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Abstrak :
Telah dilakukan penelitian untuk melihat pengaruh penyuluhan dan Senam Asma edonesia terhadap pengetahuan, sikap, perilaku dan gejala klinik penderit asma. Jumlah subiek penelitian ini sebanyak 40 orang yang terdiri dari 20 orang kelompok kasus dan 20 orang kelompok kontrol. Penderita berusia 15-55 tahun dengan umur rata-rata pada kelompok kasus 46 ±11,71 tahun dan kelompok kontrol 37 ±8,99 tahun. Pada kelompok kasus penderita mengikuti penyuluhan dan melakukan Senam Asma Indonenesia 77,3% selama 6 bulan, sedangkan kelompok kontrol adalah penderita yang tidak mengikuti penyuluhan dan Senam Asma Indonesia. Dari penelitian didapatkan pada kelompok kasus peningkatan pengetahuan 12,5%, sikap 53,9% dan perilaku 53,5% sedangkan pada kelompok kontrol peningkatan pengetahuan 5,6%, sikap 9,1% dan tidak ada perubahan terhadap perilaku. Pada kelompok kasus terdapat penurunan skor gejala klinik yaitu jumlah batuk 71,33%, gangguan tidur 75,4%, gangguan aktivitas 80,5%, napas berbunyi 84,6%. Pada kelompok kontrol terdapat penurunan skor gejala klinik yaitu jumlah batuk 43,6% gangguan tidur 40,9%, gangguan aktivitas 35,8% dan napas berbunyi 40,6%. Peningkatan faal paru KVP,VEP dan APE pada kelompok kasus yaitu KVP dari 1733 ± 231,06 ml menjadi 1842 ± 300,03 ml, VEP dari 1349,5 ± 169,94 ml menjadi 1469,2 ± 190,19 ml dan APE dari 325,9 ± 45,89 Vmnt menjadi 352,6 ± 64,73 l/mnt. Peningkatan faal paru KVP, VEP, dan APE pada kelompok kontrol yaitu KVP dari 1762 ± 307,59 ml menjadi 1840 ± 332,79 ml, VEP, dari 1389,5 ± 214,36 ml menjadi 1482 ± 252,59 ml dan APE dari 323,65 ± 53.51 V/mnt menjadi 348,5 ± 58,23 l/mnt.

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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.

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Background: Although combipack has high effectivity in tuberculosis treatment but it has lower compliance, The unst.iccessfull problems might be caused by number of pills taken by patients. Therefore, World Health Organization (WHO) decided to make new preparation which consist of more than two antituberculosis agent in one pill which is called fixed dose combination (FDC). Methods: The efficacy of 2 antituberculosis agent (FDC and combipack) were compared after 6 months therapy of positive acid fast bacilli (AFB) pulmonary tuberculosis (PTB) patients in directly observed treatment, short course (DOTS) in Lung Clinics Persahabatan Hospital -Dep􀀛rtment Pulmonology and Respiratory Medicine, Faculty of Medicine University of Indonesia, with design randomized clinical trial. Results: FDC group consist of 52 patients, 32 male (mean of age 28.56 ± 10.74) is compared to 58 patients, 33 male in combipack group (mean of age 29.53 ± 10.1 ). Sputum conversion is 98% in FDC g,roup and combipack 94. 7% in the early evaluation, the results almost similar to the end of.evaluation 97 .3% in FDC group and combipack 97.7%, and both of them are not statistically significant (p>0.005). Cure rate in FDC group is 69.2% and combipack 72.4%, and success rate in FDC group is 97.3% and combipack 97.7%, both of them are not statisticallly significant (p>0.005). FDC causing less itchy skin (1.9% in FDC and 6.9% in combipack) and musculoskeletal pain (0% in FDC and 5.2% in combipack) than combipack although it has no statiscal significant (p>0.005). Conclusion: FDC has the same efficacy as combipack which can be used to treat PTB in DOTS strategy. Conversion rate, cure rate and success rate are almost the same in both groups.

