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Kelambatan Diagnosis Pasien Tuberkulosis Paru di RSUD Dr. Moewardi Surakarta

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Mortality and morbidity related to tuberculosis in Indonesia are still high. On the other hand, case detection rate is still low. Low new case finding might due to diagnosis delay of tuberculosis. The diagnosis delay can be divided into two categories i.e. patient delay and health service delay.To measure propotion of patient delay, health service and diagnosis delay and to investigate factors associated with patient delay and health service delay. Cross section study. The diagnosis of pulmonary tuberculosis was established by symptoms and clinical sign examination, sputum smear, and chest radiographyc. Tuberculosis patient was interviewed on onset of symptoms and first contact with health services and date of initiation of treatment using structured questionnaire. Among 79 cases of pulmonary tuberculosis in this study, 7 cases were excluded so that finally 72 were analyzed. Median total diagnosis, patient delay and health service delay were 35.21 and 14.5 days respectively. He proportion of patient dealy, health service delay and total diagnosis delay were 50%, 50% and55.6% respectively. The factors significantly associated with patient delay was knowledge of tuberculosis (p=0,012). The diagnosis duration of public health centre (16 days), private doctors (15 days), nurses and traditional healer (18 days) longer than hospitals (6 days) and chest clinic (5 days) p=0,004. Proportion of diagnosis delay was high. Strategy to promote knowledge and enhance perception to tuberculosis in community is imperative to overcome the diagnosis delay. The diagnosis delay in public health centre and private doctores has to be followed by network and steady referral system formation among healh services in the area.

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Series Title

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Call Number

Jurnal Respirologi Indonesia, 28(1):10-19

Publisher

Jakarta : Perhimpunan Dokter Paru Indonesia., 2008

Collation

10p.

Language

ISBN/ISSN

0853-7704

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Edition

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Subject(s)

tuberculosis, pulmonary
diagnosis

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