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"TB merupakan penyebab utama kematian yang kedua setelah Human Imunnodeficiency Virus (HIV). Sekitar 80 % dari kasus TB yang dilaporkan, terjadi di 22 negara pada tahun 2013. Di pasar minggu kasus TB terus meningkat secara signifikan. Pada tahun tahun 2014 terjadi 332 kasus TB paru BTA (+). Penelitian ini bertujuan untuk mengetahui faktor - faktor yang berhubungan dengan kejadian TB Paru BTA positif di wilayah kerja Puskesmas Kecamatan Pasar Minggu Pada Tahun 2015, meliputi umur, jenis kelamin, pekerjaan, pendidikan, status ekonomi, status gizi, kepadatan serumah dan sekamar tidur, ventilasi rumah dan kamar tidur, cahaya matahari masuk rumah dan kamar tidur, sumber penular, dan perilaku merokok. Penelitian ini dilakukan dengan pendekatan studi kasus kontrol, sampel penelitian adalah penderita TB Paru BTA positif berusia ≥ 15 tahun dan tercatat dalam buku register TB dari seluruh puskesmas di Kecamatan Pasar Minggu pada bulan januari - September 2015, dan tetangga terdekat dari kasus (penderita TB) yang berusia ≥ 15 tahun. Analisis data dilakukan dengan analisis univariat dan bivariat. Dari hasil analisis bivariat, variabel yang berhubungan signifikan secara statistik dengan kejadian TB adalah jenis kelamin (OR=3,07), status ekonomi (OR=5,71), status gizi (OR=23,58), dan, cahaya matahari masuk kamar (OR=5,3).

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TB is the second leading cause of death after Imunnodeficiency Human Virus (HIV). Approximately 80% of TB cases were reported, occurred in 22 countries in 2013. In the Pasar Minggu of TB cases continued to rise significantly. In the year 2014 occurred 332 cases of pulmonary TB BTA (+). This study aims to identify factors related to the incidence of pulmonary TB smear positive in Puskesmas Subdistrict Pasar Minggu In 2015, included age, sex, occupation, education, economic status, nutritional status, overcrowding at home and roommates sleep, ventilation houses and bedrooms, solar light into the house and bedroom, a source of transmitting and smoking behavior.

This research was conducted with the approach of case-control studies, the study sample was patients with pulmonary TB smear-positive individuals aged ≥ 15 years and recorded in the register of TB from all health centers in the district Pasar Minggu in January ? September 2015, and the nearest neighbor of cases (TB) which aged ≥ 15 years. Data was analyzed using univariate and bivariate analyzes. From the results of the bivariate analysis, the variables associated with a statistically significant incidence of TB is gender (OR = 3.07), economic status (OR = 5.71), nutritional status (OR = 23.58), and, incoming sunlight room (OR = 5.3)."

"ABSTRAKAngka keberhasilan pengobatan (Success rate) merupakan indikator yang digunakan untuk mengukur keberhasilan penanggulangan TB serta untuk mengevaluasi pengobatan pasien TB secara nasional. Kecamatan Jatiluhur merupakan salah satu kecamatan di Kabupaten Purwakarta dengan angka keberhasilan pengobatan TB terendah se-kabupaten dan masih dibawah target nasional yakni sebesar 69,77%. Banyak faktor yang dapat mempengaruhi angka keberhasilan pengobatan TB, salah satunya adalah faktor dari pasien itu sendiri, faktor pelayanan kesehatan, serta faktor keberadaan pengawas menelan obat selama masa pengobatan. Penelitian ini menggunakan desain cross sectional yang bertujuan untuk mengetahui faktor-faktor yang dapat mempengaruhi keberhasilan pengobatan TB paru BTA+ di Kecamatan Jatiluhur Kabupaten Purwakarta tahun 2019. Data yang digunakan adalah data register pasien TB dan Form pasien TB01 di Puskesmas Jatiluhur dari bulan Januari hingga Desember tahun 2019. Analisis data dilakukan secara univariat dan bivariat. Angka keberhasilan pengobatan pada pasien baru TB paru BTA+ di Kecamatan Jatiluhur tahun 2019 adalah sebesar 67,34%. Hasil analisis uji chi square menunjukkan bahwa penelitian ini tidak dapat membuktikan adanya hubungan antara faktor karakteristik pasien (usia dan jenis kelamin), tipe pengobatan, dan peran PMO dengan angka keberhasilan pengobatan TB paru BTA+ (p-value > 0,05).

