Lung Tuberculosis with Multi Drug Resistant Risk in Tertiary Hospital in Middle Java

Authors

  • Ratna Wulan Febriyanti Universitas Muhammadiyah Purwokerto
  • Winarto Winarto Universitas Diponegoro
  • Mujahidah Mujahidah Universitas Diponegoro
  • Endang Sri Lestari Universitas DIponegoro
  • Purnomo Hadi Universitas Diponegoro
  • Vincentia Rizke Ciptaningtyas Universitas Diponegoro

DOI:

https://doi.org/10.30595/hmj.v4i2.10352

Keywords:

Risk Factors, pulmonary MDR TB infection, Tuberculosis

Abstract

World TB report from World Health Organization (WHO) in 2017 informed that Indonesia was second country with TB case. Multi Drug Resistance pulmonary infection’s case in Indonesia were 12.000. Kariadi hospital is one of tertiary hospital for pulmonary MDR-TB treatment but, there is no study about risk factor of it yet, so it needed to find risk factors of MDR-TB pulmonary infection in Kariadi hospital. Cross Sectional design using secondary data from Medical Record  from January 1st -  December 31, 2017 with result of Mycobacterium tuberculosis on GeneXpert sputum examination. Bivariate analysis with Chi square test and multivariate analysis was done by multiple logistic regression. The p value was considered significant if <0.05, all analyzes were 2-tailed. Totally 110 patients were obtained during periode, 55 samples for case and 55 samples for control. There were correlation between smoking habit OR = 3,1 (CI 95% 1,1-8,7), malnutrition OR = 2,9 (CI 95% 1,3-6,3), contact with patient with MDR pulmonary TB infection OR = 12,0 (CI 95% 1,5-97,3), past treatment  OR = 81,7(CI 95% 23,4-285,2) and ≥6months past treatment OR = 94,5 (CI 95% 12,1-736,2. Risk factor that could influence together were contact with patient with MDR pulmonary TB infection OR = 34,5 (CI 95% 2,6-464,5), past treatment OR = 39,4 (CI 95% 8,3-186,3) and ≥ 6months past treatment OR = 12,4 (CI 95% 1,3-117,7). Risk factors for the incidence of pulmonary MDR TB infection are past contact with patient with MDR pulmonary TB infection, past treatment  and  ≥ 6months past treatment.

