Hubungan Kadar C- Reactive Protein (CRP) dan Profil Leukosit pada Pasien Sepsis Neonatorum Bayi di Rumah Sakit PKU Muhammadiyah Yogyakarta

Authors

  • Nizma Hartin Ferawati Universitas Aisyiyah Yogyakarta
  • Farida Noor Irfani Universitas Aisyiyah Yogyakarta
  • Nazula Rahma Shafriani Universitas Aisyiyah Yogyakarta

DOI:

https://doi.org/10.59024/jikas.v4i3.1863

Keywords:

CRP, Leukocytes, Neonatal Sepsis, Newborn Infants, Spearman Correlation

Abstract

Neonatal sepsis is a major factor contributing to morbidity and mortality in newborns. C-Reactive Protein (CRP) and leukocytes are laboratory tests used as indicators of inflammation. This study aims to determine the relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients. The research method used was an observational analytic with a cross-sectional approach. Neonatal sepsis at PKU Muhammadiyah Yogyakarta in the period 2021-2026 consisted of 30 samples using a total sampling technique. The distribution of respondents was dominated by male gender compared to female gender, who had a low birth weight <2,500 grams. Based on the study, normal CRP levels were found in 21 respondents, which was caused by a delay in increasing CRP levels. Leukocytes had high levels in 18 respondents. Leukocytes are an initial phase of examination in detecting inflammation that does not require a long time, have several different morphological types in detecting inflammation in the body. This study shows that the most dominant increase in leukocyte levels is found in eosinophils and neutrophils. Based on medical record data at PKU Muhammadiyah Hospital Yogyakarta, analysis using the Spearman correlation test yielded a correlation coefficient of 0.261 with a significance value of 0.164 (p > 0.05). The results showed no significant relationship between the studied variables, with a positive direction and weak correlation strength. The conclusion of this study is that there is no significant relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients.

References

Amelia, F. D. (2022). Korelasi antara kadar Pentraxin-3 dan Matrix Metalloproteinase serum dengan nilai laju filtrasi glomerulus pada pasien penyakit ginjal kronis. Penambahan Natrium Benzoat dan Kalium Sorbat (Antiinversi) dan Kecepatan Pengadukan sebagai Upaya Penghambatan Reaksi Inversi pada Nira Tebu, 138–143.

Azizah, T. W. (2023). Gambaran morfologi sel leukosit mencit jantan (Mus musculus) model sepsis MRSA pada pemberian ekstrak cendana (Santalum album L.). BJSME: Borneo Journal of Science and Mathematics Education, 3(1), 26–36. https://doi.org/10.21093/bjsme.v3i1.6098

Belgis. (2024). Jumlah leukosit, trombosit, dan kadar kreatinin pada pasien sepsis Covid-19 di RSUD Genteng Banyuwangi pada periode 2020–2021. Jurnal Medika Nusantara, 2(2), 8–20. https://doi.org/10.59680/medika.v2i2.991

Chandra, H. K. (2021). Peranan C-reactive protein (CRP) pada pasien sepsis di Intensive Care Unit (ICU). Journal of Anaesthesia and Pain, 2(1), 1–10. https://doi.org/10.21776/ub.jap.2021.002.01.01

Devi, C. D. (2024). Hubungan pemeriksaan imunologi dan hematologi untuk diagnosa sepsis pada neonatus di RS. M. Yunus Bengkulu. Jurnal Fatmawati Laboratory & Medical Science, 4(2), 84–93. https://doi.org/10.33088/flms.v4i2.907

Eichberger, J. (2022). Diagnosis of neonatal sepsis: The role of inflammatory markers. Frontiers in Pediatrics, 10, 2–12. https://doi.org/10.3389/fped.2022.840288

Fauziah, N. P. (2020). Gambaran hasil C-reactive protein (CRP) pada neonatus yang diduga sepsis di RSAB Harapan Kita Jakarta Barat. Jurnal Ilmiah Analis Kesehatan, 6(2), 221–226. https://doi.org/10.37012/anakes.v6i2.376

Gu, X. (2020). Respiratory viral sepsis: Epidemiology, pathophysiology, diagnosis and treatment. Review Respiratory Infections, 2–11. https://doi.org/10.1183/16000617.0038-2020

Hudriyah, A. (2023). Efek pemberian ekstrak kayu cendana (Santalum album L.) terhadap kadar C-reactive protein (CRP) tikus putih (Rattus norvegicus) model sepsis Methicillin-Resistant Staphylococcus aureus (MRSA). Duta Pharma Journal, 3(1), 46–54. https://doi.org/10.47701/djp.v3i1.2482

Jumarta, N. (2024). Pengetahuan perawat tentang sepsis di ruang Intensive Care Unit. JIM Fkep, 8(01), 78–81.

