Berita Kedokteran Masyarakat
Vol 32, No 9 (2016)

Prediktor Kekambuhan Tuberkulosis di Kabupaten Bantul Yogyakarta 2014

Nooria Sukmaningtyas (Departemen Biostatistik Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada)
Ning Rintiswati (Pusat Kedokteran Tropis Fakultas Kedokteran Universitas Gadjah Mada)
Riris Andono Ahmad (Departemen Biostatistik Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada)



Article Info

Publish Date
30 Mar 2018

Abstract

Predictors of tuberculosis recurrence in the district of Bantul PurposeThe purpose of this research was to identify associated factors of TB recurrence. MethodsThe study design was a retrospective cohort. We  used TB cases registered in Bantul regency data in 2003-2014 that consisted of 3418 patients. Sampling was conducted by non-random methods with purposive sampling based on inclusion criteria of 904 samples. The variables measured were: age, sex, drug swallowing supervisor, health service facility, socioeconomic and sputum conversion. We used the Cox proportional hazard model for data analysis to determine the rate of occurrence and timing of the occurrence of an event. ResultsMale sex (HR = 0.91; p-value = 0.17) age> 40 years (HR = 1.03; p-value = 0.59), low income (HR = 0.89; p-value = 0.11) were not predictors of TB recurrence, while hospital treatment (HR = 0.81; p-value = 0.00), no sputum conversion (HR = 0.58; p-value = 0.00), treatment failure (HR = 0.49; 95% CI: 0.37-0.64), and treatment of less than 6 months (HR = 0.008; 95% CI: 0.00-0.07) were predictors of TB recurrence. There were 56 (6.18%) of 904 patients who experienced relapse after cured or failed treatment. The average patient relapsed after 17 months of completion of the first treatment. ConclusionHealth facilities, sputum conversion, end-of-treatment status and duration of treatment are pulmonary TB recurrence factors, and as a result can be used to predict TB recurrence in the district of Bantul.

Copyrights © 2016






Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...