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Pneumonia komunitas adalah penyebab kematian terbesar di Indonesia. Sistem skor PSI dan CURB-65 telah digunakan dalam menentukan keparahan penyakit dan keputusan tempat rawat berdasarkan risiko kematian dalam 30 hari. Tujuan penelitian ini adalah membandingkan sistem skor modifikasi PSI dan modifikasi CURB-65 pada pasien CAP sebagai prediktor mortalitas 30 hari di RS Persahabatan. Penelitian ini adalah kohort prospektif yang dilakukan pada pasien CAP yang dirawat di RS Persahabatan sejak bulan Oktober 2012-Maret 2013. Gejala klinis nilai laboratorium, foto toraks, penyakit penyerta skor PSI dan CURB-65 serta hasil akhir berupa kematian dicatat untuk dianalisis. Selama 30 hari subjek penelitian diikuti. Sebanyak 167 pasien CAP mengikuti penelitian ini didapatkan angka kematian sebesar 18,6%. Sensitivitas PSI sama dengan CURB-65 yaitu sebesar 77,4%. Spesifisitas PSI sedikit lebih tinggi dari pada CURB-65 (58,1% vs 53,7% p < 0,001). Risiko relatif mortalitas berdasarkan PSI pada kelompok risiko tinggi sebesar 3,64 kali dibandingkan kelompok risiko rendah, sedangkan risiko relatif mortalitas berdasarkan CURB-65 pada kelompok risiko tinggi sebesar 3,15 kali dibandingkan kelompok risiko rendah. Skor CURB-65 dapat dipertimbangkan sebagai prediktor mortalitas pada pasien CAP yang di rawat inap. ...... Community Acquired Pneumonia (CAP) is the first leading disease with the highest mortality in hospitalized patient in Indonesia. Pneumonia severity assessment systems such as the pneumonia severity index (PSI) and CURB-65 were designed to predict severity of illness and site of care base on 30-d mortality. The purpose of this study is to comparing the PSI with CURB-65 in patient admitted with CAP as predictor 30 days mortality in Persahabatan Hospital, Jakarta. This is a prospective cohort study in hospitalized community acquired pneumonia patients in Persahabatan Hospital since October 2012- Maret 2013. Clinical symptoms, laboratory findings, chest x-ray , comorbidities, score of PSI and CURB-65, 30 days mortality were recorded for analysis. Thirty days mortality outcome were recorded to analysis which score system as the best to predict 30 days mortality. One hundred and sixtty seven patients CAP were studied with an overall 30-d mortality of 18,6%. Sensitivity of PSI were simillar with CURB-65 for predicting patients who died within 30 d (77,4% ; p < 0.001). Specificity of PSI was slighty higher than CURB-65 (58,1% vs 53,7% p < 0,001). Score PSI have risk mortality 3,64 times in high risk group CAP than low risk group CAP. Score CURB-65 have risk mortality 3,15 times in high risk group CAP than low risk CAP. CURB-65 modification was considerable to predict mortality in CAP patients hospitalized.

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ABSTRAK
Latar belakang : Jumlah pasien diabetes melitus (DM) di dunia diperkirakan meningkat menjadi 366 juta pada tahun 2030 dengan peningkatan tercepat pada negara berpendapatan rendah dan menengah. Orang dengan TB laten memiliki kemungkinan jangka panjang menjadi TB aktif. Hubungan antara TB dan DM sudah lama diketahui. Orang dengan DM memiliki risiko lebih tinggi berkembangnya TB laten menjadi TB aktif. Tujuan: mengetahui prevalens TB paru dan faktor yang mempengaruhi munculnya TB paru pada pasien DM tipe 2 di RSUP Persahabatan. Metode : Penelitian ini merupakan penelitian potong lintang di Poli Endokrin RSUP Persahabatan. Subjek penelitian yaitu pasien DM tipe 2 yang berobat di Poli Endokrin RSUP Persahabatan. Data yang diperoleh dilakukan analisis bivariat dan multivariat antara variabel bebas dan terikat Hasil: Jumlah subjek penelitian yaitu 174 subjek yang terdiri dari jenis kelamin laki-laki sebanyak 71(40,8%) dan perempuan 103(59,2%). Prevalens TB paru pada pasien DM tipe 2 yaitu 49 orang (28,2%) yang terdiri dari TB paru BTA (+) yaitu 37 subjek (21,3%) dan TB paru BTA (-) sebanyak 12 subjek (6,9%). Faktor yang memiliki hubungan dengan terjadinya TB paru pada pasien DM yaitu riwayat kontak erat dengan penderita TB (aOR 3,2; [95% IK 0,538-3,164 ]), IMT rendah (aOR 15,92 [95% IK 4,760-56,160), lama DM kurang dari 1 tahun (aOR 23,136 [95% IK 4,654-11]) dan kadar HbA1C >8 (aOR 17,475 [95% IK 3,428-89,094]). Kesimpulan: Prevalens TB paru pada pasien DM tipe 2 pada di RSUP Persahabatan adalah 28,2%. Terdapat hubungan bermakna secara statistik antara kontak dengan penderita TB, lama menderita DM dan kadar HbA1c dengan terjadinya TB paru pada pasien DM tipe 2.

