Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Vol 5, No 1 (2022): January

Risk Factor Identification of Multi-Drug Resistant Tuberculosis

Kurnia Fajar Chasanah (Husna Medika Medical Center Banguntapan
Bantul
Yogyakarta)

Ika Trisnawati (Department of Internal Medicine
Faculty of Medicine, Public Health and Nursing
Universitas Gadjah Mada)

Wahyudi Istiono (Department of Family Medicine and Community
Faculty of Medicine, Public Health and Nursing
Universitas Gadjah Mada)



Article Info

Publish Date
09 Mar 2022

Abstract

Background: Multi-drug resistant tuberculosis (MDR-TB) is a serious health problem with high morbidity and mortality. The identification of risk factors is needed to prevent the incidence TB-MDR. Objective: To identify the risk factors of TB-MDR in the Special Region of Yogyakarta.Method: This study used a case control design to assess the risk factors for the incidence of MDR-TB. Patients diagnosed with MDR-TB compared to non-MDR TB patients were then compared to exposure to the risk factors studied. The results of the study were analyzed by calculating the mean and proportion. Next, Chi-square tests and analysis of odds ratio (OR) with 95% confidence interval (CI) were conducted using a 2x2 dummy table as an aid with multivariate logistic regression analysis.Result: There were 53 patients with MDR-TB as the case group and 106 non-MDR TB patients as controls. There were no significant differences between the two groups regarding the characteristics of age, sex, place of residence, and type of work (p>0.05). The multivariate analysis found the risk factors associated with an increased incidence of MDR-TB were a history of previous TB treatment (p<0.001; OR 31.82; 95%CI: 9.40-107.77) and surrounding TB (p<0.01; OR 4.45; 95%CI: 1.45-13.70), while other factors that were not significantly related to the incidence of MDR-TB included body mass index, distance of home to health facilities where taking medicine, smoking, drinking alcohol, history of BCG vaccination, education, income, medication adherence, and comorbidities (p> 0.05).Conclusion: The risk factors found to be associated with an increased incidence of MDR-TB in this study were the presence of surrounding TB patients and a history of previous TB treatment.

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Journal Info

Abbrev

rpcpe

Publisher

Subject

Education Health Professions Medicine & Pharmacology Public Health

Description

The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, ...