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Treatment success rate is a national indicators that use to measure the success of tuberculosis control programme and to evaluate treatment outcomes of tuberculosis patients. Jatiluhur subdistrict is one of the subdistricts in Purwakarta Regency with the lowest TB treatment success rate among all subdistricts in Purwakarta and still below the national target at 69,77%. Many factors can influence the success rate of TB treatment, such as factor of the patient himself, health care provider, and the presence of patient’s drug supervisor during the treatment period. This study used a cross sectional design aimed to determine independent factors in affecting treatment success rate of smear-positive pulmonary tuberculosis patients at Jatiluhur Subdistrict 2019. The data used is data on register TB patients in Jatiluhur subdistrict public health center who strated treatment between January-December 2019. The analysis used is univariate and bivariate. The results of success rate of smear-positive pulmonary tuberculosis patients 2019 is at 67,34%. The results of the chi square test analysis of the relation between independent factors, such as patient characteristics (age and gender), type of treatment, presence of patient’s drug supervisor, and success rate of smear-positive pulmonary tuberculosis patient there is no significant difference (p-value > 0,05)."

"Konversi pada pengobatan penderita TB paru merupakan tanda keberhasilan pengobatan dan pencegahan penyebaran kuman. Penelitian ini bertujuan untuk mengetahui pengaruh merokok terhadap kegagalan konversi penderita TB Paru.Penelitian ini menggunakan disain kasus kontrol. Kasus adalah penderita yang mengalami kegagalan konversi Sedangkan kontrol adalah penderita yang mengalami konversi. Hasil akhir didapatkan penderita dengan riwayat merokok sebelum pengobatan mendapatkan rasio odds 4,92 kali (CI95% 1,6-14,51) terjadi kegagalan konversi dan penderita yang merokok pada saat pengobatan tuberkulosis mendapatkan rasio odds 13,77 kali (CI 95% 4,6-41,01) terjadi kegagalan konversi setelah dikontrol umur, keteraturan berobat, penyakit diabetes melitus. Maka penderita tuberkulosis perlu berhenti merokok selama pengobatan.

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Conversions is a sign of the success of the treatment and prevention of the spread of germs. This study aimed to determine the effect of smoking on conversion failure patients with pulmonary TB. This study used a case-control design. Cases were patients who experienced failure of conversion while controls were patients who experienced conversion. The final results obtained patients with a history of smoking prior to treatment to get an odds ratio of 4.92 times (CI95% 1.67 to 14.51) conversion failure and patients who smoked at the time of treatment for tuberculosis getting odds ratio 13.77 times (95% CI 4 0.62 to 41, 01) conversion failure after controlling age, regularity of treatment, disease diabetes mellitus. So tuberculosis patients have to stop smoking during tuberculosis treatment."

