scholarly journals HUBUNGAN GAMBARAN FOTO TORAKS DAN UJI TUBERKULIN PADA ANAK DENGAN DIAGNOSIS TUBERKULOSIS PARU DI RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2012 – DESEMBER 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Alfa G. A. Poluan

Abstrak: Tuberkulosis (TB) masih menjadi masalah kesehatan dunia yang utama sampai sekarang. Menurut WHO, Indonesia masih menjadi negara dengan peringkat keempat sebagai penyumbang TB terbesar dengan 400-500 ribu kasus. WHO melaporkan bahwa ada sekitar 327.000 kasus baru TB pada anak dengan usia <15 tahun di seluruh dunia, dan sekitar 65.000 anak meninggal karena TB setiap tahun. Dalam mendiagnosis TB anak perlu dilakukan pemeriksaan uji tuberkulin dan foto toraks. Tujuan penelitian ini adalah untuk mengetahui hubungan gambaran foto toraks dan uji tuberkulin pada anak dengan diagnosis tuberkulosis paru.  Penelitian ini dilakukan di RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2012 – Desember 2012. Penelitian ini bersifat analitik observasional menggunakan desain cross sectional dengan data retrospektif. Pengambilan sampel pada penelitian ini menggunakan teknik total sampling. Data yang dikumpulkan diolah dengan menggunakan uji korelasi Kendall’s tau-b. Dari hasil analisa data didapatkan nilai r= -0,408 dengan p= 0,046 (p<0,05). Nilai ini berarti bahwa ada hubungan negatif sedang antara gambaran foto toraks dan uji tuberkulin. Dengan demikian, pemeriksaan foto toraks dan uji tuberkulin harus dilakukan dalam membantu menegakkan diagnosis tuberkulosis paru pada anak. Kata kunci: Foto toraks, uji tuberkulin, tuberkulosis paru, anak    Abstract: Tuberculosis (TB) remains a major global health problem until now. According to WHO, Indonesia has ranked as the fourth largest contributor TB with 400-500 cases. WHO reports that there are approximately 327,000 new cases of TB in children aged <15 years old all over the world, and about 65,000 children die from TB every year. In diagnosing TB in children, tuberculin test and chest x-ray are necessary. The purpose of this research is to determine the relationship between a chest x-ray picture and tuberculin test in children diagnosed with pulmonary tuberculosis. This research was conducted in RSUP Prof. Dr. R. D. Kandou Manado in the period of January 2012 – December 2012. This was an observational analytic research using cross-sectional design with retrospective data. There were 25 children observed in this research. Analysis shows a negative correlation between radiographic picture and tuberculin test (r= -0.408; p= 0.046). Accordingly, chest x-ray examination and tuberculin test should be performed to help justify the diagnosis of pulmonary tuberculosis in children. Key Words: Chest X-ray, Tuberculin test, Pulmonary Tuberculosis, Children

2001 ◽  
Vol 41 (2) ◽  
pp. 106
Author(s):  
Taralan Tambunan ◽  
Attila Dewanti ◽  
Bambang Madiyono ◽  
Nastiti N Rahayoe

Childhood tuberculosis persists as an important global health problem. Tuberculosis is one of the commonestimportant complications in children with nephrotic syndrome. Tuberculosis may interfere with the response to steroid therapyand is still being the commonest morbidity cause in children with nephrotic syndrome. To find out the prevalence, clinicalfeatures, and the impact of tuberculosis in children with nephrotic syndrome, a cross sectional study was conducted on 100nephrotic children consisted of 63 males and 37 females at the Cipto Mangunkusumo Hospital from April 1st to October 30th,1999. Pulmonary tuberculosis was detected on 15 cases ( 95% CI : 8% - 22% ) , consisted of 8 boys and 7 girls. Most of themaged 10 – 16 years old (66,6%) and 86,7% were undernourished. The combination of clinical judgement, chest X-ray andMantoux test were helpful in establishing the diagnosis. The majority of tuberculosis cases (80%) were detected on frequentrelapsers and steroid dependent groups of the nephrotic syndrome. A significant correlation were noted in tuberculosis withundernutrition and unfavorable response to steroid (frequent relapser and steroid dependent cases).


