?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=HUBUNGAN+KEBERADAAN+Mycobacterium+tuberculosis+(MTB)+DAN%0D%0ARESISTENSI+RIFAMPICIN+TES+GENEXPERT+DENGAN+LUAS+LESI%0D%0ARADIOGRAFI+TORAKS+PADA+PASIEN+TUBERKULOSIS+PARU%0D%0ADEWASA+DI+RSUD+DR.+H.+ABDUL+MOELOEK+LAMPUNG&rft.creator=AZIZAH+%2C+NUR+RAHMAH&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Latar+Belakang%3A+Indonesia+memiliki+sangat+banyak+jumlah+kasus+TB+tidak%0D%0Aterlaporkan+serta+kasus+TB+multidrug-resistant+dan+resisten+Rifampicin+di+tahun%0D%0A2021.+Tes+GeneXpert+tidak+hanya+mempunyai+kemampuan+mendeteksi+resistensi%0D%0ARifampicin%2C+tetapi+juga+meningkatkan+jumlah+pasien+TB+terkonfirmasi%0D%0Abakteriologis+di+antara+kasus+pemeriksaan+sputum+Basil+Tahan+Asam+(BTA)+negatif%0D%0Akarena+memiliki+sensitivitas+yang+lebih+tinggi+dibandingkan+pemeriksaan+sputum%0D%0ABTA.+Penelitian+sebelumnya+menemukan+bahwa+radiografi+toraks+normal+tidak%0D%0Aselalu+berarti+hasil+pemeriksaan+bakteriologis+negatif.+Penelitian+ini+bertujuan+untuk%0D%0Amengetahui+apakah+jumlah+Mycobacterium+tuberculosis+(MTB)+dan+resistensi%0D%0Abakteri+tersebut+terhadap+Rifampicin+memengaruhi+derajat+lesi+paru+atau%2C+dengan%0D%0Akata+lain%2C+menyebabkan+kerusakan+berat.%0D%0AMetode%3A+Penelitian+analitik+observasional+dengan+pendekatan+cross+sectional.%0D%0ASampel+merupakan+110+rekam+medis+pasien+TB+paru+dewasa+yang+diperoleh%0D%0A%0D%0Amenggunakan+teknik+total+sampling.+Data+dianalisis+menggunakan+uji+Kruskal-%0D%0AWallis+dan+Chi-Square.%0D%0A%0D%0AHasil%3A+Mayoritas+pasien+resisten+Rifampicin+maupun+sensitif+Rifampicin%2C+baik%0D%0Adengan+hasil+%E2%80%9CMTB+detected+high%E2%80%9D%2C+%E2%80%9CMTB+detected+medium%E2%80%9D%2C+ataupun+%E2%80%9CMTB%0D%0Adetected+low%E2%80%9D+menunjukkan+gambaran+lesi+far+advanced.+Berdasarkan+hasil+uji%0D%0AKruskal-Wallis%2C+tidak+terdapat+hubungan+antara+keberadaan+MTB+dengan+luas+lesi%0D%0Apada+29+pasien+resisten+Rifampicin+(p-value+%3D+0%2C338).+Hasil+yang+serupa+ditemukan%0D%0Apada+hasil+uji+Chi-Square%2C+yaitu+tidak+ada+hubungan+antara+resistensi+Rifampicin%0D%0Adengan+luas+lesi+pada+110+pasien+(p-value+%3D+0%2C561).+Akan+tetapi%2C+terdapat+hubungan%0D%0A%0D%0Aantara+keberadaan+MTB+dengan+luas+lesi+pada+81+pasien+sensitif+Rifampicin+(p-%0D%0Avalue+%3D+0%2C009).%0D%0A%0D%0AKesimpulan%3A+Penelitian+ini+menunjukkan+bahwa%2C+meskipun+tidak+terdapat%0D%0Ahubungan+signifikan+secara+statistik+antara+keberadaan+MTB+pada+pasien+resisten%0D%0ARifampicin+dan+resistensi+Rifampicin+itu+sendiri+dengan+luas+lesi+paru%2C+baik+MTB%0D%0Ayang+resisten+Rifampicin+maupun+sensitif+Rifampicin+memiliki+potensi+yang+setara%0D%0Adalam+menimbulkan+lesi+paru+berat.+Di+sisi+lain%2C+terdapat+hubungan+bermakna%0D%0Asecara+statistik+antara+keberadaan+MTB+pada+pasien+sensitif+Rifampicin+dengan+luas%0D%0Alesi+paru.+Hal+ini+menunjukkan+bahwa+semakin+banyak+jumlah+MTB%2C+semakin+berat%0D%0Alesi+paru+pada+pasien+sensitif+Rifampicin.%0D%0AKata+Kunci%3A+GeneXpert%2C+luas+lesi%2C+Mycobacterium+tuberculosis%2C+radiografi+toraks%2C%0D%0Aresistensi+Rifampicin%2C+tuberkulosis+paru.%0D%0ATHE+CORRELATION+BETWEEN+GENEXPERT+TESTS+PRESENCE+OF%0D%0AMycobacterium+tuberculosis+(MTB)+ALONG+WITH+RIFAMPICIN%0D%0ARESISTANCE+AND+THE+EXTENT+OF+THORACIC+RADIOGRAPHY%0D%0ALESIONS+IN+ADULT+PULMONARY+TUBERCULOSIS+PATIENTS%0D%0AAT+RSUD+DR.+H.+ABDUL+MOELOEK+LAMPUNG%0D%0A%0D%0ABy%0D%0A%0D%0AAZIZAH+NUR+RAHMAH%0D%0A%0D%0ABackground%3A+Indonesia+was+abundant+with+unreported+tuberculosis+(TB)+cases+as%0D%0Awell+as+cases+of+multidrug-resistant%2FRifampicin-resistant+TB+in+2021.