scholarly journals PEMERIKSAAN BASIL TAHAN ASAM (BTA) PADA SPUTUM PENDERITA BATUK ≥ 2 MINGGU DI POLIKLINIK PENYAKIT DALAM BLU RSUP. PROF. Dr. R.D KANDOU MANADO

e-CliniC ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Diana Susanti
Keyword(s):  
Internal Medicine ◽  
Weight Loss ◽  
Mycobacterium Tuberculosis ◽  
Age Group ◽  
Acid Fast Bacilli ◽  
Positive Smear ◽  
Night Sweats ◽  
Tuberculosis Diagnosis ◽  
Male Sex ◽  
Internal Medicine Clinic

Abstrack: Cough ≥ 2 weeks are the main symptoms of tuberculosis diagnosis accompanied by phlegm.Symptoms that accompany the cough bleed, decreased appetite,weight loss, night sweats (no activity) and no signs of infection. Tuberculosis is a disease of the lungs caused by gram-positive rod bacterium (Mycobakterium tuberculosis). This research is a descriptive nature experiment is to determine the presence of bacteria mycobacterium tuberculosis in sputum of patients cough ≥ 2 weeks in the Internal Medicine Clinic Dr BLU. Prof. Dr. Kandou with smear using Ziehl Neelsen.The results are 50 samples, 23 (46%) positive and 27 (54%) negative.Presentation by gender with the most positive smear on male sex 65.2% from than 34.8% of women.Presentation of the age group with the highest incidence of smear positive cases in the age group 55-74 years old 39.3%. Conclusion: Examination of acid fast bacilli in the sputum of patients cough ≥ 2 weeks needs to be done in order to determine the existence of bacteria mycobacterium tuberculosis.Tuberculosis is most common in males than in females in the age group 55-74 years old.Keyword: cough more than two weeks, tuberculosis, BTA.Abstrak: Batuk ≥ 2 minggu merupakan gejala utama diagnosis penyakit tuberkulosis yang disertai dengan dahak. Gejala yang menyertai yaitu batuk yang mengeluarkan darah, nafsu makan menurun, penurunan berat badan, keringat pada malam hari (tanpa aktifitas) dan ada tanda-tanda infeksi.Tuberkulosis paru ini adalah penyakit yang menyerang paru yang disebabkan oleh bakteri batang gram positif (Mycobakterium tuberkulosis).Penelitian ini merupakan penelitian deskritif bersifat ekperimen yaitu untuk mengetahui adanya kuman mycobacterium tuberkulosis pada sputum penderita batuk ≥ 2 minggu di Poliklinik Penyakit Dalam BLU RSUP.Prof. Dr. Kandou dengan di lakukan pemeriksaan BTA mengunakan pewarnaan ziehl neelsen.Hasil penelitian terdapat 50 sampel, 23 (46%) positif dan 27 (54%) negatif. Presentasi berdasarkan jenis kelamin dengan bta positif terbanyak pada jenis kelamin laki-laki 65,2% daripada perempuan 34,8%. Presentasi kelompok umur dengan bta positif terbanyak terjadi pada kelompok umur 55 – 74 tahun 39,3%. Simpulan: Pemeriksaan basil tahan asam (BTA) pada sputum penderita batuk ≥ 2 minggu perlu dilakukan agar mengetahui adanya kuman mycobacterium tuberkulosis. Tuberkulosis paling sering terjadi pada laki-laki dibandingkan perempuan pada kelompok umur 55 - 74 tahun.Kata Kunci: batuk lebih dari 2 minggu, tuberkulosis, BTA.

scholarly journals MENCEGAH PENULARAN TB PARU DI MASA PANDEMI COVID-19 BAGI PENGUNJUNG PUSKESMAS LEGOK, TANGERANG, BANTEN

2021 ◽  
pp. 515
Author(s):  
Ernawati Ernawati ◽  
Andreas Adiwinata Then ◽  
Irwan Surya Angkasa ◽  
Kevina Liora ◽  
Yuli Nursela
Keyword(s):  
Infectious Disease ◽  
Weight Loss ◽  
Mycobacterium Tuberculosis ◽  
Average Value ◽  
Tuberculosis Prevention ◽  
Work Area ◽  
Persistent Cough ◽  
Post Test ◽  
Night Sweats ◽  
Loss Of Appetite

