Profile of Sputum Examination Results in Multidrug-Resistant Tuberculosis (MDR-TB) Patients

Alisa Khodrun Nadza, Surati Surati
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Abstract

TB patients who do not adhere to OAT treatment can lead to resistance and become MDR-TB and add to the burden of TB management globally. TB control programs including microscopic sputum examination are important for diagnosis, evaluation, follow-up treatment, and follow-up. The results of the sputum examination used the IUATLD scale as an interpretation of the results and the reporting was negative, scanty, positive one, positive two, and positive three according to the number of TB germs found. The results of the sputum examination to determine the classification of the patient, the decision to start treatment, and the patient's recovery. At the step of treatment for MDR-TB patients, the results of sputum examination are an indicator to determine the success rate of treatment which is marked by the conversion of BTA. Research objectives is to determine the description of the results of sputum examination in Multidrug-Resistant Tuberculosis (MDR-TB) patients at the Kendal District Health Center. Research methods is observational research with descriptive research criteria through a cross sectional approach. Respondents of the study were multidrug-resistant tuberculosis (MDR-TB) patients from three health centers in Kendal district with the highest case prevalence. The study respondents were 7 MDR-TB patients. All study respondents, totaling 7 MDR-TB patients (100%), were included in the advanced step of treatment and showed negative sputum examination results. All study respondents (100%) showed that the results of microscopic sputum examination were negative, which means that BTA conversion occurred at the advanced treatment step.
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耐多药结核病(MDR-TB)患者痰液检查结果分析
不坚持OAT治疗的结核病患者可导致耐药并成为耐多药结核病,并增加全球结核病管理的负担。包括痰镜检查在内的结核病控制规划对诊断、评估、随访治疗和随访都很重要。痰检结果采用IUATLD量表对结果进行解释,根据检出结核病菌的数量,报告为阴性、稀少、阳性1、阳性2、阳性3。痰液检查结果确定患者的分类,决定是否开始治疗,以及患者的恢复情况。在耐多药结核病患者的治疗阶段,痰液检查结果是确定治疗成功率的一个指标,以BTA的转化为标志。研究目的是确定肯德尔地区卫生中心耐多药结核病(MDR-TB)患者痰液检查结果的描述。研究方法是观察研究与描述性研究标准通过横断面的方法。该研究的应答者是来自肯德尔地区发病率最高的三个卫生中心的耐多药结核病(MDR-TB)患者。调查对象为7名耐多药结核病患者。所有研究应答者共7名耐多药结核病患者(100%)被纳入进阶治疗,痰液检查结果为阴性。所有应答者(100%)的痰镜检查结果均为阴性,说明BTA转化发生在进阶治疗阶段。
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