Jurnal EduHealth
Vol. 12 No. 02 (2022): : March, Jurnal EduHealth

CONCORDANCE OF THE SCORING SYSTEM AND GENE-XPERT MTB/RIF TO DIAGNOSE CHILDHOOD TUBERCULOSIS IN PRIMARY HEALTH CARE

Laura Zeffira (Universitas Baiturrahmah Padang)
Finny Fitry Yani (Universitas Andalas Padang)
Rizanda Machmud (Universitas Andalas Padang)



Article Info

Publish Date
18 Feb 2022

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.

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Journal Info

Abbrev

healt

Publisher

Subject

Health Professions Public Health Veterinary

Description

The EduHealt journal contains articles based on research results or equivalent in the health field. The research includes research related to the community environment as well as in the general public. Articles published in this journal have never been published/published by other ...