2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Cassia Satsuki Ishikawa ◽  
Olivia Mari Matsuo ◽  
Flavio Sarno

ABSTRACT Objective: To describe the characteristics of patients diagnosed with tuberculosis and latent tuberculosis infection. Methods: A retrospective study, between 2012 and 2015, with data from patients of Programa Einstein na Comunidade de Paraisópolis. To evaluate possible factors associated with patient's sex and diagnoses of tuberculosis and latent tuberculosis infection, χ2 or Fisher's exact tests were used for qualitative variables, and Mann-Whitney test for quantitative or ordinal qualitative variables. Results: A total of 77 patients were evaluated. Age ranged from 6 months to 13.4 years, with a majority of males (54.5%), aged zero to 4 years (54.5%), diagnosed with latent tuberculosis infection (64.9%), and classified as eutrophic (71.2%). The tuberculin test was positive in 92% and in most cases the values were above 10mm (68.0%). Approximately three-quarters of chest X-ray tests were normal (72.7%). After chest X-ray, computed tomography of thorax was the most ordered exam (29.9%), followed by smear and culture for Mycobacterium tuberculosis in the gastric aspirate (28.6%). The frequencies of altered chest X-ray (70.4% versus 4.0%), computed tomography of thorax requests (55.6% versus 16.0%) and other tests requested (81.5% versus 38.0%) were significantly higher in patients with a diagnosis of tuberculosis, relative to those with latent tuberculosis infection, respectively. Conclusion: In our sample, proportions of altered chest X-ray, and performing computed tomography of thorax and other tests in patients diagnosed with tuberculosis were higher than in those with latent tuberculosis infection.


2014 ◽  
Vol 2 (3) ◽  
pp. 368
Author(s):  
Rizka ‘Afifatussalamah ◽  
Muhammad Atoillah Isfandiari

ABSTRACTChildren are the ones who are at risk of contracting tuberculosis (TB), but so far it has not been a priority. The proportion of tuberculosis in children case detection remains low among all tuberculosis cases. Bojonegoro is one among regencies in East Java which was appointed as the operational trial tuberculin test. The case detection begins with screening of tuberculosis suspects. Screening of tuberculosis suspected children by health centers officer will determine how much the cases of tuberculosis in children are found in health centers. Health officers at the health centers became the most dominant factor in screening of tuberculosis suspected children. Training about tuberculosis in children was done in 16 health centers among 36 health centers in Bojonegoro. This study aimed to analyze the effect of training to the screening of tuberculosis suspected children by health center officers in Bojonegoro. This study is observational analytic with cross-sectional design. The sampling technique is simple random sampling with respondents consisting of 29 doctors and 29 nurses who are responsible for tuberculosis programs in 29 health centers in Bojonegoro. The variables studied were the training and screening of tuberculosis suspected children. The results showed that screening of tuberculosis suspected children was inappropriate from the target (75.9%) and officers who have not attended the training of tuberculosis in children were 58.6%. Logistic regression test showed that there was effect of training to the screening of tuberculosis suspected children (p = 0.019) and prevalence ratio showed that health officers who was attended the training of tuberculosis in children were able to do the screening of tuberculosis suspected children well 8,50 times greater than those who didn’t. The training for the officers who have not attended the training of tuberculosis in children needs to be done, so that screening of tuberculosis suspected children in Bojonegoro can be optimally implemented.Keywords: screening, suspected, training, tuberculosis, tuberculosis in children


2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
I Gusti Ngurah Edi Putra ◽  
Putu Ayu Swandewi Astuti ◽  
I Ketut Suarjana ◽  
Ketut Hari Mulyawan ◽  
I Made Kerta Duana ◽  
...  

