Conversion Failure at The End of DOTS Intensive Phase among Acid Fast Bacilli Positive Pulmonary Tuberculosis

· Lung Infection

Reny Setiowati,1 Dumilah Ayuningtyas2
1Rumah Sakit Umum Banten
2Departemen Administrasi Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Indonesia


Background: Indonesia ranks ninth out of twenty-seven countries which has the burden of multi drug resistance (MDR) tuberculosis (TB) in the world. The failure of conversion in TB patients was one of the contributing factor to anti tuberculosis drugs (ATD) resistance. The research aimed to search for factors that connect to abortive attempt in conversion of TB patient with positive lung acid-fast bacilli (AFB) category 1.
Methods: This used cross sectional study. A statistic test which had been used was binominal logistic regression with TB patient with positive lung AFB category 1 in Serang Health Center as research subject in 2014, with sample of 168 TB patients.
Result: The result of the examination showed that TB patients with positive lung AFB category I experienced failure as much as 28%. There were relationship between level of income, knowledge of TB, and patient’s respond to their experiences, distance and access to local government clinic, condition of residence, health information from TB health workers and side effects of medicine to abortive attempt in conversion of TB patient with positive lung BTA category 1.
Conclusion: The most dominant factors of all was sanitary information from TB health workers. (J Respir Indo. 2017; 37: 47-52)

Keywords: TB, failure in conversion, AFB positive, category I

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