"TB Paru masih menjadi masalah kesehatan utama di dunia termasuk di Indonesia sebagai satu negara dengan prevalensi TB paru yang tinggi. Menurut WHO (2013) dalam Global Report 2013 bahwa prevalensi tuberculosis di Indonesia diperkirakan sebesar 297 kasus per 100.000 penduduk. Sumber penular serumah, faktor lingkungan fisik rumah (pencahayaan, ventilasi, kelembaban, kepadatan penghuni) dan faktor karakteristik individu berpengaruh terhadap kejadian TB Paru. Tujuan penelitian ini adalah untuk menganalisis hubungan antara keberadaan sumber penular serumah dengan kejadian TB Paru BTA (+) di Wilayah Kerja Puskesmas Kecamatan Palmerah tahun 2013. Penelitian ini menggunakan disain studi kasus kontrol dengan sampel untuk kasus adalah orang dengan hasil pemeriksaan sputum BTA (+) dan kontrol orang dengan hasil pemeriksaan sputum BTA (-) berusia ≥15 tahun dan bertempat tinggal di wilayah kerja Kecamatan Palmerah. Hasil penelitian ini menunjukkan bahwa variabel yang berhubungan dengan kejadian TB Paru yaitu keberadaan sumber penular serumah OR=4,38 (95% CI:2,19-8,74), status gizi OR = 5,250 (95% CI: 2,376-10,074), faktor lingkungan fisik rumah berupa pencahayaan alami rumah OR = 4,151 (95% CI: 2,049?8,412), ventilasi rumah OR = 2,8 (95% CI: 1,366?5,569), kelembaban dalam rumah OR = 8,088 (95% CI: 4,146-15,77), dan kepadatan hunian dalam rumah OR = 2,034 (95% CI = 1,080?3,830). Berdasarkan model akhir hasil analisis multivariate diperoleh hasil bahwa seseorang yang di dalam rumahnya terdapat sumber penular berisiko 1,85 kali lebih tinggi untuk mengalami TB Paru BTA (+) dibandingkan dengan seseorang yang di dalam rumahnya tidak terdapat sumber penular setelah dikendalikan oleh faktor status gizi dan kelembaban dalam rumah.

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Lung TB still becomes a main health problem in the world, including in Indonesia, as one of countries with a high prevalence of Lung TB. According to WHO (2013) in Global Report 2013, the tuberculosis prevalence in Indonesia is estimated around 297 cases per 100.000 people. The same living-house transmitter, the factor of physical environment of house (lighting, ventilation, moisture, and occupancy) and factors of individual characteristics affect an incident of Lung TB. The purpose of this research is to analysis the correlation between the existence of same living-house transmitter with the incident of Lung TB BTA (+) in Public Health Centre in Palmerah year of 2013. This research uses a study design of case-control with sample, for case are people with the result of sputum BTA (+) check and control, people with the result of sputum BTA (-) whose age is ≥ 15 years old and live in Palmerah.

The result of this study shows that the variables which are related with the incident of Lung TB is the existence of same living house transmitter OR=4.38 (95% CI;2, 19-8, 74), nutrition status OR = 5,250 (95% CI: 2,376-10,074), factor of physical environment of a house, such as natural lighting OR = 4,151 (95% CI: 2,049-8,412), house ventilation OR=2,759 (95% CI: 1366-5569), moist in house OR = 8,088 (95% CI:4,146-15,77), and the house occupancy OR = 2,034 (95% CI=1,080-3830). Based on the model from the result in multivariate analysis, it can be concluded that a person whose house contains a transmitter risks 1,85 times higher than someone whose house does not contain a transmitter who has a Lung TB, after being controlled by factors of nutrition status and moist in house."