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ABSTRACT
Background : Diabetes mellitus (DM) patients in the world is estimated rise to 366 million by 2030, with the fastest increase in low and middle income countries. Approximately one-third of the world population is estimated suffer from latent tuberculosis (TB). People with latent TB have a long -term possibility of becoming active TB. The relationship between TB and diabetes has been known. People with DM have a higher risk of developing latent TB into active TB . Objective : To determine the prevalence of TB and the factors that affect the develping TB in patients with DM at Persahabatan Hospital Methods: This study was a cross sectional study. Subject was 174 patients with DM type 2 taken by consecutive sampling. Datas were performed bivariate and multivariate analyzes between independent and dependent variables Results : 174 subjects consisted of male 40.8 % and women 59.2 %. Prevalence of pulmonary TB in patients with type 2 DM are 49 people ( 28.2 % ). Factors that correlation with the development of pulmonary TB in DM patients were patients with a history of close contact with TB patients (aOR 3,2; [95% CI 0,538-3,164 ]), underweight BMI (aOR 15,92 [95% CI 4,760-56,160), duration of diabetes of less than 1 year (aOR 23,136 [95% CI 4,654-11]) and HbA1c levels > 8 (aOR 17,475 [95% CI 3,428-89,094]). Conclusion : Prevalence TB in patients with type 2 DM at Persahabatan Hospital was 28.2 %. There were correlation between contact with TB patient, duration suffering from DM and HbA1c levels with development of pulmonary TB in patients with type 2 DM.

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Latar belakang: Untuk meningkatkan penemuan kasus dan diagnosis TB oleh dokter praktik swasta dilakukan melalui pendekatan Public Private Mix (PPM)-TB. Public Private Mix adalah keterlibatan semua penyedia layanan kesehatan publik dan swasta, formal dan non formal dalam penyediaan penanganan TB sesuai ISTC untuk pasien yang telah atau diduga memiliki penyakit TB. Pengalaman di beberapa negara terdapat peningkatan penemuan kasus TB oleh dokter praktik swasta yang terlibat dalam PPM-TB. Di Indonesia belum ada data tentang dokter spesialis paru praktik swasta yang terlibat PPM-TB dalam mendiagnosis TB sesuai dengan ISTC. Metode: Penelitian menggunakan desain potong lintang. Data yang digunakan diambil secara retrospektif melalui data sekunder (rekam medis &TB 01)pasien yang didiagnosis TB dalam kurun waktu Oktober-Desember 2010 yang berobat ke 18 rumah sakit/klinik swasta di Jakarta, tempat praktik 23 dokter spesialis paru yang terlibat dalam kegiatan PPM-TB. Hasil: Didapatkan 258 rekam medis pasien yang memenuhi kriteria dari 21 orang dokter spesialis paru di 16 rumah sakit/klinik swasta. Satu rumah sakit tidak diambil data karena tidak memenuhi kriteria dan satu orang dokter tidak bersedia diambil data pasiennya. Tercatat keluhan utama pasien adalah batuk tanpa keterangan waktu 148 (57,3%). Permintaan pemeriksaaan hapusan sputum BTA yang tercatat 160(62%). Dari 160 hasil pemeriksaan sputum BTA yang tercatat dilakukan pemeriksaan kultur 6 (2,7%), kultur dan resistensi 12 (5,5%). Permintaan pemeriksaaan foto toraks yang tercatat 248 (96,1%), tidak ada permintaan 5 (1,9%) dan tidak ada data 5 (1,9%). Didapatkan 219 kasus TB paru (84,9%) dan 39 TB ekstra paru (15,2%). Berdasarkan apusan BTA, terdapat 64 pasien BTA positif (40%), 94 BTA negatif (58,8%) dan 2 tidak ada data (1,2%). Diagnosis TB ditulis pada 252 rekam 6 lainnya tidak ada diagnosis. Empat belas dokter spesialis paru praktek swasta melakukan semua standar diagnosis 1-5 sesuai ISTC. Kesimpulan : Sebagian besar dokter spesialis paru praktek swasta sudah melaksanakan ISTC dalam menegakkan diagnosis TB. Pemeriksaan foto toraks lebih tinggi sebagai penunjang hasil apusan BTA yang lebih banyak negatif. Pemeriksaan kultur dan resistensi M.tb masih sangat rendah. ......Background: Tuberculosis (TB) remains a public health problem of global challenges. Indonesia is the first country with high burden TB problem in South East Asia to successfully achieve Millennium Development Goal (MDG) targets’ for TB in 2006 where 70% new case findingswith positive AFB and 85% recovery. However, TB management in many private hospitals and practices has not yet applied ISTC. To increase new case findings and TB diagnosis in private practice, the government conducted Public Private Mix (PPM)-TB approach. This study is intended to find out whether pulmonologistsin private practice has applied ISTC for TB diagnosis. Method: This is a cross sectional study. Retrospective secondary data from medical recoed and TB 01 forms of TB patients from October-December 2010 in 18 private hospitals in Jakarta (23 pulmonologists involved in PPM-TB program). Result:There were 258 patient’s medical records from 21 pulmonologist from 16 private hospital fulfilled the criteria. One pulmonologist did not meet the criteria and one other pulmonologist refused to participate in this study.Patients’ chief complaints were mostly cough without information of duration 148 (57.3%). The recorded demand for AFB sputum examination is found in 160 (62%). From 160 laboratory AFB sputum examination results, 6 was cultured(2.7%), 12 was cultured and examined for antituberculosis agent resistance (5.5%). Chest x-raywas asked in 248 patients (96.1%) but 5 without demand (1.9%) and no data in 5 patients (1.9%). Classification of TB anatomy found were pulmonary TB 219 (84.9%), extrapulmonary TB 39 (15.1%). Classification of TB based on AFB found were positive 64 (40%), negative 94 (58.8%) and no data 2 (1.2%). Written diagnosis of TB was found in 252 (97.7%) patients while 6 (1.3%) did not. Fourteen pulmonologist private practice had endorse ISTC all standar 1-5 to diagnosis tuberculosis. Conclusion: Diagnosis of TB by pulmonologist in private practices mostly has applied ISTC. High chest x-ray demand as a supporting diagnosis was found because most AFB sputum gave negative results. Examination of culture and resistance of antituberculosis agent are low.