Diabetes mellitus (DM) increases the risk of developing pulmonary tuberculosis (TB) disease. Therefore, pulmonary TB screening among DM patients is essential. This study aimed to identify factors associated with participation of DM type II patients in pulmonary TB screening using chest X-ray. This was a cross-sectional analytic study and was part of TB-DM screening study in Denpasar, Bali, Indonesia. The sample consisted of 365 DM type II patients selected by quota sampling among DM type II patients joining the screening program from January until March 2016 in 11 public health centres in Denpasar. Data were collected via structured interviews. The contributing factors were determined by modified Poisson regression test for cross-sectional data. From the findings, less than half (45.48%) of DM type II patients participated in chest X-ray examination for TB. Factors associated with participation in pulmonary TB screening were having a higher educational level [APR = 1.34, 95% CI (1.07–1.67)], having family member who developed pulmonary TB disease [APR = 1.47, 95% CI (1.12–1.93)], the travel time to referral hospital for screening being ≤ 15 minutes [APR = 1.6, 95% CI (1.26–2.03)], having health insurance [APR = 2.69, 95% CI (1.10–6.56)], and receiving good support from health provider [APR = 1.35, 95% CI (1.06–1.70)]. Therefore, training for health provider on providing counselling, involvement of family members in screening process, and improving the health insurance coverage and referral system are worth considering.


2019 ◽  
Vol 39 (4) ◽  
pp. 266-271
Author(s):  
Mukhtar Ikhsan

Background: One of the most common occupational diseases found in workplace is pneumoconiosis. The most disease is silicosis, which is lung disease caused by inhalation of dust containing free crystalline silica which afflicts tens of millions of workers in hazardous work and kill thousands of people worldwide. This study aimed to determine proportion and radiologic appearance of pneumoconiosis in workers exposed to dust in various industrial and mining processes. Method: This research used cross-sectional desaign, was conducted 2017 until September 2019 for various industrial and mining workers exposed to dust. Chest X-ray with digital radiography was read in International Classification of Pneumoconiosis Radiography from ILO version 2011, by a lung specialist who certified by The International Labor Organization (ILO) and The Asian Intensive Reader of Pneumoconiosis Project (AIR Pneumo). Results: ILO chest X-ray readings were carried out on 810 chest photos. Various radiological features of pneumoconiosis were obtained in 132 chest X-rays (16.2%), mostly abnormalities in parenchyma 87.1%. Parenchymal abnormalities are mostly of small round (p/p) with a profusion of 0/1 (89.6%). The most zones were lower right (58.1%). Pleural disorders (2%) mostly of costophrenic sinus obliteration 64.8%. Other disorders were 61/810 (7.24%), mostly of diaphragm abnormalities 15/61 (27.9%). Relevant appearance with pulmonary tuberculosis (infiltrates) was 8/810 (0.9%). Conclusion: The proportion of pneumoconiosis was 16.2%, mostly of parenchymal abnormalities (87.1%). Parenchymal abnormalities that occured still in the early phase, most zones were lower right (58.1%), pleural disorders 2%, other abnormalities were 7.24% and those that relevant to pulmonary tuberculosis 0.9%. (J Respir Indo. 2019; 39(4): 266-71)


2014 ◽  
Vol 2 (3) ◽  
pp. 368
Author(s):  
Rizka ‘Afifatussalamah ◽  
Muhammad Atoillah Isfandiari

ABSTRACTChildren are the ones who are at risk of contracting tuberculosis (TB), but so far it has not been a priority. The proportion of tuberculosis in children case detection remains low among all tuberculosis cases. Bojonegoro is one among regencies in East Java which was appointed as the operational trial tuberculin test. The case detection begins with screening of tuberculosis suspects. Screening of tuberculosis suspected children by health centers officer will determine how much the cases of tuberculosis in children are found in health centers. Health officers at the health centers became the most dominant factor in screening of tuberculosis suspected children. Training about tuberculosis in children was done in 16 health centers among 36 health centers in Bojonegoro. This study aimed to analyze the effect of training to the screening of tuberculosis suspected children by health center officers in Bojonegoro. This study is observational analytic with cross-sectional design. The sampling technique is simple random sampling with respondents consisting of 29 doctors and 29 nurses who are responsible for tuberculosis programs in 29 health centers in Bojonegoro. The variables studied were the training and screening of tuberculosis suspected children. The results showed that screening of tuberculosis suspected children was inappropriate from the target (75.9%) and officers who have not attended the training of tuberculosis in children were 58.6%. Logistic regression test showed that there was effect of training to the screening of tuberculosis suspected children (p = 0.019) and prevalence ratio showed that health officers who was attended the training of tuberculosis in children were able to do the screening of tuberculosis suspected children well 8,50 times greater than those who didn’t. The training for the officers who have not attended the training of tuberculosis in children needs to be done, so that screening of tuberculosis suspected children in Bojonegoro can be optimally implemented.Keywords: screening, suspected, training, tuberculosis, tuberculosis in children


