Paparan Mycobacterium tuberculosis Pada Penderita Diabetes Melitus Di Puskesmas Bailang Dan Puskesmas Tongkaina
Abstract
Tuberculosis (Tb) is still a scourge for Indonesia, which has already set its elimination in 2050, due to the difficulty in achieving this target. Diabetes melitus (DM) is a comorbidity for Mycobacterium tuberculosis (M.Tb), both in direct contact and those in the same house. The population in the working area of the Bailang Health Center is 12,971 people with 15 cases of Diabetes melitus in 2018 and 23 cases in 2019. The population in the Tongkaina Health Center work area is 8,909 people with 20 cases of Diabetes melitus in in 2018 and 15 cases in 2019. The purpose of this study was to identify the presence of Mycobacterium tuberculosis in people with Diabetes melitus. This research is descriptive in nature, which was conducted on 20 respondents. The sampling technique was accidental sampling, patients with Diabetes melitus who came to the Bailang Health Center and also the Tongkaina Health Center during May 2019 took a sputum sample which was collected in a sputum container. Sample examination was carried out by making preparations on glass slides and stained with Ziehl-Neelson dye and observed under a microscope and then calculating the number of germs present. The examination was carried out at the Bacteriology Laboratory, Department of Medical Laboratory Technology, Manado Polytechnic. The results of M.Tb microscopic examination were obtained, 11 samples were negative at the Bailang Health Center and 7 samples were negative, 2 samples were positive M.Tb. in patients with Diabetes melitus at the Tongkaina Health Center. It is recommended for health workers to intensively provide education to DM sufferers to always practice Clean and Healthy Behavior (PHBS) when in direct contact or at home with Tb sufferers.
References
2. Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2018.; 2019.
3. Edition S. DIABETES.; 2015.
4. Kementerian Kesehatan RI. Infodatin Diabetes Tahun 2014.
5. Badan Penelitian Dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. RISET KESEHATAN DASAR 2013. 2013.
6. Kesehatan K, Indonesia R. PROFIL KESEHATAN INDONESIA TAHUN 2016.; 2017.
7. Dinas Kesehatan Kota Manado. Profil Kesehatan Kota Manado Tahun 2017. 2017.
8. Wijaya I. Tuberkulosis Paru pada Penderita Diabetes Melitus. 2015;42(6):412-417.
9. Edition T, Mitchell TG. Jawetz Melnick & Adelbergs Medical Microbiology, Twenty-Eighth Edition.
10. Badan Pusat Statistik Provinsi Sulawesi Utara. Provinsi Sulawesi Utara Dalam Angka 2018. Vol 1.; 2018.
11. World Health Organization (WHO). WHO Global TB Report 2018.; 2010.
12. Kesehatan K, Indonesia R. Profil Kesehatan Indonesia Tahun 2017.; 2018.
13. Sharma D, Goel NK, Sharma MK, Walia DK, Thakare MM, Khaneja R. Prevalence of Diabetes Mellitus and its Predictors among Tuberculosis Patients Currently on Treatment. 2018. doi:10.4103/ijcm.IJCM
14. Linda Augustien Makalew, Kuntoro, Bambang Widjanarko Otok, Soenarnatalina M., Elisabeth N. Barung, Dra., Apt. MK. Spatio of Lungs Tuberculosis (Tb Lungs) in East Java Using Geographically Weight Poisson Regression (GWPR). Indian J Public Heal Res Dev. 2019;10(8):1757-1760. https://www.indianjournals.com/ijor.aspx?target=ijor:ijphrd&volume=10&issue=8&article=354.
15. Biome I. Diabetes Research and Clinical Practice. doi:10.1016/S0168-8227(23)00415-1
16. Crowshoe L, Dannenbaum D, Green M, Ma RH, Hayward MN, Toth E. Type 2 Diabetes and Indigenous Peoples Diabetes Canada Clinical Practice Guidelines Expert Committee PRACTICAL TIPS FOR HEALTH-CARE PROVIDERS CARING FOR. 2018;42:296-306.
17. Utomo MRS, Wungouw H, Marunduh S. Kadar HbA1C Pada Pasien Diabetes Melitus Tipe 2 Di Puskesmas Bahu Kecamatan Malalayang Kota Manado. J e-Biomedik. 2018;3(1):3-11. doi:10.35790/ebm.3.1.2015.6620
18. Utomo R, Nugroho HKH, Margawati A. Hubungan Antara Status Diabetes Melitus Tipe 2 Dengan Status Tuberkulosis Paru Lesi Luas. J Kedokt Diponegoro. 2016;5(4):1536.
19. Parente EB, Ahola AJ, Kumar A, Lehto M, Groop P, Study F. Diabetes Research and Clinical Practice The relationship between FGF23 and body composition according to albuminuria stage in type 1 diabetes. 2023;198(March). doi:10.1016/j.diabres.2023.110620
20. Fauziah DF, Basyar M, Manaf A. Artikel Penelitian Insidensi Tuberkulosis Paru pada Pasien Diabetes Melitus Tipe 2 di Ruang Rawat Inap Penyakit Dalam RSUP Dr . M . Djamil Padang. 2016;5(2):349-354.
21. Alatas A. Prevalensi TB Paru dengan BTA+ pada Penderita DM Tipe 2 di RSU Kota Tanggerang Selatan.Tesis tidak dipublikasikan. Fakultas Kedokteran dan Kesehatan UIN Syarif Hidayatullah Jakarta. 2013.
22. Dr. Irwan, S.K.M. MK. Kearifan Lokal Dalam Pencegahan HIV / AIDS Pada Remaja Kearifan Lokal Dalam Pencegahan HIV / AIDS Pada Remaja.; 2017.
23. Nadliroh Z, Kholis F, Ngestiningsih D. Prevalensi Terjadinya Tuberkulosis Pada Pasien Diabetes Mellitus Di Rsup Dr. Kariadi Semarang. J Kedokt Diponegoro. 2018;4(4):1714-1725.
24. AMERICAN DIABETES ASSOCIATION. Standards of medical care for patients with diabetes mellitus. Am DIABETES Assoc. 2002;25(1):213-229. doi:10.2337/diacare.25.1.213
25. Ertana Jihan Restada. Hubungan Lama Menderita Dan Komplikasi Diabetes Melitus Dengan Kualitas Hidup Pada Penderita Diabetes Melitus Di Wilayah Puskesmas Gatak Sukoharjo. 2016.
26. Gautam S, Shrestha N, Mahato S, Nguyen TPA, Mishra SR. Diabetes among tuberculosis patients and its impact on tuberculosis treatment in South Asia : a systematic review and meta ‑ analysis. Sci Rep. 2021:1-12. doi:10.1038/s41598-021-81057-2