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A national TB control program using the DOTS strategy (Directly Observed Treatment Shortcourse) has been implemented since 1995. Nationally, the DOTS strategy has provided changes although not yet comprehensively. The above conditions are exacerbated by the emergence of new problem, such as the incidence of TB-HIV. Type of patient and TB-HIV co-infection is a risk factor to default of anti tuberculosis drugs on positive smear pulmonary tuberculosis patient. The purpose research is to know relation between patient type and TB- HIV co-infection default of treatment for positive smear pulmonary tuberculosis patients in East Jakarta. The design of case control research, conducted observation on the patient of smear positive pulmonary tuberculosis in East Jakarta. Multivariate analysis with logistic regression. The result of anti tuberculosis drugs of the research showed significant correlation between TB-HIV co-infection with default with smear positive pulmonary tuberculosis patient with aOR 19,27 after controlled sex and drug administer superviser statue (p value = 0,006; 95% CI: 2,36-157.21). The presence of HIV infection simultaneously with TB infection is increasingly threatening survival so that adequate therapy is needed to control the virus and kill the bacteria mycobacterium tuberculosis. HIV screening of tuberculosis patients should be intensified for an adequate treatment regimen through a TB-HIV collaboration program so that people can recover from TB infection. Key Word : patient, co-infection TB-HIV, positive BTA
Proporsi ketidakpatuhan penderita Tb paru berobat di beberapa daerah di Indonesia, angkanya bervariasi dan umumnya masih tinggi mulai dari 30 % sampai dengan 65 %. Kepatuhan berobat sangat penting karena berhubungan dengan resistensi. Di Kota Padang Propinsi Sumatera Barat penderita Tb paru dengan pengobatan kategori 1, tidak patuh berobat sebesar 38,88 %, sehingga kemungkinan terjadinya resistensi masih cukup tinggi. Tujuan penelitian ini adalah untuk mengetahui hubungan persepsi penderita terhadap peran pengawas menelan obat dengan kepatuhan penderita Tb paru berobat di kota Padang tahun 2001. Penelitian ini dilaksanakan dalam waktu satu setengah bulan dengan menggunakan data primer.Rancangan yang digunakan dalam penelitian ini adalah kasus kontrol. Sampelnya adalah sebagian atau seluruh penderita tuberkulosis paru berumur 15 tahun atau lebih yang berobat ke Puskesmas di Kota Padang dari 1 Januari 2001 s/d 31 Desember 2001 yang memdapat obat anti tuberkulosis (OAT) kategori I. Jumlah sampel sebesar 260 responden, yang terdiri dari 130 responden sebagai kasus dan 130 responden sebagai kontrol.Hasil penelitian menunjukkan bahwa probabilitas penderita Tb paru BTA positif yang tidak patuh berobat terpapar oleh aktivitas PMO kurang baik 18,95 kali lebih besar, dibandingkan dengan probabilitas penderita Tb paru BTA positif yang terpapar dengan aktivitas PMO baik, setelah dikontrol oleh penghasilan keluarga dan pengetahuan penderita.Pengukuran dampak potensial memberikan informasi adanya kantribusi aktivitas PMO kurang baik terhadap terjadinya ketidakpatuhan penderita Tb paru BTA positif berobat di Kota Padang sebesar 81,46 %.Penelitian ini menyarankan kepada pengelola program perlu meningkatkan pengetahuan dan motivasi pengawas menelan obat, agar dalam melaksanakan tugas pengawasannya berjalan secara aktif. Meningkatkan pengetahuan penderita mengenai penyakit Tb paru serta akibat bila tidak patuh berobat. Dan perlu di teliti lebih lanjut terhadap variabel jenis PMO dan pekerjaan serta penghasilan keluarga dengan sampel yang lebih besar.
The Relationship of the Perception of Tb Patients on the Role of Treatment Observer and Compliance of Pulmonary Tuberculosis Patients in Padang, 2001The proportion of tuberculosis patients who does not take treatment regularly in Indonesia varies with areas, with the number ranging from 30 to 65%. Regularity in taking treatment is very crucial because it relates to drug resistance. In Padang, West Sumatra, category I tuberculosis sufferers who do not take treatment regularly is 38, 88%. Hence, the possibility of resistance is still high. The objective of the research is to study the perception relationship between the role of drug intake supervisors (DIS) or treatment observer and compliance of pulmonary tuberculosis patient attending the treatment in Padang in 2001. This study was conducted during a month and a half period using primary data.The design used is case-control study. Its sample consists of all pulmonary TB patient age 15 or above who take treatment at public health centers in Padang from January 1 to December 31, 2001. All of TB patient received-category I anti-tuberculosis drugs. The size of the sample is 260; the respondents consist of 130 as cases and another 130 as controls. The study found that the probability of positive sputum acid fast bacilli (category I) pulmonary TB patient who do not take treatment regularly under insufficient supervision of drug intake supervisors (DIS) is 18.95 times higher than the probability of category I pulmonary TB patients who do not take treatment regularly under sufficient supervision of drug intake supervisors (DIS), after improvement of family income and knowledge level of TB patients.As a conclusion, potential impact measurement provide information that insufficient activities of drug intake supervisors contribute to the irregularity of category I pulmonary TB patients in taking treatment in Padang of 81.46%.It is recommended to all program directors to improve knowledge and motivation of treatment observer and compliant in order to increase effectiveness of their supervisory duties. In addition, they should also improve knowledge of pulmonary TB patients and communicate negative impacts of not taking treatment regularly. And research of this kind should be expanded in the future, especially that relates to drug intake supervisors types, jobs, and family income, with bigger samples.