"[ABSTRAKPM2,5 merupakan salah satu indikator adanya pencemaran udara dalamruang (indoor air pollution). Indonesia termasuk peringkat kelima jumlah kasus TBterbesar di dunia, dan Kota Cirebon merupakan kota dengan angka penemuan kasusTB paru tertinggi di Provinsi Jawa Barat. Tujuan penelitian ini adalah untukmenganalisis hubungan PM2,5 di udara ruang dalam rumah dengan kejadian TBparu BTA positif di Kota Cirebon.Disain penelitian ini adalah kasus kontrol. Kriteria kasus adalah penderitabaru TB Paru yang berusia minimal 15 tahun dan hasil pemeriksaan sputum positifberdasarkan konfirmasi laboratorium Puskesmas periode November 2014 s/d April2015 serta bertempat tinggal di Kota Cirebon. Kriteria kontrol adalah tetanggaterdekat kasus yang tidak menderita TB paru, tidak memiliki gejala klinis mirip TBparu berdasarkan konfirmasi dari petugas puskesmas setempat, berusia minimal 15tahun dan bertempat tinggal di Kota Cirebon. Total jumlah sampel adalah 168responden dengan jumlah kasus adalah 84 responden, dan kontrol 84 responden.Konsentrasi PM2,5 di udara ruang dalam rumah berpengaruh terhadapkejadian TB paru BTA positif di Kota Cirebon (OR 7,034; 95% CI 3,570 ? 13,860).Variabel lainnya yang signifikan adalah jenis kelamin (OR 3,947; 95% CI 2,026-7,692), lama berada di rumah (OR 2,682; 95% CI 1,430 ? 5,028), jenis bahan bakarmemasak (OR 3,260; 95% CI 1,116-9,523), status merokok (OR 3,034; 95% CI1,446 ? 6,365), jenis atap rumah (OR 3,713; 95% CI 1,945 ? 7,089), dan lajuventilasi kamar (OR 2,493; 95% CI 1,264 ? 4,918). Hasil analisis multivariatdengan regresi logistik menunjukkan bahwa konsentrasi PM2,5 dalam rumahberhubungan dengan kejadian TB paru BTA positif (OR adjusted 6,14; 95% CI2,904-12,975) dikontrol oleh variabel jenis kelamin, jenis atap rumah, dan lajuventilasi kamar. Masih banyak rumah yang belum dilengkapi jendela atauventilasinya kurang, atap rumah tidak dilengkapi oleh langit-langit, sehingga masihbanyak rumah yang tidak memenuhi kriteria rumah sehat. Diperlukan upayapeningkatan pengetahuan dan kesadaran masyarakat tentang kriteria rumah sehat,dan masyarakat agar menjaga pola perilaku hidup bersih dan sehat, termasuk tidakmerokok.

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ABSTRACTPM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking.;PM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking., PM2,5 is one indicator of indoor air pollution. Indonesia is the fifth largestnumber of TB cases in the world, and the city of Cirebon is a city with the highestrate of pulmonary TB case detection in West Java province. The purpose of thisstudy was to analyze the relationship between PM2,5 in the indoor air and theincidence of smear-positive pulmonary TB in the city of Cirebon.The design of this study was a case-control. Cases criteria were patientswith TB minimum age 15 years old and had positive sputum test confirmed withpublic health care laboratory test from November 2014 to April 2015 and lived inCirebon City. Controls criteria were the nearest neighbor not suffering TB and hadno clinical symptomps similar to TB confirmed by the local public health centreofficials, at least 15 years old and resides in Cirebon city. The total number ofsamples is 168 respondents by the number of cases is 84 respondents, and 84control respondents.PM2,5 concentration in the indoor air affected the incidence of smearpositivepulmonary TB in Cirebon city (OR 7.034; 95% CI 3.570 to 13.860).Significant other variables are gender (OR 3.947; 95% CI 2.026 to 7.692), indoorstayperiod (OR 2.682; 95% CI 1.430 to 5.028), the type of cooking fuel (OR 3.260;95% CI 1.116 to 9.523), smoking status (OR 3.034; 95% CI 1.446 to 6.365), typesof roofs (OR 3.713; 95% CI 1.945 to 7.089), and the ventilation rate of the room(OR 2.493; 95% CI 1.264 to 4.918). Results of multivariate analysis using logisticregression modeling showed that concentrations of PM2,5 in the indoor airassociated with the incidence of pulmonary TB smear positive (OR adjusted 6,14;95% CI 2.904 - 12.975) after being controlled by the variable gender, roof type ofthe house, and the ventilation rate of the room. There are still many homes are notequipped with a window or a lack of ventilation, the roof of the house is notcompleted by the ceiling, so there is still a lot of homes that do not meet the criteriafor a healthy home. Necessary efforts to increase knowledge and awareness aboutthe criteria of a healthy home, and the community to maintain a clean and healthylifestyle, including not smoking.]"

