Hasil Pencarian

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Hasil Pencarian

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Erike Anggraini Suwarsono
"Indonesia termasuk ke dalam kriteria negara 'high-burden' dengan insidensi TB yang masih tinggi. Indonesia masuk kedalam kriteria ini karena tingginya data epidemiologis kasus TB-HIV dan TB-MDR. Spesimen klinis terbanyak yang diolah untuk kultur TB adalah sputum, yang mengandung banyak kontaminan dari flora normal tenggorok.
Salah satu metode kultur TB yang ideal adalah dengan mengembangkan larutan yang mudah didapat serta efektif tanpa banyak membunuh basil TB. Bleach adalah larutan yang murah dan diketahui secara luas sebagai disinfektan yang baik sehingga dapat dijadikan alternatif.
Penelitian dilaksanakan di laboratorium TB LMK FK UI RSCM menggunakan 35 sampel dengan BTA positif. Setiap sampel dibagi dalam 4 kelompok dengan metode dekontaminasi yang berbeda. Keempat metode tersebut menggunakan 4 NaOH, 2 NALC-NaOH, 5 asam oksalat dan 1 bleach. Larutan 1 bleach disiapkan dari larutan pemutih komersial yang ada di pasaran. Setiap kelompok perlakuan dihitung proprsi kontaminasi dan kultur positif. Kultur positif divalidasi menggunakan MPT 64.
Hasil penelitian menunjukkan subyek dengan BTA 1 sebanyak 46, BTA 2 37 dan BTA 3 sebanyak 17. Bleach merupakan kelompok dengan proporsi kontaminasi terbaik sebesar 2.8 dibanding 4 NaOH sebesar 5.7, dengan perbedaan proporsi kontaminasi yang signifikan p=0.000. Terdapat perbedaan signifikan antar kelompok dalam proporsi kultur positif p=0.006, tetapi pada uji post hoc tidak ada perbedaan bermakna antara 1 bleach, 4 NaOH dan 2 NALC-NaOH.
Kesimpulan penelitian ini, 1 bleach dapat digunakan untuk dekontaminan pada kultur TB dengan harga yang lebih murah, terutama pada sampel BTA 2 keatas serta terkontaminasi berat.

