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Abstract
Background: Tuberculosis (TB) is an infection that caused by Mycobacterium tuberculosis (MTB) and the droplets can be transmitted by the air. Mycobacterium tuberculosis mainly infected the lungs, but also and infected other organs like, glands, bones, and nervous system. World Health Organization reported that there are 10 million TB cases in 2017 and 1,3 million death caused by this disease. Based on the data from Health’s Profile in Bengkulu city in 2015 there are 18.982 lung tuberculosis suspects. GeneXpert is a brand new innovation to diagnose TB based on molecular examination that uses Real Time Polymerase Chain Reaction (RT-PCR) which targeting the gene rpoB hotspot in MTB integrated and automatically processing the sample’s Deoxyribo Nucleic Acid (DNA) in disposable catridge.
Method: This is an analytic description research. This research took secondary data (medical record) from the result of sputum examination by GenExpert tools from the lung tuberculosis patients at Bhayangkara Polda Bengkulu Hospital in January-December 2018 to acknowledge the result of MTB’s examination.
Results: From this research, there were 150 male patients (70,1%) and 64 female patients (29,9%). The most patients in this research was from the age range 45-65 years old which is 102 patients (47,7%). The proportion of MTB rifampicin sensitive is 22 patients (10,3%). The proportion of MTB rifampicin resistance is 1 patient (0,05%). And the proportion of MTB not-detected is 191 patients (89,2%).
Conclusion: Profile of the result of Genexpert examination in lung tuberculosis patients at Bhayangkara Polda Bengkulu Hospital is sensitive to rifampicin
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References
- WHO, 2018. Global Tuberculosis Report. Geneva : World Health Organization p:1
- DINKES Provinsi Bengkulu. 2015. Profil Kesehatan Provinsi Bengkulu. Indonesia: Seksi Penelitian dan Informasi Kesehatan.
- WHO, 2016. MDR TB Indonesia Update. Geneva : World Health Organization pp: 6-214
- Munawaroh, A.L., Hidayati, D.Y.N., Utami, Y.W., 2015. Studi komparasi media kultur Coco Blood Malachite (CBM) green dengan Lowenstein Jensen (LJ) untuk diagnosis cepat, spesifik, dan sensitif pada sputum pasien suspek. JurnalKesehatan FK Universitas Brawijaya 2(2) pp: 1-13
- Kurniawati, A., Risdiyani, E., Nilawati, S., Prawoto, Rosana, Y., Alisyahbana, B., et al., 2005. Perbandingan Tan Thiam Hok, Ziehl Neelsen dan Fluorokrom Sebagai Metode Pewarnaan Basil Tahan Asam Untuk Pemeriksaan Mikroskopik Sputum. Makara, Kesehatan 9(1) pp:29-33.
- Blakemore., Story., Helb., Kop., Banada., Owens., et al., 2010. Evaluation of The Analytical Performance of The Xpert MTB/RIF Assay. Journal of Clinical Microbiology 48(7) pp:2495-2501.
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- Simbolon. 2007. Faktor Risiko Tuberkulosis Paru Kabupaten Lebong. Jurnal Kesehatan Masyarakat Nasional 1(1) pp: 122-129
- KEMENKES RI. 2017. Penanggulangan Tuberkulosis Terpadu. Jakarta : Kementerian Kesehatan Republik Indonesia
- Budiyanto. 2003. Faktor-Faktor yang berhubungan dengan KejadianTuberkulosis Paru BTA Positif di Kota Jakarta Timur Tahun 2003. Tesis. Depok : FKM UI
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- Supriyono. 2003. Lingkungan Fisik Rumah Sebagai Faktor Risiko Terjadinya Penyakit TB Paru BTA Positif di Kecamatan Ciampea Kabupaten Bogor Tahun 2002. Tesis. Depok : FKM UI
- Crofton. 2002. Tuberkulosis Klinis Edisi 2. Jakarta : Widya Medika
- Susanti. 2015. Uji Diagnostik GeneXpert MTB/RIF di Rumah Sakit Umum Pusat Haji Adam Malik Medan. Jurnal Biosains 1(1) pp : 19-28
- WHO, 2010. Multidrug and extensively drug-resistant TB (M/XDR-TB). Global report on surveillance and response. WHO: Geneva
- KEMENKES RI. 2010. Laporan Survey Resistensi Obat Jawa Tengah. Jakarta : Kementerian Kesehatan Republik Indonesia
- KEMENKES RI. 2011. Programmatic Management of Drug Resistance Tuberculosis Pengendalian Tuberkulosis 2011-2014. Jakarta : Kementerian Kesehatan Republik Indonesia
- Adiatama. 2013. Tuberkulosis Diagnosis, Terapi dan Masalahnya. Jakarta : Lab Mikrobiologi RSUP Persahabatan pp : 2-3
- Icksan. 2008. Radiologi Thorax Tuberculosis Paru. 1st edition. Jakarta : Sagung Seto. Pp : 2-3, 7,
References
WHO, 2018. Global Tuberculosis Report. Geneva : World Health Organization p:1
DINKES Provinsi Bengkulu. 2015. Profil Kesehatan Provinsi Bengkulu. Indonesia: Seksi Penelitian dan Informasi Kesehatan.
