The Effects of Propolis Extract Administration on HIV Patients Receiving ARV

BACKGROUND: Human immunodeficiency virus (HIV) is an infectious disease that targets the human immune system by attacking cluster of differentiation (CD)4 cells. The use of propolis in HIV patients is expected to be safe and beneficial in terms of increasing endurance and immunity by its role in inc...

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Main Authors: Erwin Astha Triyono, Sarah Firdausa, Heru Prasetyo, Joni Susanto, James Hutagalung, Lilis Masyfufah, Budiono Budiono, Ivan Hoesada
Format: Article
Language:English
Published: Secretariat of The Indonesian Biomedical Journal 2021-03-01
Series:Indonesian Biomedical Journal
Online Access:https://inabj.org/index.php/ibj/article/view/1381
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author Erwin Astha Triyono
Sarah Firdausa
Heru Prasetyo
Joni Susanto
James Hutagalung
Lilis Masyfufah
Budiono Budiono
Ivan Hoesada
author_facet Erwin Astha Triyono
Sarah Firdausa
Heru Prasetyo
Joni Susanto
James Hutagalung
Lilis Masyfufah
Budiono Budiono
Ivan Hoesada
author_sort Erwin Astha Triyono
collection DOAJ
description BACKGROUND: Human immunodeficiency virus (HIV) is an infectious disease that targets the human immune system by attacking cluster of differentiation (CD)4 cells. The use of propolis in HIV patients is expected to be safe and beneficial in terms of increasing endurance and immunity by its role in increasing CD4 level. This study aimed to analyze the influence of propolis supplementation in increasing the CD4 level in anti-retroviral (ARV)-treated HIV patients. METHODS: Double-blind randomized controlled clinical trial was conducted in 50 HIV patients who took regular ARV therapy. The subjects were divided into two groups, one group was treated with ARV and propolis, while another one was given ARV and placebo. The CD4 cell count was measured during pre-treatment, in the 3rd month, in the 6th month after treatment. The level of hemoglobin, leukocyte, and platelets were also measured. The SF-12 questionnaire was used to evaluate quality of life of the subject. RESULTS: Out of 50 subjects, 43 subjects completed the study, which were 19 subjects from the propolis group and 24 subjects from the placebo group. After 3-month of treatment, there was a statistically significant difference in the incrwase of CD 44 level in propolis group, while the increment was not significant in the placebo group. After 6-month treatment, the increase of CD4 level was occurred in both groups, propolis and placebo, however the increment was not statistically significant. The levels of hemoglobin, leukocyte, and platelets were not altered by the treatment and remained normal throughout the study. The quality of life was improved during the study; however, it was also not statistically significant. Mild adverse events occurred in 3 subjects which were relieved after the treatment stopped. CONCLUSION: Based on the result of this study, the administration of propolis on HIV patients receiving ARV bring significant difference in the increase of CD4 in propolis group from baseline to 3 month after the treatment. While in placebo group, this increment was not significant. At the end of study, CD4 count continued to rise up, however the increase was not statistically significant. There are no hemoglobin, leukocyte, platelets, and quality of life abnormalities. Therefore, it is necesary to do further research with a spesific CD4 count. However, it may be beneficial in relieving the clinical symptoms and quality of life of patient living with HIV. KEYWORDS: CD4, ARV, HIV, propolis
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spelling doaj.art-3b9e87fc511d4339bb15d6488d1c557e2022-12-21T20:17:13ZengSecretariat of The Indonesian Biomedical JournalIndonesian Biomedical Journal2085-32972355-91792021-03-01131758310.18585/inabj.v13i1.1381396The Effects of Propolis Extract Administration on HIV Patients Receiving ARVErwin Astha Triyono0Sarah Firdausa1Heru Prasetyo2Joni Susanto3James Hutagalung4Lilis Masyfufah5Budiono Budiono6Ivan Hoesada7Division of Tropical and Infectious Diseases, Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya 60131Department of Internal Medicine, Faculty of Medicine, Universitas Syiah Kuala, Jl. Teuku Tanoh Abee, Banda Aceh 24415Department of Parasitology, Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya 60131Department of Parasitology, Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya 60131Department of Parasitology, Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya 60131STIKES Yayasan RS Dr. Soetomo, Jl. Mayjen. Prof. Dr. Moestopo No. 8 A, Surabaya 60286Department of Public Health, Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo No. 47, Surabaya 60131PT Harmoni Dinamik Indonesia, Jl. Probolinggo No.18, Menteng, Jakarta 10350BACKGROUND: Human immunodeficiency virus (HIV) is an infectious disease that targets the human immune system by attacking cluster of differentiation (CD)4 cells. The use of propolis in HIV patients is expected to be safe and beneficial in terms of increasing endurance and immunity by its role in increasing CD4 level. This study aimed to analyze the influence of propolis supplementation in increasing the CD4 level in anti-retroviral (ARV)-treated HIV patients. METHODS: Double-blind randomized controlled clinical trial was conducted in 50 HIV patients who took regular ARV therapy. The subjects were divided into two groups, one group was treated with ARV and propolis, while another one was given ARV and placebo. The CD4 cell count was measured during pre-treatment, in the 3rd month, in the 6th month after treatment. The level of hemoglobin, leukocyte, and platelets were also measured. The SF-12 questionnaire was used to evaluate quality of life of the subject. RESULTS: Out of 50 subjects, 43 subjects completed the study, which were 19 subjects from the propolis group and 24 subjects from the placebo group. After 3-month of treatment, there was a statistically significant difference in the incrwase of CD 44 level in propolis group, while the increment was not significant in the placebo group. After 6-month treatment, the increase of CD4 level was occurred in both groups, propolis and placebo, however the increment was not statistically significant. The levels of hemoglobin, leukocyte, and platelets were not altered by the treatment and remained normal throughout the study. The quality of life was improved during the study; however, it was also not statistically significant. Mild adverse events occurred in 3 subjects which were relieved after the treatment stopped. CONCLUSION: Based on the result of this study, the administration of propolis on HIV patients receiving ARV bring significant difference in the increase of CD4 in propolis group from baseline to 3 month after the treatment. While in placebo group, this increment was not significant. At the end of study, CD4 count continued to rise up, however the increase was not statistically significant. There are no hemoglobin, leukocyte, platelets, and quality of life abnormalities. Therefore, it is necesary to do further research with a spesific CD4 count. However, it may be beneficial in relieving the clinical symptoms and quality of life of patient living with HIV. KEYWORDS: CD4, ARV, HIV, propolishttps://inabj.org/index.php/ibj/article/view/1381
spellingShingle Erwin Astha Triyono
Sarah Firdausa
Heru Prasetyo
Joni Susanto
James Hutagalung
Lilis Masyfufah
Budiono Budiono
Ivan Hoesada
The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
Indonesian Biomedical Journal
title The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
title_full The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
title_fullStr The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
title_full_unstemmed The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
title_short The Effects of Propolis Extract Administration on HIV Patients Receiving ARV
title_sort effects of propolis extract administration on hiv patients receiving arv
url https://inabj.org/index.php/ibj/article/view/1381
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