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Tropical Health and Medical Research Journal
Published by Baiman Bauntung Batuah Center
ISSN : -     EISSN : 2684740X     DOI : https://doi.org/10.35916/thmr.v1i1
Core Subject : Religion, Health, Science,
Religion Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Tropical Health and Medical Research is an open access, peer-reviewed journal that publishing only original research on all aspects of tropical medicine and global health especially health related to the Muslim community. Journal content including viral, bacterial and parasitic infectious diseases, Vectors, Noncommunicable diseases, Epidemiology and population health, Drug, vaccine and diagnostic tool development, Other health issues related to the Muslim community
Arjuna Subject : Profesi Kesehatan - Teknologi Laboratorium Medis
Articles 82 Documents
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Family Socioeconomic Factors as a Risk Factor for ARI Incidence in Toddlers in Pekauman Dalam Village, Banjar Regency, Indonesia Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.138

Abstract

Acute Respiratory Tract Infections (ARI) remain a leading cause of infant mortality worldwide, including in Indonesia. Banjar Regency, South Kalimantan, has the highest infant pneumonia mortality rate in the province, despite its lower prevalence. This situation necessitates a study of the risk factors contributing to the incidence of ARI, particularly from a family's socioeconomic perspective. This study aims to determine the relationship between the incidence of ARI in toddlers and family socioeconomic risk factors in Pekauman Dalam Village, Banjar Regency. This study used an analytical study design with a cross-sectional approach. A sample of 28 toddlers was selected using total sampling. Data were collected through structured questionnaires completed by the toddlers' mothers/caregivers. Data analysis was performed bivariately using simple binary logistic regression, with further analysis using the Chi-Square test and Fisher's Exact Test on significant variables. The results of the study showed that among the 28 toddlers examined, six toddlers (21.4%) exhibited symptoms of acute respiratory infections (ARI). Statistical analysis revealed that, among all variables tested, only the toddler's age had a significant association with ARI incidence (p = 0.001; Fisher's Exact Test = 0.011). Toddlers aged ?1 year had a higher proportion of ARI cases than toddlers aged >1 year. Other variables such as family income, home ownership, residential density, cooking fuel, and maternal education did not show statistically significant relationships, although some had p-values approaching the significance threshold. Toddler age was the main risk factor influencing ARI cases in this study. Although most other socioeconomic factors were not statistically significant, these aspects are still important to consider in ARI prevention efforts. This study can form the basis for more targeted preventive interventions in areas with high socioeconomic vulnerability.
The Effect of Sputum Delivery Time on the Sensitivity of Culture and AFB Microscopy in the Diagnosis of Drug-Resistant TB Rizkiyah, Risa; Dwiyanti, Ratih Dewi; Insana, Aima
Tropical Health and Medical Research Vol. 7 No. 2 (2025): Tropical Health and Medical Research
Publisher : Baiman Bauntung Batuah Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35916/thmr.v7i2.139

Abstract

Drug-resistant tuberculosis (DR-TB) is a major challenge in TB control in Indonesia. Early detection using liquid and solid media cultures is crucial due to the limited sensitivity of Acid-Fast Bacilli (AFB) microscopic examination. In addition, the time of sputum specimen delivery can also affect bacterial viability. This study aims to determine the relationship between liquid and solid media culture results with AFB microscopic results in immediate and delayed sputum in patients with DR-TB. This is an observational analytical study with a cross-sectional design, involving 40 sputum samples from DR-TB patients examined at the South Kalimantan Provincial Health Laboratory from January to April 2025. Samples were grouped based on the time of sputum delivery (<7 days = immediate; ?7 days = delayed), and examined using AFB microscopic methods, Mycobacterium Growth Indicator Tube liquid culture, and Lowenstein-Jensen solid culture. Data analysis was performed using the Spearman correlation test. Of the 40 sputum samples examined, 2 (5%) were positive by AFB microscopy, 8 (20%) were positive by liquid culture (MGIT), and 6 (15%) were positive by solid culture (Lowenstein-Jensen). The results showed that in immediate sputum, Mycobacterium tuberculosis (MTB) was detected in 7 samples using liquid media and in 5 samples using solid media. In contrast, in delayed sputum, only one sample was positive in both media. Most samples with negative AFB microscopy still yielded MTB growth in culture, particularly in immediate sputum. There was no significant correlation between AFB and liquid culture results in immediate sputum (p=0.172), but there was a substantial correlation between AFB and solid culture (p=0.025). In delayed sputum, both liquid and solid cultures showed a significant correlation with AFB results (p=0.046). Liquid culture was proven to be more sensitive than AFB microscopic examination, especially for immediately examined sputum. MTB viability and accuracy of results decreased in late-delivered sputum, so optimal specimen delivery management is necessary to maintain diagnostic quality.

Page 9 of 9 | Total Record : 82

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