Latar belakang dan tujuan: Kekambuhan pasien tuberculosis paru (TB) adalah salah satu masalah dalam program penanggulangan TB. Kekambuhan pasien TB paru di Kota Denpasar tahun 2014 dilaporkan masih cukup tinggi yaitu 3,5% dari 1082 pasien. Penelitian ini bertujuan untuk mengetahui faktor risiko kekambuhan pasien TB di Kota Denpasar.Metode: Rancangan penelitian adalah kasus kontrol dengan 46 penderita TB paru kambuh yang berusia di atas 15 tahun sebagai kasus dan 92 penderita TB paru yang sembuh sebagai kontrol. Responden dipilih secara acak sistematik dari register TB 03 tahun 2013-2015 di 11 puskesmas Kota Denpasar. Data dikumpulkan dengan penelusuran dokumen, observasi, pengukuran dan wawancara di rumah responden. Data dianalisis secara bivariat (uji chi square) dan multivariat dengan regresi logistik.Hasil: Hasil analisis multivariat menunjukkan bahwa faktor risiko kekambuhan TB adalah adanya penyakit penyerta DM (AOR=9,6; 95%CI: 2,17-43,08), ketidakpatuhan minum obat (AOR=7,6; 95%CI: 2,85-20,17), merokok/terpajan asap rokok saat pengobatan (AOR=3,6; 95%CI: 1,41-9,16), ventilasi rumah <10% (AOR=3,4; 95%CI: 1,27-9,47), kontak serumah dengan penderita TB (AOR=3,1; (95%CI: 1,31-7,46) dan status gizi kurang (AOR=2,8; 95%CI: 1,02-7,72).Simpulan: Faktor risiko kekambuhan pasien TB paru adalah adanya penyakit penyerta DM, ketidakpatuhan minum obat, merokok/terpajan asap rokok saat pengobatan, ventilasi rumah <10%, ada kontak serumah dengan penderita TB dan status gizi kurang.
Background and purpose: The incidence of recurrence in patients with pulmonary tuberculosis (TB) in Denpasar in 2014 was relatively high, around 3.5% of 1082 patients. This study aimed to determine the risk factors for recurrence of pulmonary TB patients in Denpasar.Methods: The study design was a case control with 46 patients with pulmonary TB recurrence aged over 15 years as cases, and 92 patients who had recovered as control. Respondents were selected using systematic random sampling from the TB register from 2013 to 2015 in public health centers in Denpasar. Data were collected by a search of documents, observations, measurements and interviews conducted using questionnaires. Bivariate analysis was conducted (chi square test) and multivariate using logistic regression.Results: Risk factors that associated with recurrence of pulmonary TB were co-morbidity of diabetes mellitus (AOR=9.6; 95%CI: 2.17-43.08), adherence (AOR=7.6; 95%CI: 2.85-20.17), exposure to cigarette smoke during treatment (AOR=3.6; 95%CI: 1.41-9.16), home ventilation <10% (AOR=3.4; 95%CI: 1.27-9.47), house contact with pulmonary TB patients (AOR=3.1; 95%CI: 1.31-7.46) and malnutrition (AOR=2.8; 95%CI: 1.02-7.72).Conclusion: Risk factors for recurrence of pulmonary TB among patients were co-morbidity of diabetes mellitus adherence, cigarette smoke exposure during the treatment period, home ventilation <10%, house contact with pulmonary TB patients and malnutrition.
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