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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Kesmas: Jurnal Kesehatan Masyarakat Nasional Jurnal Kesehatan Andalas Sari Pediatri Paediatrica Indonesiana Majalah Kedokteran Andalas Bioscientia Medicina : Journal of Biomedicine and Translational Research Human Care Journal Science Midwifery Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal EduHealth Jurnal Ilmu Kesehatan Indonesia
Finny Fitry Yani
Andalas University
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Jurnal EduHealth

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CONCORDANCE OF THE SCORING SYSTEM AND GENE-XPERT MTB/RIF TO DIAGNOSE CHILDHOOD TUBERCULOSIS IN PRIMARY HEALTH CARE Laura Zeffira; Finny Fitry Yani; Rizanda Machmud
Jurnal EduHealth Vol. 12 No. 02 (2022): : March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (839.639 KB) | DOI: 10.54209/jurnaleduhealth.v12i02.162

Abstract

The Scoring system developed by the Indonesian childhood tuberculosis working group is an alternative way to clinically diagnose TB in children especially in primary health care, however, bacteriological confirmation using gene-Xpert MTB/RIF is still highly recommended. To compare childhood TB scoring system performance and gene-Xpert MTB/RIF results among children suspected of tuberculosis in primary health care. This study was conducted on 47 children who went to the primary health care facility. The design of this study was a cross-sectional study with a conformity test (kappa). Samples that meet the inclusion criteria are recorded in the form of age, gender, weight, height, nutritional status, previous history of BCG vaccination, and physical examination, then the data is entered into the scoring system. Sputum is obtained by induction and then examined using gene-Xpert. The number of boys and girls suspected of having pulmonary TB is almost the same. About 72% of children experience malnutrition and a positive BCG score is found in more than half of the samples. There were 51.1% of children in contact with positive smear adult TB patients. Based on the scoring system obtained a TB diagnosis of 74.5% whereas based on gene-Xpert MTB/RIF examination only 4.3% of children confirm TB. There is no match between the two (conformity test with the kappa values of -0.01 and suitability 0.397). There is no compatibility in making a diagnosis of pediatric tuberculosis between the scoring system and gene-Xpert MTB/RIF at the primary health care facility.
Co-Authors Abi Andayu Adefri Wahyudi Afdal Afdal Ahmad Junaidi Ahmad Kurniawan Akbar Aidil Rahman Novesar Alfi Maido Alius Amirah Zatil Izzah Andani Eka Putra Arni Amir Arwin AP Akib Asrawati Asrawati Aumas Pabuti Bambang Supriyatno Chicy WIdya Morfi Chika Aulia Husna Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfioes Basir Darfious Basir Darmawan B. Setyanto Destri Linjani Devi Gusmaiyanto Dhyna Lidya Lestari Diana Nur Asrini Didik Hariyanto Didik Hariyanto Dini Anggini Diska Yulia Trisiana Diska Yulia Trisiana Dita Maharani Dya Mulya Lestari Edison Edison Efrida Efrida Efrida Eka Agustia Rini Elsesmita Elsesmita Erkadius Erkadius Erli Meichory Viorika Eryati Darwin Fauzar Fauzar Firman Arbi Fitrisia Amelin Gustina Lubis Gustina Lubis Hafifatul A Rahmy Hafni Bachtiar Hanifa Hanif Helmizar Hervita Yeni Husna Yetti Ied Imilda Ikhsan Marzony Imil Irsal Imran Indra Ihsan Indri Permata Rani Irhamna Yusra Irvan Medison Irvan Medison Laura Zeffira Lita Farlina Liza Fitria Machdawaty Masri Masri Marhefdison Marhefdison Muhammad Hendri Nastiti Kaswandani Nia Kurniati Nice Rachmawati Nisa Haska Maulina Novi Violona Edwar Nur Indrawaty Lipoeto Nurul Noviarisa Osharinanda Monita Rahmi Lestari Revi Riliani Ricco Azali Riki Alkamdani Rizanda Machmoed Rizanda Machmoed Rizanda Machmud Rizki Meizikri Roni Eka Sahputra Roza Erisma Roza Kurniati Russilawati, Russilawati Shinta Ayudhia Susmiati Susmiati Syahredi SA Triyanto Triyanto Utari Gustiany G Yuniar Lestari Yuniar Lestari Yusrawati Yusrawati Yusri Dianne Jurnalis