Author Biographies

Ratna Wulan Febriyanti, Universitas Muhammadiyah Purwokerto

Mikrobiologi

Winarto Winarto, Universitas Diponegoro

Mikrobiologi Klinik

Mujahidah Mujahidah, Universitas Diponegoro

Mikrobiologi Klinik

Endang Sri Lestari, Universitas DIponegoro

Mikrobiologi Klinik

Purnomo Hadi, Universitas Diponegoro

Mikrobiologi Klinik

Vincentia Rizke Ciptaningtyas, Universitas Diponegoro

Mikrobiologi Klinik

References

  1. WHO. Global Tuberculosis Report. Geneva: WHO; 2017. p15-16
  2. WHO. Drug Resistant Tuberculosis. Geneva: WHO; 2018.
  3. The End TB PARU Strategy. Companion handbook to the WHO guidelines for the programmatic management of drug-resistant tuberculosis Geneva. 2016.
  4. Blanchard JS. Molecular Mechanisms of Drug Resistance in Tuberculosis. Annu Rev Biochem. 1996;65:215–39.
  5. Liem Nguyen. Antibiotic resistance mechanisms in M. tuberculosis: an update. HHS Public Access. 2016;90(7);1585-1604.
  6. Scott’s, Bailey. Diagnostic Microbiology. Edisi 13. Missouri. Elsevier. 2015.
  7. Whalen Karen. Lippincot Illustrated Riviews: Pharmacology. Edisi 6. Philadelphia. Wolters Kluwers. 2015.
  8. Palomino J, Martin A. Drug Resistance Mechanisms in Mycobacterium tuberculosis. Antibiotics. 2014;3(3):317– 40.
  9. Mathema B, Jason R, Ted C, Martien B, Marcel B, Judith G, et al. Drivers of Tuberculosis Transmissionon. . The Journal of Infectious Diseases Volume 216, Issue suppl_6. 2017 10 (3). p S644–S653.
  10. Xin-Tong X-WL, Xiao-Yan Shi, Ling Zhou. Prevalence and risk factors of multi-drug resistant tuberculosis in Dailan, China. Journal of International Medical Research. 2017. Vol. 45(6) 1779–1786.
  11. Odone A, Calderon R, Becerra MC, Zhang Z, Contreras CC, Yataco R, et al. Acquired and Transmitted Multidrug Resistant Tuberculosis: The Role of Social Determinants. PLoS ONE. 2016. 11(1): e0146642.
  12. A Chijioke, Nsofor, Qi Jiang, Jie Wu, Mingyu Gan, Qingyun Liu, et al. Transmissionon is a Noticeable Cause of Resistance Among Treated Tuberculosis Patients in Shanghai, China. Shanghai. Scientific Reports. 2017. 08 (07);| 7: 7691.
  13. Grandjean L, Gilman RH, Martin L, Soto E, Castro B, Lopez S, et al. Transmission of Multidrug-Resistant and Drug-Susceptible Tuberculosis within Households: A Prospective Cohort Study. PLoS Med 2015 12(6): e1001843.
  14. Qianqian L, Wenzhang L, Miao X, Yunfeng C, Xinmiao D, Chengdi W et al. Diabetes mellitus and the risk of multidrug resistant tuberculosis: a meta-analysis. Nature. Scientific Reports. 2015. 7: 1090.
  15. Abdulhalik Workicho, Wondwosen Kassahun, Fessahaye Alemseged. Risk factors for multidrug-resistant tuberculosis among tuberculosis patients: a case-control study. Dovepress. 2017:10 91-96.
  16. Ahmad Ahsan, Saeed Akhtar, Rumina Hasan, Javaid A. Khan c, Syed F. Hussain c, Nadeem Rizvi. Risk factors for multidrug-resistant tuberculosis in urban Pakistan: A multicenter case–control study. International Journal of Mycobacteriology (2012) 137 –142. p138-141.
  17. Rifat Mahfuza, Abul Hasnat, John Hall, Christopher Oldmeadow, Md. Akramul Islam, Ashaque Husain, et al. Development of Multidrug Resistant Tuberculosis in Bangladesh: A Case-Control Study on Risk Factors. Plos One. 2014. doi:10.1371/ journal.pone.0105214. p1-4.
  18. Chuchottaworn, Vipa T, Piamlarp S, Thu Z, Myint T, Duangjai S, et al. Risk Factors for Multidrug-Resistant Tuberculosis among Patients with Pulmonary Tuberculosis at the Central Chest Institute of Thailand. PLoS ONE. 2017.10(10): e0139986
  19. Wei-Bin Li, Yan-Qiu Zhang, Jin Xing, Zhen-Ya Ma1, Ya-Hong Qu1, Xin-Xu Li, et al. Factors associated with primary transmission of multidrug-resistant tuberculosis compared with healthy controls in Henan Province, China. Infectious Diseases of Poverty (2015) 4:14.
  20. Qianqian Liu, Wenzhang Li, Miao Xue, Yunfeng Chen, Xinmiao Du, Chengdi Wang, et al. Diabetes mellitus and the risk of multidrug resistant tuberculosis: a meta-analysis. Scientific Reports. 2017. 7: 1090.
  21. Mesfin YM, Hailemariam D, Biadglign S, Kibret K. Association between HIV/AIDS and Multi-Drug Resistance Tuberculosis: A Systematic Review and Meta-Analysis. PLoS ONE. 2014 9(1): e82235.
  22. WHO. TB-HIV. World Health Organization. 2017.
  23. Onuka O, Ahukanna J, Okebaram C, Dakum P, Agbaje A, Ibeziako V et al. A Case Study of Multi Drug Resistant Tuberculosis (MDR-TB), HIV and Diabetes Mellitus (Dm) Comorbidity: Triple Pathology; Challenges and Prospects. Advances in Infectious Disease. 2017;7,70-79.

Downloads

Published

2021-05-02

How to Cite

Febriyanti, R. W., Winarto, W., Mujahidah, M., Lestari, E. S., Hadi, P., & Ciptaningtyas, V. R. (2021). Lung Tuberculosis with Multi Drug Resistant Risk in Tertiary Hospital in Middle Java. Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran Dan Kesehatan, 4(2), 61–67. https://doi.org/10.30595/hmj.v4i2.10352