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BCG Revaccination to Combat Tuberculosis Infection: an Evidence Based Case Report Rifa, Alissa; Qomarasandhi, Johan
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.193

Abstract

An elderly man came to the Emergency Room with labored breathing with a history of prior tuberculosis infection and BCG vaccination when he was an infant. He was diagnosed with tuberculosis reinfection with negative microbiology result. This study aims to see whether revaccination of BCG vaccination will positively impact suppressing the rate of tuberculosis infection. A literature search was conducted on three databases: PubMed, Cochrane, and EBSCOhost. Of the searches, three articles were selected for further critical appraisal using the criteria provided by the University of Oxford Centre of Evidence-Based Medicine. The first study shows that BCG Revaccination does not become a protective factor against tuberculosis reinfection with OR 0.92 (0.80 – 1.05) in all populations yet interestingly yielded OR 0.77 (0.59-1.00) in HIV-negative patients, while the second study shows that BCG Revaccination can prevent conversion of QFT with the study showing p <0.05, thus believed to lower tuberculosis infection rates, the third study shows that BCG revaccination yield modest protection against TB infection after 15 years (Hazard Ratio 0.64 95% CI 0.46-0.89). The main difference between the studies is the main population, which the first study also includes HIV-positive patients. In conclusion, BCG Revaccination may be considered to be given and be considered as protective factor against tuberculosis reinfection in HIV-negative patients.
Patient Satisfaction and Intention To Revisit Outpatient Specialist Clinic at XYZ Hospital, Bekasi City Rifa, Alissa; Bernarto, Innocentius
Jurnal Aplikasi Bisnis dan Manajemen Vol. 9 No. 3 (2023): JABM Vol. 9 No. 3, September 2023
Publisher : School of Business, Bogor Agricultural University (SB-IPB)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17358/jabm.9.3.887

Abstract

This research was done as a response to the discrepancy between the target and the actual revisitations to the specialized outpatient clinic at XYZ Hospital in Bekasi City, then hoping to improve revisit intention at XYZ Hospital in Bekasi City. Several theories suggest that an increase in patient satisfaction leads to an increase in revisit intention. Patient satisfaction itself is related to hospital's physical environment, registration service, waiting time, doctor service, and nurse service. The aim of this study is to find out the positive impact of those variable towards patient satisfaction and then revisit intention. The model used in this study was adapted from previous research that was empirically tested on the population of patients at the specialized outpatient clinic at XYZ Hospital in Bekasi City. This study is a quantitative cross-sectional study. A questionnaire, made from prior interviews, was used to gauge hospital's physical environment, registration service, waiting time, doctor service, and nurse service. Respondent data were collected using purposive sampling with a total of 400 respondents. The data were analyzed using the PLS-SEM method. The results of the study showed that the hospital's physical environment, registration service, waiting time, doctor service, and nurse service have a positive influence on patient satisfaction. In addition, patient satisfaction also has a positive influence on revisit intention. In conclusion, this study proved that hospital’s physical environment, registration service, waiting time, doctor service, and nurse service have a positive impact on patient satisfaction which in turn had a positive impact on patient’s revisit intention. Keywords: doctor service, nurse service, outpatient specialist, patient satisfaction, revisit intention