| Zusammenfassung: | Background: The effective management of patients with tuberculosis (TB) to
improve and increase cure rates and the use of medication with fixed-dose
combination are recommended for pulmonary TB. The use of artesunate
combination drugs as first-line treatment of falciparum malaria has been
recommended by WHO since 2005, but there are many officers who have not
used it. Status of the HIV epidemic in Papua is a general epidemic spread pattern
meaning that HIV prevalence in the general population exceeds 1%, including
pregnant women.
Objective: To audit the clinical management of pulmonary TB patients, HIV and
uncomplicated falciparum malaria in Biak.
Methods: The study was conducted to observe the management of new patients
of pulmonary TB, HIV and uncomplicated falciparum malaria prospectively to
audit the management of patients. Qualitative research was also conducted to
determine why the set standards were not implemented. Univariabel data analysis
used frequency distributions.
Results: Management of pulmonary TB patients had been implemented 100%, in
patients with HIV, counseling and prevention of cotrimoxazol had been
implemented but sputum smear examination, tuberculin skin testing, and
prevention of isoniazid and preventive antifungal had not been implemented.
Management of falciparum malaria using ACT was held only 27% and did not
carry out blood tests on day 28 to monitor the progress of treatment.
Conclusion: Management of new pulmonary TB patients has been standardized,
whereas patients with HIV have not implemented the new standard. The
management of falciparum malaria patients is only 24% using artemisin-based
treatment and it does not do a malaria blood re-examination on day 28.
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