Background: Tuberculosis (TB) is an infectious disease caused by TB bacteria (Mycobacterium Tuberculosis), where most of the TB bacteria attack the lungs, but can also affect other body organs. Based on data from WHO in 2020 in Southeast Asia, Tuberculosis sufferers are estimated to reach 4.3 million and around 632,000 people died from this disease. The estimated number of tuberculosis cases in Indonesia in 2020 is 845,000 cases with the number of deaths caused by this disease as many as 13,947 cases. In Tangerang district there were 6,089/100,000 new tuberculosis cases detected. The symptoms such as a persistent cough that lasts more than 3 weeks and usually brings up phlegm, which may be bloody, weight loss, night sweats, high temperature, tiredness and fatigue, loss of appetite, swellings in the neck.The purpose of this devotional activity is to increase the knowledge of tuberculosis and the way to prevent for the community in the working area of Legok Health Center.This method of devotion is done by collecting data through pre-tests before extension activities and workshops and then post test after activities. The data obtained is processed statistically. Counseling is an extension on tuberculosis prevention efforts and workshops on how to ethically cough and the use of good and correct masks to the community in the work area of Legok Health Center.Results data processing results from pre-test, post-test and education about TB prevention efforts obtained post-test values >70 in 95% of respondents with an average value of 85.5. The results of cough ethics workshops and the use of masks 100% participants can be accompanied by the distribution of masks.Conclusion after counseling and workshops there is an increase in knowledge and ability to perform cough ethics and the use of masks that are good and correct. This effort can be done continuously so that the goal of reducing the incidence of tuberculosis can be achieved.Latar belakang tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh kuman TB (Mycobacterium Tuberculosis), dimana sebagian besar kuman TB menyerang paru-paru, tetapi dapat juga mengenai organ tubuh lainnya. Berdasarkan data WHO tahun 2020 di Asia Tenggara penderita tuberkulosis diperkirakan mencapai 4,3 juta dan sekitar 632.000 orang meninggal diakibatkan penyakit ini. Estimasi kasus tuberkulosis di Indonesia pada tahun 2020 sebanyak 845.000 kasus dengan jumlah kematian yang diakibatkan oleh penyakit ini sebanyak 13.947 kasus. Pada kabupaten Tangerang terdapat 6.089/100.000 kasus tuberkulosis baru yang terdeteksi. Penyakit ini menimbulkan berbagai gejala seperti: Batuk >3 minggu terkadang bercampur darah, penurunan berat badan, berkeringat malam hari, demam dan mengigil, lemas, penurunan nafsu makan, pembengkakn di sekitar leher.Tujuan dari kegiatan pengabdian ini untuk meningkatkan penegtahuan tentang tuberkulosis dan cara-cara pencegahannya di wilayah kerja Puskesmas Legok.Metode pengabdian ini dilakukan dengan pengumpulan data melalui pre test saat sebelum kegiatan penyuluhan dan workshop kemudian post test setelah kegiatan. Data yang diperoleh diolah secara statistik. Penyuluhan yang dilakukan adalah penyuluhan tentang upaya pencegahan tuberkulosis dan workshop cara etikda batuk serta penggunaan masker yang baik dan benar kepada masyarakat di wilayah kerja Puskesmas Legok.Hasil pengolahan data dari pre-test, post-test dan edukasi mengenai upaya pencegahan TB diperoleh nilai post-test nilainya >70 pada 95% responden dengan nilai rerata 85,5. Hasil workshop etika batuk dan penggunaan masker 100% peserta dapat disertai dengan pembagian masker. Kesimpulan setelah dilakukan penyuluhan dan workshop terjadi peningkatan pengetahuan dan kemampuan melakukan etika batuk dan penggunaan masker yang baik dan benar. Upaya ini dapat dilakukan secara berkesinambungan agar tujuan menurunkan angka kejadian tuberkulosis dapat dicapai.

scholarly journals GAMBARAN BASIL TAHAN ASAM (BTA) POSITIF PADA PENDERITA DIAGNOSA KLINIS TUBERKULOSIS PARU DI RUMAH SAKIT ISLAM SITTI MARYAM MANADO PERIODE JANUARI 2014 S/D JUNI 2014

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Velma Buntuan
Keyword(s):  
Infectious Disease ◽  
Experimental Study ◽  
Mycobacterium Tuberculosis ◽  
Age Groups ◽  
Microscopical Examination ◽  
Age Group ◽  
Negative Results ◽  
Lung Tuberculosis ◽  
Tuberculosis Diagnosis ◽  
Positive Results