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ABSTRAK Latar belakang : Tuberkulosis (TB) menempati urutan pertama sebagai penyebab pertama kematian akibat infeksi di Indonesia. Angka kesakitan TB di Indonesia semakin bertambah dengan semakin banyaknya kasus multi drug resistant(MDR) TB. Pemeriksaan foto toraks merupakan bagian penegakkan diagnosis TB paru, terutama untuk menegakkan diagnosis MDR TB pada saat awal kunjungan penderita TB. Sampai saat ini belum ada data di Indonesia mengenai perbandingan karakteristik lesi foto toraks MDR TB dengan lesi foto toraks drug sensitive (DS) TB. Tujuan : Penelitian ini bertujuan untuk mengetahui perbandingan gambaran karakteristik lesi foto toraks MDR TB dengan lesi foto toraks DS TB. Bahan dan cara kerja : Penelitan ini dilakukan dengan studi retrospektif menggunakan data sekundefr dari rekam medic penderita yang berobat ke poliklinik paru RS Persahabatan Jakarta selama periode Januari 2013 sampai Desember 2015. Pembacaan ulang foto toraks kunjungan pertama dalam semua rekam medik pasien MDR TB dan DS TB, dilakukan di bagian radiologi RSUP Persahabatan dan dibaca oleh spesialis radiologi konsultan toraks. Penilaian foto toraks meliputi morfologi, lokasi dan derajat lesi. Hasil : Gambaran foto toraks 183 penderita MDR TB dan 183 penderita DS TB memiliki lesi terbanyak berupa konsolidasi (57,4% vs 20,8%), kavitas (57,9% vs 6%), infiltrat (36,6% vs 66,7%). Kedua kelompok memiliki lesi terbanyak di lapangan atas paru kanan. Gambaran lesi bronkiektasis ditemukan terbanyak di MDR TB yaitu : 13,7% di lapangan tengah paru kanan. Kemlompok MDR TB memiliki kecenderungan derajat lesi luas lebih dominan dibandingkan DS TB(69% vs 27%). Kesimpulan : Dari penelitian ini didapatkan kesimpulan bahwa lesi konsolidasi multiple dan kavitas multiple multiple lebih dominan pada MDR TB dibandingkan DS TB dan gambaran bronkiektasis unilobuler hanya ditemui pada MDR TB terutama di lapangan tengah paru kanan. MDR TB memiliki derajat lesi luas dibandingkan dengan DS TB