+GeneXpert%0D%0Atest+holds+the+ability+to+not+only+detect+Rifampicin+resistance%2C+but+also+increase+the%0D%0Anumber+of+bacteriologically+confirmed+TB+patients+among+negative+acid-fast+bacilli%0D%0A(AFB)+smear+cases+since+its+sensitivity+surpasses+that+of+AFB+smear.+Earlier+finding%0D%0Apresented+that+a+normal+thoracic+radiography+doesn%E2%80%99t+necessarily+mean+a+negative%0D%0Abacteriological+examination+result.+This+study+aimed+to+investigate+whether+the%0D%0Aamount+of+Mycobacterium+tuberculosis+(MTB)+and+the+resistance+of+said+bacteria%0D%0Ato+Rifampicin+affect+the+degree+of+lung+lesion+or%2C+in+other+words%2C+create+an+advanced%0D%0Adamage.%0D%0AMethod%3A+Observational+analytical+research+with+a+cross+sectional+approach.+The%0D%0Asamples+were+110+medical+records+of+adult+pulmonary+TB+(PTB)+patients+obtained%0D%0Ausing+total+sampling+technique.+The+data+were+analysed+using+the+Kruskal-Wallis%0D%0Aand+Chi-Square+tests.%0D%0AResults%3A+Both+the+majority+of+Rifampicin-resistant+and+Rifampicin-sensitive%0D%0Apatients%2C+either+with+%E2%80%9CMTB+detected+high%E2%80%9D%2C+%E2%80%9CMTB+detected+medium%E2%80%9D%2C+or+%E2%80%9CMTB%0D%0A%0D%0Adetected+low%E2%80%9D+results%2C+presented+with+far+advanced+lesions.+Based+on+the+Kruskal-%0D%0AWallis+test+outcome%2C+there+was+no+correlation+between+the+presence+of+MTB+and+the%0D%0A%0D%0Aextent+of+lesions+in+29+Rifampicin-resistant+patients+(p-value+%3D+0.338).+Similar+result%0D%0Awere+found+in+the+Chi-Square+test+outcome%2C+in+which+there+was+also+no+correlation%0D%0Abetween+Rifampicin+resistance+and+the+extent+of+lesions+in+110+patients+(p-value+%3D%0D%0A0.561).+However%2C+there+was+a+correlation+between+the+presence+of+MTB+and+the%0D%0Aextent+of+lesions+in+81+Rifampicin-sensitive+patients+(p-value+%3D+0.009).%0D%0AConclusion%3A+This+study+shows+that%2C+although+there+is+no+significant+statistical%0D%0Acorrelation+between+the+presences+of+MTB+in+Rifampicin-resistant+patients+along%0D%0Awith+the+Rifampicin+resistances+itself+and+the+extent+of+lung+lesions%2C+both%0D%0ARifampicin-resistant+MTB+and+Rifampicin-sensitive+MTB+have+equal+potentials+in%0D%0Acausing+advanced+lung+lesions.+On+the+other+hand%2C+there+is+a+significant+statistical%0D%0Acorrelation+between+the+presences+of+MTB+in+Rifampicin-sensitive+patients+and+the%0D%0Aextent+of+lung+lesions.+This+concludes+that+the+higher+the+amounts+of+MTB%2C+the+more%0D%0Aserious+the+lung+lesions+in+patients+with+sensitivity+to+Rifampicin.%0D%0AKeywords%3A+Extent+of+lesion%2C+GeneXpert%2C+Mycobacterium+tuberculosis%2C+pulmonary%0D%0Atuberculosis%2C+Rifampicin+resistance%2C+thoracic+radiography.&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2024-06-12&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83822%2F1%2FABSTRAK%2520-%2520Azizah%2520Nur%2520Rahmah.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83822%2F2%2FSKRIPSI%2520FULL%2520-%2520Azizah%2520Nur%2520Rahmah.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83822%2F3%2FSKRIPSI%2520FULL%2520TANPA%2520PEMBAHASAN%2520-%2520Azizah%2520Nur%2520Rahmah.pdf&rft.identifier=++AZIZAH+%2C+NUR+RAHMAH++(2024)+HUBUNGAN+KEBERADAAN+Mycobacterium+tuberculosis+(MTB)+DAN+RESISTENSI+RIFAMPICIN+TES+GENEXPERT+DENGAN+LUAS+LESI+RADIOGRAFI+TORAKS+PADA+PASIEN+TUBERKULOSIS+PARU+DEWASA+DI+RSUD+DR.+H.+ABDUL+MOELOEK+LAMPUNG.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F83822%2F