Absract: Tuberculosis is an acute or chronic infectious disease caused by Gram positive bacil, Mycobacterium tuberculosis, which predominantly infect the lungs. The diagnosis of lung tuberculosis in adults is based on the finding of these mycobacyteria in the microscopical examination of sputum. This was a descriptive experimental study to obtain the mycobacteria in patients’ sputum stained with Ziehl Neelsen method. Subjects were outpatients and inpatients clinically diagnosed as tuberculosis at the Internal Department of Sitti Maryam Hospital in Manado. The results showed that of 87 samples, there were 48 males (55%) and 39 females (45%). Age groups of 0-15 years consisted of 1 sample (1%); 16-20 years 0 sample (0%); 21-60 years 79 samples (91%); and >60 years 7 samples (8%). The microscopical examination showed positive results in 27 samples (37.0%) and negative results in 60 samples (69.0%). Conclusion: Mycobacterium tubercuosis infections were more frequent in males than in females. The most frequent age group was productive age, and the least frequent ages were children and teenagers. The number of positive results of sputum examination for Mycobacterium tuberculosis were less than negative results.Keywords: Mycobacterium tuberculosis, lung tuberculosis.Abstrak: Tuberkulosis paru adalah penyakit yang menular akut maupun kronis yang terutama menyerang paru, yang disebabkan oleh bakteri tahan asam (BTA) berbentuk batang yang bersifat Gram positif (Mycobacterium tuberculosis). Diagnosis tuberkulosis paru pada dewasa dapat ditegakkan dengan ditemukan BTA pada pemeriksaan mikroskopik dahak. Penelitian ini bersifat deskriptif ekperimental untuk menemukan kuman Mycobacterium tuberculosis pada sputum penderita dengan diagnosa klinis tuberkulosis di Poliklinik dan Rawat Inap Penyakit Dalam RSI Sitti Maryam Manado. Teknik pewarnaan BTA menggunakan metode Ziehl Neelsen. Hasil penelitian memperlihatkan dari 87 sampel, 48 sampel (55%) berjenis kelamin laki-laki dan 39 sampel (45%) berjenis kelamin perempuan. Jumlah sampel untuk kelompok usia 0-15 tahun sebesar 1 sampel (1%); 16-20 tahun 0 sampel (0%); 21-60 tahun 79 sampel (91%); dan >60 tahun 7 sampel (8%). Pada pemeriksaan sputum ditemukan BTA pada 27 sampel (37,0%) sedangkan pada 60 sampel (69,0%) tidak ditemukan. Simpulan: Pengidap tuberkulosis berjenis kelamin laki-laki lebih banyak dari pada perempuan, dengan kelompok usia tersering pada usia produktif dan paling sedikit pada usia anak dan remaja. Pemeriksaan sputum BTA positip lebih sedikit dibandingkan dengan BTA Negatip.Kata kunci: BTA, tuberkulosis paru.

scholarly journals Mycobacterium interjectumLung Infection

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
M. C. Mirant-Borde ◽  
S. Alvarez ◽  
M. M. Johnson
Keyword(s):  
Weight Loss ◽  
Mycobacterium Tuberculosis ◽  
Clinical Course ◽  
Productive Cough ◽  
Immunocompetent Adult ◽  
The Third ◽  
Night Sweats ◽  
Appropriate Therapy ◽  
Mycobacterium Avium Intracellulare ◽  
Radiographic Improvement

A 62-year-old male presented with productive cough, weight loss, and night sweats. CXR revealed a right upper lobe cavitary lesion. Evaluation was negative forMycobacterium tuberculosis, and sputum revealedMycobacterium avium intracellulare(MAI). Since his clinical course was atypical for MAI, further investigations were pursued which identifiedMycobacterium interjectumin lung specimens, a very rarely described etiology of pulmonary disease. Appropriate therapy with rifampin, intravenous amikacin, trimethoprim/sulfamethoxazole (TMP/SMX), and ethambutol resulted in clinical and radiographic improvement. This is the third case described over a period of 20 years of destructive lung disease in an immunocompetent adult due toM. interjectum.

scholarly journals Hyperglycemia at admission, comorbidities, and in-hospital mortality in elderly patients hospitalized in internal medicine wards: data from the RePoSI Registry

2021 ◽  
Author(s):  
Salvatore Corrao ◽  
Alessandro Nobili ◽  
Giuseppe Natoli ◽  
Pier Mannuccio Mannucci ◽  
Francesco Perticone ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Elderly Patients ◽  
Hospital Mortality ◽  
Barthel Index ◽  
Rating Scale ◽  
Depression Scale ◽  
Cognitive Status ◽  
Hospital Death ◽  
Glycemia Level ◽  
Male Sex