"MPHTB merupakan masalah darurat global karena menyebabkan lebih banyak kematian dibandingkan penyakit menular lainnya. Berdasarkan WHO Global Tuberculosis 2016 menyatakan bahwa Indonesia dengan jumlah penduduk 254.831.222, menempati posisi kedua dengan beban TB tertinggi didunia.Timbulnya penyakit tuberculosis TBC di masyarakat dipengaruhi oleh beberapa faktor resiko determinan, salah satunya kurangnya sinar matahari masuk kedalam rumah. Tujuan Penelitian ini adalah mengetahui hubungan antara pencahayaan alami dalam rumah dengan kejadian TB paru BTA positif pada usia ge;15 tahun keatas di Kota Solok Sumatera Barat pada tahun 2017. Desain Penelitian ini adalah case control dengan melakukan wawancara, obeservasi dan pengukuran terhadap pencahayaan dan kelembaban. Penelitian ini dilakukan pada bulan April s/d Mei 2018. Hasil Peneilitian ini Pencahayaan yang dalam rumahyang < 60 lux beresiko terkena TB Parur 3,732 kali 95 CI 1,584-8,793 setelah di kontrol oleh variabel Kepadatan Hunian dan Status Gizi.

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MPH Tuberculosis is a global emergency issue because it causes more deaths than other infectious diseases. According to WHO Global Tuberculosis 2016 states that Indonesia with a population of 254,831,222, occupies the second position with the highest burden of TB in the world. The incidence of tuberculosis TB in the community is influenced by several determinant risk factors, one of which is the lack of sunlight into the house. The purpose of this research is to know the relationship between natural light in the house with the incidence of positive smear pulmonary tuberculosis at age ge 15 years and above in Solok city of West Sumatera in 2017. Design This research is case control by conducting interview, obeservasi and measurement to lighting and humidity. This study was conducted from April to May 2018. The results of this study The in house lightings "

"Tuberkulosis paru adalah penyakit menular penyebab utama dari gangguan kesehatan yang disebabkan oleh bakteri Mycobacterium tuberculosis dan dapat disebarkan dari satu orang ke orang lain terutama melalui transmisi udara. Mycobacterium tuberculosis dapat tetap melayang di udara selama beberapa jam bergantung pada kondisi lingkungan. Berbagai faktor dapat mempengaruhi tingginya kasus tuberkulosis paru salah satunya adalah faktor lingkungan. Penelitian ini menggunakan studi ekologi yang bertujuan untuk mencari korelasi spasial antara ketinggian wilayah, kepadatan penduduk, dan cakupan rumah sehat dengan proporsi TB paru basil tahan asam (BTA) positif di Kota Semarang, Kota Ungaran dan Kota Magelang 2016-2018. Penelitian ini dilakukan di Kota Semarang, Kota Ungaran dan Kota Magelang dengan menggunakan data sekunder dari Dinas Kesehatan, Badan Pusat Statistik dan Badan Informasi Geospasial dari tahun 2016-2018. Penelitian ini dilakukan pada bulan Mei-Juni 2021. Selanjutnya untuk analsis statistik data dilakukan uji korelasi Spearman untuk uji bivariat dan analisis spasial menggunakan teknik overlay. Hasil penelitian ini menunjukkan bahwa terdapat korelasi antara variabel ketinggian wilayah dengan proporsi kasus TB paru BTA positif di Kota Semarang, Kota Ungaran dan Kota Magelang. Semakin rendah ketinggian wilayah semakin tinggi proporsi TB paru BTA positif. Hasil penelitian menunjukan terdapat korelasi kepadatan penduduk dengan proporsi TB paru BTA positif di Kota Semarang. Semakin tinggi kepadatan penduduk maka semakin tinggi proporsi TB paru BTA positif. Disarankan dengan dataran yang lebih rendah dapat lebih fokus dalam melakukan upaya preventif dan promotif TB paru kepada masyarakat melalui kegiatan penyuluhan atau media promosi kesehatan lainnya dan bagi pemerintah perlu berkomitmen serta kerja sama dengan pihak-pihak terkait dalam penanganan masalah kemiskinan dan kepadatan penduduk dalam rangka penanggulangan TB paru.

