UJI DIAGNOSTIK PEMERIKSAAN IMMUNOCHROMATOGRAPHIC TUBERCULOSIS (ICT TB) DIBANDINGKAN DENGAN PEMERIKSAAN BTA SPUTUM PADA TERSANGKA PENDERITA TB PARU DI RSUP DR KARIADI SEMARANG

Abstract

Introduction. Tuberculosis remains a big health problem. The accurate diagnosis of TB is necessary in breaking the chain of transmission. ICT TB is a serological test to detect antibodies in serum. The study was designed to evaluate the efefectiveness and some of the factors that influence the ICT test. Methods. This research design uses a diagnostic test. The samples are secondary data from medical records consists of patients with suspected pulmonary tuberculosis patients who seek treatment in RSUP Dr. Semarang with examination of ICT tuberculosis and sputum smear examination. The study also compared the results of smear examination in the case of ICT with new and relapse cases. In addition researchers are also exploring the factors that influence the ICT TB test. Analysis of data was descriptive analysis, diagnostic test, and test hypothesis with chi-square bivariate. Limit of significance was p <0.05 with 95% confidence interval. Results. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value of ICT-TB test row by 48.64%, 77.05%, 18.36%, 56.25% and 71.21%. This study found many new cases (31.67%) rather than relapse cases (11.2%). The results of research on factors affecting the ICT TB test showed that there was no significant association between diabetes mellitus (p = 0.468) and advanced age (p = 0.896) with the ICT TB test results. Conclusion. ICT TB has a low level of sensitivity and specificity are still not good enough for screening tuberculosis in early detection. ICT TB was not influenced by Diabetes Melitus and the elderly factors. . Keywords: diagnostic test, pulmonary tuberculosis, ICT tuberculosis, sputum smear.