Hubungan Hasil Pemeriksaan Sputum Basil Tahan Asam dengan Gambaran Luas Lesi Radiologi Tuberkulosis Paru di Rumah Sakit Al Islam Bandung

Nova Triandini, Dyana Eka Hadiati, Usep Abdullah Husin, T. Roekmantara, S. Masria
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引用次数: 3

Abstract

Tuberkulosis (TB) sampai saat ini masih merupakan masalah kesehatan masyarakat di dunia, walaupun upaya pengendalian strategi directly observed treatment short course (DOTS) telah diterapkan di banyak negara. Masalah yang dihadapi di negara maju maupun negara berkembang adalah keterlambatan mendiagnosis TB paru. Keterlambatan dalam diagnosis dan pengobatan TB paru dapat berasal dari pasien atau dari sistem pelayanan kesehatan. Tujuan penelitian ini mengetahui hubungan hasil pemeriksaan sputum basil tahan asam (BTA) menurut International Union Against Tuberculosis and Lung Disease (IUATLD) dengan gambaran luas lesi radiologi pada pasien TB paru dewasa di Rumah Sakit Al Islam Bandung periode 2016–2017. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan crosssectional. Penelitian dilakukan pada bulan Maret–Juni tahun 2018 dan subjek penelitian ini data pasien tuberkulosis paru di RS Al Islam dengan minimal sampel sebanyak 76 orang yang dipilih secara purposive sampling dan memenuhi kriteria inklusi. Instrumen pengumpulan data berupa rekam medis. Hasil penelitian menunjukkan BTA negatif dengan lesi minimal 21 dari 34, BTA+1 dengan lesi minimal 18 dari 23, BTA +2 dengan lesi moderately advanced 14 dari 21, dan BTA +3 lesi far advanced 16 dari 23. Hasil analisis Fisher’s Exact didapatkan nilai p=0.00 dengan kekuatan korelasi (rho) 0,51. Simpulan, terdapat hubungan cukup erat antara hasil pemeriksaan sputum basil tahan asam dan gambaran luas lesi radiologi pasien tuberculosis paru di RS Al Islam Bandung periode 2016–2017.RELATIONSHIP BETWEEN SPUTUM EXAMINATION RESULTS OF ACID FAST BACILLI AND EXTENT OF RADIOLOGICAL LESIONS IN PULMONARY TUBERCULOSIS AT AL ISLAM HOSPITAL BANDUNGTuberculosis (TB) is still a public health problem in the world, although direct observed treatment short course (DOTS) strategy control has been implemented in many countries. The problem faced in both developed and developing countries is the delay in diagnosing pulmonary TB. The delay in the diagnosis and treatment of pulmonary TB can come from the patient or from the health care system. The purpose of this study was to know the relationship between sputum examination results of acid fast bacilli (AFB) according to International Union Against Tuberculosis and Lung Disease (IUATLD) and extent of radiological lesions in patients with adult pulmonary TB at Al Islam Hospital Bandung from 2016–2017. This research was an observational analytic research with cross sectional approach. The study was conducted in March–June of 2018 and the subjects of this study were pulmonary tuberculosis patients in Al Islam Hospital with a minimum of 76 samples selected by purposive sampling and meeting inclusion criteria. Instrument data collection in the form of medical record. The results showed AFB negative with minimal lesion 21 of 24,  AFB + 1 with minimal lesion 18 of 23, AFB +2 with moderately advanced lesions 14 of 21, and AFB +3 far advanced lesions 14 of 23. Fisher’s exact analysis results obtained p=0.00 with correlation power (rho) 0.51. In conclution that there is a sufficiently close relationship between the results of examination of acid fast bacilli sputum and an extend of radiological lung tuberculosis patients in RS Al Islam Bandung from 2016–2017.
到目前为止,结核病仍然是世界上一个重大的公共卫生问题,尽管在许多国家普遍采用了直接观察治疗方法。发达国家和发展中国家都面临着严重的问题,即长期诊断肺结核。结核病诊断和治疗延迟可能来自病人或卫生保健系统。这项研究的目的是将2016年至2017年万隆伊斯兰医院成人肺病变的亚铁杆菌(BTA)与2016年至2017年期间亚铁杆菌抗酸结果(BTA)联系起来。本研究是对两性交叉方法的分析观察研究。该研究于2018年3月至6月进行,该研究对象是伊斯兰医院结核病患者,样本最少为76人进行了采样和符合纳入标准的样本。数据收集工具只是医疗记录。研究结果显示,BTA的病变至少为34种,BTA+1的病变至少为18种,BTA+ 2的现代性先减14种,BTA+ 3的高级病变16种23种。Fisher的计算结果获得了p=0.00的相关性(rho) 0.51。结论是,巴西抗酸杆菌杆菌的诊断与2016年至2017年万隆红斑结核病患者的放射病变有相当密切的联系。在许多国家,根除结核病和根除根除的蜱虫关系仍然是世界上一个公共卫生问题。开发和开发地区的问题在于诊断肺结核的延迟。结核病的诊断和治疗可能来自病人或医疗系统。这项研究的目的是了解2016年至2017年亚足联伊斯兰万隆医院针刺喉传染病(AFB)与营养不良结核病在耐心试验中的放射性影响之间的关系。这项研究是天文台分析交叉向的研究。马奇study was conducted》——琼2018 subjects》这个研究著作百科全书》是肺之最低结核病病人在医院与伊斯兰Al a 76抽样样本selected由purposive和会议inclusion criteria。医疗记录上的工具数据收集。结果显示负面影响至少有24种,AFB + 1有至少23种,AFB +2有温和的发展,14种21种,3远高级14种23种。费雪的结算分析结果结果是p=0.00与相关权力(rho)合并。2016年至2017年,万隆神经丛营养不良和放射肺肺结核的延长关系令人信服。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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