FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
| Main Authors: | , EKA BUDI SATRIA, , dr. Iswanto, Sp.P,FCCP |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2012
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/100196/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=56585 |
Daftar Isi:
- Background: Incidence rate (IR) of positive acid-fast bacillus lung TB at District of Tapin in the past three years tendedd to increase, i.e. 79 per 100,000 people in 2008, 81 per 100,000 people in 2009 and 85 per 100,000 people in 2010. Case Detection Rate (CDR) in the past three years was low, i.e. 38% in 2008, 38% in 2009, and 40% in 2010. Objective: The objective of the study was to identify risk factors and spatial distribution of positive acid-fast bacillus lung TB at District of Tapin. Method: The study was observational with case control design. Subject of the study of the experiment (case) group were all patients of positive acid-fast bacillus lung TB as new cases of 50 years old or above and recorded at the TB registry of health centers, whereas the control group were the people having negative acidfast bacillus examination of 15 years of age or above of which the data were available at the TB registry of health centers. Samples of the study consisted of 210 people comprising 105 cases and 105 control. The selection of control was made through matching of age and gender. Data analysis used univariate, bivariate case control matching with McNemar test, and multivariate with conditional logistic regression at significance 95%. Results: The result of bivariate analysis showed that in house contact with TB patients (p=0.006, OR=3.80, 95%CL 1.52-9.49), body mass index (p=0.008, OR=2.50, 95%CL 1.31-4.77), width of house ventilation (p=0.014, OR=2.45, 95%CI 1.24-4.83) were statistically associated and risk factors of the incidence of positive acid-fast bacillus lung TB. The result of multivariate analysis showed that in house contact with TB patients (Sig=0.011, EXP(Î2)=3.267, 95%CI 1.31-8.14) was the most dominant risk for the incidence of positive acid-fast bacillus lung TB. Spatial distribution showed that there was cluster of cases of positive acidfast bacillus lung TB, in house contact with TB patients and timing of diagnostic decision (quarterly). Cases of positive acid-fast bacillus lung TB were generally found in densely populated area with dense housing condition and width of house ventilation that did not meet health requirement. Conclusion: In house contact with TB patients, body mass index, and width of house ventilation were statistically associated with the incidence of lung TB whereas the strongest risk factor of positive acid-fast bacillus lung TB was in house contact with TB patients. There was a cluster of cases of positive acid-fast bacillus lung TB, in house contact with TB patients, and the timing of diagnostic decision at District of Tapin.