Prevention of Tuberculosis Transmission in Households Using Virgin Coconut Oil and Multi-Drug Treatment: A Quasi-Experimental Study
DOI:
10.29303/jppipa.v11i11.12784Published:
2025-11-30Downloads
Abstract
The increasing prevalence and incidence of tuberculosis each year highlights the need to use Virgin Coconut Oil (VCO) in conjunction with multi-drug treatment to help suppress the transmission of tuberculosis within families. Lauric acid, the main component of VCO, transforms into monolaurin in the digestive tract. Monolaurin is a substance known to enhance the body's immune system. This study aimed to determine the effectiveness of Multi-drug Treatment and VCO treatment on Tuberculosis incidence in household contacts associated with cost effective analysis (CEA). This study employs a quasi-experimental method, a form of quantitative research akin to a true experiment but does not involve full randomisation of subjects or groups. Subjects were divided into two groups. The treatment group consisted of new tuberculosis patients who received a combination of multi-drug treatment and virgin coconut oil (VCO). Their household contacts were tested to determine whether they were positive for acid-fast bacilli at the initial stage and again at the second month of the study. The control group included new tuberculosis patients who received the Directly Observed Treatment Short Course (DOTS) or the multi-drug treatment (MDT) package only. Similar to the treatment group, their household contacts were also tested. After two months of treatment for tuberculosis among individuals in the same household, a follow-up showed significant differences between the intervention and control groups. In the intervention group, all 81 participants (100%) tested negative for acid-fast bacilli in the second month. In contrast, the control group had 3 participants (4.3%) who tested positive for acid-fast bacilli. The effectiveness of tuberculosis drug therapy is assessed by examining whether patients test negative for acid-fast bacilli during their second examination. The results indicate that patients receiving a combination of multi-drug treatment and VCO intervention have a higher rate of negative testing for acid-fast bacilli compared to those receiving only multi-drug treatment.
Keywords:
DOTS Household contact Multy-drug treatment Tuberculosis VCOReferences
Ahmad, F., Rani, A., Alam, A., Zarin, S., Pandey, S., Singh, H., . . . Ehtesham, N. Z. (2022). Macrophage: a cell with many faces and functions in tuberculosis. Frontiers in immunology, 13, 747799. https://doi.org/10.3389/fimmu.2022.747799
Al-Qahtani, A. A., Alhamlan, F. S., & Al-Qahtani, A. A. (2024). Pro-inflammatory and anti-inflammatory interleukins in infectious diseases: A comprehensive review. Tropical medicine and infectious disease, 9(1), 13. https://doi.org/10.3390/tropicalmed9010013
Arifin, M., Hadju, V., Astuti, N., & Wahyuni, S. (2014). Supplements Effect of Virgin Coconut Oil and Albumin Capsules (Catfish protein) on TB Patients Receiving Multi Drugs Therapy-DOTS Strategic in BBKPM Makassar, Indonesia. Indonesia, 4(7), 6. Retrieved from https://www.ijsrp.org/research-paper-0714.php?rp=P312968
Bhargava, A., Bhargava, M., Meher, A., Benedetti, A., Velayutham, B., Teja, G. S., . . . Prasad, R. (2023). Nutritional supplementation to prevent tuberculosis incidence in household contacts of patients with pulmonary tuberculosis in India (RATIONS): a field-based, open-label, cluster-randomised, controlled trial. The Lancet, 402(10402), 627-640. https://dx.doi.org/10.2139/ssrn.4452011
CDC. (2025). Tuberculosis: Causes and How It Spreads Retrieved from https://www.cdc.gov/tb/causes/index.html
D’Silva, O. A., Lancione, S., Ananthakrishnan, O., Addae, A., Shrestha, S., Alsdurf, H., . . . Kay, A. (2025). The catastrophic cost of TB care: Understanding costs incurred by individuals undergoing TB care in low-, middle-, and high-income settings–A systematic review. PLOS Global Public Health, 5(4), e0004283.
Dalmacion, G. V., Ortega, A. R., Pena, I. G., & Ang, C. F. (2012). Preliminary study on the in-vitro susceptibility of Mycobacterium tuberculosis isolates to virgin coconut oil. Functional Foods in Health and Disease, 2(8), 290-299.
Dayrit, F. M. (2015). The properties of lauric acid and their significance in coconut oil. Journal of the American Oil Chemists' Society, 92(1), 1-15.
Deen, A., Visvanathan, R., Wickramarachchi, D., Marikkar, N., Nammi, S., Jayawardana, B. C., & Liyanage, R. (2021). Chemical composition and health benefits of coconut oil: an overview. Journal of the Science of Food and Agriculture, 101(6), 2182-2193.
Dheda, K., Gumbo, T., Maartens, G., Dooley, K. E., McNerney, R., Murray, M., . . . Lessem, E. (2017). The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis. The Lancet Respiratory Medicine, 5(4), 291-360.
