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Perbandingan Hasil Positif UJI BCG dan Uji Tuberkulin sebagai Uji Tapis pada Anak dengan Tuberkulosis

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Until now tuberculosis (TB) is still a world healt problem, especiallyin the third world countries like Indonesia wor ld health Organization (WHO) reported in 1995 there was 3 millions people died caused by TB. Prevalence of lung TB with positive acid fest bacill (AFB) in Indonesia is still high, about 9.3%, it means tht there were 3 personssuffering of TB every 1000 people. It’ s needed to improve the quality of lung TB disease eliminaton program. But the problemthat some of the cases of tuberculosis with positive AFB flinding is low. May be it caused that the technique of AFB examination is dificult, especially in infant and young children., tuberculin test have been used widely for a long periode, but it reaction less sensitive (to be negative) for moment time in anergy state. Recently, some centre uses BCG for diagnosing TB, but further research is still needed (to prove more high proportion of positive result and superionty of BCG test). This research uses Clinical Disareement to measure kappa and chi square (Fisher’s) to mesurep. The sample size were 100 respondents, boys and grils beetwen 4 months to 12 years old, who visted to General Pediatric Clinic Dr. Kariadi Hospital. To diagnosing TB, modified 1994 Starke is used. Tuberculin BCG test was tested at the same time and evaluated after 72 hours (for tuberculin and BCG) and at 7th day (for BCG). The proportion of these tests were compared by cross tabulation. The respondents that suffering of tuberculosis were trested with 2HRZ 4HR regiment and reevaluated clinical, laboratoric and radiolgic, findings. The proportion of positive result of BCG test is higher (97%) than positive result of tubercullin test (24%), but (24%), but not significant. Proportion of negative result of tuberculin test is higher (78%) than BCG test (3.3%), but not significant. Distribution of positive result of BCG test has same proportion in groups of age and nutrition state. The proportion of positive result of BCG is higher than tubercullin test, but not significant.

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Biomedika:1(2):1-8

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Solo : FK Universitas Muhammadiyah Surakarta., 2009

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2085-8345

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