LEUKOCYTE AND ERYTHROCYTE SEDIMENT ANALYSIS IN URINE SPECIMENS DURING DAYTIME AND MORNING IN SUSPECTED URINARY TRACT INFECTIONS AT THE TECHNICAL IMPLEMENTATION UNIT OF KLUNGKUNG II COMMUNITY HEALTH CENTER

Novawati, Luh Putu Dia (2026) LEUKOCYTE AND ERYTHROCYTE SEDIMENT ANALYSIS IN URINE SPECIMENS DURING DAYTIME AND MORNING IN SUSPECTED URINARY TRACT INFECTIONS AT THE TECHNICAL IMPLEMENTATION UNIT OF KLUNGKUNG II COMMUNITY HEALTH CENTER. Diploma thesis, Jurusan Teknologi Laboratorium Medis.

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Abstract

LEUKOCYTE AND ERYTHROCYTE SEDIMENT ANALYSIS IN URINE SPECIMENS DURING DAYTIME AND MORNING IN SUSPECTED URINARY TRACT INFECTIONS AT THE TECHNICAL IMPLEMENTATION UNIT OF KLUNGKUNG II COMMUNITY HEALTH CENTER ABSTRACT Urinary Tract Infection (UTI) is one of the common infectious diseases and can be diagnosed through urine examination, specifically sediment analysis. This study aims to determine whether there is a difference in leukocyte and erythrocyte sediment in urine specimens collected at different times, namely random and morning, in patients suspected of urinary tract infection at the Regional Technical Implementation Unit of Klungkung II Community Health Center. The research design used was a comparative quantitative design with a cross-sectional approach and purposive sampling involving 43 research subjects suspected of urinary tract infections at the Regional Technical Implementation Unit, Klungkung II Health Center. The data were analyzed using the Wilcoxon signed-rank test, with the results showing the mean leukocyte count in random urine of 10.51±21.12. Meanwhile, the mean leukocyte count in morning urine was 16.35±25.07. For the erythrocyte variable, the mean count in random urine was 8.58±11.29, and in morning urine it was 13.35±13.92. There was a significant difference in the number of leukocytes and erythrocytes between random and morning urine specimens, with morning urine tending to show a higher cell count. These findings indicate that morning urine specimens can provide a more accurate picture in detecting signs of urinary tract infections. This study recommends the use of morning urine as the primary specimen in laboratory tests for the diagnosis of UTI. Keywords: Leukocyte, Erythrocyte, Urinary Tract Infection ix ANALISIS SEDIMEN LEUKOSIT DAN ERITROSIT SPESIMEN URINE SEWAKTU DAN PAGI PADA SUSPECT INFEKSI SALURAN KEMIH DI UNIT PELAKSANA TEKNIS DAERAH PUSKESMAS KLUNGKUNG II ABSTRAK Infeksi Saluran Kemih (ISK) merupakan salah satu penyakit infeksi yang umum terjadi dan dapat didiagnosis melalui pemeriksaan urine, khususnya analisis sedimen. Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan sedimen leukosit dan eritrosit spesimen urine sewaktu dan pagi pada pasien suspect infeksi saluran kemih di Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Klungkung II. Desain penelitian yang digunakan adalah kuantitatif komparatif dengan pendekatan cross-sectional dengan purposive sampling yang melibatkan 43 subjek penelitian suspect infeksi saluran kemih di UPTD Puskesmas Klungkung II. Data dianalisis menggunakan uji statistik wilcoxon signed ranks test dengan hasil nilai leukosit urine sewaktu dengan rata-rata 10,51±21,12. Sedangkan pada pemeriksaan leukosit urine pagi diperoleh nilai rata-rata 16,35±25,07. Untuk pariabel eritrosit pemeriksaan urine sewaktu diperoleh nilai rata-rata 8,58±11,29 dan eritrosit urine pagi dengan rata-rata 13,35 ± 13,92. Terdapat perbedaan signifikan antara jumlah leukosit dan eritrosit pada spesimen urine sewaktu dan pagi, di mana urine pagi cenderung menunjukkan jumlah sel yang lebih tinggi. Temuan ini mengindikasikan bahwa spesimen urine pagi dapat memberikan gambaran yang lebih akurat dalam mendeteksi tandatanda infeksi saluran kemih. Penelitian ini merekomendasikan penggunaan urine pagi sebagai spesimen utama dalam pemeriksaan laboratorium untuk diagnosis ISK. Kata kunci: Leukosit, Eritrosit, Infeksi Saluran Kemih.

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