PERBANDINGAN HASIL MIKROSKOPIS LANJUTAN PENDERITA TBC PARU SETELAH PENGOBATAN DENGAN RIWAYAT DM DAN TANPA DM DI PUSKESMAS KEDUNDUNG

Esti Rizkiana Pratiwi, Frida Luthfia Mari, Halik Wijaya, Titik Sundari, Indra Adi Wira Prasetya
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Abstract

Comorbid diabetes mellitus (DM) in pulmonary tuberculosis (TB) patients may increase the risk of death even with or during TB treatment. Immunocompromised conditions due to DM increase the risk of infection and sputum conversion failure. The risk of recurrence in comorbid patient is also higher after treatment. Objective of this research is to describe the comparison of further microscopic examination of pulmonary tuberculosis patients without DM and pulmonary tuberculosis patients with a history of diabetes at the Kedundung Public Health Center. The study was conducted by observing each of 15 TB positive sputum samples accompanied by a history of DM and those without any history of DM 2 months post-treatment on further microscopic examination. Further microscopic examination showed that 100% of sputum samples of TB patients without a history of DM and receiving treatment gave negative results, while sputum samples of TB patients with DM history and receiving treatment, while sputum samples of patients who had received treatment showed results of 2+ by 80% and 3+ by 20% and there were no negative results for TB. These results prove that there is an effect of a history of DM disease on TB treatment outcomes. Keywords : Further microscopic examination, Pulmonary tuberculosis (TB), Diabetes Mellitus (DM)
高级肺肺结核患者在治疗DM历史和没有DM的临床诊断后的显微镜下比较
肺结核(TB)患者的合并症糖尿病(DM)可能会增加死亡风险,即使在结核病治疗期间。糖尿病引起的免疫功能低下会增加感染和痰转化失败的风险。合并症患者治疗后复发的风险也较高。本研究的目的是描述无糖尿病肺结核患者和有糖尿病病史肺结核患者在吉登东公共卫生中心进一步显微镜检查的比较。该研究通过观察15份结核阳性痰样本,并在治疗后2个月对伴有糖尿病史和无糖尿病史的患者进行进一步的显微镜检查。进一步镜检发现,无糖尿病病史并接受治疗的结核患者痰液标本100%阴性,而有糖尿病病史并接受治疗的结核患者痰液标本2+ 80%,3+ 20%,均未见结核阴性。这些结果证明糖尿病病史对结核病治疗结果有影响。关键词:进一步镜检,肺结核,糖尿病
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