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Drug Resistant Profile among the Pulmonary Tuberculosis Patients at Waled General Hospital, Cirebon Regency, Indonesia Santoso, Desy Syafira; Agustina, Dwi Rosa Eka; Amaliyah, Nihayahatul
GHMJ (Global Health Management Journal) Vol. 8 No. 3 (2025)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-831236

Abstract

Background: Tuberculosis (TB) is an infectious bacterial disease caused by Mycobacterium tuberculosis, most commonly affecting the lungs. Drug Resistance Tuberculosis (DR-TB) is a TB disease resistant to one or more anti-tuberculosis drugs. In a global report in 2022, Indonesia ranked 5th for the burden of drug-resistant tuberculosis (DR-TB), and in the tuberculosis information system (SITB) data in West Java is one of the provinces with TB-RO case finding coverage that exceeds the national target with a percentage of 78%. Aim: To determine the profile of drug-resistant pulmonary tuberculosis patients at Waled General Hospital, Cirebon Regency between 2022 and 2023. Methods: This study used a retrospective descriptive method. Sampling was done using a total sampling technique, and a sample of 43 respondents was obtained. Data were collected through medical records and tuberculosis information system (SITB) and then analyzed by univariate statistics without comparisons or association tests. Results: Based on socio-demographic characteristics, the majority of patients aged 46-55 years were 12(27.9%), patients with the most gender were male totaling 29(67.4%), patients with the most recent education were elementary school and high school had the same number of 15(34.9%), most patients' occupations were working at 32(74.4%). The most common classification of DR-TB is MDR-TB, totaling 35(81.4%), the history of previous tuberculosis treatment is mostly new patients at 18(41.3%), and most patients do not have comorbidities totaling 19(44.2%). Conclusion: The profile of patients with DR-TB based on socio-demographics at Waled General Hospital, Cirebon between 2022 and 2023 is mainly aged 19-59 years with the most gender is male, the last education of elementary and high school has the same number, most patients work. Most patients with previous TB treatment histories were new, and most did not have comorbidities. A comprehensive approach to DR-TB control should incorporate; public education on treatment adherence, enhanced case management and surveillance, and consistent application of molecular diagnostics. Such measures may effectively decrease DR-TB prevalence and associated mortality. This study further highlights the importance of TB awareness and environmental hygiene in Indonesia's ongoing TB elimination efforts.
Hubungan antara Hasil Skor Salzburg dan Kadar C-Reactive Protein untuk Mendeteksi Penyakit Paru Obstruktif Kronis di Rumah Sakit Umum Daerah Waled Anjani, Faizah; Silvia, Indriani; Agustina, Dwi Rosa Eka; Octavrisa, Friska; Herdwiyanti, Menik
Tunas Medika Jurnal Kedokteran & Kesehatan Vol 10 No 3 (2024): TUNAS MEDIKA JURNAL KEDOKTERAN & KESEHATAN
Publisher : Fakultas Kedokteran UGJ Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/tumed.v10i3.9615

Abstract

Latar Belakang: Penyakit Paru Obstruktif Kronis (PPOK) masih menjadi suatu penyakit ancaman bagi masyarakat di Indonesia maupun dunia. Penting bagi tenaga kesehatan untuk melakukan skrining PPOK menggunakan kuesioner. Kuesioner skrining Salzburg merupakan kuesioner skrining yang sederhana dan mudah diterapkan untuk pemilihan awal rujukan spirometri. CRP merupakan marker inflamasi yang akan meningkat pada penyakit kronis salah satunya pada PPOK. Tujuan: Mengetahui hubungan antara skor kuesioner Salzburg untuk mendeteksi PPOK dengan kadar CRP di RSUD Waled. Metode: Penelitian berupa penelitian observasional analitik, menggunakan desain penelitian cross sectional. Teknik pemilihan sample menggunakan total sampling, didapat 23 pasien. Hasil: Hasil deteksi PPOK menggunakan kuesioner skrining Salzburg di RSUD Waled, dari 23 responden, sebanyak 18 orang (78,3%) memperoleh hasil skor kuesioner skrining Salzburg ≥2. Ditemukan hubungan yang signifikan (p = 0,035) antara skor Salzburg untuk mendeteksi PPOK dengan kadar marker inflamasi CRP (r = 0,500) di RSUD Waled. Kesimpulan: Terdapat hubungan yang signifikan (p = 0,035) antara kuesioner skrining Salzburg untuk mendeteksi PPOK dengan kadar marker inflamasi CRP (r = 0,500) di RSUD Waled yang menunjukkan bahwa semakin tinggi risiko PPOK dengan hasil skor kuesioner skrining Salzburg ≥2, maka semakin tinggi kadar CRP. Kata kunci: CRP, PPOK, kuesioner skrining Salzburg. ABSTRACT Background: Chronic Obstructive Pulmonary Disease (COPD) is still a disease that threatens all people in Indonesia and in the world. It is important for health workers to screen for COPD using a questionnaire. The Salzburg screening questionnaire is a simple and easy-to-use screening questionnaire for the initial selection of spirometry referrals. CRP is an inflammatory marker that will increase in chronic diseases, one of which is COPD. Objective: To determine the relationship between the Salzburg questionnaire score for detecting COPD and CRP levels at Waled Regional Hospital. Methods: This research is an analytic observational study using a cross sectional research design. The sample used was 23 people using total sampling technique. Results: The results of COPD detection using the Salzburg screening questionnaire at Waled Hospital, out of 23 respondents, as many as 18 people (78.3%) obtained the results of the Salzburg screening questionnaire score ≥2. There was a significant relationship (p = 0.035) between the Salzburg score for detecting COPD and the levels of the inflammatory marker CRP (r = 0.500) at Waled Hospital. Conclusion: There is a significant relationship (p = 0.035) between the Salzburg screening questionnaire for COPD detection and levels of the inflammatory marker CRP (r = 0.500) at Waled Hospital which shows that the higher the risk of COPD with the results of the Salzburg screening questionnaire score ≥2, the higher CRP levels.