FAKTOR RISIKO KEJADIAN SAKIT TUBERKULOSIS PADA ANAK YANG KONTAK SERUMAH DENGAN PENDERITA TUBERKULOSIS DEWASA
| Main Authors: | , NEVITA, , dr. Retno Sutomo, Ph.D, Sp.A |
|---|---|
| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
|
| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/119689/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=59692 |
Daftar Isi:
- Background. Children who live with adult pulmonary TB patients at high risk for TB infection and pain. Screening of child household contacts (contact screening) potential to reduce morbidity and mortality of TB in children. However, activity was not routinely performed in countries endemic for limition of personnel and facilities. Priority tracing of household contacts with high risk of TB is expected to increase the implementation of contact screening in endemic countries. Purpose. To determine risk factors for TB disease in children household contact with adult pulmonary TB. Methods. We conducted a case-control study in children aged � 15 years household contact with adult pulmonary TB patients treated in 18 health centers, 2 pulmonary clinic and 3 hospital in Yogyakarta Municipality between August 2010 and June 2012. We did a history, physical examination, tuberculin test and chest X-ray in all children properly the inclusion and exclusion criteria to determine the presence or absence of TB illness. TB disease, if have least one symptom of TB and chest X-ray or TB sugestive finding signs and symptoms of extrapulmonary TB. Results. 126 children were included in this study, 21 children as cases and 105 controls. Characteristics of children (under-fives years old (OR 1.94 95% CI (0.76 to 4.93), has received BCG vaccination (OR 1.09 95% CI (0.12 to 8.83)) the characteristics of the index case (degrees sputum smear-positive (OR 2.72 95% CI (0.76 -9.78), parents as the index case (OR 1.05 95% CI (0.42 to 2.67)) and environmental characteristics (smoke pollution in the home (OR 1.07 95% CI (0.38 to 2.99) and crowded (family at home) > 6 (OR1, 85 95% CI (0.70 to 4.88) was not associated with risk of TB disease at child with household contacts. Conclusion. The risk of TB disease in children is not related with child, index case and the environmental characteristics of the studied.