Determinan kejadian tuberkulosis paru BTA (+) di kabupaten Bandung Barat

https://doi.org/10.22146/bkm.8558

Fitria Agustina(1*), Yusrizal Djam’an Saleh(2), Hari Kusnanto(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(2) Rumah Sakit Dr. Sardjito Yogyakarta
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Determinants of pulmonary tuberculosis BTA (+) in the district of West Bandung

Purpose

This study aimed to determine the incidence of TB determination BTA (+) in the district of West Bandung.

Methods

This research was an analytic observational study with a case control design. Subjects were patients aged 15 years and over who came to the clinic for treatment with a diagnosis of patients with TB BTA (+) as the case group, and patients who did not have TB diagnosis by an examining physician in the clinic as a control group. Samples included 140 people. Data analysis was performed by  univariable, bivariable and multivariable analysis.

Results

Income and education were significantly associated with the incidence of TB BTA (+), with p-value 0.040 and 0.037 (p<0.05), respectively. Physical environment, smoking habits, the walls, the floor of the house, humidity, ventilation, lighting, cooking fuel, cigarette smoke exposure were significantly associated with the incidence of TB BTA (+) (p-value <0.05). History of contact (p-value 0.946> 0.05) and a history of BCG immunization (p-value 0.611> 0.05) were not significantly associated with the incidence of TB BTA (+).

Conclusion

Physical factors in the environment such as ventilation and fuel for cooking were significantly associated with the incidence of TB BTA (+). Appropriate efforts are recommended to avoid risks.


Keywords


determinants; pulmonary tuberculosis; BTA (+)



References

  1. Kementerian Kesehatan. Indonesia Peringkat 5 Dunia Penderita TB terbanyak. 2011.
  2. Kementerian Kesehatan. Pedoman Nasional Penanggulangan Tuberkulosis. Jakarta : Dirjen PP dan PL. 2011.
  3. World Health Organization. WHO Report 2009 : Global Tuberculosis Control Epidemiology Strategy. Geneva : WHO Press. 2009.
  4. Departemen Kesehatan RI dan WHO. Hari TB se-dunia 24 Maret 2008. Jakarta : Sub Direktorat TB Depkes RI. 2008.
  5. Kementerian Kesehatan RI. Rencana Aksi Nasional Informasi Strategis Pengendalian Tuberkulosis Indonesia : 2011-2014. Jakarta : Direktorat Jendral Pengendalian Penyakit Dan Penyehatan Lingkungan. 2011.
  6. Amin, Alsegaf, H. Pengantar Penyakit Paru. Surabaya : Air Langga University Press. 1989.
  7. Rusnoto, Rahmatullah P, Udiono A. Faktor-Faktor yang Berhubungan dengan Kejadian TB Paru pada Usia Dewasa (Studi Kasus di Balai Pencegahan dan Pengobatan Penyakit Paru Pati). Artikel Publikasi Tesis, Universitas Diponegoro. 2006.
  8. Lienhardt C, Fielding K, Sillah JS, Bah B, Gustafson P, Warndorff D, Palayew M, Lisse I, Donkor S, Diallo S, Manneh K. Investigation of the risk factors for tuberculosis: a case–control study in three countries in West Africa. International journal of epidemiology. 2005 May 24;34(4):914-23.
  9. Tobing TL. Pengaruh Perilaku Penderita TB Paru dan Kondisi Rumah Terhadap Pencegahan Potensi Penularan TB Paru pada Keluarga di Kabupaten Tapanuli Utara Tahun 2008. Thesis, Universitas Sumatera Utara. 2009.
  10. Fatimah, S. Faktor Kesehatan Lingkungan Rumah yang Berhubungan dengan Kejadian TB Paru di Kabupaten Cilacap (Kecamatan : Sidareja, Cipari, Kedungreja, Patimuan, Gandrungmangu, Bantarsari) Tahun 2008. Tesis, Universitas Diponegoro. 2008.
  11. Soewasti SS, Sudomo S, Wahyu I. Aspek-aspek Ekologi dan Sosial dalam Penanggulangan “Emerging Infection Diseases” Buletin Penelitian Kesehatan, Badan Penelitian dan Pengembangan Kesehatan. 1997 ; 25 (2 & 3) : 61-67.
  12. Sanroepi D, Gunarso IT, Adisapto W, Gandasasmita U, Soemini, Sidik I, Debatradja M, Suyanto, Wijoyono U, Santoso, Winarko, Sukini E, Marlina N, Kusumawati S, Soingkilawang J. Pengawasan Penyehatan Pemukiman. Jakarta : Pusat Pendidikan Tenaga Kesehatan, Departemen Kesehatan RI. 1989.
  13. Departemen Pekerjaan Umum RI. Rumah dan Lingkungan Pemukiman Sehat. Jakarta: Ditjen Cipta Karya. 1997.
  14. Lubis P. Perumahan Sehat. Jakarta : Pusat Pendidikan Tenaga Kesehatan, Departemen Kesehatan RI. 1989.
  15. Mariono S. Resistensi Kuman Tuberkulosis. Majalah Penyuluh (PPTI). Edisi ke-9. Jakarta: 15. 1989.
  16. Azwar, A. Pengantar Ilmu Kesehatan Lingkungan. Jakarta : 27–98 : Mutiara Sumber Widya. 1995.
  17. Smith PG, Moss AR. Epidemiology of Tuberculosis, Tuberculosis Pathogenesis, Protection and Control. ASM Press ; Washington DC : 47-51. 1994.
  18. Topley JM, Maher D, Mbewe LN. Transmission of tuberculosis to contacts of sputum positive adults in Malawi. Archives of disease in childhood. 1996 Feb 1;74(2):140-3.
  19. Fine PE, Carneiro IA, Milstien JB, Clements CJ, World Health Organization. Issues relating to the use of BCG in immunization programmes: a discussion document.
  20. Supriyo S, Baequny A, Hidayati S, Hartono M, Harnany AS. Pengaruh Perilaku dan Status Gizi terhadap Kejadian TB Paru Di Kota Pekalongan. Pena Medika Jurnal Kesehatan. 2013;4(1).
  21. Rahayu NN. Tuberkulosis. Dalam: Ranuh IGN, Suyitno, Hadinegoro SRS, Kartasasmita C, penyunting. Buku imunisasi di Indonesia. Edisi ke-1. Jakarta:Satgas Imunisasi – IDAI;h.79-82. 2001.
  22. Inselman LS, Kendig EL. Tuberculosis. Dalam: Chernick V, Kendig EL, penyunting. Kendig’s Disorders of The Respiratory Tract in Children. Edisi ke–5. Philadelphia: Saunders; h.760-6. 1990.
  23. Putrali J, Sutrisna B, Rahayu N, Gunardi AS. Gunowiseso. Penelitian efektifitas vaksinasi BCG pada anak-anak di 8 rumah sakit di Jakarta. Medika. 1982;10:779-82.
  24. Fine PE. Variation in protection by BCG: implications of and for heterologous immunity. The Lancet. 1995 Nov 18;346(8986):1339-45.



DOI: https://doi.org/10.22146/bkm.8558

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