Jurnal Respirologi Indonesia
Vol 43, No 4 (2023)

Analysis of Volatile Organic Compounds in the Exhaled Breath of COVID-19 Patients

Tiar Oktavian Effendi (Department of Pulmonology and Respiratory Medicine, Medical Faculty of Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia)
Iin Noor Chozin (Department of Pulmonology and Respiratory Medicine, Medical Faculty of Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia)
Suryanti Dwi Pratiwi (Department of Pulmonology and Respiratory Medicine, Medical Faculty of Brawijaya University, Saiful Anwar General Hospital, Malang, Indonesia)
Nanik Setijowati (Department of Public Health, Medical Faculty of Universitas Brawijaya, Malang, Indonesia)
Arinto Yudi Ponco Wardoyo (Department of Physics, Faculty of Science, Universitas Brawijaya, Malang, Indonesia)



Article Info

Publish Date
31 Oct 2023

Abstract

Background: It has been more than 2 years since COVID-19’s first cases were reported in 2019. Rapid diagnosis of COVID-19 is necessary to prevent its spread. A sample for COVID-19 testing is collected by naso-oro-pharyngeal swab. This procedure is often uncomfortable and requires a trained examiner. Exhaled breath contains thousands of volatile organic compounds (VOC), which are likely to change during infection. This study aimed to analyze the difference in VOC in the exhaled breath between COVID-19 and healthy subjects.Methods: A cross-sectional study was carried out, recruiting 90 confirmed cases of COVID-19 and 42 healthy subjects. A sample of exhaled breath was collected by using a 500-mL airbag in both groups. The sample was analyzed using an arrayed sensor breath analyzer to quantify the concentration of CO2, C7H8, C6H14, CH2O, NH4, TVOC, NO2, PM1.0, CO, NH3 ­and Acetone.Results: The medians of CO2, NH4, TVOC, NO2, and acetone were significantly lower in COVID-19 patients compared to healthy subjects (respectively 607.3 vs 1175.1; 0.0 vs 1.05; 0.05 vs 146.6; 0.04 vs 1.55; 0.0 vs 0.23) while C7H8, CH2O, CO, and NH3 were significantly higher (respectively 0.92 vs 0.0; 0.55 vs 0.01; 0.24 vs 0.0; 1.99 vs 0.67; all with P-value of <0.05.). Furthermore, we found NH4, acetone, NH3, and CO were positively correlated with the severity of COVID-19, while CO2 and TVOC were negatively correlated.Conclusion: COVID-19 patients emit distinctive VOC profiles in comparison with healthy subjects, and this is related to the severity of the disease.

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Journal Info

Abbrev

jri

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Jurnal Respirologi Indonesia (JRI) is an online and printed scientific publication of the Indonesian Society of Respirology (ISR). The journal is published thrice-monthly within a year (January, April, July and October). The journal is focused to present original article, article review, and case ...