Latar belakang. Dermatitis atopik merupakan penyakit kulit yang memberikan reaksi kulit yang didasari oleh imunoglobulin E (IgE) dan mempunyai kecenderungan menderita asma, rinitis, atau keduanya di kemudian hari. Pemberian probiotik merupakan upaya perbaikan homeostasis sistem biologis penderita yang ditujukan pada imunomodulasi respon imun dengan menyeimbangkan respon imun Thelper 1(Th1) dan Th2 sehingga diharapkan terjadi penurunan kadar IgE total. Tujuan. Menganalisis pengaruh pemberian probiotik pada anak dengan dermatitis atopik terhadap kadar imunoglobulin E total. Metode. Uji klinis dengan randomisasi dilakukan pada bulan Oktober 2016-Maret 2017 di Surakarta (Jawa Tengah) dan Depok (Jawa Barat). Sebanyak 48 anak usia 9-15 tahun dengan dermatitis atopik diambil secara konsekutif dibagi dalam kelompok kontrol dan kelompok perlakuan (probiotik). Data dianalisis menggunakan uji t independen dan Mann Whitney dengan program SPSS 17.0. Hasil. Terdapat perbedaan yang signifikan perubahan IgE total antara kelompok pasien dengan probiotik dan plasebo. Kadar IgE total pada kelompok probiotik mengalami penurunan yang lebih banyak dibandingkan dengan plasebo; penurunan kadar IgE total kelompok perlakuan (probiotik) dengan mean -89,76+357,66 dan kelompok kontrol (plasebo) 91,53+474,75 nilai p=0,010. Kesimpulan. Terdapat pengaruh pemberian probiotik pada anak dengan dermatitis atopik terhadap kadar imunoglobulin E total. Sari Pediatri 2017;19(2):71-5Kata kunci : dermatitis atopik, probiotik, imunoglobulin E total The Effect of Probiotic in Atopic Dermatitis Children to Immunoglobulin E TotalArdentry, Ganung Harsono, Bambang Soebagyo Background. Atopic dermatitis is a skin disease that gives skin reactions constituted by immunoglobulin E (IgE) and have a tendency to suffer from asthma, rhinitis, or both at a later date. Giving probiotics is an effort to improve patient homeostasis of biological systems aimed at immunomodulating the immune response by balancing the Th1 and Th2 immune responses that decreasing IgE total levels. Objectives. To analyze the effect of probiotic in children with atopic dermatitis to immunoglobulin E total. Methods. Randomized clinical trials conducted in October 2016 -March 2017 in Surakarta (South Java) and Depok (West Jawa). A total of 48 children with 9-15 years old with atopic dermatitis were taken consecutively divided into a control group and the treatment group (probiotic). Data were analyzed using independent t test and Mann-Whitney test with software SPSS 17.0. Results. There is a significant difference change in IgE total between the probiotic and plasebo group, the probiotic group experienced had decreased IgE total levels more than the plasebo with Means -89.76 + 357.66 and control group (plasebo) 91.53 474.75 p value = 0.010. Conclusion. There are differences between the effect of probiotic in atopic dermatitis children to immunoglobulin E total. Sari Pediatri 2017;19(2):71-5
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