2021 ◽  
Vol 8 (16) ◽  
pp. 1025-1029
Author(s):  
Lavanya Devi Palaniswamy ◽  
Moogaambiga Solai Raja Pandiyan ◽  
Punitha Murugesan

BACKGROUND Tuberculosis is often more difficult to diagnose and more complicated to treat among people who are human immunodeficiency virus (HIV) positive. This study was conducted to assess the clinical, microbiological, laboratory and radiological spectrum of tuberculosis (TB) in HIV seropositive patients, and explore its possible correlation with their CD4 count. METHODS A total of 104 patients who were western blot positive for HIV and co-infected with tuberculosis were studied in Salem district of Tamil Nadu. A detailed history was obtained and patients were examined clinically. CD4 count, sputum smear for acid fast bacilli (AFB), chest x-ray, and tuberculin test, were done along with other relevant investigations. The relationship between CD4 count, and the type of tuberculosis, sputum smear, chest x-ray, and tuberculin test, were analysed statistically, and P < 0.05 was considered significant. RESULTS Most of the patients were between 30 to 39 years. Males (84.6 %) outnumbered females (15.4 %). Pulmonary tuberculosis alone was seen in 47 patients, while extra pulmonary tuberculosis in 36 cases, and both pulmonary and extra pulmonary occurred in 21 cases. They had a mean CD4 count of 237.7 cells / μL, 135.2 cells / μL and 120.9 cells / μL respectively. Extrapulmonary tuberculosis and combined forms were associated with lower CD4 counts (P-value 0.005). The mean CD4 count of sputum positive, sputum negative, and multiple drug resistant (MDR) tuberculosis were 294.2, 168.3 and 90.2 cells / μL respectively. Lower CD4 count was associated with sputum - ve TB (P < 0.041). Lower CD4 counts were associated with atypical chest X-ray findings (P < 0.006) and negative tuberculin test (P < 0.001). CONCLUSIONS Sputum smear positivity for AFB decreases as CD4 count reduces. Involvement of lungs tend to be atypical in immunocompromised patients. The diagnosis of TB in HIV positive individuals is complex and a high index of suspicion is needed. KEYWORDS HIV, Tuberculosis, CD4 Cell Count, Sputum Smear for AFB, Chest X-Ray


2021 ◽  
Vol 15 (1-2) ◽  
Author(s):  
Ayling Sanjaya

ABSTRACT This study aimed to find the characteristics of tuberculosis (TB) in children among the Madurese ethnicity in Indonesia. A descriptive study with a cross-sectional approach was used. The study used Indonesian TB scoring on 23 Madurese children consisting of 16 children with active TB and 7 healthy control children. Data was analysed with SPSS software and Pearson’s test. The findings showed that children who contacted adults with TB active associated with the incident of active TB (OR=64 (3.83-2623.17)). A positive result of the tuberculin test was experienced in active TB participants (OR=136 (5.58-20266.2)). While weight or nutritional status has a good category (OR=0.31 (0.03-3.07) and children with TB active indicated the symptom of cough more than 3 weeks (OR=7 (0.60-185.21)). Those who had swollen lymph nodes were in an active TB group (OR=128 (5.22-19130.8)), as well as had a chest X-ray suggestive of TB (OR= 0.02 (0-0.26)).


2011 ◽  
Vol 41 (1) ◽  
pp. 30
Author(s):  
Ahmad Dian Wahyudiono ◽  
Endang Retnoningsih ◽  
Pudji Rahaju

