Gambaran Faktor Risiko dan Komorbiditas pada Pasien TB Paru di Puskesmas Sukatani Periode 2020-2023
DOI:
https://doi.org/10.28932/jmh.v6i2.8232Abstract
Tuberkulosis (TB) masih menjadi salah satu masalah kesehatan yang ada di dunia, terutama di Indonesia. Insidensi TB di Indonesia pada tahun 2021 adalah 354 per 100.000 penduduk dengan perkiraan angka kematian 52 per 100.000 penduduk. Indonesia masih menjadi peringkat ke-2 penderita TB terbanyak di dunia setelah India. Penelitian ini bertujuan untuk mempelajari gambaran faktor risiko dan komorbiditas pada pasien TB di Puskesmas Sukatani tahun 2020-2023 berdasarkan jenis kelamin, merokok, TB-Diabetes Melitus (DM), dan TB-HIV. Desain penelitian ini berupa observasional deskriptif dengan menggunakan data retrospektif dari rekam medis pasien TB yang terdiagnosis klinis dan bakteriologis di Puskesmas Sukatani Kabupaten Purwakarta periode 2020-2023 dengan metode whole sampling. Distribusi tertinggi jenis kelamin adalah kelompok laki-laki sebesar 56,01%. Distribusi tertinggi dengan faktor risiko merokok adalah pasien tidak merokok sebesar 63,39%. Distribusi tertinggi berdasarkan dengan komorbiditas terhadap DM adalah pasien tidak disertai DM sebesar 98,28%. Distribusi tertinggi berdasarkan dengan komorbiditas terhadap HIV adalah pasien tidak disertai HIV sebesar 99,75%. Simpulan, jumlah total pasien TB Paru yang terdiagnosis di Puskesmas Sukatani Kabupaten Purwakarta periode 2020-2023 adalah 407 orang, dengan distribusi tertinggi pasien adalah jenis kelamin laki-laki, tidak merokok dan tidak disertai DM. TB-HIV hanya didapatkan 1 dari 407 pada penelitian ini.Downloads
References
Taghreed A, Baddeley A, Bastard M, den Boon S. Global Tuberculosis Report. World Health Organization. 2023. [Cited December 24, 2023]. Available from: https://www.who.int/publications/i/item/9789240083851
Silva DR, Muñoz-Torrico M, Duarte R, Galvão T, Bonini EH, Arbex FF,et al. Risk factors for tuberculosis
: diabetes, smoking, alcohol use, and the use of other drugs. J Bras Pneumol. 2018;44(2):145-152.
Muhadi, Telly K, Arifin N, Fathiyah I, Sardikin G, Achmad R et.al. Konsensus Pengelolaan TB dan Diabetes Melitus (TB-DM) di Indonesia. Kementrian Kesehatan RI. 2015. [Cited December 24, 2023]. Available from: https://pbperkeni.or.id/wp-content/uploads/2022/07/Konsensus-Nasional-TB-DM.pdf.
Marçôa R, Ribeiro AI, Zão I, Duarte R. Tuberculosis and gender - Factors influencing the risk of tuberculosis among men and women by age group. Pulmonology. 2018;24(3):199-202.
Tobacco. World Health Organization. 2023. [Cited December 24, 2023] Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco
Alavi-Naini R, Sharifi-Mood B, Metanat M. Association between tuberculosis and smoking. Int J High Risk Behav Addict. 2012;1(2):71-4.
Sulistyo, Utami ASF, Wicaksono AB. Program Penanggulangan TB. Kementrian Kesehatan Republik Indonesia. 2023. [Cited December 24, 2023]. Available from: https://tbindonesia.or.id/wp-content/uploads/2023/09/Laporan-Tahunan-Program-TBC-2022
Humayun M, Chirenda J, Ye W, Mukeredzi I, Mujuru HA, Yang Z. Effect of Gender on Clinical Presentation of Tuberculosis (TB) and Age-Specific Risk of TB, and TB-Human Immunodeficiency Virus Coinfection. Open Forum Infect Dis. 2022;9(10):ofac512.
Smith I. Mycobacterium tuberculosis pathogenesis and molecular determinants of virulence. Clin Microbiol Rev. 2003;16(3):463-96.
Peer V, Schwartz N, Green MS. Gender differences in tuberculosis incidence rates-A pooled analysis of data from seven high-income countries by age group and time period. Front Public Health. 2023;10(11):997025.
Mauvais-Jarvis F, Bairey Merz N, Barnes PJ, Brinton RD, Carrero JJ, DeMeo DL, De Vries GJ, Epperson CN, Govindan R, Klein SL, Lonardo A, Maki PM, McCullough LD, Regitz-Zagrosek V, Regensteiner JG, Rubin JB, Sandberg K, Suzuki A. Sex and gender: modifiers of health, disease, and medicine. Lancet. 2020;396(10250):565-82. doi: 10.1016/S0140-6736(20)31561-0. Erratum in: Lancet. 2020;396(10252):668.
Alavi-Naini R, Sharifi-Mood B. Metanat M. Association between tuberculosis and smoking. Int J High Risk Behav Addict. 2012;1(2):71-4.
Sahiratmadja E, Nagelkerke N. Smoking habit as a risk factor in tuberculosis: a case-control study. Univ Med. 2020; 30(3): 189-96.
Wang EY, Arrazola RA, Mathema B, Ahluwalia IB, Mase SR. The impact of smoking on tuberculosis treatment outcomes: a meta-analysis. Int J Tuberc Lung Dis. 2020;24(2):170-175.
Khan AH, Sulaiman SAS, Hassali MA, Khan KU, Ming LC, Mateen O, Ullah MO. Effect of smoking on treatment outcome among tuberculosis patients in Malaysia; a multicenter study. BMC Public Health. 2020;20(1):854.
Lin Y, Anthony DH, Ajay MV, Julia AC, Reinout VC, Philip O, Riitta AD, Anders D. Management of Diabetes Mellitus Tuberculosis. International Union Against Tuberculosis and Lung Disease. [Cited December 24, 2023] Available from: https://theunion.org/technical-publications/management-of-diabetes-mellitus-tuberculosis-a-guide-to-the-essential-practice
Bisht MK, Dahiya P, Ghosh S, Mukhopadhyay S. The cause-effect relation of tuberculosis on incidence of diabetes mellitus. Front Cell Infect Microbiol. 2023;13:1134036.
Eze TO, Nwadinigwe FC, Ameh GM. Treatment Outcome of Tuberculosis Cases and HIV Co-infected Patients. A Retrospective Study at a Federal Medical Centre of North Central Nigeria. Jurnal Epidemiologi Kesehatan Komunitas [Online]. 2023;8(1):6-13. https://doi.org/10.14710/jekk.v8i1.17221.
Adhikari N, Bhattarai RB, Basnet R, Joshi LR, Tinkari BS, Thapa A, Joshi B. Prevalence and associated risk factors for tuberculosis among people living with HIV in Nepal. PLoS One. 2022;17(1):e0262720.
Justiz Vaillant AA, Gulick PG. HIV and AIDS Syndrome. [Cited 2022 Sep 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan . Available from: https://www.ncbi.nlm.nih.gov/books/NBK534860/
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