Djannah, F., Massi, M. N., Hatta, M., Bukhari, A., Handayani, I., Faruk, M., & Rahaju, A. S. (2022). Virgin coconut oil and tuberculosis: A mini-review. Pharmacognosy Journal, 14(2).
Esmail, H., Riou, C., du Bruyn, E., Lai, R. P.-J., Harley, Y. X., Meintjes, G., . . . Wilkinson, R. J. (2018). The immune response to Mycobacterium tuberculosis in HIV-1-coinfected persons. Annual review of immunology, 36, 603-638.
Etim, N. G., Mirabeau, Y., Olorode, A., & Nwodo, U. (2024). Risk factors of tuberculosis and strategies for prevention and control. Int J Innov Healthcare Res, 12(1), 1-3.
Fitzpatrick, C., & Floyd, K. (2012). A systematic review of the cost and cost effectiveness of treatment for multidrug-resistant tuberculosis. Pharmacoeconomics, 30(1), 63-80.
Floyd, K., Glaziou, P., Zumla, A., & Raviglione, M. (2018). The global tuberculosis epidemic and progress in care, prevention, and research: an overview in year 3 of the End TB era. The Lancet Respiratory Medicine, 6(4), 299-314.
Lange, C., Dheda, K., Chesov, D., Mandalakas, A. M., Udwadia, Z., & Horsburgh, C. R. (2019). Management of drug-resistant tuberculosis. The Lancet, 394(10202), 953-966.
Medscape. (2024). Tuberculosis (TB): Overview and transmission. https://emedicine.medscape.com/article/230802-overview
Mikołajczak, N., Tańska, M., & Ogrodowska, D. (2021). Phenolic compounds in plant oils: A review of composition, analytical methods, and effect on oxidative stability. Trends in Food Science & Technology, 113, 110-138.
Montolalu, F. C., Hadju, V., Lawrence, G. S., Wahyuni, S., & Maryunis, M. (2017). The Effectiveness of Extract Snack Head Fish and Virgin Coconut Oil (VCO) on Sputum Conversion and Levels of Interferon-ɣ in Patients with Pulmonary TB Multi Drug Resistant (MDR) in Labuang Baji Hospital Makassar.
Nakatsuji, T., Kao, M. C., Fang, J.-Y., Zouboulis, C. C., Zhang, L., Gallo, R. L., & Huang, C.-M. (2009). Antimicrobial property of lauric acid against Propionibacterium acnes: its therapeutic potential for inflammatory acne vulgaris. Journal of investigative dermatology, 129(10), 2480-2488.
Nevin, K., & Rajamohan, T. (2004). Beneficial effects of virgin coconut oil on lipid parameters and in vitro LDL oxidation. Clinical biochemistry, 37(9), 830-835.
Nitbani, F. O., Tjitda, P. J. P., Nitti, F., Jumina, J., & Detha, A. I. R. (2022). Antimicrobial properties of lauric acid and monolaurin in virgin coconut oil: a review. ChemBioEng Reviews, 9(5), 442-461.
Nuzula, M. A., Isa, M., Juhairina, H., & Ansori, I. (2024). Effect of Virgin Coconut Oil Supplementation on AFB Sputum Conversion Rate, SOD, and BMI Levels in Pulmonary Tuberculosis Patients.
Pai, M., Behr, M. A., Divangahi, M., Menzies, D., Dowdy, D., Dheda, K., . . . Spigelman, M. (2016). Tuberculosis. Nature reviews. Disease primers, 2, 16076-16076.
Sebayang, L. B., & Hasibuan, A. S. (2021). Uji efek imunumodulator VCO (Virgin Coconut Oil) pada tikus jantan. Jurnal Bios Logos, 11(2), 139-146.
Suryani, S., Lestari, R., Rosita, B., Marisa, M., Slamet, N. S., & Mardhatillah. (2024). The potential of virgin coconut oil (VCO) to inhibit the development of tuberculosis bacteria. Jurnal Katalisator, 9(1), 226-236.
Tobin, E., & Tristram, D. (2025). Tuberculosis Overview.[Updated 2024 Dec 22]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
WHO. (2020). Global tuberculosis report 2020: executive summary.
WHO. (2024a). Fourth WHO consultation on the translation of tuberculosis research into global policy guidelines: meeting report, 15 February 2024: World Health Organization.
WHO. (2024b). Global tuberculosis report 2024: World Health Organization.
Williams, P. M. (2024). Tuberculosis—United States, 2023. MMWR. Morbidity and mortality weekly report, 73.
Wu, L., Cai, X., Xu, S., Lin, X., Peng, T., & Jiang, X. (2025). Trends in drug resistance and epidemiological patterns of tuberculosis in elderly patients in Wenzhou, China (2014-2023). Infection and Drug Resistance, 3459-3470.
Yoon, B. K., Jackman, J. A., Valle-González, E. R., & Cho, N.-J. (2018). Antibacterial free fatty acids and monoglycerides: biological activities, experimental testing, and therapeutic applications. International journal of molecular sciences, 19(4), 1114.
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