Wahyuni Widoretno, Elisabeth Tri
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DIFFERENCES IN SCORING OF THORACIC PHOTOGRAPHS BETWEEN MDR-TB AND DS-TB PATIENTS WITH PULMONARY TUBERCULOSIS Tridharmadi, Epriyanto; Wahyuni Widoretno, Elisabeth Tri; Tahalele, Paul L; M. Nahak, Belinda Peregrina
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 3 (2024): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i3.5759

Abstract

Background: Tuberculosis (TB) is ranked as the second deadliest infectious disease in the world. There is a drastic increase in TB cases by 2023 with 92% of these cases being pulmonary TB infections. Thoracic photography is a standard examination performed to determine the development of tuberculosis disease through reviewing populations with TB risk factors, one of which is patients with MDR-TB (Multi-Drug Resistance) can result in increased opacity in the lower lung lobes with pulmonary, cavity, and parenchymal lesions. Thoracic photo scoring was performed to determine the severity of lesions in the thoracic photo images of TB patients with MDR (Multi-Drug Resistance) and DS (Drug-Sensitive).Objective: to compare the scoring of thoracic photographs between of TB patients with MDR-TB and DS-TB.Method: using observational analytic method with cross-sectional research design. The sampling technique used purposive sampling method through medical records with analysis using two tests, namely Wilcoxon and Mann-Whitney comparative test. Radiologic findings that we analyzed were infiltrate, consolidation, cavity, ground glass opacity, fibrosis, bronchiectasis, calcification, node, atelectasis, bullae, emphysema, and other nonlung parenchymal findings.Results: The samples to be analyzed were 55 samples had completed anti-tuberculosis therapy in the 6th month and had thoracic photographs. The Wilcoxon Comparative Test on two paired groups showed a significant difference between the TB group with MDR (p=0.008) and DS (p=0.000). In the Mann-Whitney comparative test on two unpaired groups, there were no significant results either TB groups with MDR and DS (p=0.282). Scoring results in MDR-TB patients after therapy showed mild (3.70%), moderate (44.44%), severe (51.85%) categories. In DS-TB patients, showed mild (37.03%), moderate (48.15%), severe (14.81%) categories.Conclusion: There is a significant difference between the severity of thoracic photographs in TB patients with MDR and without MDR (Drug-Sensitive).
THE RELATIONSHIP OF BODY MASS INDEX (BMI) LEVEL AND SEVERITY OF PULMONARY TUBERCULOSIS IN PATIENTS AGED 18-64 YEARS AT GOTONG ROYONG HOSPITAL SURABAYA Gunawan, Jovanka; Wahyuni Widoretno, Elisabeth Tri; Susan, Susan
JOURNAL OF WIDYA MEDIKA JUNIOR Vol 6, No 2 (2024): April
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwmj.v6i2.5494

Abstract

Background: Tuberculosis (TB) infection remains a concern for developing countries especially Indonesia due to its high prevalence and mortality rate. Malnutrition is often observed in TB patients. Malnutrition can be assessed through the Body Mass Index (BMI) level. Low BMI levels can increase the progression of pulmonary TB and resulting more severe manifestations in chest X-ray. The severity of pulmonary TB is determined based on the assessment of chest X-ray lesions, which categorized as mild, moderate, and severe.Objective: The aim of this study is to analyze the relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital, Surabaya.Method: The method of this research is observational analytical with a cross-sectional design on pulmonary TB patients who underwent chest X-ray examinations before treatment. The study utilizes secondary data from the patient’s medical records, including weight, height, and chest X-ray images. Additional supporting data which is not available in the medical records were obtained through the patient responses using Google Form. Samples were taken according to the inclusion criteria and all data were collected at Gotong Royong Hospital from July to September 2023.Results: There are 39 samples collected in this research, consisted of 17 men and 22 women. The result based on Spearman correlation analysis revealed that the correlation between BMI levels and the severity of pulmonary TB has a p-value=0,397 (p > 0,05).Conclusion: There is no significant relationship between BMI levels and the severity of pulmonary TB in patients aged 18-64 years at Gotong Royong Hospital Surabaya.