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Pulmonary tuberculosis is a major infectious disease caused by the bacterium Mycobacterium tuberculosis and can be spread from one person to another mainly through air transmission. Mycobacterium tuberculosis can remain floating in the air for several hours depending on environmental conditions. Various factors can affect the high cases of pulmonary tuberculosis, one of which is environmental factors. This study uses an ecological study that aims to find spatial correlation between area height, population density, and healthy home coverage with a positive acid-fast bacillus pulmonary tuberculosis in Semarang, Ungaran and Magelang cities 2016-2018. This study was conducted in Semarang City, Ungaran City and Magelang City using secondary data from the Health Office, Central Statistics Agency and Geospatial Information Agency from 2016-2018. The results of this study showed that there is a correlation between the variable altitude and the positive acid-fast bacillus pulmonary tuberculosis cases in Semarang, Ungaran and Magelang. The lower the altitude the higher the positive acid-fast bacillus pulmonary tuberculosis. The results showed that there is a correlation of population density with the positive acid-fast bacillus pulmonary tuberculosis in Semarang City. The higher the population density, the higher the proportion of sputum smear positive pulmonary tuberculosis. It is recommended that the lower ground can focus more on preventing and promoting pulmonary tuberculosis to the community through counseling activities or other health promotion media and for the government needs to commit and cooperate with relevant parties in handling poverty and population density issues in order to combat pulmonary TB."

"Tuberkulosis (TB) masih merupakan masalah kesehatan yang serius terutama di negara berkembang, termasuk Indonesia. Kondisi di Provinsi Jambi dalam 3 tahun terakhir terjadi peningkatan jumlah kasus TB paru BTA positif. Diduga terdapat faktor-faktor yang berhubungan dengan kejadian kasus TB paru BTA positif di Provinsi Jambi. Tujuan dari penelitian ini adalah untuk mengidentifikasi daerah kerawanan kasus TB paru BTA positif di Provinsi Jambi tahun 2013. Desain studi yang digunakan dalam penelitian ini adalah desain studi ekologi dengan uji statistik korelasi dan pendekatan analisis spasial. Hasil analisis bivariat yang terbukti berhubungan dan mempunyai korelasi positif dengan kasus TB paru BTA positif adalah ; keluarga miskin (r=0,716 ; p=0,013), fasilitas pelayanan kesehatan mikroskopis (r=0,637 ; p=0,035), dan tenaga kesehatan terlatih (r=0,758 ; p=0,007). Daerah dengan beresiko tinggi terhadap TB adalah Kabupaten Sarolangun. Rekomendasi : prioritas pembiayaan dalam rangka pengendalian TB dilakukan pada daerah dengan tingkat kerawanan tinggi, perlu ditingkatkan jumlah fasilitas pelayanan kesehatan mikroskopis, dan peningkatan kualitas dan kuantitas tenaga kesehatan terlatih terutama pada daerah dengan tingkat kerawanan tinggi maupun sedang, serta perlu penelitian analisis spasial lebih lanjut di Kabupaten Sarolangun.

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Tuberculosis (TB) remains a serious health problem, especially in developing countries, including Indonesia. Conditions in Jambi Province in the last 3 years an increasing number of cases of BTA positive pulmonary TB . Allegedly there are factors associated with the incidence of BTA positive pulmonary TB cases in the province of Jambi . The purpose of this study was to identify areas of vulnerability BTA positive pulmonary TB cases in Jambi Province in 2013. The study design used in this research is the design of ecological studies with statistical tests of correlation and spatial analysis approach.

