suggest to reduce eosinophil nasal mucous and increase the quality of life.Objectives : To determine the effect of zinc supplementation on a mount of eosinophil nasal mucous and quality of life in moderate to severe persistent allergic rhinitis patient. Methods : A single-blinded intervention study pre-test and post-test design.The treatment of zinc 40 mg/24 hour  in the moderate to severe persistent allergic rhinitis patient with cetirizine (experimental group) is compare with treatment of cetirizine only (control group). The examination of the zinc serum count of nasal  mucous eosinophil and the quality of life  in the first and second week after the treatment was compare beetwen the two groups. Result :A total of 34 subjects included in the study. There was a significant decrease in the eosinophil count of nasal mucus in experimental group (p=0.002) and the control group (p=0.001). However the eosinophil count f nasal mucus beetween these groups after intervention showed no significant diference (p=0.375). In contras, the quality of life score between these grups after the intervention is statistically significant (p=0.046).Conclusion : The Zinc supplementation decreases the eosinophil count of nasal mucous before the intervention. However, there is no significant difference between the two groups after the intervention. The Zinc supplementation showed an increase in the quality of life in moderate to severe persistent allergic rhinitis patient.

References

  1. Oneil JT, Mims JW. Allergic rhinitis. In: Bailey B, editor. Head and Neck Surgery Otolaryngology. Fifth ed. Pittsburgh Pennsylvania: Lippincoth williams &wilkin; 2014. p. 460-1.
  2. Bauquet J, Khaltev N, Cruz A, Denburg J, Fokkens W, Togians A, et al. Review rhinitis allergy its impact on asthma (AIRA) 2008. Allergic Clin Immunol. 2008;86:8-160.
  3. Tuong-Tran A, Carter J, Ruffin R, Zalewski P. New insights into the role of zinc in the respiratory epithelium. Immunology and cell Biology. 2001:170-7.
  4. Suprihati. The prevalence of allergic rhinitis and its relation to some risk factors among 13-14 year old student in Semarang, Indonesia. Otolaryngologica Indonesiana. 2009;XXXV(2):37-70.
  5. Bakhshaee M, Fereidouni M, Farzadnia M, Varasteh AR. The nasal smear eosinophils, its value, and its relation to nasal mucosal eosinophilia in allergic rhinitis. Iranian Journal of Otorhinolaryngology. 2010;22:73-8.
  6. Nacleiro R, Durham S, Maygind N. Rhinitis : Mechanism and management. New York, Marcel Decker 1998.
  7. Durham S. Mechanism and treatment of allergic rhinitis. In: Kerr A, editor. Scott-Browns Otolaryngology Rhinology. Oxford: Betterworth; 1997. p. 1-3.
  8. Lu H, Xin Y, Tang Y, Shao G. Zinc suppressed the airway inflamation in asmathic rats: Effect of zinc on generation of eotaxin, MCP-1, IL-8, IL-4, and IFN-gamma. Biol Trace Elem Res. 2012;150:314-21.
  9. Morgan C, Ledford J, Zhou P, Page K. Zinc supplementation alters airway inflamation and airway hyperresponsiveness to a common allergen. Journal of Inflamation. 2011;8(38):1-10.
  10. Michelle J, Roth ED, Gordon G, Loeb M. Zinc for the treatment of the common cold: a systematic review and meta-analysis of randomized controlled trials. Canadian Medical Assotiation. 2012;184(10):E551-61.
  11. Indah D. Pengaruh suplementasi zink pada perbaikan gejala klinis dan kualitas hidup penderita rinitis alergi persisten sedang berat. Semarang: Universitas Diponegoro; 2014.
  12. Aleksandar P, Danilo V, Biserka D, Nenad B. Eosinophilic inflamation in allergic rhinitis and nasal polyposis. Arh Hid Rada Tokiskol. 2011;62:341-8.
  13. Nutku E, Toda M, Hamid Q. Rhinitis, nasal polyposis and asthma: pathological aspect. European Respiratory Monograph. 2016;18:115-42.
  14. Howarth PH, Persson CGA, Meltzer EO, Jacobson MR, Durham SR, Silkoff PE. Objective monitoring of nasal airway inflamation in rhinitis. J Allergy Clin Immunol. 2005;115(3):S414-S25.
  15. Ozdemir O. Zinc and allergy relation. MOJ Immunology. 2014;1(1):1-5.
  16. Peck R, Smith P. Beyond genetic-stratified and personalized medicines using multiple parameter review. Pharmacoitical. 2010;3:1637-51.
  17. Syarif A, Estuningtyas A, Setyawati A, Muchtar A, Arif A, Bahry B. Vitamin. In: Gunawan SA SR, Nafrialdi, Elysabeth, editor. Farmakologi dan terapi. Jakarta: Balai penerbit FKUI; 2009. p. 769-93.
  18. Sumarman I, Harjanto, Asnominanda, rahim T, Sulama W. The predominant major indoor aeroallergen, the symstoms grade and its suspected impact agains quality of life of parennial allergic rhinitis among residents of Bandung and patients of ENT clinic. 2002;34:23-32.
  19. Sudiro M, Madiadipoera T, Purwanto B. Eosinofil kerokan hidung sebagai diagnostik rinitis alergi. MKB. 2010;42(1):6-11.
  20. Reinhard, Palandeng, Palealu. Rinitis alergi di poliklinik THT-KL BLU RSU PROF DR. R. D. Kandau Manado periode Januari 2010-Desember 2012. Manado: Universitas Sam Ratulangi Manado; 2012.
  21. Haye R, Hoye K, berg O, Frones S, Degard T. Morning versus evening dosing of desloratadine in seasonal allergic rhinitis: a randomized control study. Clinical and Molecular Allergy. 2005;3(3):1-6.
  22. Reinhard K, Fanzo J. Adressing chronic malnutrition through multisectoral, sustainable approaches: A review of causes and consequences. Frontiers in Nutrition. 2014:1-14.
  23. Engle-Stone R, Ndjebayi A, Nankap M, Killilea D, Brown K. Stunting prevalence, plasma zinc concentration, and dietary zinc intakes in A nationally representative sample suggest A high risk of zinc deficiency among women and young children in Cameroon. J Nutr. 2012;144:382-39.
  24. Rahmawati NR, Wati AP, Retnaningsih. Pengaruh suplementasi zink terhadap keluaran klinis pasien stroke iskemik akut. Jurnal Kedokteran Diponegoro. 2016;5(4):1328-38
  25. Moran VH, Stammers A-L, Medina MW, Patel S, Dykes F, Saouverein OW, et al. The relationship between zinc intake and serum/plasma zinc concentration in children: asystematic review and dose-response meta analysis. Nutrient. 2012;4:841-58.Skoner D, Laforce C, Nathan R, Urdaneta E, Zielinski M, Sacavage S. Effect of cetirizine on symptom severity and quality of life in parennial allergic rhinitis. Allergy and Asthma Proceedings. 2014;35(4):338-45.

How to Cite

Sudadi, A. M., Hariyati, R., & Dewi, A. M. K. (2019). Influence of zinc supplementation in eosinophil nasal mucous count and quality of life in moderate to severe persistent allergic rhinitis patient in ENT clinic Dr. Kariadi hospital Semarang in November 2016 until January 2017. Bali Medical Journal, 8(1), 88–93. https://doi.org/10.15562/bmj.v8i1.1127

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Atik Masdarinah Sudadi
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Riece Hariyati
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Anna Mailasari Kusuma Dewi
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