Faktor risiko kegagalan pengobatan ulang pasien tuberkulosis di Yogyakarta

https://doi.org/10.22146/bkm.18137

Suharna Suharna(1*), Ning Rintiswati(2)

(1) Dinas Kesehatan Provinsi Daerah Istimewa Yogyakarta
(2) Pusat Kedokteran Tropis Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Risk factors of unsuccess retreatment among tuberculosis patients in Yogyakarta

Purpose

The purpose of this study was to identify risk factors related to unsuccessful retreatment of tuberculosis cases in Yogyakarta.

Methods

A case-control study was conducted at the health offices of five districts from the tuberculosis registry (TB 03 and TB 01) since 2008-2014. Case group criterion was defined as unsuccessful retreatment of tuberculosis patients, whereas the control group consisted of successful retreatment of tuberculosis patients (cure or complete treatment). A total of 142 cases and 142 controls were analysed with univariate, bivariate, and multivariate analyses. Chi-square tests were conducted with p<0.05 and odds ratio (OR) at confidence interval 95%.

Results

Bivariate analysis showed that regular taking of a drug, conversion of acid-fast bacilli, and type of health services were statistically related to unsuccessful retreatment tuberculosis. Logistic regression showed that regular taking of a drug (p=0.000; OR=29.52; 95%CI=10.97-79.4) was the strongest risk factor related to unsuccessful retreatment of tuberculosis.

Conclusion

The strongest risk factor was regularly taking of a drug. District health offices need to conduct a tracking system of patients who do not take medication on schedule, ensuring regular tuberculosis medication, correct medication, and sputum examination of late-stage intensive tuberculosis patients.


Keywords


tuberculosis; unsuccessful retreatment; risk factor



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DOI: https://doi.org/10.22146/bkm.18137

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