Diagnosis of a spectrum of pulmonary tuberculosis at islam hospital sukapura, jakarta, indonesia: A retrospective study of 317 cases

Abstract

Background and Objective: In 2015, Indonesia ranked as the second highest tuberculosis-infected country in the world, after India. The accuracy of diagnosis determines the success of treatment and control and reduction of incidence of tuberculosis. Therefore, this study aimed to describe the diagnosis spectrum of pulmonary tuberculosis. Materials and Methods: This was a retrospective study with a crosssectional design. The study subjects were 317 patients diagnosed with tuberculosis from 1st January, 2015 to 30th June, 2017 at Islam Hospital Sukapura Jakarta, Indonesia. Results: Most tuberculosis patients were 18-49 years old (55.5%) and male (63.4%), at senior high school (56.2%) and worked as seller/farmer/fisher/labor/entrepreneur (36.6%). Most patients had a productive cough (96.2%) with duration of cough >2 weeks (70.3%), shortness of breath (80.1%), loss weight (85.8%), night sweating (77.6%) were smear-negative (68.8%) and had duplex pulmonary tuberculosis (54.6%). The most common diagnoses were category I spectrum tuberculosis, prescribed anti-tuberculosis drugs (91.8%), pulmonary tuberculosis (94.3%), smear-negative tuberculosis (68.8%) and new case tuberculosis (85.5%). Smear-negative new case tuberculosis was the most frequent diagnosis (71.6%). Association between tuberculosis recurrence and the result of sputum microscopy was statistically significant (p = 0.009). Conclusion: The accuracy of tuberculosis diagnosis greatly determines the success of treatment and control of tuberculosis infection. In this study, the most frequent diagnoses were spectrum pulmonary tuberculosis, pulmonary tuberculosis, smear-negative tuberculosis, new case tuberculosis and smear-negative new case tuberculosis.

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