Public Health of Indonesia
Vol. 12 No. 2 (2026): April - June

Factors Associated with Pulmonary Tuberculosis and Latent Tuberculosis Infection of Household Contacts with Drug-Sensitive Tuberculosis Patients in Medan

Rina Sundari (Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia)
Bintang Yinke Magdalena Sinaga (Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Prof. Dr. Chairuddin P. Lubis Universitas Sumatera Utara Hospital, Medan, Indonesia)
Delores Elisabeth Sormin (Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Sumatera Utara, Adam Malik Hospital, Medan, Indonesia)
Arlinda Sari Wahyuni (Department of Community Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia)



Article Info

Publish Date
18 Jun 2026

Abstract

Background: Latent Tuberculosis Infection (LTBI) has the potential to develop into active TB. Therefore, appropriate diagnosis and management are essential, especially in high-risk populations such as individuals who are in household contact with active TB patients. Objectives: To analyze the factors associated with pulmonary tuberculosis and latent tuberculosis infection (LTBI) in household contacts with drug-sensitive tuberculosis patients in Medan Methods: This research is an observational analytical with a cross-sectional design conducted in several health facilities in Medan for 4 months. This study included 105 household contacts from 67 index cases who were diagnosed with drug-sensitive TB, confirmed by Xpert MTB/RIF examination. Statistical analysis used the Chi-Square test with a p-value <0.05 were considered significant. The study used odds ratios and 95% confidence intervals to analyze how associated factors are linked to TB infection. Results: Among 105 household contacts with drug-sensitive TB patients, 31 people (29.6%) had latent TB infection, and 11 people (10.5%) had pulmonary TB infection. In bivariate analysis we found that the variable associated with pulmonary TB was alcohol consumption (OR 20.6677; CI 95% 1.703-250.782; p=0.028). In household contacts with TB patients, no statistically significant factors associated with latent TB infection were found (p>0.05). Conclusion: In household contacts with drug-sensitive TB patients, alcohol consumption are 20.667 times more at risk of experiencing pulmonary TB than those who do not consume alcohol. However, no significant associated factors for latent TB infection were found.

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Journal Info

Abbrev

PHI

Publisher

Subject

Public Health

Description

Public Health of Indonesia is an International, peer-reviewed, and open access journal emphasizing on original research findings that are relevant for developing country perspectives including Indonesia. The journal considers publication of articles as original article, review article, short ...