FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011

Background: Incidence rate (IR) of positive acid-fast bacillus lung TB at District of Tapin in the past three years tendedd to increase, i.e. 79 per 100,000 people in 2008, 81 per 100,000 people in 2009 and 85 per 100,000 people in 2010. Case Detection Rate (CDR) in the past three years was low, i.e...

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Main Authors: , EKA BUDI SATRIA, , dr. Iswanto, Sp.P,FCCP
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2012
Subjects:
ETD
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author , EKA BUDI SATRIA
, dr. Iswanto, Sp.P,FCCP
author_facet , EKA BUDI SATRIA
, dr. Iswanto, Sp.P,FCCP
author_sort , EKA BUDI SATRIA
collection UGM
description Background: Incidence rate (IR) of positive acid-fast bacillus lung TB at District of Tapin in the past three years tendedd to increase, i.e. 79 per 100,000 people in 2008, 81 per 100,000 people in 2009 and 85 per 100,000 people in 2010. Case Detection Rate (CDR) in the past three years was low, i.e. 38% in 2008, 38% in 2009, and 40% in 2010. Objective: The objective of the study was to identify risk factors and spatial distribution of positive acid-fast bacillus lung TB at District of Tapin. Method: The study was observational with case control design. Subject of the study of the experiment (case) group were all patients of positive acid-fast bacillus lung TB as new cases of 50 years old or above and recorded at the TB registry of health centers, whereas the control group were the people having negative acidfast bacillus examination of 15 years of age or above of which the data were available at the TB registry of health centers. Samples of the study consisted of 210 people comprising 105 cases and 105 control. The selection of control was made through matching of age and gender. Data analysis used univariate, bivariate case control matching with McNemar test, and multivariate with conditional logistic regression at significance 95%. Results: The result of bivariate analysis showed that in house contact with TB patients (p=0.006, OR=3.80, 95%CL 1.52-9.49), body mass index (p=0.008, OR=2.50, 95%CL 1.31-4.77), width of house ventilation (p=0.014, OR=2.45, 95%CI 1.24-4.83) were statistically associated and risk factors of the incidence of positive acid-fast bacillus lung TB. The result of multivariate analysis showed that in house contact with TB patients (Sig=0.011, EXP(β)=3.267, 95%CI 1.31-8.14) was the most dominant risk for the incidence of positive acid-fast bacillus lung TB. Spatial distribution showed that there was cluster of cases of positive acidfast bacillus lung TB, in house contact with TB patients and timing of diagnostic decision (quarterly). Cases of positive acid-fast bacillus lung TB were generally found in densely populated area with dense housing condition and width of house ventilation that did not meet health requirement. Conclusion: In house contact with TB patients, body mass index, and width of house ventilation were statistically associated with the incidence of lung TB whereas the strongest risk factor of positive acid-fast bacillus lung TB was in house contact with TB patients. There was a cluster of cases of positive acid-fast bacillus lung TB, in house contact with TB patients, and the timing of diagnostic decision at District of Tapin.
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spelling oai:generic.eprints.org:1001962016-03-04T08:46:22Z https://repository.ugm.ac.id/100196/ FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011 , EKA BUDI SATRIA , dr. Iswanto, Sp.P,FCCP ETD Background: Incidence rate (IR) of positive acid-fast bacillus lung TB at District of Tapin in the past three years tendedd to increase, i.e. 79 per 100,000 people in 2008, 81 per 100,000 people in 2009 and 85 per 100,000 people in 2010. Case Detection Rate (CDR) in the past three years was low, i.e. 38% in 2008, 38% in 2009, and 40% in 2010. Objective: The objective of the study was to identify risk factors and spatial distribution of positive acid-fast bacillus lung TB at District of Tapin. Method: The study was observational with case control design. Subject of the study of the experiment (case) group were all patients of positive acid-fast bacillus lung TB as new cases of 50 years old or above and recorded at the TB registry of health centers, whereas the control group were the people having negative acidfast bacillus examination of 15 years of age or above of which the data were available at the TB registry of health centers. Samples of the study consisted of 210 people comprising 105 cases and 105 control. The selection of control was made through matching of age and gender. Data analysis used univariate, bivariate case control matching with McNemar test, and multivariate with conditional logistic regression at significance 95%. Results: The result of bivariate analysis showed that in house contact with TB patients (p=0.006, OR=3.80, 95%CL 1.52-9.49), body mass index (p=0.008, OR=2.50, 95%CL 1.31-4.77), width of house ventilation (p=0.014, OR=2.45, 95%CI 1.24-4.83) were statistically associated and risk factors of the incidence of positive acid-fast bacillus lung TB. The result of multivariate analysis showed that in house contact with TB patients (Sig=0.011, EXP(β)=3.267, 95%CI 1.31-8.14) was the most dominant risk for the incidence of positive acid-fast bacillus lung TB. Spatial distribution showed that there was cluster of cases of positive acidfast bacillus lung TB, in house contact with TB patients and timing of diagnostic decision (quarterly). Cases of positive acid-fast bacillus lung TB were generally found in densely populated area with dense housing condition and width of house ventilation that did not meet health requirement. Conclusion: In house contact with TB patients, body mass index, and width of house ventilation were statistically associated with the incidence of lung TB whereas the strongest risk factor of positive acid-fast bacillus lung TB was in house contact with TB patients. There was a cluster of cases of positive acid-fast bacillus lung TB, in house contact with TB patients, and the timing of diagnostic decision at District of Tapin. [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , EKA BUDI SATRIA and , dr. Iswanto, Sp.P,FCCP (2012) FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=56585
spellingShingle ETD
, EKA BUDI SATRIA
, dr. Iswanto, Sp.P,FCCP
FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title_full FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title_fullStr FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title_full_unstemmed FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title_short FAKTOR RISIKO DAN DISTRIBUSI SPASIAL TUBERKULOSIS PARU BASIL TAHAN ASAM (BTA) POSITIF DI KABUPATEN TAPIN PROPINSI KALIMANTAN SELATAN TAHUN 2011
title_sort faktor risiko dan distribusi spasial tuberkulosis paru basil tahan asam bta positif di kabupaten tapin propinsi kalimantan selatan tahun 2011
topic ETD
work_keys_str_mv AT ekabudisatria faktorrisikodandistribusispasialtuberkulosisparubasiltahanasambtapositifdikabupatentapinpropinsikalimantanselatantahun2011
AT driswantosppfccp faktorrisikodandistribusispasialtuberkulosisparubasiltahanasambtapositifdikabupatentapinpropinsikalimantanselatantahun2011