Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]

Background: Complicated drug-resistant Tuberculosis (TB) management becomes a distinctive challenge for health care provider in rural area. Case: We reported 6 drug-resistant TB cases that were found in Sikka Regency, East Nusa Tenggara, based on rapid molecular test. Each case had unique problem wh...

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Main Authors: Ivan Banjuradja, Asep Purnama
Format: Article
Language:English
Published: Universitas Airlangga 2017-01-01
Series:Jurnal Respirasi
Subjects:
Online Access:https://e-journal.unair.ac.id/JR/article/view/12529
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author Ivan Banjuradja
Asep Purnama
author_facet Ivan Banjuradja
Asep Purnama
author_sort Ivan Banjuradja
collection DOAJ
description Background: Complicated drug-resistant Tuberculosis (TB) management becomes a distinctive challenge for health care provider in rural area. Case: We reported 6 drug-resistant TB cases that were found in Sikka Regency, East Nusa Tenggara, based on rapid molecular test. Each case had unique problem which needs specific management, such as difference between the conventional and rapid drug susceptibility test, appearance of second line injection drug resistant (Pre-XDR TB), Human Immunodeficiency Virus (HIV) co-infection, emergence of serious acute psychosis side effect, and the drop out management. Discussion: We will discuss the management of each individual’s problem that arises during the antitubercular treatment monitoring and the requiring regimen modification under the national guideline. Conclusion: Drug-resistant TB management is a very complex matter. However, with sustainable effort, commitment, and collaboration between referral center and health care provider in rural area, guidelin be appropriate management could be achieved. Despite its possibility, prevention of resistant TB should have been done as early as possible, one of them is completion of regular TB treatment.
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spelling doaj.art-fda1376de69c48d68398c86f88dbf49d2022-12-22T02:38:55ZengUniversitas AirlanggaJurnal Respirasi2407-08312621-83722017-01-01311217https://doi.org/10.20473/jr.v3-I.1.2017.12-17Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]Ivan Banjuradja0https://orcid.org/0000-0001-7095-9282Asep Purnama1https://orcid.org/0000-0001-6831-8590TC Hillers General Hospital, Maumere, Indonesia.Department of Internal Medicine, TC Hillers General Hospital, Maumere, Indonesia.Background: Complicated drug-resistant Tuberculosis (TB) management becomes a distinctive challenge for health care provider in rural area. Case: We reported 6 drug-resistant TB cases that were found in Sikka Regency, East Nusa Tenggara, based on rapid molecular test. Each case had unique problem which needs specific management, such as difference between the conventional and rapid drug susceptibility test, appearance of second line injection drug resistant (Pre-XDR TB), Human Immunodeficiency Virus (HIV) co-infection, emergence of serious acute psychosis side effect, and the drop out management. Discussion: We will discuss the management of each individual’s problem that arises during the antitubercular treatment monitoring and the requiring regimen modification under the national guideline. Conclusion: Drug-resistant TB management is a very complex matter. However, with sustainable effort, commitment, and collaboration between referral center and health care provider in rural area, guidelin be appropriate management could be achieved. Despite its possibility, prevention of resistant TB should have been done as early as possible, one of them is completion of regular TB treatment.https://e-journal.unair.ac.id/JR/article/view/12529drug resistant tuberculosisrural arearegimen modification
spellingShingle Ivan Banjuradja
Asep Purnama
Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
Jurnal Respirasi
drug resistant tuberculosis
rural area
regimen modification
title Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
title_full Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
title_fullStr Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
title_full_unstemmed Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
title_short Penanganan Tuberkulosis Resistan Obat pada Daerah Terpencil: Mission Impossible? [Management of Drug-Resistant Tuberculosis in Isolated Area: Mission Impossible?]
title_sort penanganan tuberkulosis resistan obat pada daerah terpencil mission impossible management of drug resistant tuberculosis in isolated area mission impossible
topic drug resistant tuberculosis
rural area
regimen modification
url https://e-journal.unair.ac.id/JR/article/view/12529
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AT aseppurnama penanganantuberkulosisresistanobatpadadaerahterpencilmissionimpossiblemanagementofdrugresistanttuberculosisinisolatedareamissionimpossible