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Journal : Nexus Kedokteran Klinik

Hubungan Diabetes mellitus dengan Hasil Uji Konversi BTA Sputum setelah Pemberian Terapi Tuberkulosis Tahap Inisiasi Pranoto, Avamira Rosita; Sutanto, Yusup Subagio; Haryati, Sri
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Pulmonary tuberculosis (TB) is a chronic infection of lung caused by Mycobacterium tuberculosis. Tuberculosis treatment often gets failure in result because of lack of care in co-morbid disease such as Diabetes mellitus (DM), which can disturb TB patient immunity. The objective of this study was to determine the relation of Diabetes mellitus and result of conversion test of sputum with alcohol-acid resistant bacillus after initiation phase of tuberculosis medication. Methods: This was an observational analytic survey with retrospective cohort study. Using consecutive sampling method, this study took 124 patients from RSUD Dr. Moewardi and BBKPM (Balai Besar Kesehatan Paru Masyarakat) Surakarta, who divided into 2 groups based on the DM status of newly diagnosed pulmonary TB patients. Control group consisted of 86 newly diagnosed pulmonary TB patients without DM; exposure group consisted of 38 newly diagnosed pulmonary TB patients with DM. Patients from both groups were given category-1 tuberculosis treatment during 2 months of initiation phase therapy, then the BTA conversion status of patients was observed. Data collected through the medical record and concurrent data of pulmonary TB patients. Data was analyzed by SPSS using Chi Square test. Probability (p) is < 0.05 with 95% confident interval. Results: There were 14 patients from the control group who failed to undergo conversion after 2 months of initiation phase therapy, whereas from the exposure group, there were 17 patients who got failure in result. Data analysis using Chi Square with significance level p < 0.05 was obtained p = 0.001 and Relative Risk (RR) = 0.66. Conclusions: DM seems to have a negative impact on the outcome of tuberculosis treatment. Pulmonary tuberculosis patients with DM as comorbid disease has probability 0.66 times lower than those without DM to get positive result from BTA sputum conversion test. Screening for DM and subsequent blood glucose control may improve the outcome of tuberculosis treatment. Keywords: Diabetes mellitus, tuberculosis medication, result of conversion test of sputum 
Co-Authors ', Erviyenni ', Fatmawati ', Rasmiwetti ', Susilawati Afiono Agung Prasetyo Ali Djamhuri Amri, Yessy Asnovida Andayu, Syulbi Ansyory, Deby Antonius Bagus Budi Kurnia Aprilia, Winda Rezki Ardianto, Luky Ariani, Yunita Aryo Seno Asmadi Muhammad Noer Avamira Rosita Pranoto Bagus Wicaksono Bambang Eka Purnama Bambang Sukilarso Bambang Sukilarso Sakiman Betty Holiwarni Bunasor Sanim Darukutni, Darukutni Dayanti, Pepi Dewayany Sutrisno, Dewayany Dewi Rochsantiningsih Diana, Mariaty Aprita Diny Oktariani, Diny Elisabeth Dea Resitarani, Elisabeth Dea Elva Yasmi Elva Yasmi Amran, Elva Yasmi Emanuel Kristijadi Erlita, Dina Ervi Yenni Erviyenni - Erviyenni Erviyenni, Erviyenni Etty Riani Fatmawati, Vita Fharadilla, Anita Fitriatul Hasanah, Fitriatul Gagat Ragil Andaru P Hanum, Fauziah Hardianti Hardianti, Hardianti Herdini Herdini Hestivik, Chelsi Hidayati, Diyah Nur Hidayati, Diyah Nur I Ketut Suada Irene Ardiani Pramudya Wardhani Jimmi Copriady Johni Azmi Karomah, Siti Kristiani, Endang i Bekti Kuswan, Budhi Laksono Trisnantoro Lisa Noviyanti, Lisa Maria Erna Kustyawati Maridjo Abdul Hasjmy Marzuki . Mashuri Mashuri Moh. Muhtarom, Moh. Monica Citraningtyas Astarani Mr. Wijianto, Mr. Mr. Winarno, Mr. Muftiyanto, Taufiq Nur Muhammad Djoni Bustan Munawir Yusuf Murkati, Murkati Nadriati, Sri Nofiyanto, Erwin Novan Adi Setyawan Nur Arifah Drajati Nurul Rahmawati Swadini Pritami . Putri, Aldila Sagitaning Putri, Mita Elida Rahmadini, Martalia Ramadhan, Ahmad Khairu Rasmiwetti Rasmiwetti, Rasmiwetti Rery, Radjawaly Usman Resya Sukma Dewi, Resya Sukma RUBEN DHARMAWAN Sari, Rita Purnama Sari, Titin Maida Satri Darni, Satri Setiawan, Djoko Budi Siswadi Siswadi sudjatinah, maria Sudjatinah, Sudjatinah suryanto, Edhi Susilawati, Susilawati Suswaini, Eka Tan, Lynde Triana Yuni Astuti Utami, Aditya Retno Wati, Desri Wati, Desri Wijayanti, Metta Wilda Chaira Annisa, Wilda Chaira Winarno _, Winarno Wirda Novitasari Nasution, Wirda Novitasari Wisnarni J, Elvie Wulandari, Putri Adita Yulia Sari Yusman, Yanti Yusup Subagio Sutanto Zainnuri, Hasan