Background: Allergic rhinitis is a global health problem that could impair the patient’s quality of life. Recent studies had showed the role of leptin, a hormone that produced by adipose tissue, on sensitization process which can increase the serum level of B cells and IgE. Purpose: To define the relationship between serum leptin level with the degree of allergic rhinitis based on ARIA and VAS.Methods: This study involved 38 subjects with cross sectional design. Statistical analysis included t-test, logistic regression and Kruskal-Wallis. Results: This study showed serum leptin level has correlation with the degree of allergic rhinitis based on ARIA (p<0.05), specifically on the intensity of allergic rhinitis (p<0.05), but not with the degree of allergic rhinitis based on VAS. Conclusion: Serum leptin level has a role on the degree of allergic rhinitis specifically on the intensity but not on the severity of allergic rhinitis symptoms. Controlling the serum leptin level can be considered as health promotion for patient with allergic rhinitis. Further research focusing on controlling serum leptin level for allergic rhinitis symptoms is recommended. Keywords: allergic rhinitis, serum leptin level, degree of allergic rhinitis   Abstrak :  Latar belakang: Rinitis alergi merupakan masalah kesehatan global dan dapat mengganggu kualitas hidup penderitanya. Beberapa penelitian telah menunjukkan peran leptin, hormon yang diproduksi oleh jaringan lemak, pada proses sensitisasi yang ditandai dengan kemampuan leptin meningkatkan sel B dan IgE. Tujuan: Penelitian ini bertujuan mengetahui hubungan kadar leptin serum dengan derajat rinitis alergi. Metode: Penelitian ini melibatkan 38 subjek dengan desain potong lintang untuk mengetahui hubungan kadar leptin serum dengan derajat rinitis alergi pada penderita rinitis alergi. Analisis statistik yang digunakan adalah uji t, uji regresi dan Kruskal-Wallis.Hasil: Penelitian ini menunjukkan bahwa kadar leptin serum berhubungan dengan derajat rinitis alergi berdasarkan ARIA (p<0,05) khususnya dengan intensitas keluhannya (p<0,05), namun tidak berhubungan dengan derajat rinitis berdasarkan VAS. Kesimpulan: Kadar leptin serum berhubungan dengan derajat rinitis alergi terutama pada intensitas keluhan dan bukan pada beratnya keluhan. Pengendalian kadar leptin serum dapat dipertimbangkan sebagai upaya memperbaiki kesehatan penderita rinitis alergi. Penelitian lebih lanjut yang menekankan pada pengendalian kadar serum leptin disarankan untuk mengendalikan keluhan rinitis alergi. Kata kunci: rinitis alergi, kadar leptin serum, derajat rinitis alergi


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Elshadday V. Tendean ◽  
Vonny N. Tubagus ◽  
Elvie Loho

Abstract: Emphysema is an uplift condition of air space in lung. This disease is needed to be concerned particularly among patients with smoking history. Emphysematous lung diagnosis can be found in chest x-ray imaging. This study aimed to obtain emphysematous lung in chest x-ray imaging. This was a descriptive retrospective study with a cross sectional design. Population was all medical record data of chest x-ray at Prof. Dr. R. D. Kandou Hospital Manado. Samples were medical records of emphysematous lungs according to radiological diagnosis. The results showed that there were 28 patients with radiological diagnosis as emphysematous lung. The most common characteristic feature was hyperaeration. There were also normal and abnormal heart imaging, and flattened diaphragm. Males were more often suffering from emphysematous lung than females, and age over 60 were more susceptible to suffer this emphysematous lung. Keywords: emphysematous, radiology, chest x-ray. Abstrak: Emfisema merupakan kondisi peningkatan ruang udara di dalam paru. Penyakit ini perlu diperhatikan khususnya pada pasien emfisema dengan riwayat merokok. Diagnosis paru emfisematous lung dapat diketahui melalui salah satu pemeriksaan penunjang radiologi yaitu foto toraks. Penelitian ini bertujuan untuk mendapatkan gambaran paru emfisematous pada pemeriksaan foto toraks. Penelitian ini menggunakan metode deskriptif retrospektif dengan rancangan potong lintang. Populasi yaitu semua data rekam medis pemeriksaan foto toraks di bagian Radiologi RSUP Prof. Dr. R. D. Kandou Manado. Sampel yaitu rekam medik yang sudah didiagnosis radiologik paru emfisematous. Hasil penelitian memperlihatkan dari semua pasien yang melakukan pemeriksaan foto toraks dan telah didiagnosis radiologik paru emfisematous berjumlah 28 penderita. Temuan yang paling khas pada gambaran foto toraks paru emfisematous yaitu hiperaerasi; juga terdapat gambaran jantung normal maupun abnormal serta diafragma mendatar. Laki-laki lebih sering terkena paru emfisematous dari pada perempuan dan usia ≥60 tahun lebih rentan terkena paru emfisematous.Kata kunci: emfisematous, radiologi, foto toraks.


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