Risk Factors for Recurrences of Pulmonary TB among Patients in Denpasar: A Case-Control Study
DOI:
https://doi.org/10.53638/phpma.2016.v4.i1.p04Keywords:
a case-control, risk factors recurrences, tuberculosis, DenpasarAbstract
Background and purpose: The incidence of recurrence in patients with pulmonary tuberculosis (TB) in Denpasar in 2014 was relatively high, around 3.5% of 1082 patients. This study aims to determine the risk factors for recurrence of pulmonary TB patients in Denpasar.
Methods: The study design was a case control with 46 patients with pulmonary TB recurrence aged over 15 years as cases, and 92 patients who had recovered as control. Respondents were selected using systematic random sampling from the TB register from 2013 to 2015 in public health centers in Denpasar. Data were collected by a search of documents, observations, measurements and interviews conducted using questionnaires. Bivariate and multivariate analysis were conducted using chi square test and logistic regression respectively.
Results: Risk factors that associated with recurrence of pulmonary TB were co-morbidity of diabetes mellitus (AOR=9.6; 95%CI: 2.17-43.08), adherence (AOR=7.6; 95%CI: 2.85-20.17), exposure to cigarette smoke during treatment (AOR=3.6; 95%CI: 1.41-9.16), home ventilation <10% (AOR=3.4; 95%CI: 1.27-9.47), house contact with pulmonary TB patients (AOR=3.1; 95%CI: 1.31-7.46) and malnutrition (AOR=2.8; 95%CI: 1.02-7.72).
Conclusion: Risk factors for recurrence of pulmonary TB among patients were co-morbidity of diabetes mellitus adherence, cigarette smoke exposure during the treatment period, home ventilation <10%, house contact with pulmonary TB patients and malnutrition.
References
WHO. 2015. Global Tuberculosis Report 2015. Retrieved Agustus 22, 2015.
Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan RI; 2013.
Dinkes Provinsi Bali. Profil Kesehatan Provinsi Bali Tahun 2012. Denpasar: Dinkes Prov Bali; 2013.
Dinkes Kota Denpasar. 2014. Laporan Kesehatan Kota Denpasar Tahun 2014. Denpasar
Departemen Kesehatan RI. Pedoman Nasional Penanggulangan Tuberkulosis, cetakan kedua, 2008. Jakarta: Depkes RI; 2008.
Thomas A, Gopi PG, Santha T, Chandrasekaran V, Subramani R, Selvakumar N, et al. 2005. Predictors of relapse among pulmonary tuberculosis patients treated in a DOTS programme in South India. The International Journal of Tuberculosis and Lung Disease. 2005: 9(5):556-561.
Daryatno, Triman. Faktor-Faktor yang Mempengaruhi Kekambuhan Tuberkulosis Paru Strategi DOTS di Puskesmas dan BP4 di Surakarta dan Wilayah Sekitarnya. Tesis. Universitas Diponegoro Semarang. Retrieved Mei 28; 2015.
Ruslantri, Sianturi. Analisis faktor yang berhubungan dengan kekambuhan TB paru Studi Kasus di BKPM Semarang Tahun 2013. Fakultas Ilmu Keolahragaan Universitas Negeri Semarang; 2013.
Nurwanti. Hubungan Antara Faktor Penjamu {Host) dan Faktor Lingkungan (Environment) dengan kejadian tuberkulosis paru kambuh (relaps) di puskesmas se-kota semarang tahun 2013.Retrieved Mei 28, 2015.
Rohmad. Faktor Risiko Terjadinya Relapse Pada penderita Tuberkulosis Paru di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta. Retrieved juli 23, 2015.
Akpabio US, De Villiers PJ. A description of patients with recurrence of Pulmonary Tuberculosis in a Tuberculosis Hospital, Ermelo. African J Prim Heal Care Fam Med [Internet]. 2011 Feb 22 [cited 2015 Aug 22];3(1):1–8.
Joanna d’Arc Lyra Batista, Maria de Fatima Pessoa Militao de Albuquerque, Ricardo Arraes de Alencar Ximenes and Laura Cunha Rodrigues. 2008. Smoking increases the risk of relapse after successful tuberculosis treatment. Retrieved Mei 28, 2015.
Khurram, M and Ibrahim, M. 2009. Factor Affecting Relapse of Tuberculosis. Retrieved Juni 12, 2015.
Franke MF, Appleton SC, Mitnick CD, Furin JJ, Bayona J, Chalco K, Shin S, Murray M, Becerra MC.. 2002. Aggressive Regimens for Multidrug-Resistant Tuberculosis Reduce Recurrence. Retrieved Mei 28, 2015.
Dooley KE, Lahlou O, Ghali I, Knudsen J, Elmessaoudi MD, Cherkaoui I, et al. 2011. Risk factors for tuberculosis treatment failure, default, or relapse and outcomes of retreatment in Morocco. Retrieved Mei 28, 2015.
Jasmer RM, Bozeman L, Schwartzman K, Cave MD, Saukkonen JJ, Metchock B, Khan A, Burman WJ. 2004. Reccurent Tuberculosis in The United States and Canada. Retrieved July 23, 2015.
Igo, Y.Y., Wijaya, I.P.A., Wulandari, N.P.D. 2012. The Relation of Patient’s Discipline Attitude Who Suffered Pulmonary Tuberculosis While Consuming Anti Tuberculosis Medicine Towards Out Patient’s Relapse In Work Area of Puskesmas II Denpasar Barat. Retrieved Mei 28, 2015.
Widoyono. Penyakit Tropis Epidemiologi, Penularan, Pencegahan dan Pemberantasannya. Jakarta: Erlangga; 2005.
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