Determinan kejadian multi-drug resistant tuberculosis di rumah sakit Dr. Sardjito Yogyakarta

https://doi.org/10.22146/bkm.18290

Erma Nurjanah Widiastuti(1*), Yanri Wijayanti Subronto(2), Dibyo Promono(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Kedokteran Gigi Kesehatan Masyarakat, Fakultas Kedokteran Gigi, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Determinant of multi-drug resistant tuberculosis events at Dr. Sardjito Hospital Yogyakarta

Purpose

The purpose of this study was to identify the determinants of multidrug resistant events in patients with tuberculosis in Dr. Sardjito Hospital in Yogyakarta.

Methods

A cross-sectional study was conducted involving 122 patients with suspected MDR TB consisting of 61 cases of MDR TB and 61 non MDR TB cases. The data collected were secondary data from MDR TB.06 registers, medical records, MDR TB.03 registers, and MDR TB patients' baseline data forms at Dr. Sardjito Hospital Yogyakarta from January 2012 until September 2016. Data were analyzed to determine the correlation between independent variables and dependent variable using Chi-Square tests, and to know the most dominant risk factors using multiple logistic regression tests.

Results

MDR TB patients’ characteristics showed there were more males (63.93%), age >45 years (52.46%), previously TB treatment (96.72%), never smoking (75.41%), no contacts with MDR TB patients (86.89%), and never examined for HIV-AIDS (59.02%). The analysis showed there was no significant association between age, sex, previous TB treatment, smoking, contact with MDR TB patients, and HIV-AIDS status with MDR TB incidence in Dr. Sardjito Hospital Yogyakarta (p value >0.05).

Conclusion

The variables of age, sex, previous TB treatment, smoking, contacts with MDR TB patients, and HIV-AIDS status were not risk factors for MDR TB incidence in Dr. Sardjito Hospital in Yogyakarta.


Keywords


MDR TB; risk factors; suspected multi-drug resistance



References

  1. Menkes RI. Petunjuk Teknis Manajemen Terpadu Pengendalian Tuberkulosis Resisten Obat. 2014.
  2. Andriyanti AS. Faktor Risiko Kejadian Tuberkulosis Resisten Obat Ganda (TB ROG). Abstrak. 2014.
  3. Sarwani SR D, Nurlaela S. Faktor Risiko Multidrug Resistant Tuberculosis (MDR-TB). Jurnal kesehatan masyarakat. 2012;8(1):60-6.
  4. Kementerian Kesehatan Republik Indonesia. Pedoman nasional pengendalian tuberkulosis. Direktorat Jendral Pengendalian Penyakit Dan Penyehatan Lingkungan, Jakarta, Indonesia, ISBN. 2014:978-9.
  5. Kementerian Kesehatan Republik Indonesia. Tuberkulosis: Temukan, Obati Sampai Sembuh. Jakarta: Kementerian Kesehatan RI. 2015.
  6. Sinaga BY. Karakteristik penderita Multidrug Resistant Tuberculosis yang mengikuti Programmatic Management of Drug Resistant Tuberculosis di Rumah Sakit Umum Pusat H. Adam Malik Medan. Jurnal Respirasi Indonesia. 2013;33(4):221-8.
  7. Linda, D.O. Hubungan Karakteristik Klien Tuberkulosis Dengan Pengetahuan Tentang Multi Drug Resisten Tuberkulosis (MDR TB) Di Poli Paru Puskesmas Kecamatan Jagakarsa. Tesis Universitas Indonesia Jakarta. 2012.
  8. Munir MS, Nawas A, Soetoyo DK. Pengamatan pasien tuberkulosis paru dengan Multidrug Resistant (TB-MDR) di poliklinik paru RSUP Persahabatan. Populasi. 2008 Oct.
  9. Rifat M, Milton AH, Hall J, Oldmeadow C, Islam MA, Husain A, Akhanda MW, Siddiquea BN. Development of multidrug resistant tuberculosis in Bangladesh: a case-control study on risk factors. PloS one. 2014 Aug 19;9(8):e105214.
  10. Mulu W, Mekkonnen D, Yimer M, Admassu A, Abera B. Risk factors for multidrug resistant tuberculosis patients in Amhara National Regional State. African health sciences. 2015;15(2):368-77.
  11. Liu Q, Zhu L, Shao Y, Song H, Li G, Zhou Y, Shi J, Zhong C, Chen C, Lu W. Rates and risk factors for drug resistance tuberculosis in Northeastern China. BMC public health. 2013 Dec;13(1):1171.
  12. Burhan E. Peran ISTC dalam pencegahan MDR. Jurnal Tuberkulosis Indonesia. 2010;7:12-5.
  13. Ricks PM, Mavhunga F, Modi S, Indongo R, Zezai A, Lambert LA, DeLuca N, Krashin JS, Nakashima AK, Holtz TH. Characteristics of multidrug-resistant tuberculosis in Namibia. BMC infectious diseases. 2012 Dec;12(1):385.
  14. Masniari L, Priyanti ZS, Tjandra YA. Faktor-faktor yang mempengaruhi kesembuhan penderita TB paru. J Respir Indo. 2007;27(3):176-85.



DOI: https://doi.org/10.22146/bkm.18290

Article Metrics

Abstract views : 5865 | views : 5753

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:


Web
Analytics Visitor Counter