PROFIL PASIEN TUBERCULOSIS MULTIDRUG RESISTANCE (TB-MDR) DI POLIKLINIK TB-MDR RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE APRIL 2013-JUNI 2014

Abstract

ABSTRACT
Multidrug Resistance Tuberculosis (MDR-TB) is Mycobacterium
tuberculosis resistance to at least two types of first-line OAT which are rifampicin
and isoniazide. There were 6900 cases of MDR-TB at Indonesia in 2012. MDRTB
cause limitation to TB's control programs. The identification of patient's
characteristics and the affecting factor of MDR-TB occurence was expected to
increase the succes rate of TB treatment and prevent MDR-TB. This was a
descriptive study with cross sectional approach by using patient's medical records
and guided interview for MDR-TB patients in the MDR-TB clinic at Arifin
Achmad Hospital in Riau Province Period April 2013 - June 2014. Sample
collected by using total sampling method. The results that was obtained from 18
patients with MDR-TB, the largest distribution of age group was 24-44 years
(50%). The most common gender was male (66.7%), the majority of MDR-TB
patients have less nutritional status (61.1%) and most patients experiencing old
cough (77.8%). Most patients with pulmonary TB type that was the type of relapse
cases (83.3%), the most anti drug resistance tuberculosis were rifampicin and
isoniazide (50%) and the treatment regimen of patients with MDR-TB that was
often used is the Z-E-Km-LFX-Eto-Cs (61.1%). Side effects from the previous
treatment and comorbid DM patients were identified as patient's factors, most
patients did not get education by doctors about the treatment of MDR-TB before,
the far distance from patient's home to health facilities and communication with
health care providers in the previous treatment also indentified as factors of
program and health system.
Keywords : Tuberculosis, MDR-TB