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PREVALENCE AND RISK FACTORS OF DIABETES MELLITUS IN TUBERCULOSIS PATIENT AT PATRANG DISTRICT INDONESIA Sasmita, Hasri Yulia; Prasetyowati, Irma; Wahjudi, Pudjo
Indonesian Journal of Tropical and Infectious Disease Vol. 7 No. 4 (2019)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (78.989 KB) | DOI: 10.20473/ijtid.v7i4.7534

Abstract

Tuberculosis (TB) is one of cause of death in infectious disease domain. The control of TB is complicated because the inclination of case numbers people with Diabetes Mellitus. Diabetes Mellitus (DM) is an important risk factor for TB development, with prove that more than ten percent of TB patient is DM patient. People with DM have risk three times more likely to suffer from TB than people without DM. The results of TB treatment with comorbid DM will be easier to be failed. Puskesmas Patrang have the highest bacteriologically confirmed BTA TB cases and DM cases in Jember during 2014 until 2016. The aim of this research is to know the DM prevalence in TB patients and to analyze the correlation between DM risk factors in TB patient to TB-DM incidence at Puskesmas Patrang Jember in 2017. The research uses observasional analytic with cross sectional approach. The sampling technique uses simple random sampling with 47 samples. The independent variables include respondent characteristics (age, sex, type of TB, medication category, and family history of DM), central obesity and smoking behavior. While the dependent variable is the DM status. The result shows that the prevelance of DM in TB patients at Puskesmas Patrang Jember regency is 23,4%. Factors associated with TB-DM are age (p-value = 0,012), family history of DM (p-value = 0,003), and smoking status (p-value = 0,035). Factors that do not associated with TB-DM are sex (p-value = 0,731), type of TB (p-value = 0,170), treatment category of TB (p-value = 0,560), central obesity (p-value = 0,435), the number of cigarette (p-value = 1,000) and smoking duration (p-value = 1,000). The most important factor of TB-DM is family history of DM that 10,850 times higher of getting TB-DM than patients without family history of DM.
Factors Analysis That Affecting The Treatment Success In Tb Patients In Situbondo Regency Sasmita, Hasri Yulia; Peristiowati, Yuly; Nurwijayanti
Indonesian Journal of Tropical and Infectious Disease Vol. 13 No. 1 (2025)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v13i1.59100

Abstract

Tuberculosis (TB) remains one of the top 10 lethal infectious diseases). In addition, the low case detection rate indicates that the community still has a large number of sources of transmission. Directly Observed Treatment Short-course (DOTS) strategy aims to reduce the new TB cases number by 80% and deaths by up to 90% in 2030. Drug-resistant TB cases especially multidrug resistant TB, exacerbate tuberculosis control because they receive TB treatment irregularly and do not comply to recommended treatment schedules, nonetheless, consistent treatment is critical to successful TB treatment. TB data in Situbondo district show that case detection was 911 out of 1539 cases or 59.14% and treatment success rate was 275 out of 911 cases or 30.2%. This study aims to examine the influence of knowledge, medication supervisors, family support, drug side effects, attitudes, length of treatment, and house physical environment on the treatment success through medication compliance factors. This research is explanatory with 196 respondents while the analysis uses SMART PLS 4.1.0.3. There is a direct influence of medication supervisors, family support, drug side effects, house physical environment and medication compliance and an indirect influence of medication supervisors, family support, drug side effects, and attitudes to TB treatment success. It is hoped that Public Health Centre officers can be more active to educate, detect TB suspect, and also supervise patient so compliance and treatment can be achieved. The patient's family can be more active in providing support during the treatment period for TB sufferers.