The Role Of Drug-Drink Supervisor by Decreasing The Resitance of Mycobacterium tuberculosis Germs

Abstract

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. In 2010 WHO Global Report, obtained Indonesian TB data, the total of all TB cases in 2009 were 294,731 cases. TB drug (OAT) is given in the form of a combination of several types namely Isoniazid, Rifampicin, Pyrazinamide & Streptomycin. The emergence of cases of resistance to anti-tuberculosis drugs, especially the occurrence of dual immunity (Multi Drug Resistance = MDR). Factors that cause MDR include patient compliance in drug administration, lack of role of PMO and the phenomenon of "addition syndrome". This study aims to determine the relationship between the role of supervisors taking medication (PMO) and the resistance of the bacteria Mycobacterium tuberculosis in the working area of the Bengkulu city health center. Population and sample of 34 TB patients undergoing treatment therapy in the Bengkulu City Health Center work area. Data were analyzed using the Chi-Square test. The results showed that there was a significant relationship between the role of the supervisor of taking medication (PMO) and the resistance of the bacteria Mycobacterium tuberculosis in the working area of the Bengkulu city health center (p = 0.03 and OR = 6). The study concluded that there was a relationship between the role of the supervisor taking medication (PMO) and the resistance of the bacterium Mycobacterium tuberculosis in the working area of the Bengkulu city health center and the risk of occurrence of 6x. Suggestions for increasing PMO knowledge through counseling and training and giving rewards.