NILAI DIAGNOSTIK PEMERIKSAAN RAPID Ig G ANTI TUBERCULOSIS (TB) PADA TB PARU TERSANGKA DI BAGIAN PENYAKIT DALAM RSUP DR. KARIADI DAN BP/I SEMARANG

Abstract

BACK GROUND : Pulmonary tuberculosis is still a serious health problem in both industrial and developing countries. To prevent further spreading, bacterial resistant and disease complication, immediate treatment is necessary. To do this, a diagnostic method that is fast, acurate, simple as well as cheap is required. Considering the above condition, the Rapid Ig G anti TB, is tried on suspected pulmonary tuberculosis patients in the department of internal medicine Dr. Kariadi general hospital and BP4 SemarangMETHODS: Cross sectional study conducted on samples of suspected pulmonary tuberculosis patients in department of internal medicine Dr. Kariadi general hospital and BP4 Semarang. Kudoh culture as a gold standard. Positive Kudoh culture was defined as gold standard. Data were analyzed to show the sensitivity, specificity, positive and negative predictive values. RESULTS • During the periode of July - October 1999, 60 patients were studied . One sample was damaged. There were 36 (60%) male , and 24 (40%) female patients. Forty eight (80%) patients belonged to productive age. AFB test by direct ZN smear showed positive result in 11 (18,33%) patients. Kudoh culture gave positive result for 24 (40%) patients . Rapid Ig G anti TB showed positive result in 30 (50%) patients, and negative result in 29 (48,30%) patients. The sensitivity of Rapid Ig G anti TB was 100%, specificity was 82,86%, positive predictive value 80%, and negative predictive value 100% respectively.CONCLUSION: Rapid Ig G anti TB test can be considered as an alternative method for acurat and fast pulmonary tuberculosis diagnostic. LATAR BELAKA1VG : TB paru masih merupalcan raasalah kesehatan baik di negate industri maupun negara berkembang. Dipedukan pengobatan seawal mungkin untuk menceg,ah penulatan, resistensi dan komplikasi Untuk itu diperlukan care diagnosis yang cepat , tepat, sederbana dan relatif marsh. Mengingat hal tersebut, dilakukan penelitian uji diagnostik pemeriksaan Rapid Ig G anti TB pads TB paru tersangka di Bagian Penyakit Dalam RSUP Dr. Kariadi dan BP4 SemarangMETODOLOGI : Cross sectional study (potong lintang) dengan sampel penderita TB paru tersangka di Bagian Penyakit Dalam RSUP Dr. Kariadi dan BP4 Semarang. Baku emas adalah ditemukannya M. TBC pada biakan Kudoh. Hasil dianaliaa untuk menilai sensitivitas, spesifisitas, nilai ramal positif, dan nil ai ramal negatif pemeriksaanRapid/g G anti TB METODOLOGI : Cross sectional study (potong lintang) dengan sampel penderita TB paru tersangka di Bagian Penyakit Dalam RSUP Dr. Kariadi dan BP4 Semarang. Baku emas adalah ditemukannya M. TBC pada biakan Kudoh. Hasil dianaliaa untuk menilai sensitivitas, spesifisitas, nilai ramal positif, dan nil ai ramal negatif pemeriksaanRapid/g G anti TB ICESIMPULAN : Pemeriksaan Rapid Ig G anti TB dapat dipertimbangkan sebagai metode altematif untuk mendiagnosis TB paru, secara cepat dan tepat.