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ABSTRACT Background: Tuberculosis (TB) is still rhe first cause of death due to infection in Indonesia. TB morbidity rate in Indonesia will had increasing with more cases of multi-drug resistant (MDR) TB. Chest x-ray is part of the diagnosis tools of establishing pulmonary TB, particularly for diagnosis of MDR TB at the early visit of TB patients. Until now there is no data especially in Indonesia regarding the comparison between chest x-ray lesion characteristics of MDR lung TB with chest x-ray lesions of drug-sensitive (DS) lung TB. Objective: The aims of this study to compare between lesions characteristic on chest x fray of MDR lung TB and lesions characteristicon chest x ray.of DS lung TB. Materials and methods: This research was conducted a retrospective study using seconday data from patients medical records medic in pulmonology department in Persahabatan Hospital Jakarta within period January 2013 to December 2015. Chest x-ray of the first admission of new cases of MDR lung TB and DS lung TB DS, were reviewed by thorax radiology specialist consultant carried out in radiology department of Persahabatan hospital. Assesment of chest x-ray include morphology, lesion location and degree of the lesions. Results: The comparison between chest x-ray lesions of 183 patiens with MDR TB and of chest x-ray lesions 183 patiens with DS TB of predominantly as multilobular consolidation (57.4% vs 20.8%), the multilobuler multiple cavity (57.9% vs 6%), multilobular infiltrates (36.6% vs 66,7%). Both groups had preferable location on the upper of the right lung. Bronchiectasis lesions had found most in MDR lung TB are : 13.7% mainly located in the middle of the right lung. MDR TB has a tendency estensive lesions was more dominant than the DS TB (69% vs 27%). Conclusion. the multiple consolidation and multiple cavity were more dominant in MDR lung TB compared to DS lung TB and unilobuler bronchiectasis lesion only found on MDR lung TB, especially in middle of the right lung. MDR TB on chest x-ray have extensive lesions more dominant than DS TB.

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ABSTRAK
Latar Belakang : Kasus tuberkulosis di Indonesia menempati urutan kedua dunia setelah India dalam WHO Global Report 2015, meningkat dari laporan sebelumnya yaitu peringkat kedua. Terdapat peningkatan temuan kasus di propinsi Riau dari tahun ke tahun.Tujuan: Untuk mengetahui tingkat pengetahuan, sikap dan perilaku providers/dokter umum praktik swasta di kota Pekanbaru dalam diagnosis dan tatalaksana TB berdasarkan International Standards for Tuberculosis Care ISTC .Metode: Penelitian ini menggunakan metode potong lintang dengan instrumens kuisioner. Dari total 209 data respondens yang kami peroleh dari dinas kesehatan, sebanyak 180 bersedia mengikuti wawancara terpimpin.Hasil: Sebesar 91,67 tidak pernah mengikuti pelatihan ISTC. Pengetahuan respondens yang baik hanya sebesar 43,89 . Perilaku providers yang baik di kota Pekanbaru sebesar 50 . Jenis kelamin, tempat praktik, lama praktik dan pelatihan tidak berhubungan dengan tingkat pengetahuan dan perilaku. Usia yang lebih muda memiliki tingkat pengetahuan yang lebih baik, namun tidak bermakna secara statistikKesimpulan: Pengetahuan providers/dokter umum praktik swasta di kota Pekanbaru belum memadai untuk tatalaksana TBKata kunci: Tuberkulosis, International Standards for Tuberculosis Care ISTC

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ABSTRACT Introduction Tuberculosis in Indonesia rank second in worldwide after India based on WHO Global Report 2015, increasing from the previous report than ranked the fourth. There is an increased case finding in Riau province by years.Objectives To assess knowledge, attitude and practice of private general practitioners about diagnosis and management of TB patient base on International Standards for Tuberculosis Care ISTC .Methods This study using cross sectional method with questionnaire as instrument. Of the 209 respondents of data we obtained from government health department, as many as 180 respondent were willing to follow the guided interviews.Results About 91,67 private general practitioners in Pekanbaru city never attended ISTC training. Only 43,89 providers have satisfactory of knowledge and half most of them 50 has good practice. There is no relationship between sex, duration and location of practice, the number of ISTC training with the level of knowledge and practice. The younger subjek has a good knowledge, attitude and practice but not statistically significant.Conclusion Knowledge of private general practitioners in Pekanbaru city is inadequate.