WHO, 2016. MDR TB Indonesia Update. Geneva : World Health Organization pp: 6-214
Munawaroh, A.L., Hidayati, D.Y.N., Utami, Y.W., 2015. Studi komparasi media kultur Coco Blood Malachite (CBM) green dengan Lowenstein Jensen (LJ) untuk diagnosis cepat, spesifik, dan sensitif pada sputum pasien suspek. JurnalKesehatan FK Universitas Brawijaya 2(2) pp: 1-13
Kurniawati, A., Risdiyani, E., Nilawati, S., Prawoto, Rosana, Y., Alisyahbana, B., et al., 2005. Perbandingan Tan Thiam Hok, Ziehl Neelsen dan Fluorokrom Sebagai Metode Pewarnaan Basil Tahan Asam Untuk Pemeriksaan Mikroskopik Sputum. Makara, Kesehatan 9(1) pp:29-33.
Blakemore., Story., Helb., Kop., Banada., Owens., et al., 2010. Evaluation of The Analytical Performance of The Xpert MTB/RIF Assay. Journal of Clinical Microbiology 48(7) pp:2495-2501.
Mahpudin. 2006. Hubungan Faktor Lingkungan Fisik Rumah, Sosial Ekonomi dan Respon Biologis terhadap Kejadian Tuberkulosis Paru BTA Positif pada Penduduk Dewasa di Indonesia. Tesis. Depok : FKM UI
Ananda. 2010. Faktor-Faktor yang Berhubungan dengan Kejadian TB Paru di Indonesia. Tesis. Depok : FKM UI
Simbolon. 2007. Faktor Risiko Tuberkulosis Paru Kabupaten Lebong. Jurnal Kesehatan Masyarakat Nasional 1(1) pp: 122-129
KEMENKES RI. 2017. Penanggulangan Tuberkulosis Terpadu. Jakarta : Kementerian Kesehatan Republik Indonesia
Budiyanto. 2003. Faktor-Faktor yang berhubungan dengan KejadianTuberkulosis Paru BTA Positif di Kota Jakarta Timur Tahun 2003. Tesis. Depok : FKM UI
Mahpudin. 2006. Hubungan Faktor Lingkungan Fisik Rumah, Sosial Ekonomi dan Respon Biologis terhadap Kejadian Tuberkulosis Paru BTA Positif pada Penduduk Dewasa di Indonesia. Tesis. Depok : FKM UI
Supriyono. 2003. Lingkungan Fisik Rumah Sebagai Faktor Risiko Terjadinya Penyakit TB Paru BTA Positif di Kecamatan Ciampea Kabupaten Bogor Tahun 2002. Tesis. Depok : FKM UI
Crofton. 2002. Tuberkulosis Klinis Edisi 2. Jakarta : Widya Medika
Susanti. 2015. Uji Diagnostik GeneXpert MTB/RIF di Rumah Sakit Umum Pusat Haji Adam Malik Medan. Jurnal Biosains 1(1) pp : 19-28
WHO, 2010. Multidrug and extensively drug-resistant TB (M/XDR-TB). Global report on surveillance and response. WHO: Geneva
KEMENKES RI. 2010. Laporan Survey Resistensi Obat Jawa Tengah. Jakarta : Kementerian Kesehatan Republik Indonesia
KEMENKES RI. 2011. Programmatic Management of Drug Resistance Tuberculosis Pengendalian Tuberkulosis 2011-2014. Jakarta : Kementerian Kesehatan Republik Indonesia
Adiatama. 2013. Tuberkulosis Diagnosis, Terapi dan Masalahnya. Jakarta : Lab Mikrobiologi RSUP Persahabatan pp : 2-3
Icksan. 2008. Radiologi Thorax Tuberculosis Paru. 1st edition. Jakarta : Sagung Seto. Pp : 2-3, 7,