Abstract Aims The association between hyperglycemia at hospital admission and relevant short- and long-term outcomes in elderly population is known. We assessed the effects on mortality of hyperglycemia, disability, and multimorbidity at admission in internal medicine ward in patients aged ≥ 65 years. Methods Data were collected from an active register of 102 internal medicine and geriatric wards in Italy (RePoSi project). Patients were recruited during four index weeks of a year. Socio-demographic data, reason for hospitalization, diagnoses, treatment, severity and comorbidity indexes (Cumulative Illness rating Scale CIRS-SI and CIRS-CI), renal function, functional (Barthel Index), and cognitive status (Short Blessed Test) and mood disorders (Geriatric Depression Scale) were recorded. Mortality rates were assessed in hospital 3 and 12 months after discharge. Results Of the 4714 elderly patients hospitalized, 361 had a glycemia level ≥ 250 mg/dL at admission. Compared to subjects with lower glycemia level, patients with glycemia ≥ 250 mg/dL showed higher rates of male sex, smoke and class III obesity. These patients had a significantly lower Barthel Index (p = 0.0249), higher CIRS-SI and CIRS-CI scores (p = 0.0025 and p = 0.0013, respectively), and took more drugs. In-hospital mortality rate was 9.2% and 5.1% in subjects with glycemia ≥ 250 and < 250 mg/dL, respectively (p = 0.0010). Regression analysis showed a strong association between in-hospital death and glycemia ≥ 250 mg/dL (OR 2.07; [95% CI 1.34–3.19]), Barthel Index ≤ 40 (3.28[2.44–4.42]), CIRS-SI (1.87[1.27–2.77]), and male sex (1.54[1.16–2.03]). Conclusions The stronger predictors of in-hospital mortality for older patients admitted in general wards were glycemia level ≥ 250 mg/dL, Barthel Index ≤ 40, CIRS-SI, and male sex.

Breathlessness, night sweats, and weight loss on natalizumab

The Lancet ◽  
2012 ◽  
Vol 380 (9843) ◽  
pp. 726-727 ◽  
Author(s):  
D Dahdaleh ◽  
DM Altmann ◽  
O Malik ◽  
RS Nicholas
Keyword(s):  
Weight Loss ◽  
Night Sweats

scholarly journals Assessment of the BD MGIT TBc Identification Test for the Detection ofMycobacterium tuberculosisComplex in a Network of Mycobacteriology Laboratories

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Diana Machado ◽  
Jorge Ramos ◽  
Isabel Couto ◽  
Nureisha Cadir ◽  
Inácio Narciso ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Sample Preparation ◽  
Nontuberculous Mycobacteria ◽  
Molecular Methods ◽  
Predictive Values ◽  
Acid Fast Bacilli ◽  
Negative Results ◽  
Resource Limited ◽  
Identification Test

We evaluate the performance of the TBcID assay in a panel of 100 acid-fast bacilli cultures. Sixty-four isolates were TBcID positive forMycobacterium tuberculosiscomplex (MTBC), whereas 36 gave negative results. These included 28 nontuberculous mycobacteria, one nonmycobacterial isolate, oneM. tuberculosis, and sixM. bovisBCG strains. This corresponds to a sensitivity of 90.14%, specificity of 100%, and positive and negative predictive values of 100% and 80.55%, respectively. The test is rapid, easy to perform and interpret, and does not require sample preparation or instrumentation. However, a negative result does not exclude the presence of a strain belonging to MTBC, especially when mutations inmpb64gene are present or someM. bovisBCG strains are isolated. The TBcID showed potential to assist in the identification of MTBC when the implementation and usage of molecular methods are often not possible, principally in resource-limited countries.

scholarly journals Acid fast bacilli detected in the oral swab sample of a pulmonary tuberculosis patient

2018 ◽  
Vol 51 (2) ◽  
pp. 91
Author(s):  
Reiska Kumala Bakti ◽  
Ni Made Mertaniasih ◽  
Diah Savitri Ernawati ◽  
Bagus Soebadi ◽  
Priyo Hadi
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pulmonary Tuberculosis ◽  
Buccal Mucosa ◽  
Symptom Assessment ◽  
Tuberculosis Patient ◽  
Rapid Screening ◽  
Pulmonary Tb ◽  
Acid Fast Bacilli ◽  
Dental Practitioners ◽  
Treatment Procedures

Background: Tuberculosis (TB) is an infectious disease that persists as a health problem worldwide. Mycobacterium tuberculosis, as an etiological agent, is transmitted from infected to uninfected individuals via airborne droplet nuclei. Oral health care workers or dental practitioners may be at high risk of TB infection because of their close proximity to infected individuals during treatment procedures. Simple and rapid screening of mycobacterium tuberculosis in the oral cavity is necessary in order to prevent transmission of infection. Purpose: To investigate the presence of acid-fast bacilli in the buccal mucosa of pulmonary TB patients. Methods: Nineteen pulmonary TB patients of both sexes, ranging in age from 19 to 74 years old participated in this study. The diagnosis of tuberculosis was performed by clinical symptom assessment and supporting examination, including acid-fast bacilli on sputum examination. Two buccal mucosa swabs taken from pulmonary TB patients were collected for acid fast bacilli direct smear by Ziehl Neelsen staining. Results: With regard to mycobacterium tuberculosis, acid-fast bacilli presented in 10.5% of the oral buccal mucosa swabs of subjects, whereas in the sputum specimens, bacilli were found in 52.6% of subjects. Conclusion: Acid-fast bacilli can be found in the buccal epithelial mucosa of pulmonary tuberculosis patients, although its presence was very limited.

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