Correlation between Chest X-Rays and TCM (Rapid Molecular Tests) in Pulmonary Tuberculosis Patients at Anutapura Hospital Palu
Keywords:
Tuberculosis, Molecular Rapid Test, Chest X-rayAbstract
Tuberculosis (TB) is an infectious disease that can cause a decline in health, caused by Mycobacterium tuberculosis. The Molecular Rapid Test with Xpert MTB/RIF is a test tool using a cartridge based on the Nucleic Acid Amplification Test (NAAT) to identify Mycobacterium tuberculosis and resistance to rifapicin. Radiology plays an important role in diagnosis and evaluation of TB cases. Thoracic X-ray is required if the patient with a negative Molecular Rapid Test result but has strong clinical manifestations. Method: This research is an observational analytic study with a cross sectional approach. The sampling technique used is total sampling also using secondary data. The amount of sample is 154 patients. The statistical test used is the Spearman test and the Lambda. Contingency Coefficient test. Result: The results showed, there is 15 (9,7%) in MTB not detection, 58 patients (37,7%) in MTB detected low, 62 (40,3%) in MTB detected medium, and 19 (12,3%) MTB detected high. Minimal lesion is 14 (9,1%) and advanced lesion 140 (90,9%). Typical lesion location 142 (92,2%) and atypical location 12 (7,8%). There is a significant relationship between the area of the lesion on the chest radiograph and the Molecular Rapid Test examination with a p value of 0.000 (p value < 0.05) and a correlation coefficient value of r = 0.527, and there is no significant relationship between the location of the lesion on a chest X-ray with a Rapid Molecular Test examination with a p value of 0.615. Conclusion: There is a significant and strong relationship between lesion area in chest x-ray and Molecular Rapid Test results. And there is no relationship between the location of the lesion on the chest X-ray with Molecular Rapid Test results.
References
W. H. Organization and W. H. O. Staff, Global tuberculosis report. World health organization, 2020.
K. RI, “Standar Prosedur Operasional Pemeriksaan Mikroskopis TB,” Kementrian Kesehat. RI. Jakarta, 2018.
Departemen Kesehatan Republik Indonesia, “No.364/Menkes/SK/V/2009 tentang Pedoman Penanggulangan Tuberkulosis,” Jakarta, 2009.
Z. Zuraida, I. Latifah, and Z. I. Atikasari, “Studi Literatur Hasil Pemeriksaan Tcm (Tes Cepat Molekuler), Mikroskopik Bta Dan Kultur Pada Suspek Tb (Tuberkulosis),” Anakes J. Ilm. Anal. Kesehat., vol. 7, no. 1, pp. 83–87, 2021.
E. Fitria, R. Ramadhan, and R. Rosdiana, “Karakteristik Penderita Tuberkulosis Paru di Puskesmas Rujukan Mikroskopis Kabupaten Aceh Besar,” Sel J. Penelit. Kesehat., vol. 4, no. 1, pp. 13–20, 2017.
R. Susilawati, T. N., & Larasati, “Pembaruan dari Metode Diagnostik untuk Tuberkulosis dan Penerapannya di Indonesia: Tinjauan Narrative,” J. Kedokt. Indones., vol. 28, no. 3, pp. 1–10, 2019.
R. D. Pratiwi, “Gambaran Komplikasi Penyakit Tuberkulosis Berdasarkan Kode International Classification of Disease 10,” J. Kesehat. Al-Irsyad Vol. 13 No, vol. 2, 2020.
N. Marissa, V. Wilya, E. Febriansyah, and N. Ramadhan, “Tes Cepat Molekuler sebagai Alat Diagnosis Tuberkulosis yang Resisten Rifampisin di Provinsi Aceh,” J. Biotek Medisiana Indones., vol. 9, no. 2, pp. 147–159, 2020.
M. Fachri, R. A. Fauzi, and R. Akaputra, “Gambaran Radiologi Foto Toraks Pasien TB Paru Resistan Obat dengan dan Tanpa DM Tipe 2 di Rumah Sakit Islam Jakarta Sukapura,” J. Kedokt. dan Kesehat., vol. 17, no. 2, pp. 177–186, 2021.
D. J. Layali, “Hubungan Lesi Tuberkulosis Paru dengan Diabetes Mellitus terhadap Kadar HbA1C.” Universitas Sumatera Utara, 2017.
Y. Sulaiman, S. C., Handayani, L., “Gambaran Radiologi Tuberkulosis Paru Multi Drug Resistance: Studi Retrospektif di Rumah Sakit Umum Dr. Soetomo Surabaya,” J. Respirasi, vol. 4, no. 3, pp. 71–75, 2018.
R. P. Marvallini, R. Y., Izzak, “Gambaran Radiologi Foto Toraks Penderita Tuberkulosis Pada Usia Produktif di RSUD Pasar Minggu,” J. Kedokt., vol. 9, no. 1, pp. 1219–1223, 2021.