The results of the bivariate analysis were shown to be associated and have a positive correlation with BTA positive pulmonary TB cases are ; poor (r = 0.716 ; p = 0.013), health care facilities microscopic (r = 0.637 ; p = 0.035), and skilled health personnel (r = 0.758 ; p = 0.007). Areas with high risk of TB is Sarolangun.

Recommendation : priority problems of financing in the context of TB control is done in areas with high levels of insecurity, increased the number of health care facilities microscopic, and improving the quality and quantity of trained health workers, especially in areas with high or medium levels of vulnerability, as well as the need to further study the spatial analysis in Sarolangun."

"ABSTRAKStudi ini bertujuan untuk mengetahui hubungan indeks massa tubuh (IMT)dengan konversi sputum pada pasien TB paru BTA positif. Studi dilakukan padaDesember 2013 – Januari 2014 di poli paru RSUP Persahabatan. Desain studiyang digunakan adalah desain studi kohort retrospektif. Jumlah sampel pada studiini adalah 120 pasien, 60 pasien dengan IMT < 18,5 kg/m2 dan 60 pasien denganIMT ≥ 18,5 kg/m2. Sampel diambil secara konsekutif. Dari studi ini, diketahuibahwa probabilitas kumulatif gagal konversi pasien TB paru sebesar 17,0% dansebanyak 9,2% pasien TB paru mengalami gagal konversi. Probabilitas kumulatifgagal konversi pada pasien TB paru BTA positif dengan IMT < 18,5 kg/m2(24,4%) lebih besar dibanding pasien dengan IMT ≥ 18,5 kg/m2 (9,3%). Di antarapasien dengan IMT < 18,5 kg/m2, hazard rate konversi sputum akan semakinrendah jika peningkatan berat badan yang dialami pasien di akhir tahap intensif <1 kg dibandingkan dengan pasien yang mengalami peningkatan berat badan ≥ 1kg. Hasil analisis multivariat menunjukkan bahwa indeks massa tubuh < 18,5kg/m2 menurunkan peluang terjadinya konversi sebesar 37,8% (HR 0,622; 95%CI 0,389-0,995) setelah dikontrol oleh kategori pengobatan, peningkatan beratbadan di akhir tahap intensif, dan hasil sputum di awal pengobatan. Status gizipasien selama masa pengobatan perlu ditingkatkan untuk menunjang keberhasilanpengobatan.

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ABSTRACTThe aim of this study was to identify the association of body mass index(BMI) with sputum smear conversion among AFB positive pulmonary tuberculosispatients. This study was conducted from Desember 2013 to Januari 2014 atpulmonary ward RSUP Persahabatan. The design study was retrospective cohort.A total of 120 patients consecutively enrolled in this study, 60 patients havingBMI < 18,5 kg/m2 and 60 patients having BMI ≥ 18,5 kg/m2. The cumulativeprobability of failed conversion among AFB positive pulmonary tuberculosispatients was 17,0% and 9,2% patients failed to have sputum conversion. Thecumulative probability of failed conversion among patients having BMI < 18,5kg/m2 (24,4%) was higher than patients having BMI ≥ 18,5 kg/m2 (9,3%). AmongBMI < 18,5 kg/m2 patients, hazard rate of sputum conversion would be lower iftheir weight gain at the end of intensive phase < 1 kg than having weight gain ≥ 1kg. Multivariat analysis found that BMI < 18,5 kg/m2 reduced the probability ofsputum conversion up to 37,8% (HR 0,622; 95% CI 0,389-0,995) after controlledby treatment category, weight gain at the end of intensive phase, and initialsputum. Nutritional status of TB patients during treatment must be increased tosupport the successful treatment."