Radiological Findings of Pulmonary Tuberculosis in Children at Dr. Hasan Sadikin General Hospital Bandung 2018–2019

Abstract

Background: Tuberculosis (TB) remains a major cause of death worldwide, especially in children. Indonesia is ranked second as the largest contributor to TB. Chest X-rays have been used to diagnose pulmonary TB in children, however, the results are varied. Therefore, this study was performed to explore the radiological findings among children with pulmonary TB. Methods: Retrospective descriptive study was conducted by analyzing the chest X-ray findings retrieved from the medical records of all pulmonary TB children treated at Dr. Hasan Sadikin General Hospital during 2018 to 2019. Inclusion criteria were medical records of patients aged 1 month to 18 years diagnosed with pulmonary TB who underwent chest X-ray (n=223). Results: The highest incidence of pulmonary TB was found in the group of 10-18 years (43.9%) and female (50.2%). The results of chest X-ray were infiltrates (65.0%), lymphadenopathy (11.7%), cavity (7.6%), calcifications (7.6%), miliary (4.9%), pleural effusion (3.1%) and atelectasis (1.8%). Conclusion:Infiltrates are the major finding on Chest X-ray in children with TB.

Drug-Resistant Pulmonary Tuberculosis

“…Pulmonary cavitation allows exponential growth of MTb, leading to the increased likelihood of disease transmission and the formation of drug-resistant strains (Kaplan et al, 2013;Urbanowski et al, 2020). It has been recorded that Ghaesani et al (2021) examined the characteristics of TB infection in children aged 1 to 18 years old at dr. Hasan Sadikin General Hospital Bandung, from which the study found that 7.6% of the subjects had pulmonary cavities through X-ray examination. Comparably, MDR-TB patients in Persahabatan Hospital, Jakarta were found to have larger chest X-ray lesions and pulmonary cavities in comparison to drug-susceptible TB (DS-TB) patients (Icksan et al, 2018).…”

Pemberdayaan Kader Tb ‘Aisyiyah Dalam Upaya Perbaikan Kualitas Hidup Paska Tb Dengan Sekuele Paru Di Masa Pandemi Covid-19

“…Sebenarnya Kader TB 'Aisyiyah secara rutin sudah melakukan pendampingan terhadap pasien paska TB, tetapi di masa pandemi ini tidak dilakukan, karena berbagai alasan. Beberapa alasan mengapa kader TB tidak melakukan pendampingan di masa pandemi ini kepada pasien paska TB disebabkan rasa takut dan was-was tertular Covid-19, himbauan social distancing dari pemerintah kepada masyarakat, dan keterbatasan dalam berkomunikasi dengan masyarakat, dan beberapa penyebab yang lain yang bila dibiarkan dapat menjadi bahaya laten bagi masyarakat terutama pada pasien paska TB, pasien TB maupun pasien dengan Covid dan masyarakat yang lain (Majdawati & Inayati, 2021;Ghaesani et al, 2021).…”