Indonesia remains one of 22 high burden countries with highly tuberculosis TB incidence according to WHO. There are a lot of numbers of TB HIV and TB ndash MDR in Indonesia. As most processed clinical specimen for TB culture, sputum is contaminated by normal flora from oropharyngeal tract.
The best method to establish appropriate culture from sputum is establishing a safe solution for the laboratory worker without kills numerous TB bacilli, preferred economic and easy prepared solution. Bleach is well known as cheap and good disinfectant that could use as an alternative. The research was aimed to compare the capability as bleach as decontaminat solution to other solution.
The study was conducted at TB laboratory of FMUI, by using 35 samples sputum with positive AFS, 3 5 ml. Each sample was divided into 4 groups which was decontaminated by different methods. The methods are 4 NaOH, 2 NALC NaOH, 5 oxalic acid and 1 bleach. 1 Bleach was prepared from commercially bleach. Each group was assessed for contamination and culture positive rate. The positive culture was validated using MPT 64.
The number of positive AFS were 1 46, 2 37 and 3 17. Bleach had the best contamination rate which was 2.8 compared to 4 NaOH 5.7, and significant difference among 4 groups p 0.000. There was also significant difference among 4 groups in positive culture proportion p 0.006, but there wasn rsquo t signficant different between 1 bleach, 4 NaOH and 2 NALC NaOH.
Conclusion of this study is, 1 bleach can be used as an alternative solution for decontamination of TB culture from highly contaminated sputum with AFB higher than 2.
"
Lengkap +
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2017
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Ery Irawan
"ABSTRAK
Latar Belakang: dahak BTA mikroskopik adalah teknik diagnostik cepat yang paling
banyak digunakan untuk mendiagnosis TB paru. Di RSUP Persahabatan, pemeriksaan
dahak BTA mikroskopik membutuhkan tiga pemeriksaan sampel dahak lebih dari dua
hari, (sewaktu pertama, pagi, sewaktu kedua). Pengambilan dua sampel dahak akan
mengurangi waktu, uang dan beban kerja laboratorium mikrobiologi
Tujuan: Penelitian ini bertujuan untuk mendapatkan sensitivitas dan spesifisitas
pemeriksaan dahak BTA mikroskopik dari tiga bahan pemeriksaan dahak dan dua
bahan pemeriksaan dahak.
Metode: Kami secara acak mengumpulkan data demografi dan hasil laboratorium (hasil
dahak BTA dan hasil biakan M.tuberculosis) dari pasien terduga TB kasus baru di RSUP
Persahabatan dari data bulan Januari 2012 hingga Desember 2013. Subjek harus berusia
minimal 15 tahun dan bukan pasien TB MDR dan bukan pasien HIV
Hasil: Dari 360 pasien terduga TB paru, sebanyak 210/360 (58,3%) memiliki hasil
biakan M. tuberculosis positif. Sensitivitas 100% dan spesifisitas 69.2% pada hasil
pemeriksaan BTA mikroskopik tiga kali (S1, P, S2) dan hasil pemeriksaan BTA
mikroskopik dua kali sensitivitasnya 89.8% dan spesifisitas 94.1%.
Kesimpulan: Hasil pemeriksaan dahak BTA mikroskopik 2 kali pemeriksaan
memberikan spesifisitas yang lebih tinggi bila dibandingkan dengan hasil pemeriksaan
3 kali dahak BTA mikroskopik dan memiliki sensitivitas yang masih cukup tinggi.
ABSTRACT
Background: Sputum smear microscopy is the rapid diagnostic technique that most
widely used for diagnosing pulmonary tuberculosis. In Persahabatan hospital, sputum
smear microscopy requires three sputum sample examinations over two days, (spot1,
morning, spot2). Collection of two sputum samples would reduce time, money and
work load of microbiology laboratory.
Objectives: This study aimed to get sensitivity and specificity of sputum smear
microscopy from three sputum samples collection and two sputum samples collection.
Methods: We randomly collected demography and laboratory data (sputum smear and
M.tuberculosis culture result) of presumptive TB new cases in Persahabatan hospital
from January 2012 to Desember 2013. Subjects must be 15 years old minimum, non
multidrug-resistant TB presumptive and have non reactive HIV status.
Results: Of 360 presumptive TB patients, 58.3% have M.tuberculosis positive culture
results. Senstivity and specificity of sputum smear microscopy from three sputum
samples collection (S1, M, S2) are 100% and 69.2%. Smear microscopy of two samples
collection Sensitivity and specificity sputum smear microscopy 89.8% and 94.1%.
Conclusion: Sputum smear microscopy test result from 2 sputum collections gives
increase specificity compared to smear microscopy of 3 samples and have highly sensitivity.
;Background: Sputum smear microscopy is the rapid diagnostic technique that most
widely used for diagnosing pulmonary tuberculosis. In Persahabatan hospital, sputum
smear microscopy requires three sputum sample examinations over two days, (spot1,
morning, spot2). Collection of two sputum samples would reduce time, money and
work load of microbiology laboratory.
Objectives: This study aimed to get sensitivity and specificity of sputum smear
microscopy from three sputum samples collection and two sputum samples collection.
Methods: We randomly collected demography and laboratory data (sputum smear and
M.tuberculosis culture result) of presumptive TB new cases in Persahabatan hospital
from January 2012 to Desember 2013. Subjects must be 15 years old minimum, non
multidrug-resistant TB presumptive and have non reactive HIV status.
Results: Of 360 presumptive TB patients, 58.3% have M.tuberculosis positive culture
results. Senstivity and specificity of sputum smear microscopy from three sputum
samples collection (S1, M, S2) are 100% and 69.2%. Smear microscopy of two samples
collection Sensitivity and specificity sputum smear microscopy 89.8% and 94.1%.
Conclusion: Sputum smear microscopy test result from 2 sputum collections gives
increase specificity compared to smear microscopy of 3 samples and have highly sensitivity.
;Background: Sputum smear microscopy is the rapid diagnostic technique that most
widely used for diagnosing pulmonary tuberculosis. In Persahabatan hospital, sputum
smear microscopy requires three sputum sample examinations over two days, (spot1,
morning, spot2). Collection of two sputum samples would reduce time, money and
work load of microbiology laboratory.
Objectives: This study aimed to get sensitivity and specificity of sputum smear
microscopy from three sputum samples collection and two sputum samples collection.
Methods: We randomly collected demography and laboratory data (sputum smear and
M.tuberculosis culture result) of presumptive TB new cases in Persahabatan hospital
from January 2012 to Desember 2013. Subjects must be 15 years old minimum, non
multidrug-resistant TB presumptive and have non reactive HIV status.
Results: Of 360 presumptive TB patients, 58.3% have M.tuberculosis positive culture
results. Senstivity and specificity of sputum smear microscopy from three sputum
samples collection (S1, M, S2) are 100% and 69.2%. Smear microscopy of two samples
collection Sensitivity and specificity sputum smear microscopy 89.8% and 94.1%.
Conclusion: Sputum smear microscopy test result from 2 sputum collections gives
increase specificity compared to smear microscopy of 3 samples and have highly sensitivity.
"
Lengkap +
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library