Kirana, A. (2024). Pemeriksaan laboratorium sebagai indikator sepsis neonatorum. Jurnal Kesehatan dan Agromedicine, 11, 47–53. https://doi.org/10.23960/jka.v11i2.pp47-53

Li, X. (2021). Clinical value of C-reactive protein/platelet ratio in neonatal sepsis: A cross-sectional study. Journal of Inflammation Research, 4(5), 23–29. https://doi.org/10.2147/JIR.S334642

Maulana, I. (2022). Hubungan jumlah leukosit dan C-reactive protein (CRP) dengan luaran pasien cedera otak traumatik (COT) berdasarkan skor Glasgow Coma Scale (GCS) di RSUD Ulin Banjarmasin. Jurnal Neuroanestesi Indonesia, 10(1), 8–16. https://doi.org/10.24244/jni.v10i1.267

Mawaddah, M. I. (2020). Jumlah eosinofil pasien sepsis dan nonsepsis di ruang rawat intensif RSUD Ulin Banjarmasin. Homeostasis, 3(3), 461–468.

Nela, V. F. (2025). Hubungan C-reactive protein (CRP) dan neutrofil lymphosit count ratio (NLCR) pada bayi neonatus di RS Dian Harapan Jayapura. Jurnal Sintesis, 6(2), 371–376.

Ostia-Garza, P. J., & Salzar-Espino, B. (2021). Frequency of risk factors associated with neonatal sepsis. Perinatología y Reproducción Humana, 35(1), 123–133. https://doi.org/10.24875/PER.19000059

Purnomowati, A. (2025). Korelasi antara neutrophil lymphocyte ratio (NLR) dan C-reactive protein (CRP) pada pasien anak suspek sepsis. Jurnal Inovasi Riset Ilmu Kesehatan, 4(3), 138–143. https://doi.org/10.51878/healthy.v4i3.6611

Putra, S. B. (2025). Faktor yang berhubungan dengan kejadian sepsis neonatorum: Literatur review. Jurnal Kesehatan dan Agromedicine, 12(1), 492–498.

Rahayu, D. (2024). Diagnostic performance of NLR and CRP in early detection of neonatal sepsis: A multicenter study in East Java. Journal of Pediatric Infections, 12(2), 98–106.

Raturi, A. (2024). Neonatal sepsis: Aetiology, pathophysiology, diagnostic advances and management strategies. Clinical Medicine Insights: Pediatrics, 18, 1–11. https://doi.org/10.1177/11795565241281337

Sari, K. Y. (2024). Pemeriksaan C-reactive protein sebagai penanda inflamasi dalam upaya awal skrining adanya penyakit menular maupun tidak menular pada warga di wilayah binaan Desa Bone Kecamatan Nekamese Kabupaten Kupang. Jurnal Pelayanan Masyarakat, 1(4), 195–200. https://doi.org/10.62951/jpm.v1i4.1076

Sefin, S. (2020). Hubungan antara ketuban pecah dini dengan kejadian asfiksia dan sepsis neonatorum. Jurnal Medika Hutama, 3(3), 26–55.

Setiawandari. (2022). The relationship between vernix caseosa with C-reactive protein (CRP) levels and premature infant wellness. Jurnal Kebidanan, 12(1), 84–92. https://doi.org/10.31983/jkb.v12i1.8359

Susanto, N. K. (2020). Perbedaan kadar C-reactive protein (CRP) dan jumlah leukosit serum ibu antara kehamilan aterm normal dengan ketuban pecah dini aterm di RSUP Sanglah Denpasar. Medicina, 51(3), 605–610. https://doi.org/10.15562/medicina.v51i3.892

Sutrisni, T. S. (2025). Hubungan ketuban pecah dini dengan kejadian sepsis neonatorum onset dini di RSIA Asih Balikpapan. Jurnal Kesehatan Masyarakat, 9(2), 44–88. https://doi.org/10.31004/prepotif.v9i2.45764

Tjitradi, J. (2022). Profil hematologi pada bayi baru lahir dari ibu suspek Covid-19 di RSD Idaman Banjarbaru. Homeostasis, 5(2), 303–310. https://doi.org/10.20527/ht.v5i2.6275

Yustika, G. (2020). Analisis parameter leukosit dalam diagnosis awal sepsis neonatorum awitan dini di RSIA Ananda Makassar. Jurnal Ilmiah Kesehatan Journal of Health Science, 13(2), 2. https://doi.org/10.33086/jhs.v13i2.1475

Downloads

Published

2026-05-23